Page 97 - IJB-9-1
P. 97

International Journal of Bioprinting                                        Progress in bioprinting of bone


                                                               ROB-laden PEG4K-Clay scaffolds was significantly larger
                                             amniotic fluid-derived stem cells, SVF: Stromal vascular fraction, NHOst: Normal human osteoblasts, iMSCs: Immortalized hTERT-overexpressing MSCs, ucMSCs: Fetal MSCs from umbilical cord,
                                           Bone morphogenetic protein 4, MSCs: Mesenchymal stem cells, HUVECs: Human umbilical vein endothelial cells, hTMSCs: Human nasal inferior turbinate tissue-derived MSCs, hAFSCs: Human
                                                               than that of other groups.
                                   PLGA: Poly (lactic-co-glycolic acid), PEG: Poly (ethylene oxide), CMC: Carboxymethyl cellulose, COL-I: Collagen type I, HA: Hyaluronic acid, PCL: Polycaprolactone, TCP: Tricalcium phosphate,
                                         Laponite, CPC: Calcium phosphate cement, PEGDA: Poly ethylene glycol diacrylate, ALG/MC: Alginate-methylcellulose blend, LPN: Laponite, MSNs : Mesoporous silica nanoparticles, BMP-4:
                                     PLA: Polylactic acid, GelMA: Gelatin methacrylate, VEGF: Vascular endothelial growth factor, MeHA: Methacrylated hyaluronic acid, PVA: Polyvinyl alcohol, RGD: Arginylglycylaspartic acid,
                                                                 Table 1 summarizes the studies on extrusion-based
                                               BMSCs: Bone marrow stem cells, ADSCs: Adipose-derived stem cells, rBMSCs: Rat BMSCs, hMSCs: Human MSCs, DPSCs: Dental pulp stem cells, SD: Sprague Dawley, ROBs: Rat osteoblasts
                                       nHAp: Nano-hydroxyapatite, pDNA: Plasmid DNA, TGF-b3: Transforming growth factor-beta 3, nSi: Nanosilicate, kCA: Kappa-carrageenan, AMP: Amorphous magnesium phosphate, LAP:
                 Zonal structure  --  --                       bone bioprinting and the properties of the bioprinted bone
                                 PEO: Polyethylene glycol, PPO: Poly (phenylene oxide), BCP: Biphasic calcium phosphate, DNA: Deoxyribonucleic acid, BMP-2: Bone morphogenetic protein 2, HAp: Hydroxyapatite,
                                                               constructs.
                                                               3.2. Droplet-based bioprinting of bone
                 Viability  --  >90% at 1   day                Campos et al. [130]  applied DBB to bone reconstruction, and
                                                               thermo-responsive  agarose  hydrogels  with  COL-I  were
                                                               inkjet-printed at different concentrations. By increasing
                                                               the agarose content in agarose/collagen composites, more
                                                               precise contours could be captured in the bioprinted tissue,
                 Compressive   modulus  30.7 ± 9.1 MPa  20% PEG4K-7%   Clay: 0.47 MPa  20% PEG10K-7%   Clay: 0.98 MPa  since the viscosity and mechanical stiffness of the bioinks
                                                               were improved, therefore facilitating their printability.
                                                               However, softer hydrogels resulted in the greater elongation
                                                               of MSCs after osteogenic differentiation. Cells survived

                 Mechanical   reinforcement  Laponite XLG   nanoclay  in the bioprinting and preserved the mesenchymal
                                                               phenotype, as confirmed by high cell viability (>98%),
                                                               immunostaining of vimentin+ and CD34−, ALP activity,
                                                               and bone-related gene expression.
                      --
                                                               3.3. Laser-based bioprinting of bone
                 Pore size   (porosity)  --  --                Using the digital light processing-based 3D bioprinting
                                                                                         generated a construct
                                                               technique, Anada  et  al.
                                                                                     [131]
                                                               that consists of two rings, which are an outer ring of
                                                               octacalcium phosphate (OCP) and GelMA imitating the
                                                               cortical shell as well as an inner ring of HUVEC spheroids
                                                               and GelMA imitating the bone marrow. On increasing the
                 Animal model  Male rats                       concentration of OCP, MSC differentiation was enhanced,
                                                               resulting in increased ALP activity, and the vascularization
                                                               was observed in hydrogels, which contained HUVEC
                      --
                                                               spheroids in combination with GelMA.
                                                                 Bernal  et al. [132]  developed an optical-tomography-
                 Cell source  hMCSs  ROBs                      inspired volumetric printing (VBP) apparatus, which
                                                               enables structures of complex shapes to be bioprinted
                                                               within seconds, and used in bone remodeling. This method
                                                               overcomes the limitations of bioprinting such as a long
                        PEGDA, Laponite XLG nanoclay,          It was used to bioprint an anatomical bone trabecular
                                                               printing time and difficulty of printing complex structures.
                                                               model containing MSCs, in which the smallest feature was
                                                               145  μm, and endothelial colony-forming cells (ECFCs)
                                                               and MSCs were further added into the pores to form a

                 Materials  CPC, ALG/MC  HA                    heterocellular structure, where the vascular formation was
                                                               seen after a 3-day culture.
             Table 1. (Continued)  Study  Ahlfeld et al. [128]  Zhai et al. [129]  Heo et al. [133]  used AAB technology to control the precise
                                                               3.4. Aspiration-assisted bioprinting of bone
                                                               printing of osteogenically differentiated hMSC/HUVEC
                                                               spheroids. The method allowed the printed spheroids to
                                                               tightly self-assemble and retain their original shape without



            Volume 9 Issue 1 (2023)                         89   disintegration. The survival rate of cells in hMSC/HUVEC
                                                                                    https://doi.org/10.18063/ijb.v9i1.628
   92   93   94   95   96   97   98   99   100   101   102