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International Journal of Bioprinting                          3D Printing Multifunctional Orthopedic Biocoatings


            surface and reduce the incidence of charging, which is   the viability of various human and animal cell lines . Cell
                                                                                                       [64]
            due to high negative charges accumulating on the sample   viability and adhesion on these coated substrates were also
            surface. SEM was also used to examine the nanocomposite   assessed using live/dead staining (Invitrogen, Live/Dead
            structure inside the dried polymeric coating surface.  Staining Kit). The live and dead cells were visualized at
                                                               days 1 and 3 post-seeding using a fluorescence microscope
              FTIR spectroscopy was performed on the sample
            powders as well as on the obtained coating films using   (Olympus-CKX41).
            a  Nicolet  6700  spectrophotometer  (Thermo  Electron   2.8. VA release measurements
            Corporation) equipped with a diamond ATR Smart orbit
            window.                                            2.8.1. Elution experiment
                                                               The coated substrates were placed in a sterile 24-well tissue
              Spectra were obtained at 1.0 cm  resolution averaging
                                        −1
            32 scans to investigate and confirm the presence of ACP   culture  plate  with  2.0  ml  of  phosphate-buffered  saline
                                                               (PBS, Lonza, 1×) completely covering the coating (n = 3
            and VA within the polymeric coatings.
                                                               of each group) kept under 37°C, 5% CO , and 95% relative
                                                                                               2
            2.6. Adhesion test                                 humidity. All the 2.0 ml solution from the wells were taken
                                                               out and analyzed at each time point, and the wells were
            The bond strength and stability of any coating on the   replenished with 2.0 ml of fresh PBS. The concentration
            substrate are a critical factor in determining its value to   of VA released at each time point was determined by
            biomedical  applications.  Low-quality  films  could  peel-  measuring the absorbance at 280  nm, from which the
            off from the substrate when subjected to forces and   concentration was calculated using a standard calibration
            loads, and thus, it is important to evaluate their adhesion   curve [64-67] . The mass of VA released was then calculated
            properties. The adhesion of the polymeric coatings to the   using the values of measured concentration and actual
            Ti substrate was evaluated according to the American   collected sample volume.
            Society for Testing Materials (ASTM) (Mittal, 1978) .
                                                        [62]
            ASTM-D3359-02 tape test  was chosen to study the   2.8.2. Antibiotic activity study
                                  [63]
            adhesion of polymeric coatings on the Ti alloy substrates.   The biological activity of the released VA was evaluated on
            A crosscut pattern of 1 mm separation distance was made   Staphylococcus aureus (S. aureus) by measuring the zone of
            on the coating samples. An ASTM standard pressure   inhibition using the disk diffusion method. The objective
            sensitive tape was firmly adhered onto the coatings and   of this test was to validate that the released VA is still
            then removed according to the procedure as described in   active after the coating on the Ti substrates. S. aureus was
            the ASTM tape adhesion test.                       purchased from the American Type  Culture Collection
            2.7. Cell adhesion and cytocompatibility test      (ATCC). S. aureus was pre-cultured with soy broth (BD
                                                               Biosciences, NJ) at 37°C in a shaking incubator for 7  h
            To test the cytocompatibility of the various ACP polymeric   and inoculated on a Mueller-Hinton agar plate. The blank
            coatings, cell adhesion and live/dead tests were conducted.   antimicrobial susceptibility disks (Oxoid, UK) were placed
            The influence of factors, such as ACP concentration and   on the bacteria plate and 10 µL of the elutes collected from
            polymer type on osteoblast confluence and proliferation,   each group at various time intervals were then carefully
            was investigated. Murine osteoblast cell line, MC3T3-E1,   loaded to these disks. The known concentrations of VA
            was  obtained  from  ATCC  (Manassas,  VA).  Cells  were   were used for the control. The plates were incubated
            cultured under 37°C, 5% CO , and 95% relative humidity   overnight at 37°C and the area of microbial resistance was
                                   2
            in minimum essential medium (α-MEM, Gibco, Grand   measured.
            Island, NY) containing 10 vol.% fetal bovine serum (FBS,
            Atlanta Biologicals, Lawrenceville, GA) and 1% penicillin-  3. Results and discussion
            streptomycin solution (P/S, Gibco, Grand Island, NY).   3.1. Coating solution and parameters
            Cells at the third to seventh passage were used in this
            experiment. All the substrates were sterilized under UV   The custom developed 3D printing technique was employed
            radiation for at least 60 min. The sterilized substrates were   to coat all the substrates with different therapeutic agents in
            placed in 12-well plates and MC3T3-E1 cells were seeded   polymeric formulations. Monodispersed droplets as shown
            on them at a concentration of 120,000 cells/well. A 1 ml of   in Figure 2B were generated for polymeric solutions so that
            media/cm  of surface area was used and the culture media   precision deposition was achieved on the Ti substrate.
                    2
            were changed daily. The effect of ACP concentrations on   The jetting performance of each candidate polymeric
            the osteoblast viability was evaluated using the Alamar blue   solution was dictated by the physical properties of the
            assay. This bioassay was designed to quantitatively measure   printing solutions, which were controlled by adjusting the


            Volume 9 Issue 2 (2023)                        162                      https://doi.org/10.18063/ijb.v9i2.661
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