Page 178 - IJB-9-2
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International Journal of Bioprinting                          3D Printing Multifunctional Orthopedic Biocoatings


            4. Discussion                                      improved biological response as compared to the polymers
                                                               film alone.
            In our past work, direct-write polymeric coatings have
            been implemented to retard the corrosion behavior of   The VA release data revealed that PCL-ACP composite
            magnesium alloy for tracheal stent application. Similarly,   films showed slow release compared to PCL film alone.
            inkjet printing has provided controlled release coatings   This is due to the adsorption of VA molecules on the
            for drug-eluting cardiovascular stents. In contrast, in the   surfaces of nanosized ACP particles. Moreover, compared
            current research, a customized and retrofitted direct-write   to other antibiotics, VA did not interfere much with
            inkjet method was employed to deposit bioactive organic-  osteoblast  and  skeletal  cell growth  in vitro  and  did  not
                                                                                                   [13]
            inorganic composite thin films on Ti alloy substrates. We   affect the bone regeneration process in vivo . The ACP
            deposited multilayered coatings (10 layers) 3D scaffold   powder used in this study had a BET surface area of ~61
            printed using composite polymer inks to demonstrate the   m /g, which corresponds to spherical particles of ~32 nm
                                                                2
            fabrication of complex and hierarchical structures. Optimal   in size. It is well-established in the literature that these
            jetting conditions suitable for both PCL and PLGA polymer   nanosized calcium phosphate particles also exhibit surface
            types were used for coating multilayer polymeric thin   roughness  and topographic  irregularities  on the  atomic
            films. The biopolymers were blended with nanostructured   scale, which favor adsorption, promoting facile formation,
            amorphous calcium phosphate and VA drug for promoting   and retention of stable aggregates even under relatively
            osteoconductivity and preventing bacterial infection   intensive agitations in the solution . It is also reported that
                                                                                          52
            associated with orthopedic implants. The customized 3D   due to the alternation of charged Ca and PO  ions on
                                                                                                     3−
                                                                                             2+
                                                                                                     4
            printing process enabled  the deposition  of multilayered   calcium phosphate surfaces, the surfaces adsorb both acidic
            coatings with precise control on the thickness of these   and alkaline proteins, DNA, and biomolecules, regardless
            films to obtain tunable release of the ACP in vitro. Optical   of their actual ζ-potential and the net charge [26,52] . Thus, the
            microscopy revealed that PCL-ACP coatings had uniform   adsorption of VA molecules on the surfaces of nanosized
            deposition  patterns,  whereas  the  PLGA-ACP  coatings   ACP  particles is  highly feasible. On  contact  with  water,
            displayed precipitation of ACP patches on the Ti substrate.   some of these adsorbed VA molecules diffused out in the
            Further SEM analysis of the nanocomposite structure   solution and thus resulted in a more sustained release in
            within the polymeric coatings revealed a strong binding   sample R-3. Presumably, the decrease in the rate of release
            between the ACP nanoparticulate and PCL polymer. The   of VA over time is partly due to the reduction in easily
            FTIR analysis confirmed the presence of both the polymers   soluble amorphous content of the powder on the particle
            and ACP phases within the multilayered thin films . The   surface, combined with the conversion of the ACP phase
                                                    [24]
            MC3T3 osteoblast cell line showed high cellular viability   into hydroxyapatite by dissolution precipitation and
            (>90%) after 72 h of proliferation, which was comparable   corresponding decrease in  the concentration  of weakly
            to Ti substrate and TCPS controls. The cell attachment and   adsorbed drug molecules on the particle surface [2,52] .
            live/dead assay confirmed the cell viability data. However,
            PLGA coatings had poor cellular attachment (dead cells)   The bioactivity of the released VA was confirmed
            in certain regions of the substrate. These findings indicate   by  measuring  the  zone  of  inhibition  using  the  disc
            the local release of carboxylic acids produced through   diffusion method. Thus, the direct-write printing method
            degradation of PLGA increases the local acidity . The   successfully immobilized therapeutic agents on orthopedic
                                                    [50]
            presence of ACP in the printed films, however, offers   implants for the temporospatial release of drugs. This
            some  unique  advantages  other  than  buffering  the  local   research, therefore, builds the foundation for incorporating
            pH.  It  is  known that ACP has the highest solubility   bioactive agents within the polymeric coating to efficiently
            among the various calcium phosphate phases, and it is   regenerate bone structures that interface with orthopedic
            expected to dissolve and release calcium and phosphate   implants and prevent bacterial infection resulting from
            ions  in  the  system.  Moreover,  the  protons  generated   implantation.
            from the released acidic byproducts of PCL and PLGA   5. Conclusions
            interact with the ACP particles, leading to an increase
            in dissolution of the ACP particles which also causes an   In this study, a custom 3D printing method was employed
            increase in the soluble Ca  and phosphate concentrations   to deposit bioactive organic-inorganic composite thin films
                                2+
            in the surrounding media. It is well-established that the   on Ti alloy substrates. Optimal jetting conditions suitable
            release of calcium and phosphate ions locally improves the   for both PCL and PLGA polymer types were used for
            osteoclast and osteoblast activity, thereby facilitating bone   coating multilayer polymeric thin films. The biopolymers
            regeneration . Thus, it is expected that the composite   were blended with nanostructured amorphous calcium
                      [16]
            films of PCL-ACP and PLGA-ACP should demonstrate   phosphate and VA for promoting osteoconductivity and

            Volume 9 Issue 2 (2023)                        170                      https://doi.org/10.18063/ijb.v9i2.661
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