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International Journal of Bioprinting                           Design and 3D printing of TPMS breast scaffolds


              Triply periodic minimal surfaces (TPMS) are fully   model, respectively, and the scaffold structure was
            connected structures with continuous surfaces and self-  further optimized according to the simulation results.
            supporting ability. The common TPMS units include   Subsequently, the optimized TPMS scaffold was printed
                                              [41]
            Gyroid, Diamond, I-WP, and Primitive. . Due to its   by  biodegradable  PCL  through  FDM.  PEGDA/GelMA
            excellent mechanical properties, large specific surface   was used to prepare hydrogel solution, and then hADSCs
            area, and super connectivity, TPMS provides a good   were added into the hydrogel solution. After that, the
            environment for cell growth and tissue regeneration and   hydrogel solution containing cells was perfused into the
            is ideal tissue scaffolds in tissue engineering, especially   printed TPMS scaffold, and finally the hydrogel solution
            in bone tissue engineering. For instance, Ma  et al.    was solidified under ultraviolet light to fabricate the TPMS
                                                        [42]
            printed the Gyroid bone scaffolds with different volume   scaffold loaded with hydrogel with bioactivity.
            fractions  and  the  mechanical  properties  of  the  Gyroid   2.2. Design of TPMS scaffold
            scaffold matched that of human bone by changing
            porosity. Although the mechanical properties of TPMS   TPMS scaffolds were designed in MSLattice (Open-
                                                                                               [43]
            can be modified to a strong level to match hard tissues, it is   source software from Dr. Oraib Al Ketan ). The STL files
            challenging to adjust the mechanical properties of TPMS to   generated by MSLattice were converted into CAD files by
            a soft state to meet the requirements of breast tissue due to   Geomagic Wrap (3D System, USA), and then the TPMS
            the intrinsic continuous structure of TPMS. Thus, in breast   scaffolds were modified and optimized in UG NX10.0
            tissue engineering, TPMS is hardly harnessed to fabricate   (Siemens PLM Software, USA).
            breast scaffolds due to its unmatched high elastic modulus   2.2.1. Unit structures
            with native breast tissue. Therefore, the optimization of
            TPMS is crucial for its application in breast reconstruction.  TPMS structure can be expressed as:
                                                                               (
              Herein,  this  study  proposes  a  geometrically-new            xy z,, ) = c                (I)
            scaffold, featuring TPMS that ensures structural stability   Among them, φ function is the iso-surface determined
            and  multiple  parallel  channels  that  can  modulate  elastic   by the iso-surface value c. The specific iso-surface equations
            modulus  as required.  The geometrical  parameters for   of common TPMS units are as follows:
            TPMS and parallel channels were optimized to obtain
            ideal elastic modulus and permeability through numerical   Schoen-Gyroid:
                                                                     (
            simulations. The  topologically optimized scaffold     sin 2απ x)⋅cos ( 2βπ y) + ( 2βπ y)⋅cos ( 2γπ z) +
                                                                                      sin
            integrated with two types of structures was then fabricated      ( 2γπ z)⋅cos ( 2απ x)) = c     (II)
                                                                   sin
            using FDM. Finally, the PEGDA/GelMA hydrogel loaded
            with human adipose-derived stem cells (hADSCs) was   Schwarz-Diamond:
            incorporated into the scaffold by perfusion and ultraviolet   cos 2απx)⋅ cos 2βπ y)⋅ cos 2γπz) − sin (2απx )
                                                                                (
                                                                                          (
                                                                      (
            curing for improvement of the cell growth environment.
                                                                           )⋅
                                                                    ⋅
            Compressional experiments were also performed to verify        sin (2βπ y sin (2γπz)) = c      (III)
            the mechanical performance of the scaffold, demonstrating   Schoen-I-WP:
            high structural stability, appropriate tissue-like elastic   2(cos(  cos(  cos(      cos( 2γπz)
            modulus (0.2 – 0.83 MPa) and rebound capability (80% of    2απx)⋅   2βπ y) +   2βπ y)⋅
            the original height). In addition, the scaffold exhibited wide   + cos( 2γπz)⋅cos  2 ( αππx)) (−  cos(4 απx)
            energy absorption window, offering reliable load buffering   + cos(4 βπ y) + cos(4 γπz)) = c   (IV)
            capability. The biocompatibility was also confirmed by cell
            live/dead straining assay.                           Schwarz-Primitive:
                                                                         (
                                                                                              (
                                                                                    (
            2. Methodology                                            cos 2απx) + cos 2βπ y) + cos 2γπz) = c  (V)
            2.1. Design and fabrication concept of breast      Where the  α,  β and γ refer to the constants which
            scaffold                                           control TPMS unit dimensions in x, y, and z directions,
                                                               respectively. As mentioned above, the iso-surface equation
            The  breast  scaffold  consisted  of  PCL  TPMS  scaffold,   only determines a continuous surface and cannot form a
            PEGDA/GelMA hydrogel and hADSCs. Its design and    solid structure. Therefore, two iso-surfaces can be used to
            manufacturing (Figure 1) started from the design of initial   envelope the space between them to build a solid structure
            TPMS structure. Through the finite element simulation,   with a certain thickness. In this study, the two iso-surfaces
            the mechanical properties and permeability of the   are determined by a pair of opposite iso-surface values, as
            scaffold were analyzed by compression and permeability   shown:


            Volume 9 Issue 2 (2023)                        409                         https://doi.org/10.18063/ijb.685
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