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International Journal of Bioprinting


                                        RESEARCH ARTICLE
                                        3D-printed vascularized biofunctional scaffold

                                        for bone regeneration



                                        Bojun Cao 1,2,3† , Jieming Lin , Jia Tan 1,2,3† , Jiaxin Li , Zhaoyang Ran 1,2,3 ,
                                                                                 5
                                                               4†
                                        Liang Deng 1,2,3 , Yongqiang Hao 1,2,3 *
                                        1 Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai
                                        Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011,
                                        China
                                        2 Clinical and Translational Research Center for 3D Printing Technology, Shanghai Ninth People’s
                                        Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
                                        3 Shanghai Engineering Research Center of Innovative Orthopaedic Instruments and Personalized
                                        Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine,
                                        Shanghai, 200011, China
                                        4 Department of Orthopaedic Surgery, Renji Hospital, South Campus, Shanghai Jiao Tong University
                                        School of Medicine, Shanghai 201112, China
                                        5 Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, Harbin,
                                        China
                                        (This article belongs to the Special Issue: Novel Methods, Processes, and Materials of Bioprinting)

                                        Abstract

                                        3D-printed biofunctional scaffolds have promising applications in bone tissue
                                        regeneration. However, the development of bioinks with rapid internal vascularization
                                        capabilities and relatively sustained osteoinductive bioactivity is the primary technical
            † These authors contributed equally   challenge. In this work, we added rat platelet-rich plasma (PRP) to a methacrylated
            to this work.               gelatin (GelMA)/methacrylated alginate (AlgMA) system, which was further modified
            *Corresponding author:      by a nanoclay, laponite (Lap). We found that Lap was effective in retarding the release of
            Yongqiang Hao               multiple growth factors from the PRP-GelMA/AlgMA (PRP-GA) hydrogel and sustained
            (hyq_9hospital@hotmail.com)  the release for up to 2 weeks. Our in vitro studies showed that the PRP-GA@Lap hydrogel
            Citation: Cao B, Lin J, Tan J, et al.,   significantly promoted the proliferation, migration, and osteogenic differentiation of
            2023, 3D-printed vascularized   rat bone marrow mesenchymal stem cells, accelerated the formation of endothelial
            biofunctional scaffold for bone
            regeneration. Int J Bioprint,   cell vascular patterns, and promoted macrophage M2 polarization. Furthermore, we
            9(3): 702.                  printed hydrogel bioink with polycaprolactone (PCL) layer-by-layer to form active bone
            https://doi.org/10.18063/ijb.702  repair scaffolds and implanted them in subcutaneous and femoral condyle defects
            Received: December 3, 2022  in rats. In vivo experiments showed that the PRP-GA@Lap/PCL scaffolds significantly
            Accepted: January 1, 2023   promoted vascular inward growth and enhanced bone regeneration at the defect site.
            Published Online: March 8, 2023
                                        This work suggests that PRP-based 3D-bioprinted vascularized scaffolds will have great
            Copyright: © 2023 Author(s).   potential for clinical translation in the treatment of bone defects.
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: 3D bioprinting; Vascularization; Platelet-rich plasma; Bone regeneration
            License, permitting distribution
            and reproduction in any medium,
            provided the original work is
            properly cited.
                                        1. Introduction
            Publisher’s Note: Whioce
            Publishing remains neutral with   The repair and functional reconstruction of bone defects is a major issue in the field of
            regard to jurisdictional claims in   orthopedics that needs to be addressed . The “gold standard” in the treatment of bone
                                                                       [1]
            published maps and institutional
            affiliations.               defects is autologous bone grafting; nevertheless, their clinical application is hindered


            Volume 9 Issue 3 (2023)                        185                         https://doi.org/10.18063/ijb.702
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