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International Journal of Bioprinting                Biomaterials for vascularized and innervated tissue regeneration









































            Figure 7. (A) The fabrication process of the 3D-bioprinted ossification center microenvironments biomimetic bone constructs. The bioinks were  composed
            of GelMA, AlgMA and NGF@Laponite. The constructs were crosslinked by UV light and Ca  ions. (B) Mechanism of the 3D bioprinted constructs
                                                                         2+
              promoting the regeneration of bone defects[120]. Reprinted from Li W, Miao W, Liu Y, et al., Advanced Functional Materials, 2022, 202109871. Copyright
            © 2021 John Wiley and Sons.

            the  mineralization of  extracellular matrix.  In another   hypoxic microenvironment, which further stimulates the
            study, Ha  et al. developed dual-drug delivery bone   neovascularization process. As a result, the scaffolds could
            scaffolds  via  sacrificial  templates-assisted  3D  printing   obviously upregulate the expression of angiogenesis-related
            technology [118] .  First,  pro-angiogenesis  small-molecule   gene markers (such as VEGF and HIF-1α) of HUVECs,
            drugs, dimethyloxalylglycine (DMOG) and bone forming   and enhance its osteogenic activity, further confirming its
            peptide-1 (BFP), were incorporated into mesoporous   potential for vascularized bone regeneration.
            silica nanoparticles (MSNs). Subsequently, DMOG/MSN
            were loaded on the surface of the scaffolds, and BFP/MSN   4.3. 3D-printed biomaterials for innervated bone
            were embedded into the scaffolds to achieve the sequential   regeneration
            delivery of dual drugs. 3D-printed composite scaffolds   As previously mentioned, nerve fibers actively take part
                                                                                                           [28]
            possess satisfactory angiogenesis and osteogenesis ability   in  the  process  of  bone  regeneration  and  remodeling .
            both in vitro and in vivo.                         Hence, simultaneous regeneration of neural elements in
                                                               the newly formed bone tissues is essential for functional
               In addition, 3D-printed scaffolds with injury   bone regeneration. The incorporation of neurotrophic
            microenvironment response characteristics can obviously   agents or neural cells into 3D-printed scaffolds is a
            improve the viability and function of endogenous cells,   promising approach to achieving innervated bone
            thus promoting tissue regeneration. For example, Yang   regeneration. For example, Li et al. developed ossification
            et al. designed enzyme-functionalized bone tissue   center microenvironment-mimicking 3D-bioprinted bone
            regenerative scaffolds with the integration of glucose   constructs for innervated bone regeneration (Figure 7) [120] .
            oxidase (GOx) and catalase (CAT) enzymes [119] . The   With the integration of NGF@Laponite (NGF@ Lap)
            cascade catalytic reaction of GOx and CAT enzymes   nanomaterials, the constructs continuously released NGF
            could alleviate the hyperglycemic microenvironments and   for a long time, which is similar to the microenvironment
            continuously consume oxygen, leading to the formation of   of ossification center with high concentration of NGF.


            Volume 9 Issue 3 (2023)                        225                         https://doi.org/10.18063/ijb.706
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