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International Journal of Bioprinting                                       3D-printed anistropic meniscus



            Table 2. 3D printing strategies of heterogeneous TEM
             Strategies combined   Materials  Methods and process   In vitro/  Biological effect    References
             with 3D printing                                       In vivo   of heterogeneity
                                                                              reconstruction
            Advanced and      MWCNTs       Reinforcement architecture with   In vitro  High energy dissipation   [74]
            biomimetic                     anisotropic layers of aligned     and compressive modulus
            biofabrication                 surface modified MWCNTs.          regulated by the strand ankle
            strategies
                              PCL/hydrogel  Fibers were circumferentially   In vitro  Good mechanical property   [75]
                                           aligned that would mimic          and cytocompatibility
                                           the structural organization,      induced by the
                                           biochemistry and anatomy of       circumferentially aligned
                                           meniscus.                         PCL/hydrogel fibers.
                              ECs/MF/COL-1/  Promote or inhibit angiogenesis   In vitro  Anisotropic distribution of   [77]
                              CdECM        through the biological            blood vessels.
                                           manufacture of anisotropic
                                           biomaterials.
                              PCL          The scaffold was designed into   In vitro and   The scaffold with 215 μm   [80]
                                           different mean pore size (215 μm,   in vivo  mean pore size presented
                                           320 μm, 515 μm).                  superior regeneration effect
                                                                             both in vitro and in vivo.
                              PCL          A novel hierarchical scaffold was   In vitro  Smaller pores were supposed   [81]
                                           designed with different pore size.  to be more beneficial for
                                                                             chondrogenic differentiation.
                              Hydrogel     Aligned nanofiber layers.  In vitro  The structural integrity and   [83]
                                                                             shape fidelity of the scaffold
                                                                             were enhanced by aligned
                                                                             nanofiber layers between the
                                                                             hydrogel layers.
                              EIC          Cage-shaped scaffold.   In vitro  EIC scaffold demonstrated   [84]
                                                                             better interconnection,
                                                                             mechanical properties
                                                                             and cell adhesion and
                                                                             proliferation ability.
            Biomaterials      PCL/GelMA    Cell-loaded GelMA was   In vitro  COL-1 deposition was     [86]
                                           incubated in the periphery and    significantly increased in the
                                           GelMA-Ag in the inner region.     outer zone, and chondrogenic
                                                                             differentiation of stem cells
                                                                             was found in the inner zone.
                              Alginate/ECM  The scaffold was based on   In vitro  fibroblast differentiation was   [87]
                                           alginate, and functionalized with   significantly increased in the
                                           peripheral meniscus ECM.          outer zone and chondrogenic
                                                                             differentiation of stem cells was
                                                                             promoted in the inner zone.
                              PCL/hydrogel/  The 3D-printed PCL/hydrogel   In vitro and   The heterogeneity was   [88]
                              PDGF-BB/KGN  scaffold was dual-loaded with   in vivo  successfully achieved with
                                           PDGF-BB and chondrogenic          the migration of ESPCs
                                           molecule KGN.                     promoted by PDGF-BB and
                                                                             chondrogenic differentiation
                                                                             induced by KGN.
                              PCL/MECM/    The 3D-printed PCL/MECM/  In vitro and   The synergistic effect of   [89]
                              KGN-μS       KGN composite scaffold   in vivo  MECM and KGN sustained
                                           was loaded with PLGA μS           release endows PCL/
                                           encapsulated with KGN.            MECM-KGN μS scaffold
                                                                             excellent cytocompatibility
                                                                             and chondrogenic activity.
                                                                                                       (Contd...)


            Volume 9 Issue 3 (2023)                        369                          https://doi.org/10.18063/ijb.693
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