Page 273 - IJB-9-5
P. 273

International Journal of Bioprinting



                                                               fibrocartilaginous tissue in the scaffold after 6 weeks of
                    Bioactive factors  CTGF, TGF-β3  CTGF, TGF-β3  and GAG contents were detected in the anterior/posterior
                                                   Abbreviations: EBP, extrusion-based printing; BMSCs, bone mesenchymal stem cells; PEGDA, poly(ethylene glycol) diacrylate; PCL, polycaprolactone; PLGA μS, poly(D, L-lactic-co-glycolic acid)
                                                               culture with MSCs (Figure 4C). Furthermore, more collagen
                                                               bands and the intermediate zone in the scaffolds with a high
                                                               dose of GFs/μS compared to those with a low dose, while
                                                               the tensile modulus of the scaffolds was independent of the
                                   -
                               -
                            -
                                            -
                                                               GF/μS dose. In the same year, Tarafder et al.  implanted the
                                                                                                [71]
                                                               CTGF/TGF-β3/μS-embedded scaffolds in the intermediate
                    Scaffold materials  PLGA μS + PCL  PLGA μS + PCL  PCL + PEGDA  (1) PCL + PVA  (2) PVA  (1) PU-dECM  (2) PDA-PU-dECM  (3) PCL/PU-dECM  (4) PDA-PCL/PU-dECM  (1) PCL  (2) PGS + PCL  (3) PCL + PEGDA  zone and CTGF/μS-embedded scaffolds in the anterior and
                                                               posterior areas of the perforated rabbit TMJ disc. After 6
                                                               weeks in vivo, a multi-phase fibrocartilaginous regenerative
                                                               tissue was observed, and the scaffolds were invisible in the
                                                               healing TMJ disc. However, the functional properties of the
                                                               regenerated disc tissue were not tested due to size limitations.
                                                               Furthermore, the scaffolds with GFs/μS prevented condylar
                                                               cartilage erosion compared to the scaffolds with empty/μS.
                    Cell density  2 × 10 6  cells/mL  1 ×10 6  cells/mL  2 × 10 6  cells/mL  These findings suggest the potential application of CTGF/
                                                               TGF-β3-μS scaffolds in TMJ disc repair.
                                                                  Recently, novel progress has been made on the
                                            -
                               -
                            -
                                                               modification  of PCL-based  3D-printed  scaffolds
                                                               mimicking the TMJ disc (Table 2). To improve the
                Table 2. Research on 3D-printed scaffolds for cartilage regeneration in the temporomandibular joint
                                                               scaffolds, Moura et al.  fabricated 3D-printed scaffolds
                                                                                 [77]
                    Cell type  Human BMSCs  Human BMSCs  Rabbit chondrocytes   and fibroblasts  Rat costal  chondrocytes and   L929 fibroblasts  mechanical and morphological properties of PCL-based
                                                               and hydrogels using PCL and poly(ethylene glycol)
                                                               diacrylate  (PEGDA) and  investigated  the  effects  of
                            -
                                            -
                                                               manufacturing parameters and approaches on the product
                                                               properties (Figure 4D). Compression tests showed that
                    Animal model  Rabbit             microspheres; PU, polyurethane; dECM, decellularized extracellular matrix; PGS, poly(glycerol sebacate); PDA, polydopamine; CTGF, connective tissue growth factor; TGF-β3, transforming   the compression stress and modulus of the PCL-PEGDA
                                                               multi-material scaffold increased with increasing nozzle
                                            Sheep
                               Goat
                                   Mice
                                                               temperature  (78–86°C).  When the filament  size  was
                      -
                            -
                                                               reduced from 300 to 200 μm, the compressive modulus
                                                               was almost halved. Compared to the PCL scaffold
                    Study design  In vitro  In vitro and in vivo  In vitro  In vitro and in vivo  In vitro and in vivo  In vivo  modified with a PEGDA hydrogel shell, the PCL scaffold
                                                               modified with a PEGDA hydrogel core showed better
                                                               mechanical properties that were closer to the native
                                                               disc. In 2021, Ângelo  et al.  further investigated the
                                                                                      [78]
                                                               biological properties of the PCL scaffold with a PEGDA
                                                       growth factor beta 3; BMP-2, bone morphogenetic protein 2.
                                                               hydrogel shell (PCL +PEGDA) in vivo, which was
                    3D printing techniques                     compared to the pure PCL scaffold and poly(glycerol
                                                               sebacate) (PGS) scaffold modified with electrospun PCL
                                                               fibers (PGS + PCL). Histologic, imaging, and kinematic
                                                               analysis demonstrated that no regenerated disc was
                                                               observed in any group. The PGS + PCL scaffold showed
                               EBP
                            EBP
                         EBP
                      EBP
                                            EBP
                                   EBP
                                                               excellent biocompatibility as it was rapidly resorbed.
                                                               Besides, the PGS + PCL scaffold prevented condylar
                                                               degenerative changes, which were still observed in both
                      Legemate et al. (2016) [75]  Tarafder et al. (2016) [71]  Moura et al. (2020) [77]  Jiang et al. (2021) [79]  Ângelo et al. (2021) [78]  is noteworthy that the PCL-based 3D-printed scaffolds
                                                               the PCL scaffold and PLA + PEGDA scaffold groups. It
                                                               in the above-mentioned studies were fabricated without
                                                               combination seed cells or BFs. Therefore, further research
                    Reference      Yi et al. (2021) [80]       on the effects of seed cells and BFs on the properties of
                                                               PCL-based 3D-printed scaffolds is needed.
            Volume 9 Issue 5 (2023)                        265                         https://doi.org/10.18063/ijb.761
   268   269   270   271   272   273   274   275   276   277   278