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International Journal of Bioprinting                                 Scaffold for engineering enthesis organ




































            Figure 5. Results of the PLGA scaffold region analysis. (A) SEM image of a sample obtained by electrospun PLGA onto the rotating collector at 800 RPM
            (SEM parameters: high voltage HV = 10 kV, horizontal field of view HFV = 82.9 µm, magnification mag = 5000x, working distance WD = 9.5 mm, and scale
            bare length SBL = 20 µm). (B) Pore area distribution histogram (y-axis label: frequency, min frequency = 0 and max frequency = 50,000; x-axis label: Pore
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            Area (µm ), first pore area range 0.1–4.6 µm  and last pore area range > 40 µm ). (C) Fiber diameter distribution (y-axis label: frequency, min frequency = 0,
            and max frequency = 6000; x-axis label: diameter (µm), min diameter = 0 µm, and max diameter = 4 mm). (D) Fiber orientation distribution (y-axis label:
            frequency, min frequency = 0 and max frequency = 50,000; x-axis label: angle (deg), min angle = 0 degrees and max angle = 180 degrees).
            Figure 9 illustrates the specimen strain along the x-axis.   3.5. Biological validation
            The strain modeled by the DIC analysis differs by 3.4%   3.5.1. Osteoblast differentiation support by
            from the value calculated from experimental data. The   3D-printed PCL
            color map of the strain field along the  y- (Figure 8)   MTS assay was first performed to assess the ability of
            and x-axis (Figure 9) shows how along both axes, the   the 3D-printed PCL scaffolds to prompt MSC adhesion
            only region that deformed was the electrospun PLGA.   and growth (Figure 10A and  B) by seeding MSCs on
            Therefore, it is possible to assume that the mechanical   them or plastic culture plates (CTRL) and maintaining
            behavior of the scaffold can be attributed to this region.   in growth medium for 3 or 7 days. Results demonstrated
            The mechanical parameters of enthesis scaffolds were E   the ability of 3D-printed PCL scaffolds to sustain the
            = 530 ± 93 MPa, σ max  = 6.0 ± 0.8 MPa, ε max  = 70% ± 3%,   MSCs adhesion after 3 (Figure 10A) and 7 (Figure 10B)
            and U = 1.3 ± 0.5 × 10  J/m ), which are in line with   days, in accordance with the results on solvent-casting
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            data  reported  in  the  literature.  The  elastic  modulus,   scaffolds (Figure 2A and B). It was also able to sustain
            E, presents a mean value similar to the supraspinatus   the MSCs growth rate as evidenced by the lack of
            tendon anterior sub-region [45] . The other parameters   difference in the percentage of cell proliferation after 3
            are comparable with data reported in the literature   or 7 days of culture with respect to the plastic. Then, the
            regarding electrospun PLGA mats with aligned       ability of the 3D-printed PCL structures to promote and
            fibers [46,47] .  When  comparing  data  with  the  literature,   maintain the osteogenic differentiation was evaluated
            the enthesis scaffolds show improved mechanical    by assessing the mineralized matrix formation on the
            properties: Balestri et al. [48]  fabricated an in vitro model   scaffold (Alizarin red staining;  Figure 10C–F). MSCs
            of a bone–tendon–muscle interface that recorded an   were seeded on plastic culture plates or 3D-printed
            elastic modulus of hundreds of kPa; Criscenti et al. [12]    PCL, and two protocols were used (Figure  10C): (i)
            provided an enthesis scaffold fabricated by electrospun   cells were maintained in growth medium (CTRL and
            PLGA onto PCL grids registering Young’s modulus as   3D-printed PCL samples) or (ii) in osteogenic medium
            less than 100 MPa.                                 (Osteo and Osteo 3D-printed PCL samples) for 14 or

            Volume 9 Issue 5 (2023)                        304                         https://doi.org/10.18063/ijb.763
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