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International Journal of Bioprinting                                 Scaffold for engineering enthesis organ

















































            Figure 12. MSCs osteogenic/tenogenic differentiation support by the enthesis scaffold. (A) Schematic representation of protocol used. (B, C) MSCs or
            pre-differentiated MSCs (PRE-MSC) were seeded on the enthesis scaffold (Enthesis) or plastic (CTRL) and maintained in a growth medium. (B) After
            14 days of differentiation, alizarin Red staining was performed. (C) After 21 days of differentiation, aniline blue staining was performed. Representative
            images were shown. Data are the results of three independent experiments. * p < 0.05, ***p < 0.001 vs. ND; § p < 0.05, §§ p < 0.01; # p < 0.05, ## p < 0.01,
            ### p < 0.001 vs. CTRL.



            toe, (ii) the linear, and (iii) the yield regions . The stress   are as follows: E = 235 ± 15 MPa, σ max  = 8 ± 0.25 MPa,
                                               [45]
            slowly increases with strain within the toe region (0%–  ε max  = 65% ± 12%, and U = 1.03 ± 0.25 × 10  J/m . These
                                                                                                       3
                                                                                                   6
            7% strain). This non-linear behavior can be related to the   data are in line with the literatures. As reported in the
            braided structure. During the initial phase of loading,   work of Ramakrishna  et al. , researchers fabricated
                                                                                       [50]
            the fiber bundles start to align from a wavy shape.   electrospun braided scaffolds made of poly(lactic acid)
            They elongate according to the direction of the applied   (PLA) with Young’s modulus of in a range of 300–800
            uniaxial force. The force is progressively transmitted to   MPa. Mechanical parameters are also comparable to the
            the interconnected fiber bundles and their component   in vivo tissues such as the Achilles Tendon (AT), which
            nanofibers, resulting in linear mechanical behavior with   are presented as E = 266 ± 106 MPa and ε max  = 48% ± 15%.
            a constant elastic modulus in the linear region (7%–12%   The ultimate stress of the AT remains significantly higher,
            strain). As the applied stress increases, the yield region is   with a value of 47 ± 17 MPa, as reported in the study by
            reached, extending the strain from 13% to approximately   Brennan  et al. . In addition, the fabricated clinically-
                                                                           [45]
            65%. At this stage, the woven fiber bundles reached   relevant scaffolds have the unique characteristic of being
            maximum alignment, starting to deform plastically until   triphasic, while braided scaffolds in the literature present
            failure. The mechanical parameters of braided scaffolds   a single phase.


            Volume 9 Issue 5 (2023)                        309                         https://doi.org/10.18063/ijb.763
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