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International Journal of Bioprinting                                       Vascularized bone regeneration










































            Figure 8. In vivo performance of various scaffolds for repairing bone defects. (A) 3D micro-CT reconstructed images of bone defect repair in vivo at 6 and
            12 weeks, denoted by 6W and 12W in the figure, respectively. (B) Micro-CT images of the regenerative repair effect of implanted scaffolds in vivo (yellow
            indicates regenerated bone tissue; gray indicates scaffolds without degradation), including (C) BV/TV and (D) BMD. Scale bar = 1 mm.

            of the PMBG/TCP scaffold to promote vascularized bone   technology to prepare PMBG/TCP biphasic scaffolds.
            regeneration using immunofluorescence staining. CD31, a   The photo-crosslinking PMBG/TCP printing process
            vascular endothelial cell marker, was used to immunostain   has addressed the complexity and lack of personalization
            tissue sections from each group at 6 weeks after surgery. As   of the traditional MBG preparation methods, while the
            shown in Figure 9C, the expression of CD31 in the newly   introduction of rigid particles significantly improves
            formed bone vessels in the PMBG scaffold group and the   the compressive strength of the scaffolds. The phosphate
            PMBG/TCP scaffold group was significantly stronger than   units are integrated into the bioactive glass network,
            that  in  the  control  group,  with  the  PMBG/TCP  scaffold   thereby enhancing network connectivity and resisting
            group  showing  the  strongest  CD31  expression.  This   rapid degradation. The released ions (SiO  and
                                                                                                       4-
                                                                                                       4
            indicates that the PMBG/TCP scaffold has excellent ability   Ca ) further create a vascularized bone regeneration
                                                                 2+
            to promote vascularization. In addition, the expression of   microenvironment,  which  is crucial  for rapid bone
            osteocalcin (OCN), a bone cell marker, was significantly   regeneration. The development of this photo-crosslinking
            increased in the PMBG/TCP scaffold group compared to   PMBG/TCP scaffold and its integration with innovative
            the other two groups (Figure 9B). These results confirm   manufacturing technology provide a feasible approach
            that the PMBG/TCP scaffold has excellent ability to   for personalized and precise treatment of traditional bone
            promote vascularized bone regeneration in vivo, which is   repair materials. However, innovative artificial bone still
            consistent with the in vitro experimental results.  faces several challenges in clinical translation, such as low
                                                               product acceptance and difficult regulatory approval. In the
            4. Conclusion                                      future, with the development of materials science and the
                                                               popularization of 3D printing technology, the innovative
            In this study, we developed a dual-functionalized PMBG sol   method developed in this study will be used to construct
            gel that enables ultrafast photo-crosslinking, and further   clinical artificial bone with excellent comprehensive
            incorporated nanosized TCP particles via 3D printing   properties.


            Volume 9 Issue 5 (2023)                        382                         https://doi.org/10.18063/ijb.767
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