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International Journal of Bioprinting


                                        RESEARCH ARTICLE
                                        3D-printed biodegradable magnesium alloy

                                        scaffolds with zoledronic acid-loaded ceramic
                                        composite coating promote osteoporotic bone

                                        defect repair



                                        Zhaoyang Ran 1,2† , Yan Wang , Jiaxin Li , Wenyu Xu , Jia Tan , Bojun Cao ,
                                                                                           1,2
                                                                         4†
                                                                                                      1,2
                                                                3†
                                                                                    5
                                        Dinghao Luo , Yiwen Ding , Junxiang Wu , Lei Wang , Kai Xie , Liang Deng ,
                                                                                                           1,2
                                                                                      1,2
                                                   1,2
                                                                                               1,2
                                                                            1,2
                                                               5
                                        Penghuai Fu *, Xiaoying Sun *, Liyi Shi , Yongqiang Hao *
                                                                3
                                                   5
                                                                                        1,2
                                                                         3
                                        1 Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai
                                        Ninth  People’s  Hospital,  Shanghai  Jiao Tong  University  School  of  Medicine,  Shanghai  200011,
                                        China
                                        2 Shanghai Engineering Research Center of Innovative Orthopaedic Instruments and Personalized
                                        Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine,
                                        Shanghai 200011, China
                                        3 Nano-Science & Technology Center, College of Sciences, Shanghai University, Shanghai 200444,
                                        China
                                        4 Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, Harbin
                                        150001, China
            † These authors contributed equally   5 National Engineering Research Center of Light Alloy Net Forming & State Key Laboratory of Metal
            to this work.               Matrix Composite, Shanghai Jiao Tong University, Shanghai 200240, China
            *Corresponding authors:
              Yongqiang Hao
            (hyq_9hospital@hotmail.com)
            Xiaoying Sun                Abstract
            (xysun@shu.edu.cn)
            Penghuai Fu                 Osteoporotic fracture is one of the most serious complications of osteoporosis. Most
            (fph112sjtu@sjtu.edu.cn)    fracture sites have bone defects, and restoring the balance between local osteogenesis
            Citation: Ran Z, Wang Y, Li J, et al.,   and bone destruction is difficult during the repair of osteoporotic bone defects. In
            2023, 3D-printed biodegradable   this study, we successfully fabricated three-dimensional (3D)-printed biodegradable
            magnesium alloy scaffolds with
            zoledronic acid-loaded ceramic   magnesium alloy (Mg-Nd-Zn-Zr) scaffolds and prepared a zoledronic acid-loaded
            composite coating promote   ceramic composite coating on the surface of the scaffolds. The osteogenic effect of
            osteoporotic bone defect repair.    Mg and the osteoclast inhibition effect of zoledronic acid were combined to promote
             Int J Bioprint, 9(5): 769.
            https://doi.org/10.18063/ijb.769  osteoporotic bone defect repair. In vitro degradation and drug release experiments
                                        showed that the coating significantly reduced the degradation rate of 3D-printed
            Received: March 19, 2023    Mg alloy scaffolds and achieved a slow release of loaded drugs. The degradation
            Accepted: April 27, 2023
            Published Online: June 7, 2023  products of drug-loaded coating scaffolds can promote osteogenic differentiation of
                                        bone marrow mesenchymal stem cells as well as inhibit the formation of osteoclasts
            Copyright: © 2023 Author(s).
            This is an Open Access article   and the bone resorption by regulating the expression of related genes. Compared
            distributed under the terms of the   with the uncoated scaffolds, the drug-coated scaffolds degraded at a slower rate,
            Creative Commons Attribution   and more new bone grew into these scaffolds. The healing rate and quality of the
            License, permitting distribution,
            and reproduction in any medium,   osteoporotic bone defects significantly improved in the drug-coated scaffold group.
            provided the original work is   This study provides a new method for theoretical research and clinical treatment
            properly cited.             using functional materials for repairing osteoporotic bone defects.
            Publisher’s Note: Whioce
            Publishing remains neutral with
            regard to jurisdictional claims in   Keywords: Osteoporotic fractures; Magnesium alloys; 3D printing; Bone defects
            published maps and institutional   repair; Surface modification
            affiliations.

            Volume 9 Issue 5 (2023)                        401                         https://doi.org/10.18063/ijb.769
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