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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        3D-printed hydrogels dressings with bioactive

                                        borate glass for continuous hydration and
                                        treatment of second-degree burns



                                        Fateme Fayyazbakhsh 1,2,3 *, Michael J. Khayat , Candy Sadler , Delbert Day ,
                                                                              4
                                                                                                       6
                                                                                           5
                                        Yue-Wern Huang , and Ming C. Leu 1,2,3
                                                      3,7
                                        1 Department of Mechanical and Aerospace Engineering, Missouri University of Science and
                                        Technology, Rolla, Missouri, USA
                                        2 Intelligent System Center, Missouri University of Science and Technology, Rolla, Missouri, USA
                                        3 Center for Biomedical Research, Missouri University of Science and Technology, Rolla,
                                        Missouri, USA
                                        4 Department of Materials Engineering, McGill University, Montréal, Quebec, Canada
                                        5 Wound Clinic, Phelps Health Hospital, Rolla, Missouri, USA
                                        6 Department of Material Science and Engineering, Missouri University of Science and Technology,
                                        Rolla, Missouri, USA
                                        7
                                        Department of Biological Sciences, Missouri University of Science and Technology, Rolla,
                                        Missouri, USA
                                        Abstract

                                        Recent advances in additive manufacturing have led to the development of
                                        innovative solutions for tissue regeneration. Hydrogel materials have gained
                                        significant attention for burn wound treatment in clinical practice among various
            *Corresponding authors:     advanced  dressings  due to  their soothing  and moisturizing  activity.  However,
            Fateme Fayyazbakhsh         prolonged healing, pain, and traumatic removal due to the lack of long-term wound
            (f.fba@mst.edu)             hydration are some of the challenges in the treatment of second-degree burn
            Citation: Fayyazbakhsh F,    wounds. In this study, 3D-printed dressings were fabricated using gelatin, alginate,
            Khayat MJ, Sadler C, et al., 2023,   and bioactive borate glass (BBG) using an extrusion-based bioprinter. After ionic
            3D-printed hydrogels dressings with
            bioactive borate glass for contin-  crosslinking, the 3D-printed dressings were characterized for mechanical properties,
            uous hydration and treatment of   degradation rate, hydration activity, and in vitro cell viability using human fibroblasts.
            second-degree burns.  Int J Bioprint,   The results demonstrated that in 3D-printed dressings with 20 wt% BBG, Young’s
            9(6): 0118.
            https://doi.org/10.36922/ijb.0118  modulus  increased  by  105%,  and  10-day  degradation  rate  decreased  by  62%.
                                        Addition of BBG prevented the burst release of water from hydrogel dressings and
            Received: April 06, 2023    enabled the continuous water release for up to 10 days, which is crucial in treating
            Accepted: June 02, 2023
            Published Online: July 14, 2023  second-degree burn wounds. 3D-printed hydrogel dressings with BBG showed long-
                                        term cell viability that can be a result of the accumulative release of therapeutic ions
            Copyright: © 2023 Author(s).
            This is an Open Access article   from BBG particulate. The in vivo wound healing functionality of the dressings was
            distributed under the terms of the   investigated using a rat model with a second-degree burn wound. Our animal study
            Creative Commons Attribution   showed that the 3D-printed dressings with BBG exhibited faster wound closure, non-
            License, permitting distribution,
            and reproduction in any medium,   adhesive contact, non-invasive debridement, and non-traumatic dressing removal.
            provided the original work is   Histological analysis suggested that 3D-printed dressings contributed to more
            properly cited.             uniform re-epithelialization and tissue remodeling compared to the non-printed
            Publisher’s Note: AccScience    hydrogels of the same compositions. Critically, 3D-printed dressings with BBG led to
            Publishing remains neutral with   significant regeneration of hair follicles compared to the 3D-printed hydrogel, non-
            regard to jurisdictional claims in
            published maps and institutional   printed hydrogel, and the control groups. The superior outcome of the 3D-printed
            affiliations.               hydrogel–BBG20 dressings can be attributed to the bioactive formulation, which




            Volume 9 Issue 6 (2023)                        132                         https://doi.org/10.36922/ijb.0118
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