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International Journal of Bioprinting                                   Surface modification of PCL scaffolds




            1. Introduction                                    proportions of nanohydroxyapatite with PCL to improve
                                                               the biocompatibility and surface morphology of the
            Craniofacial bone defects not only have a serious impact   scaffold .  Additionally,  chitosan  and  hyaluronic  acid
                                                                     [35]
            on the patient’s quality of life but also represent a challenge   have been utilized to improve the biocompatibility and
                      [1]
            for surgeon . The clinical treatments for craniofacial   hydrophilicity  of  PCL .  Furthermore,  the  application
                                                                                 [36]
            bone defects mainly include autogenous grafts, allogeneic   of calcium phosphate coating on the surface of PCL
                                  [2]
            grafts, and engineered bone . Despite being the standard   scaffolds has been shown to enhance biological activity .
                                                                                                           [37]
            treatment for bone defects, autograft is limited by a lack   Despite the potential benefits, the current problems in
            of tissue source. Although allogeneic bone is widely   surface modification of PCL scaffolds lie in the complex
            used, it carries the risk of immune rejection and disease   procedures and relatively high cost. Therefore, there is a
            transmission [3,4] . In this context, engineered bone shows   need to develop a more convenient and efficient method
            great potential for the treatment of bone defects [5-7] .
                                                               for this process.
               Melt electrospinning writing (MEW) is an innovative
                                                                  Alkaline hydrolysis has been reported as a simple
            three-dimensional (3D) printing technique that enables   and effective method for surface modification . Sodium
                                                                                                    [38]
            the creation of structures with precisely arranged   hydroxide (NaOH) treatment is capable of not only
            microfibers, making it a promising technology for bone   adding  functional  groups  to  polymer  surfaces,  but  also
            tissue engineering applications [8-10] . Both pore size and   inducing surface porosity through etching. This capability
            fiber diameter can be easily controlled by adjusting the   is not commonly found in other surface modification
            printing parameters to meet the specific requirements of   techniques . Thus, the dual action of NaOH makes
                                                                       [38]
            various tissues . Several studies have demonstrated the   it a suitable option for modifying the  surface of  PCL.
                        [11]
            benefits of utilizing MEW scaffolds in tissue engineering,   It is worth noting that previous studies have primarily
            such as wound healing, regeneration of periodontal tissue,   focused on examining the impact of alkaline treatment
            and restoration of the acetabular labrum [12-14] . To date,   on the physicochemical properties and cytocompatibility
            limited research has been conducted on the utilization   of PCL [39-41] . However, there is limited research on the
            of MEW scaffolds for bone defect repair [15-17] . Therefore,   effects of alkaline treatment on the differentiation of
            additional investigations are needed to determine the   bone marrow mesenchymal stem cells (BMSCs). Based
            effectiveness and potential applications of MEW scaffolds   on  the  interactions  between  BMSCs  and  scaffolds,  it
            in craniofacial bone regeneration.
                                                               is hypothesized that surface modification mediated by
               Recently, some synthetic polymers have been used   NaOH treatment could induce osteogenic differentiation
            to prepare MEW scaffolds, including polycaprolactone   of BMSCs.
            (PCL), poly (L-lactic acid) (PLLA), and polyethylene oxide
            (PEO) [18-20] . Of these, PCL is a highly desirable material   To verify this hypothesis, the effects of NaOH
            due to its exceptional printability and low melting point .   treatment on physicochemical properties of PCL scaffolds
                                                        [21]
            It has been extensively utilized in numerous biological   were investigated, including surface morphology,
            applications such as bone grafts, drug delivery systems, and   surface roughness, and hydrophilicity. Moreover, in vitro
            skin grafts [22-24] . However, several studies have highlighted   experiments were performed to assess the impact of
            the  weakness  of  PCL  scaffold,  particularly  in  bone   NaOH treatment-mediated surface modification on
            integration  after  implantation,  owing  to  its  low  cellular   osteogenic differentiation and the mechanisms behind it.
            affinity [25,26] . Consequently, researchers have focused on   Finally, in vivo experimentations were conducted to assess
            improving the cytocompatibility of PCL.            bone  regeneration  of  surface-modified  PCL  scaffolds
                                                               (Scheme 1).
               Previous studies have shown that modifying the
            surface of a scaffold can improve its cellular affinity   2. Materials and methods
            and cytocompatibility. This can be achieved through
            modifications  in  hydrophilicity,  roughness,  and  2.1. Scaffold preparation
            morphology [27,28] . For example, the favorable hydrophilicity   The PCL scaffold was prepared using a commercial MEW
            can facilitate cell adhesion and proliferation [29,30] . In   printing platform (BioPioneer-1, Shaanxi Bioprintissue
            addition, the specific micro/nanostructures on a surface   Medical Technologies Co., Ltd.). In brief, PCL pellets were
            and their appropriate roughness can have an impact   loaded into a metal cartridge and melted at 90°C to obtain
            on the attachment, morphology, spreading, and even   a homogeneous fluid. The scaffolds were then printed
            differentiation of cells [31,32] . Currently, various methods   using a 26G nozzle at a voltage of -7 kV and a printing
            have been attempted to enhance the surface properties   speed of 40 mm/s. The air pressure was set at 10 MPa, and
            of PCL [26,33,34] . One such method involves mixing varying   the distance between the collector and nozzle was 4 mm.


            Volume 9 Issue 6 (2023)                        344                          https://doi.org/10.36922/ijb.1071
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