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International Journal of Bioprinting                            3D printing of PCL-ceramic composite scaffolds


            the calcium magnesium phosphate (CMP) bio-ceramics, a   of surface and biological properties can be achieved for the
            combined phosphate of magnesium and calcium, have not   enhanced spatial organization of cells within the composite
            been thoroughly studied. Therefore, our strategy in this   scaffold.
            study is to first develop an optimal composition of CMP
            bioceramic powder. Our second strategy is to develop a   2. Materials and methods
            slurry of ceramic powder and PCL in a good organic solvent   Poly(ε-caprolactone) pellets (PCL, Mw = 43,000 g/mol) with a
            that is suitable for three-dimensional (3D) printing. Third,   melting point of 58 – 64°C were purchased from Polysciences
            we optimize the properties of the 3D-printed scaffolds so   Inc. (Warrington, PA, USA). 2,2,2-Trifluoroethanol (TFE)
            that the methodology and knowledge gained from this   was purchased from Sigma-Aldrich (St. Louis, Mo, USA).
            research will be applied for bone TE applications in the   Magnesium oxide (MgO) nanopowder (size < 50 nm) and
            future.                                            calcium phosphate monobasic were purchased from Sigma

              Additive manufacturing (AM) techniques enable    Aldrich (St. Louis, MO, USA). Dulbecco’s modified Eagle’s
            the fabrication of complex geometry scaffolds for TE   medium (DMEM) was purchased from Life Technologies
            applications [42-44] .  3D  bioprinting  enables  the  fabrication   (Grand Island, NY, USA). The Alamar Blue and lactate
            of tissue or organs using biomaterials and cells in a layer-  dehydrogenase (LDH) assay kits were purchased from
            by-layer fashion from the bottom up using computer-  Thermo-scientific (Waltham, MA or Florence, KY).
            aided design (CAD) model data . The three main     2.1. Synthesis of CMP bioceramics
                                         [45]
            fundamental approaches 3D bioprinting is based on
            are as follows:  (i)  biomimicry, (ii) autonomous self-  CMP ceramic was prepared using a mixture of MgO and
            assembly, and (c) mini tissue building blocks. Different   calcium phosphate monobasic  according to  a  previously
                                                                            [56]
            types of AM techniques that can be used for bioprinting   published paper . MgO was first dissolved in water,
            include extrusion-based printing, inkjet-assisted printing,   and calcium phosphate was added with a 2:1 molar ratio
            and droplet-based printing [46,47] . The extrusion 3D   (3.2:1  w/w). The mixture was vortexed for 5  min and
            printing process is the most popular technique. With 3D   then poured into a Petri dish. The Petri dish was kept in
            bioprinting, complex tissue structures that mimic the fine   a fume hood for 24 h to dry up all water from the mixer.
            shape and size of the targeted natural original tissue can   Fine powder of the CMP was stored in a desiccator. Four
            be fabricated with personalized features. The applicability   concentrations of the polymer and ceramic material in
            of 3D bioprinting to biomedical devices, pharmaceutics,   different proportions were formulated for the subsequent
            and  regenerative  medicine  has  increased  as  a  result   experiments.
            of recent breakthroughs in reinforcement strategies,   2.2. Production of PCL/CMP suspension
            hydrogel chemistries, and crosslinking techniques .
                                                        [48]
            Biocompatibility of the material being used, growth   Initially, 50% (w/v) PCL was prepared by suspending 5 g
            factor distribution, perfusion, and cell sensitivity to the   of PCL pellets in 10  mL of TFE and ultra-sonicated at
            printing procedures are some of the crucial aspects of   45°C for 2 h to produce PCL-only scaffolds. To produce
            bioprinting, that must be taken into consideration because   PCL-CMP composite scaffolds, the predetermined content
            3D bioprinting works with living organisms such as cells   of the CMP (5, 10, and 15 wt % in relation to the PCL
            and tissues . In the past decade, numerous research   polymer) was dispensed into 10 mL of TFE through ultra-
                     [49]
            studies have been reported on optimizing AM techniques   sonication at 45°C for 2 h. The experimental procedure to
            for 3D scaffold fabrication with desired mechanical and   produce PCL-CMP suspension is illustrated in Figure 1.
            biological properties for cell growth in regenerative   Pellets of PCL (5  g) were added to the TFE solvent
            medicine [50-55] . In this research, we utilized the direct-write   containing the CMP and then mixed using magnetic
            AM technique to fabricate a composite scaffold with CMP   stirring for 24  h. Similarly, PCL-CMP composites with
            bio-ceramic and PCL materials for bone TE application. In   a CMP content of 10% and 15% were also prepared.
            our experiments, four groups of scaffolds – PMC-0: PCL   Each composition of the suspension is shown in Table 1.
            (50%  w/v), PMC-5: PCL (50%  w/v)/CMP(5%w/w),      A 100-mm filter was used to filter all the CMP solutions to
            PMC-10:  PCL (50%  w/v)/CMP (10%w/w), and          avoid clogging during printing.
            PMC-15: PCL (50% w/v)/CMP (15%w/w) – were fabricated
            using a custom-built 3D printer. The effect of ceramic   2.3. 3D printing of scaffolds
            content on the surface properties, biodegradability, and   A four-axis Nordson EFD Janome robot with a custom
            bioactivity of fibroblast cells on the composite scaffold was   extrusion head, as shown in Figure 2, was used to fabricate
            investigated. A customized functionally gradient scaffold   3D scaffold structures. All material concentrations were
            structure was fabricated to demonstrate that manipulation   loaded into a 10 mL syringe barrel with a nozzle of 250 μm


            Volume 9 Issue 6 (2023)                        541                         https://doi.org/10.36922/ijb.0196
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