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International Journal of Bioprinting                             3D-printed scaffolds for osteochondral defect




            way to regulate the degradation kinetics.  For instance,   defect site, providing insights into the material’s biological
            incorporating HAp  and β-TCP nanoparticles  into   performance over time. 47
                                                     55
                            54
            GelMA hydrogels can reduce the degradation rate for
                                    54
            bone-phase scaffolds. Gao et al.  improved the degradation   4.2. Interlaminar interface strength
            performance of GelMA scaffolds by adding 1% HAp.   In  in vivo  studies,  mechanical  stability  is considered  a
            In vitro, phosphate-buffered saline (PBS) degradation   critical factor for  successful regeneration.  Beyond  the
            tests showed that scaffolds without HAp exhibited more   intrinsic mechanical properties of scaffolds, interface
            than 70% weight loss after 4 weeks, while those with   strength—another crucial element—plays a pivotal role in
                                                               ensuring the efficacy of the repair process. This encompasses
            HAp degraded by only 50%. dECM can also retard the   two key aspects: the strength of the interlaminar interface
            degradation rate. Li et al.  evaluated the residual mass   (horizontal integration),  and  integration with  native
                                 53
                                                                                   131
            percentage and revealed a significant reduction in the   tissue (lateral integration). 132
            degradation rate with the addition of dECM. Bejarano
            et al.  reported that incorporating BG into the poly(D,   During scaffold-based regeneration of osteochondral
                126
            L-lactic acid) (PDLLA) polymer could accelerate the   defects, the interface between the cartilage and bone
            degradation rate while simultaneously maintaining the   phases is prone to stress concentration due to the
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            scaffold’s dimensional and structural integrity.   discontinuity in their mechanical properties.  Therefore,
                                                               tissue engineering scaffolds need to achieve an effective
               Degradation kinetics of scaffolds are influenced by   integration between cartilage and bone tissue.
            their mesostructure, including factors such as porosity,
            pore size, pore shape, grain size, and crystallinity. A higher   However, bilayered or multilayered scaffolds are often
            porosity generally leads to an increased degradation rate,    ineffective in biomimicking osteochondral tissue due to
                                                         127
                                                                                                     134
            as scaffolds with more micropores and a larger surface   the potential for delamination between layers.  Current
            area facilitate the diffusion of degradation products,   strategies for enhancing interlaminar interface strength
            thereby accelerating the process. Larger pores also allow   can be broadly categorized into the following approaches:
            better penetration of degradation products and moisture,   (1) interlamellar bonding, (2) mechanical interlocking
            promoting cell growth and tissue infiltration, which further   through contact surface topography design, (3) tissue
            speeds up degradation. 127,128  Conversely, smaller grain sizes   culture with  cell  seeding,  and  (4)  specified 3D  printing
            reduce the degradation rate because they increase the grain   techniques.
            boundary area, hindering the diffusion of degradation   Bonding is a traditional method to integrate two layers,
            products and enhancing the material’s strength. 129  which can be achieved through chemical bonding or
                                                               solvent bonding. The dual-phase interface can be modified
               The inflammatory microenvironment, including
            cytokines and enzymes, can significantly influence the   by introducing reactive group-containing agents that form
                                                               chemical bonds between components and the biopolymer
            degradation rate. In the microenvironment of OA, a   matrix  through  chemical  interactions.  Coyle  et  al.
                                                                                                            56
            wide range of enzymes and cytokines undergo significant   developed a bilayer dECM-incorporated GelMA scaffold,
            alterations. Notably, MMP families, which are capable of   in which the double layers were chemically bonded
            cleaving collagen type II, play a pivotal role in cartilage   using  1-ethyl-3-(3-dimethylaminopropyl) carbodiimide/
            degradation.  Liu et al.  established a triple-layer scaffold   N-hydroxysuccinimide (EDC/NHS) coupling.  EDC
                               46
                      130
            consisting of BMSC-laden methacrylated HA (MeHA),   activates the carboxyl groups on the GelMA hydrogels,
            PCL, and KGN as the chondral layer, coated with a MeHA   generating highly reactive O-acylisourea intermediates,
            plus diclofenac sodium layer, and a PCL plus β-TCP   which are stabilized by NHS. These intermediates then
            osseous layer. MeHA, a rapidly degradable material, has   react with primary amines on the second hydrogel layer,
            a tunable degradation rate influenced by enzymes such as   forming amide bonds and effectively conjugating the layers.
            MMPs. MMP-sensitive MeHA allows for the modulation   This method ensures strong covalent bonding, enhancing
            of degradation rate and surface drug release in response to   the structural integrity and interface compatibility of the
            disease activity, such as inflammation in arthritis.  composite material.
               To estimate the degradation rate, weight loss is a   Liuyun et al.  designed a method for modifying nano-
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            standard approach for in vitro studies, where scaffolds are   HAp with the assistance of L-lysine, and incorporated
            incubated in simulated body fluid or PBS for 12 weeks,   the  modified  HAp  into  poly(lactic-co-glycolic  acid)
            and  the  remaining  mass  is  measured  periodically. 42,48,54,55    (PLGA) to fabricate nanocomposites. L-lysine bonds
            In vivo, histological evaluation is commonly employed to   to the HAp surface through the formation of a calcium-
            monitor scaffold degradation and tissue formation at the   carboxylate linkage between the calcium of HAp and


            Volume 11 Issue 4 (2025)                        16                            doi: 10.36922/IJB025120100
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