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Materials Science in Additive Manufacturing                                    Fibrous silk in biomedicine



            cell behavior, highlighting their potential for extensive   Similarly, Mobini  et al.  incorporated FS into a
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            applications in vascular tissue regeneration.      regenerated SF matrix and produced composite scaffolds
              In summary, natural FS-based composite vascular   through freeze-drying. Evaluations through electron
            grafts possess immense potential due to their superior   microscopy, mechanical testing, and in vitro cell assays were
            biocompatibility and mechanical properties. These   conducted to assess the properties of these composites.
            advancements offer promising solutions for the fabrication   Scanning electron microscopy revealed an interconnected
            of small-diameter artificial blood vessels and address   porous structure that fostered cell adhesion and growth.
            challenges such as graft scarcity and donor site morbidity.  Mechanical experiments revealed that FS addition
                                                               increased the compression modulus and compressive stress.
            4.5. Bone tissue regeneration                      Furthermore, human MSCs cultured on the composite
            Bone is a specialized connective tissue composed of a   scaffolds exhibited enhanced adhesion, proliferation, and
            calcified matrix, consisting of approximately 70% inorganic   osteogenic differentiation, positioning  the material as  a
            material (primarily hydroxyapatite) and 30% organic   promising candidate for bone tissue engineering research.
            material (mainly collagen I).  It provides structural   Moreover,  undegummed raw FS  has  shown  research
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            support for the body extremities and protection for internal   value in the development of apatite-organic polymer
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            organs.  Bone defects, resulting from trauma, infections,   hybrids. Takeuchi  et al.  explored apatite deposition
                  151
            tumors, and other conditions, present significant clinical   on  organic  surfaces,  including  raw  and  degummed  FS,
            challenges by impairing physiological functions.  Timely   under  physiological  conditions.  Their  results  indicated
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            and effective repair of bone defects is therefore crucial.  that the sericin present in raw FS promoted greater apatite
                                                               deposition compared to degummed FS, suggesting its
              Autologous bone grafting remains the gold standard for   potential for developing bone-mimicking polymers with
            bone repair; however, its clinical application is limited by   improved  bonding  and  mechanical  properties  through
            graft availability and infection risk.  Although allogeneic   biomimetic approaches.
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            bone is more readily available, it is associated with
            antigenic issues, high costs, immune rejection, and safety   4.6. Antimicrobial activity
            concerns.  Artificial bone substitutes have thus emerged   FS  exhibits  high  plasticity,  exceptional  breathability,
                   154
            as alternatives, aiming to restore normal anatomical and   safety, non-toxicity, and wound-healing properties,
            physiological functions. 155                       making it suitable for use in skin wound dressings.  Prior
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              Bone tissue engineering seeks to develop materials that   research has confirmed FS’s antimicrobial properties,
            meet several key requirements:  (i) mechanical properties   demonstrating its ability to inhibit microbial growth.
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            comparable to human bone, (ii) adaptability to diverse   Academic studies have further highlighted FS’s notable
            bone shapes, (iii) osteoinductivity to stimulate stem cell   antifungal properties. Key bioactive components – such
            differentiation, (iv) osteoconductivity to support new   as  Kunitz-type  BmSPI  51,  TIL-type  BmSPI  38,  BmSPI
            bone  growth,  and  (v)  seamless  integration  with  existing   39, and phosphatidylethanolamine-binding protein –
            bone tissue. Although many materials partially fulfill these   have been shown to significantly inhibit fungal spore
            criteria, silk fibers, with their unique biocompatibility,   growth  in vitro. 160-165  In addition, FS demonstrates
            mechanical  strength,  and  structural  plasticity,  are   broad-spectrum antimicrobial efficacy against bacteria,
            increasingly recognized as promising candidates for bone   viruses, and other pathogens. FS contains two serotonin
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            tissue engineering.  Future work is expected to further   derivatives (serotonin 1 and serotonin 2) that hinder
            unlock the potential of silk-based materials in this field.  pathogen growth, thereby broadening its antimicrobial
                                                               spectrum. 31,166-169   Enzymes  such  as  phenol  oxidase and
              Compared to SF, the application of FS in bone repair
            remains underutilized. Researchers often convert FS into   peroxidase contribute to pathogen elimination through
                                                               the generation of reactive by-products.  In addition,
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            a solution for scaffold printing. Studies have revealed that   non-organic acids, alkaloids, and flavonoids present in
            incorporating FS into CPC boosts mechanical strength by   FS contribute to its robust antimicrobial activity. 166,171,172
            leveraging the principle of fiber reinforcement. Zhou et al.    Crude sericin extracted from FS, especially from the outer
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            explored the application of SF in bone repair by mixing   cocoon layer, has demonstrated potent antibacterial effects
            FS and CPC at a 1:20 ratio to fabricate bio-composite   against Escherichia coli and Staphylococcus aureus. 173
            cylinders (4  mm in diameter and 15  mm in length) for
            animal testing. The results indicated that FS significantly   Furthermore, FS serves as a versatile platform
            enhanced the mechanical and biological properties of the   for antimicrobial material design, enabling tailored
            composite, promoted osteogenesis, and effectively repaired   functionalization. Researchers have enhanced FS’s
            bone defects.                                      antimicrobial capacity through various chemical and


            Volume 4 Issue 2 (2025)                         12                        doi: 10.36922/MSAM025130020
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