Abstract
Osteochondral defects affect both of cartilage and subchondral areas, thus it poses a significant challenge to simultaneously regenerate two parts in orthopedics. Tissue engineering strategy is currently regarded as the most promising way to repair osteochondral defects. This study focuses on developing a multilayered scaffold with enhanced interface bonding through 3D printing. One-shot printing process enables control over material composition, pore structure, and size in each region of the scaffold, while realizes seamlessly integrated construct as well. The scaffold was designed to be triphasic: a porous bone layer composed of alginate sodium (SA) and mesoporous bioactive glasses (MBG), an intermediate dense layer also composed of SA and MBG and a cartilaginous layer composed of SA. The mechanical strength including the interface adhesion strength between layers were characterized. The results indicated that SA crosslinking after 3D printing anchored different materials together and integrated all regions. Additional scaffold soaking in simulated body fluid (SBF) and cell culture medium induced apatite deposition and had weakened the compressive and tensile strengths, while no layer dislocation or delamination occurred.
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1 Introduction
Osteochondral defects occur frequently from traumatic injuries to joint. Prolonged damages without healing result in osteoarthritis and decreased quality of life [1]. Generally, osteochondral tissues include an articular cartilage region and a subchondral bone region linking by a densified interface. Both of two regions are affected when osteochondral defects or disease arise [2]. Therefore, the cartilage zone, the interface layer, and sub-bone parts should be taken into considerations into therapies, which is seldomly satisfied via surgical treatments in clinic nowadays [3, 4].
A strategy of tissue engineering based on elaborately designed scaffolds emerged as an alternative recently [5]. Due to the lineage specific differences between cartilage and bone tissues, the TE scaffolds must provide distinct segregated support for two cell populations with proper biochemical and biomechanical microenvironments [6]. To mimic the complex and hierarchical structure of osteochondral tissues, layered multiphasic scaffolds are probably workable for synchronizing chondrogenesis and osteogenesis [7]. Thus, plenty of studies regarding to bilayer or multilayer scaffolds have been carried out. Pore structures, composition gradients, or biophysical cues of every scaffold layer were tailored according to natural osteochondral properties [8,9,10]. For example, the subchondral bone region needs interpenetrated pore channel and sufficient mechanical strength to bear high loading of joints, however, the cartilage region is always of much lower stiffness [11].
Although promising, the layered scaffolds are still far more optimal and quite a few limitations exist, such as time-consuming fabrication, lacking of individuality unstable interface joining and so on [7, 12]. Conventional fabrication techniques including freeze-drying [13], thermal-induced phase separation [14], or solvent leaching [15] hardly improve present scaffold functions. Furthermore, it is inevitable to utilize adhesives or wrapper integrating single layers [16, 17], which cause additional operative difficulties and biocompatibility issues. Challenges of sufficient interfacial strength also still remain among the first generation of multiphasic scaffolds. The high incidence of dislocation or delamination suggests that the joining strength is not enough when separate monophasic scaffolds were fused together by sutures or biological glues [18]. 3D printing recently has gained intensive interests in producing customized implants as well as TE scaffolds for patients [19, 20]. One of the most compelling utilization of 3D printing is embodied in multi-nozzle printing, which means a series of different materials or structures can be printed within one implant [21]. To date, a variety of bioceramics, polymers, and their composite materials were designed to serve as 3D printing inks to fabricate bone or cartilage generation scaffolds [22]. The selection of materials and structure design by 3D printing tailors the biological and mechanical response of a scaffold [23]. Hard bone tissue engineering scaffolds demand relatively high mechanical strength that can bear loads, hence, bioceramics, including calcium phosphate, calcium silicate and glass-ceramics, and their composites are usually applied [22, 24]. Thereinto, mesoporous bioactive glass (MBG) attract intensive interests due to excellent apatite formation ability and drug delivery function [25]. MBG are degradable over time, and capable of promoting bone formation, releasing soluble silica and calcium ions for osteoconduction. As for cartilage scaffolds, polymers including both natural (collagen, hyaluronic acid, alginate, chitosan and etc.) and synthetic ones (poly(lactic acid, PLA), poly(glycolic acid, PLGA) and their copolymer) are preferred [9, 18]. Alginate has been widely used in tissue engineering, growth factor, and cell delivery due to its biocompatible and biodegradable, and was selected as the organic component in this study [26]. Furthermore, 3D printing technique offers a solution of depositing two or three different architectures for biphasic and triphasic scaffolds generally [4, 27,28,29]. And the scaffold pore structures are prepared through computer-assisted design-computer-aided manufacturing under mild conditions as well [30].
The aim of the present study is to fabricate a triphasic osteochondral scaffold with enhanced interlayer bonding and mechanical properties. Sodium alginate (SA) was used as the main component in all the three layers of scaffolds, which was crosslinked by additional Ca2+ after printing to unify separate layers [31, 32]. For the calcified midlayer and subchondral layer, MBG [33, 34] were introduced to form composite with SA and improve the bone-implant integration and strengths of scaffolds.
2 Materials and methods
2.1 Materials
EO20PO70EO20 (P123), hydrochloric acid (HCl, 0.5 M), ethyl alcohol (C2H5OH), tetraethyl orthosilicate (TEOS), triethyl phosphate (TEP), calcium nitrate and (Ca(NO3)2∙4H2O, 99%) were purchased from Sinopharm Chemical Reagent Co. Ltd. Sodium alginate was purchased from Sigma-Aldrich. All chemicals were used without further purification.
2.2 Synthesis and characterizations of MBG powders
MBG powders were synthesized through an evaporation-induced self-assembly process according to a previous report [35]. After the removal of P123 surfactants, the MBG product was ground and sieved to reduce the particle size to less than 50 μm. The mesoporous structure of MBG powder was characterized by transmission electron microscopy (TEM, JEM-2010, 200 kV). N2 adsorption–desorption isotherms were obtained on a Micromeritics Tristar 3020 at −196 °C under continuous adsorption conditions. Brunauer–Emmett–Tellwe (BET) and Barrett–Joyner–Halenda (BJH) methods were used to determine the surface area, the pore size distribution, and the pore volume.
2.3 Fabrication of triphasic composite scaffolds via 3D printing
Before printing, proper printing pastes including sodium alginate hydrogel and MBG/SA composites were firstly prepared. Typically, SA was completely dissolved in ultrapure water at 95 °C to obtain an 8% (w-v) solution for further use, named as Solution A. Then another 2 g of SA was added into 10 ml of Solution A to increase the viscosity for injection after thoroughly stirring. The other composite paste of MBG and SA was prepared by homogeneously mixing 10 ml Solution A with 1 g of SA powders and 1 g of MBG powders. All raw pastes were sieved again to remove aggregates prior printing.
The pastes were then loaded into polyethylene cartridges (EFD, USA) which were fixed on the 4th generation 3D Bioplotter™ system (EnvisionTEC, Germany). Under the guide of supporting computer workstations, the pastes were extruded at room temperature from the dispensers through the conic plastic nozzles (22G, EFD, USA). A cylinder triphasic scaffold (8 mm of diameter, 5 mm of height) was printed with a strand inter distance of 400 μm by applying compressed nitrogen. Printing gas pressure was controlled in the range of 1.5–3 bar and paste printing speed was in the range of 3–5 mm/s. Specifically, the three parts of triphasic scaffold were designed and printed as follow: according to printing order, the first 8 layers were constructed with SA/MBG paste along interlayer directions of 60° to act as bony phase. The next 2 layers were densely printed with the same SA/MBG pastes to serve as compact separation layers. The top 5 layers of chondral phase in the scaffold were made up of only SA hydrogel paste along interlayer directions of 90°. Finally, the scaffolds were soaked in CaCl2 solution (50 mg/ml) to crosslink. Samples were kept in fridge for future use.
2.4 Characterizations of scaffolds
Every part of the triphasic scaffolds and the junction areas were observed by scanning electron microscopy (SEM, FEI Quanta 450). The porosities of upper alginate scaffold, lower SA/MBG composite, and the whole triphasic scaffold were measured using Archimedes’ principle, and calculated according to the following formulation:
where Wdry is the dry weight of scaffolds, Wsus is the weight of scaffolds suspended in anhydrous ethanol, and Wsat is the weight of scaffolds saturated with anhydrous ethanol.
2.5 Mechanical strength properties
The compressive strengths of cylindrical chondral phase scaffolds and bone phase scaffolds (d = 8 mm, h = 5 mm) were respectively tested using a Zwick static materials testing machine (2.5 kN) at a crosshead speed of 0.5 mm/min. In addition, SA/MBG scaffolds were dried and then tested as well.
The tensile strength tests of the different scaffold samples (40 × 10 × 1.6 mm), which were directly 3D-printed, were performed using a Zwick static materials testing machine (2.5 kN), moving at a speed of 1 mm/min in the directions parallel to the printed layer. The results were presented as a force-elongation curve and tensile strength was calculated. Same tests were carried out for scaffold samples after they were immersed in SBF or DMEM culture medium for 7 days under 37 °C.
2.6 Interfacial adhesion strengths
Interfacial adhesion strength between the layers of the construct was determined using a single-lap testing. Scaffolds consisting any two phasic parts (SA-SA/MBG scaffold, SA-SA/MBG compact layer, SA/MBG scaffold-SA/MBG compact layer) were printed into a single lapped shape, as Fig. 1 illustrated. The two single-layer ends of sample was fixed to allow secure fixation of scaffold while ensuring correct alignment of the scaffold between the machine’s load cell and base plate. Pull force were directly applied to the jig and the forces were recorded till fracture occurred.
3 Results and discussion
3.1 Characterization of mesoporous bioactive glass
MBG powders synthesized via EISA process showed highly ordered mesoporous channels according to the TEM observation (Fig. 2a), which is coincided to previous result. Figure 2b, c shows N2 adsorption–desorption isotherms of MBG powders together with the corresponding pore size distributions. The isotherms possessed a typical type IV curve and the type H1 hysteresis loop, indicating the mesoporous structure. The BET surface area was calculated to be about 405 m²/g, and the single point adsorption total volume at P/P0 = 0.99 was 0.41 cm³/g. The pore size distribution peaked in Fig. 2c at around 3.5 nm which was calculated using the BJH model.
3.2 Characterization of scaffolds
The optical and SEM observations of scaffold layers were displayed in Fig. 3. As it shows, the regular macropores stacking up by printed strands were basically in line with expectations. The upper layers of chondral phase scaffolds possessed interconnected square pore architecture with a dimension at about 400 μm, which was consistent with predesigned parameters. Printed SA filaments showed slight shrinkage due to comparable high viscosity during 3D printing, while the surface of alginate hydrogel was relatively smooth (Fig. 3a). To the contrast, bone phase scaffold exhibited a rough and grainy surface morphology. MBG particles were bound tightly with SA polymers in between. Moreover, on the surface of filaments there were a SA layer wrapping, which was probably attributed to the freeze-drying process. In order to strengthen the scaffold structure, the strands were intersected at 60° in two adjacent layers. Figure 4 shows a cross-section of the developed tri-layered structures. The left dimension in Fig. 4a indicated the cartilage region and the right part corresponded to bone region. These two porous compartments were well separated by a compact layer. In addition, the interface zone was zoomed in as shown in Fig. 4b. It is clearly visible that the three layers were integrated tightly by SA materials. SA macromolecules around the layer interface crosslinked together and provided mechanical interlocking among different regions. The compact middle layer was nonporous as expectation to separate the chondral region and bony region, in that way cartilage and bone regeneration related cells are not allowed to interfere with each other when the scaffolds are put into use [36].
Table 1 shows porosities of solely SA scaffold part, SA/MBG composite scaffold part, and the whole triphasic scaffold. The porosities were estimated at 70.29 ± 1.09%, 74.35 ± 0.54%, and 73.89 ± 0.38%, respectively, which were coincided with 76.25% theory porosity calculated from strand diameters and strand gaps of the two structured scaffold regions. Therefore, 3D printing can generate more complex pore architectures of scaffolds by changing the deposition angles without a significant variety of porosities.
3.3 Mechanical properties of scaffolds
The compressive capacity of SA/MBG bony region in the triphasic scaffolds before and after drying was investigated respectively by compression testing. As shown in Fig. 5a, pictures of scaffolds after compression displayed two entirely different states. Cylindrical wet SA/MBG sample was gradually pressed down to a compacted scaffold with a lower porosity. There was no scaffold rupture and thus the compressive stress value at the end of linear stress-strain relationship curves was recorded as its strength (1.22 ± 0.14 MPa). However, the dried SA/MBG scaffolds broke down under the peak load as failure strength. And the compressive strength was recorded at about 23.47 ± 0.55 MPa. As for the pure SA scaffold, the compression strength was even lower since the water-rich hydrogel scaffold collapsed once the loading force arriving at about 0.23 ± 0.08 MPa, although it already reached the minimum 150 kPa of strength as required for cartilage regeneration.
The integration strengths between any two layers (bone, intermediate, and cartilage layers) were tested via shear testing. The maximal fracture strength was recorded as the interface strength. From the results shown in Fig. 5b, any one of the interlayer adhesions were much higher than that of individual layers, that is, the fracture did not happen at the single-layer regions before peeling off. The interface strength between SA scaffold and porous SA/MBG scaffold was larger compared to the other two groups. And to the opposite the interface strength between the dense midlayer and porous SA/MBG scaffolds was the lowest one. Therefore, it can be concluded that higher SA content at the interface caused stronger interface bonding, which implied that SA/MBG multilayer scaffolds here enhanced the interlayer adhesion strengths mainly by SA integration in every scaffold phase. In previous studies, completely different materials in different layers led to insufficient interface strength and bonding, and here the study offered a graded scaffolds of suitable material functions in each scaffold phase with better interface strengths.
Tensile strengths of scaffolds before and after soaking in SBF or DMEM culturing media were investigated respectively. As listed in Fig. 5c, composite scaffolds compared to SA alone showed increased tensile strengths, and among them the triphasic scaffold possessed the highest value which is almost as twice as SA scaffold. Correspondingly, the elongation length at break decreased with increasing strength (Fig. 5d). That is to say, the triphasic scaffold exhibited the lowest elongation when bearing the same stretch force. Notably, the hydrated condition after soaking either in SBF or DMEM most closely represents the end-use state in clinic. The tensile strengths of all scaffolds after soaking showed substantial decrease due to degradation or swelling. Crosslinked SA absorbed more water and dilated afterwards so that SA network was loosened. Therefore, MBG-containing scaffolds, either SA/MBG or the triphasic integrated scaffolds, displayed higher tensile strengths. On the other hand, in SBF the ionic environment induced both ion dissolutions from MBG component and ion exchanges as well. Ca2+ ions dissolved rapidly into the soaking media due to their weak associations with silica network, and then nucleation sites of bone-like apatite were produced [37]. However, SA molecules after crosslinking are naturally capable of providing nucleation sites of Ca2+. Therefore, both of sole SA scaffolds and SA/MBG scaffolds could induce apatite deposition when immersing in the SBF. The surface observation images were shown in Fig. 6. Additional EDS analysis in Fig. 6i, j showed the surface compositions of SA scaffolds and SA/MBG scaffolds after soaking in SBF for 7 days. Characteristic peaks of Ca and P elements were observed for surface examination of SA scaffolds. The Ca/P molar ratio is determined to be 1.66, that is almost the same with stoichiometric Ca/P (1.67) of hydroxyapatite. However, the Ca/P ratio obtained from the EDS spectrum of SA/MBG scaffolds was 2.77. It was much higher due to the large content of calcium in MBG itself. Therefore we can conclude that apatite mineralization on the surfaces of these scaffolds. Moreover, Fig. 6c, d, g, h also gave solid evidences that DMEM soaking did not cause scaffold disintegration even as long as 7 days, although a slight swelling was not avoided.
4 Conclusions
In this study, we have designed and constructed a tri-layered graded SA/MBG scaffold for osteoarticular regeneration using a multi-nozzle 3D printing technique. By taking the advantages of 3D printing, different combinations of SA macromolecules and MBG bio-inorganics and scaffold architectures were appropriately arranged in different layers. The same SA composition in all layers anchored MBG together and integrated the whole multilayered scaffolds. Finally, improved mechanical interface bonding strengths were achieved and that suggests promising applications for osteoarticular tissue engineering with further biological studies.
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Acknowledgements
The authors gratefully acknowledge support a grant from the Shanghai Natural Science Foundation (No.19ZR1435100) and National Natural Science Foundation of China (No.51673212).
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Zhu, M., He, X., Xin, C. et al. 3D printing of an integrated triphasic MBG-alginate scaffold with enhanced interface bonding for hard tissue applications. J Mater Sci: Mater Med 31, 113 (2020). https://doi.org/10.1007/s10856-020-06459-6
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DOI: https://doi.org/10.1007/s10856-020-06459-6