Polymers (Mar 2021)

3D Bioprinted Bacteriostatic Hyperelastic Bone Scaffold for Damage-Specific Bone Regeneration

  • Mohammadreza Shokouhimehr,
  • Andrea S. Theus,
  • Archana Kamalakar,
  • Liqun Ning,
  • Cong Cao,
  • Martin L. Tomov,
  • Jarred M. Kaiser,
  • Steven Goudy,
  • Nick J. Willett,
  • Ho Won Jang,
  • Christopher N. LaRock,
  • Philip Hanna,
  • Aron Lechtig,
  • Mohamed Yousef,
  • Janaina Da Silva Martins,
  • Ara Nazarian,
  • Mitchel B. Harris,
  • Morteza Mahmoudi,
  • Vahid Serpooshan

DOI
https://doi.org/10.3390/polym13071099
Journal volume & issue
Vol. 13, no. 7
p. 1099

Abstract

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Current strategies for regeneration of large bone fractures yield limited clinical success mainly due to poor integration and healing. Multidisciplinary approaches in design and development of functional tissue engineered scaffolds are required to overcome these translational challenges. Here, a new generation of hyperelastic bone (HB) implants, loaded with superparamagnetic iron oxide nanoparticles (SPIONs), are 3D bioprinted and their regenerative effect on large non-healing bone fractures is studied. Scaffolds are bioprinted with the geometry that closely correspond to that of the bone defect, using an osteoconductive, highly elastic, surgically friendly bioink mainly composed of hydroxyapatite. Incorporation of SPIONs into HB bioink results in enhanced bacteriostatic properties of bone grafts while exhibiting no cytotoxicity. In vitro culture of mouse embryonic cells and human osteoblast-like cells remain viable and functional up to 14 days on printed HB scaffolds. Implantation of damage-specific bioprinted constructs into a rat model of femoral bone defect demonstrates significant regenerative effect over the 2-week time course. While no infection, immune rejection, or fibrotic encapsulation is observed, HB grafts show rapid integration with host tissue, ossification, and growth of new bone. These results suggest a great translational potential for 3D bioprinted HB scaffolds, laden with functional nanoparticles, for hard tissue engineering applications.

Keywords