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Robust design methodologies to engineer multimaterial and multiscale bioprinters 稳健的设计方法,以工程多材料和多尺度生物打印机
Q1 Computer Science Pub Date : 2024-12-01 DOI: 10.1016/j.bprint.2024.e00372
Amedeo Franco Bonatti , Elisa Batoni , Gabriele Maria Fortunato , Chiara Vitale-Brovarone , Giovanni Vozzi , Carmelo De Maria
Commonly used bioprinting technologies (e.g., material extrusion, material jetting) enable the fabrication of complex, multimaterial and multiscale scaffolds with controlled properties for tissue engineering applications. This enables the fabrication of scaffolds that more accurately replicate the structure of natural tissues. Despite the availability of commercial bioprinters, their high cost and lack of customization have driven researchers to modify existing devices or create entirely new platforms. Among all the available examples in literature, there is a strong need for more modular systems which are robustly designed taking into consideration the specific needs of bioprinting. In this context, the aim of this work is to introduce robust engineering methodologies to design and fabricate custom hardware and software for multimaterial and multiscale bioprinting. Firstly, we will identify the main design requirements that should be considered for a bioprinter (e.g., encumbrance, positioning resolution). Based on these requirements, we will then propose an analysis of the key building blocks of a bioprinter, including hardware (i.e., positioning system, toolheads, additional modules for extended functionalities), electronics (i.e., power supply, control boards), and software, introducing for each one the main concepts and equations for its optimal design. Throughout the work, we will use a customized bioprinting platform (namely, the BOOST bioprinter) as an example of the application of the proposed methodologies. Finally, we will present a validation of the methodologies and the bioprinter by fabricating high quality scaffolds through the combination of material extrusion and material jetting. The firmware developed during this work is available online as a support for developing more robust customized bioprinters.
常用的生物打印技术(如材料挤压、材料喷射)能够制造复杂的、多材料的、多尺度的、具有控制性能的支架,用于组织工程应用。这使得支架的制造能够更准确地复制自然组织的结构。尽管商业生物打印机的可用性,但它们的高成本和缺乏定制,迫使研究人员修改现有设备或创建全新的平台。在文献中所有可用的例子中,强烈需要更多的模块化系统,这些系统是考虑到生物打印的具体需求而设计的。在这种情况下,这项工作的目的是引入强大的工程方法来设计和制造多材料和多尺度生物打印的定制硬件和软件。首先,我们将确定生物打印机应考虑的主要设计要求(例如,累赘,定位分辨率)。基于这些要求,我们将对生物打印机的关键构建模块进行分析,包括硬件(即定位系统,工具头,扩展功能的附加模块),电子(即电源,控制板)和软件,并为每个模块介绍其最佳设计的主要概念和方程。在整个工作中,我们将使用定制的生物打印平台(即BOOST生物打印机)作为所提出方法应用的示例。最后,我们将通过材料挤压和材料喷射相结合来制造高质量的支架,并对方法和生物打印机进行验证。在这项工作中开发的固件可以在线获得,作为开发更强大的定制生物打印机的支持。
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引用次数: 0
3D bioprinting of multicellular tumor spheroids in photocrosslinkable hyaluronan-gelatin for engineering pancreatic cancer microenvironment
Q1 Computer Science Pub Date : 2024-12-01 DOI: 10.1016/j.bprint.2024.e00374
Pei-Syuan Yang , Yi Liu , Shiue-Cheng Tang , Yu-Wen Tien , Shan-hui Hsu
3D bioprinting can be utilized to fabricate cancer-like tissue that models complex interactions within the cancer microenvironment. In human pancreatic ductal adenocarcinoma (PDAC), these interactions involve the extracellular matrix (ECM), cancer cells, and pancreatic stellate cells. Hyaluronan (HA) is a major component of ECM supporting tumor progression and chemoresistance in PDAC. In the current study, an in vitro PDAC-like tissue platform was developed by embedding multicellular pancreatic tumor-like spheroids within a novel 3D bioprinting HA-gelatin photocrosslinked hydrogel (GHP). This optimized GHP bioink (7 wt% gelatin and 0.2 wt% phenolic HA) achieved a modulus (∼5.46 kPa) closely resembling that of clinical PDAC tissue, with a dense and uniform structure superior to gelatin-only hydrogel (GN). The bioprinted 3D tumor-like spheroids within GHP exhibited distinct invasive and metastatic behavior, along with up-regulated expression of epithelial-mesenchymal transition (EMT) markers. Furthermore, gene expression analysis also revealed a ∼290-fold increase in CD44 gene and a 7.3-fold rise in S100A9 (a novel pancreatic cancer biomarker for early diagnosis). These tumor-like spheroids within 3D-bioprinted GHP constructs further demonstrated substantial chemoresistance, maintaining remarkable 98.5 % viability after 48 h of exposure to a Gemcitabine and Abraxane combination, in contrast to significantly lower resistance observed in spheroids alone or co-cultured monolayers. An in-depth investigation of HA distribution within the 3D-bioprinted PDAC-like construct revealed a pattern consistent with clinical PDAC, indicating enhanced malignancy and potential tumor reprogramming. This 3D-bioprinted PDAC model holds significant potential for advancing pancreatic cancer research and preclinical drug testing.
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引用次数: 0
Surface modification of 3D-printed polycaprolactone-human decellularized bone matrix composite scaffold by plasma for bone tissue engineering
Q1 Computer Science Pub Date : 2024-12-01 DOI: 10.1016/j.bprint.2024.e00378
Hekmat Farajpour, Masoud Ghorbani, Mehrdad Moosazadeh Moghaddam, Vahabodin Goodarzi

Background

Bone tissue engineering is a revolutionary field focused on creating viable bone substitutes using advanced materials and techniques. Utilizing 3D printing, precise and customizable bone scaffolds can be produced. A notable composite material in this domain is a composite of polycaprolactone (PCL) and human decellularized bone matrix (hDBM), which combines synthetic and natural elements for enhanced functionality. To further improve cell attachment and growth, cold plasma surface modification is employed, optimizing scaffold surfaces. These innovations collectively hold great potential for improving bone repair and regeneration outcomes.

Methods

Scaffold architecture was designed through CAD software, and the composite of PCL and hDBM was printed using FDM technology. Surface modification was achieved by exposing the scaffolds to Argon-Oxygen (Ar-O₂) plasma radiation for 1 and 3 min. Both treated and untreated scaffolds were characterized, including measurements of surface roughness, hydrophilicity, and cellular activity.

Results

Almost all groups showed non-toxic effect on cellular behavior during cell culture. Plasma-treated scaffolds showed a significant increase in surface roughness, with roughness values (Ra) increasing from 10.45 nm (untreated) to 62.75 nm after 3 min of plasma exposure. Contact angle measurements decreased from approximately 66.5° in untreated scaffolds to 31.4° in those treated for 3 min, indicating enhanced hydrophilicity. Plasma-treated scaffolds demonstrated excellent cytocompatibility, significantly enhancing cell proliferation, osteogenic differentiation, and mineralization compared to untreated scaffolds. After 7 days, scaffolds treated for 1 and 3 min showed 35 % and 60 % increases in cell proliferation, respectively, highlighting the role of plasma treatment in creating a bioactive surface conducive to cell adhesion, growth, and improved osteogenic properties, with longer exposure times further amplifying these effects.

Conclusions

The current study demonstrates the efficacy of Ar + O₂ plasma treatment in enhancing the surface properties of PCL-hDBM scaffolds, making them more conducive to osteogenesis. This study suggests that plasma-treated PCL-hDBM scaffolds are a promising option for bone tissue engineering applications.
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引用次数: 0
Advancements in high-resolution 3D bioprinting: Exploring technological trends, bioinks and achieved resolutions
Q1 Computer Science Pub Date : 2024-12-01 DOI: 10.1016/j.bprint.2024.e00376
Luca Guida, Marco Cavallaro, Marinella Levi
3D bioprinting is a rapidly evolving field that has seen significant advancements in technologies, materials, and strategies. It enables the production of living tissues and complex biological structures, offering great potential for regenerative medicine, drug testing, and personalized medical treatments.
Notable progress has been done, particularly in developing materials that mimic the physiological environment and promote tissue growth. However, much work is still needed to fabricate complex, large-scale, heterocellular constructs. High-resolution printing and technological development are crucial to this goal.
Despite the significance of this topic, the literature lacks comprehensive reviews focused on analyzing the achieved resolution and metrics for its quantification in bioprinting. Additionally, no previous work examines all the most relevant technologies, critically highlighting technological advantages such as resolution and identifying limitations like the characteristic dimensions of constructs.
This review examines various aspects of 3D bioprinting, focusing on the most commonly used technologies, including Extrusion-Based Bioprinting, Vat Photopolymerization, Inkjet, Laser-Induced Forward Transfer, and Two-Photon Polymerization. Additionally, it examines the biomaterials and crosslinking strategies compatible with each of these technologies.
The primary focus is on the importance of resolution characterization, assessing technical advantages, and summarizing common metrics from the literature. The review evaluates the resolutions achieved across different bioprinting methods, correlating such data with the applicability and limitations of each technology, as resolution alone is not sufficient for producing functional structures. Some strategies to overcome typical resolution limits of some technologies have been reported.
In doing so, the focus is kept on works aimed at biological patterning and producing scaffolds for tissue engineering, therefore involving the use of live cells.
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引用次数: 0
4D printing in dynamic and adaptive bone implants: Progress in bone tissue engineering
Q1 Computer Science Pub Date : 2024-12-01 DOI: 10.1016/j.bprint.2024.e00373
Aayush Prakash , Rishabha Malviya , Sathvik Belagodu Sridhar , Javedh Shareef
The emergence of 4D printing has revolutionised tissue engineering technology by integrating dynamic and adaptive properties to previously static 3D-printed structures. This advancement is particularly noteworthy in the domain of bone tissue engineering (BTE), where accurate replication of the dynamics of real bone is essential for complex tissue structures. The article investigates the utilization of 4D printing techniques in the field of BTE, with a specific focus on the incorporation of stimuli-responsive materials, shape-memory scaffolds, and bio-inks to facilitate the fabrication of dynamic bone implants. The use of stimuli-responsive hydrogels, shape-memory polymers, and sophisticated bio-fabrication methods enables the creation of bone tissue structures capable of self-remodeling and adapting after being implanted. These structures have demonstrated potential in the personalized correction of bone defects and the possibility for the extensive deployment of bone graft replacements. The implementation of 4D printing in BTE is a notable breakthrough that opens novel opportunities for customized and dynamic bone implants. Additional research and development are necessary to overcome the existing constraints, namely in attaining reliable functional changes and guaranteeing the scalability of these technologies for clinical use.
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引用次数: 0
A comprehensive review on bioink based microfluidic devices 基于生物墨水的微流控装置综述
Q1 Computer Science Pub Date : 2024-11-14 DOI: 10.1016/j.bprint.2024.e00371
Kajal P. Chamate , Bhuvaneshwari D. Patil , Nikita V. Bhosale , Nutan V. Desai , Prasad V. Kadam , Avirup Chakraborty , Ravindra V. Badhe
Microfluidics represents a methodology facilitating the manipulation of minute fluid volumes via microchannels, with wide-ranging applications across biomedical and pharmaceutical research, environmental monitoring, and clinical diagnostics. This discourse delves into the materials utilized in microfluidic devices, their fabrication techniques, and their diverse applications, with a specific focus on variants constructed from glass, paper, metal, and polymers. Additionally, it explores bioprinting methodologies aimed at generating three-dimensional (3D) tissue structures employing bioink for microfluidic system. Bioprinting nurtures the development of functional tissue models essential for tissue engineering, drug screening initiatives, and the evolution of organ-on-a-chip technologies. The discussion extends to an examination of the merits and demerits of various bioinks, such as gelatine methacrylate, collagen, alginate, Pluronic F-127, and decellularized extracellular matrix, with a succinct overview provided in a tabular format highlighting commercially available bioinks. Furthermore, concrete examples illustrating microfluidic devices and bio-printed tissues tailored for different organs, including the lung, liver, heart, and intestine, are presented. Finally, the discourse concludes with an analysis of the prospects and potential applications of microfluidics in advancing biomedical research and its practical implementations.
微流体技术是一种通过微通道操纵微小流体体积的方法,广泛应用于生物医学和制药研究、环境监测和临床诊断。本论述深入探讨了微流体设备中使用的材料、制造技术及其各种应用,特别关注由玻璃、纸张、金属和聚合物制成的变体。此外,它还探讨了生物打印方法,旨在利用微流体系统的生物墨水生成三维(3D)组织结构。生物打印技术有助于开发对组织工程、药物筛选计划和片上器官技术的发展至关重要的功能性组织模型。讨论延伸到对各种生物墨水(如甲基丙烯酸明胶、胶原蛋白、藻酸盐、Pluronic F-127 和脱细胞细胞外基质)优缺点的研究,并以表格形式简要概述了市面上的生物墨水。此外,还列举了一些具体实例,说明为肺、肝、心脏和肠道等不同器官定制的微流控装置和生物打印组织。最后,文章分析了微流控技术在推动生物医学研究及其实际应用方面的前景和潜在应用。
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引用次数: 0
The effect of hydroxyapatite particle shape, and concentration on the engineering performance and printability of polycaprolactone-hydroxyapatite composites in bioplotting 羟基磷灰石颗粒的形状和浓度对聚己内酯-羟基磷灰石复合材料在生物印染中的工程性能和可印刷性的影响
Q1 Computer Science Pub Date : 2024-10-31 DOI: 10.1016/j.bprint.2024.e00370
Markos Petousis , Vassilis Papadakis , Amalia Moutsopoulou , Mariza Spiridaki , Apostolos Argyros , Evangelos Sfakiotakis , Nikolaos Michailidis , Emmanuel Stratakis , Nectarios Vidakis
In this study, medical poly [ε-caprolactone] (PCL) was used as the matrix material for the development of composites, with hydroxyapatite (HAp) particles with angular and spherical shapes employed as additives. Pellets of such composites were created with five different filler concentrations in the range of 0.0 up to 8.0 wt% (2.0 wt % increase). Three-dimensional (3D) specimens suitable for investigation were bioplotted using the corresponding pellets. The mechanical behavior of the samples was studied in terms of their tensile and flexural characteristics. Rheological and thermal investigations were conducted, and the morphology and chemical structure were investigated using field-emission scanning electron emission SEM and EDS spectroscopy, respectively. A μ-CT scanning course was employed to evaluate the inbound porosity and dimensional conformity of the specimens. The greatest enhancement in the engineering response of the specimens was observed at a tensile strength of 6.0 wt % PCL/angular HAp, showing a 17.0 % increase over pure PCL. The results demonstrate the potential of HAp as a reinforcing agent for polymers in medical applications using bioplotting. The key findings suggest that the shape and concentration document a significant impact on their mechanical performance.
在本研究中,医用聚[ε-己内酯](PCL)被用作开发复合材料的基体材料,羟基磷灰石(HAp)角形和球形颗粒被用作添加剂。在 0.0 至 8.0 wt%(增加 2.0 wt%)的范围内,用五种不同的填料浓度制作了这种复合材料的颗粒。使用相应的颗粒制作了适合研究的三维(3D)试样。从拉伸和弯曲特性的角度研究了样品的机械行为。此外,还进行了流变学和热学研究,并分别使用场发射扫描电子显微镜和 EDS 光谱法研究了样品的形态和化学结构。μ-CT扫描过程用于评估试样的内部孔隙率和尺寸一致性。拉伸强度为 6.0 wt % PCL/angular HAp 时,试样的工程响应得到最大增强,与纯 PCL 相比提高了 17.0%。研究结果表明,HAp 具有利用生物切片技术作为医用聚合物增强剂的潜力。主要研究结果表明,形状和浓度对其机械性能有显著影响。
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引用次数: 0
Double-crosslinked dECM bioink to print a self-sustaining 3D multi-layered aortic-like construct 双交联 dECM 生物墨水打印出可自我维持的三维多层主动脉样构建体
Q1 Computer Science Pub Date : 2024-10-28 DOI: 10.1016/j.bprint.2024.e00368
Federica Potere , Giovanni Venturelli , Beatrice Belgio , Giuseppe Guagliano , Federica Boschetti , Sara Mantero , Paola Petrini
Cardiovascular disease is the leading cause of death worldwide, with related mortality increasing from 12.1 million to 18.6 million in the past 30 years.
To address the supply limitation of autologous vascular grafts and overcome the limits of current treatment options, 3D bioprinting techniques have been investigated.
This study aimed at introducing a self-supporting and multi-layered 3D bioprinted construct as a promising alternative for large-blood vessel replacement. To this end, we developed an alginate-gelatin bioink enriched with decellularized extracellular matrix (dECM) of porcine aorta combined with a two-step crosslinking process. We investigated the feasibility of achieving structural stability and shape fidelity of the bioprinted construct over time through rheological characterization, printability tests, and degradation tests.
According to the results of rheology and printability tests, dECM-enriched bioink combined with the double-crosslinking process (internal and external crosslink) showed good printability and high shape fidelity, withstanding more than 35 layers without the need for support. Moreover, the bioprinted construct preserved its structural stability over time, retaining a wall thickness comparable to that of the native aorta. Finally, immortalized mouse fibroblasts embedded in the bioink were well adhered to the bioink and alive over time. The double-crosslinked bioink represents an impactful strategy to produce an alternative conduit with the native hierarchical structure of the large blood vessels.
为了解决自体血管移植物的供应限制,克服现有治疗方案的局限性,人们对三维生物打印技术进行了研究。本研究旨在引入一种自支撑、多层次的三维生物打印结构,作为大血管置换的一种有前途的替代方案。为此,我们开发了一种富含猪主动脉脱细胞细胞外基质(dECM)的藻酸盐明胶生物墨水,并结合了两步交联工艺。根据流变学和可印刷性测试的结果,富含脱细胞细胞外基质(dECM)的生物墨水与双交联工艺(内部交联和外部交联)相结合,显示出良好的可印刷性和较高的形状保真度,可印刷 35 层以上而无需支撑。此外,生物打印的构建体随着时间的推移保持了结构的稳定性,其壁厚与原生主动脉相当。最后,嵌入生物墨水的永生小鼠成纤维细胞能很好地附着在生物墨水上,并能长期存活。双交联生物墨水是一种具有影响力的策略,可用于生产具有大血管原生分层结构的替代管道。
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引用次数: 0
Evolution, integration, and challenges of 3D printing in pharmaceutical applications: A comprehensive review 三维打印在制药应用中的发展、整合与挑战:全面回顾
Q1 Computer Science Pub Date : 2024-10-23 DOI: 10.1016/j.bprint.2024.e00367
Jyoti Kumari , Shalini Pandey , Krishna Kant Jangde , Palanirajan Vijayaraj Kumar , Dinesh Kumar Mishra
Three-dimensional (3D) printing involves fabricating objects from digital designs by sequentially layering materials along the X, Y, and Z axes. Although this technology has existed since the 1960s, its adoption in the pharmaceutical industry remains limited. This review examines the evolution of 3D printing and its emerging significance in pharmaceuticals. The technique offers numerous advantages, such as product customization, cost-effectiveness, and efficient material usage. Several methods—such as inkjet printing, extrusion printing, and beam-based printing—are employed, utilizing materials ranging from lactose and hydroxypropyl methylcellulose to bioinks like chitosan and hyaluronic acid. Among these techniques, fused deposition modelling (FDM) is particularly noteworthy for its versatility in both biodegradable and non-biodegradable applications. Advances in 3D printing have paved the way for innovative pharmaceutical uses, including the production of complex oral dosage forms, drug delivery systems, and medical devices such as prosthetics. More recent breakthroughs have extended into bioprinting, organ-on-a-chip technologies, and robotics. However, several challenges hinder broader adoption, including limited compatibility with thermosensitive materials, difficulties in scaling production, and maintaining quality control. Additionally, the lack of standardized regulatory and ethical frameworks for clinical approval complicates progress. This review explores the key 3D printing techniques, materials, and trends relevant to pharmaceuticals, while addressing resource constraints, intellectual property issues, and regulatory hurdles. It concludes by identifying future directions for research and development, emphasizing the need to optimize these technologies for widespread pharmaceutical applications.
三维(3D)打印是指通过沿 X、Y 和 Z 轴依次铺设材料,根据数字设计制造物体。虽然这项技术早在 20 世纪 60 年代就已出现,但在制药行业的应用仍然有限。本综述探讨了 3D 打印技术的演变及其在制药业中的新兴意义。该技术具有众多优势,如产品定制、成本效益和材料使用效率。目前采用的几种方法包括喷墨打印、挤压打印和光束打印,使用的材料从乳糖和羟丙基甲基纤维素到壳聚糖和透明质酸等生物墨水。在这些技术中,熔融沉积成型(FDM)因其在生物降解和非生物降解应用中的多功能性而尤其值得一提。三维打印技术的进步为创新性制药用途铺平了道路,包括生产复杂的口服剂型、给药系统和假肢等医疗器械。最近的突破已扩展到生物打印、芯片器官技术和机器人技术。然而,一些挑战阻碍了更广泛的应用,包括与热敏材料的兼容性有限、扩大生产规模和保持质量控制方面的困难。此外,缺乏用于临床审批的标准化监管和伦理框架也使进展复杂化。本综述探讨了与制药相关的关键 3D 打印技术、材料和趋势,同时探讨了资源限制、知识产权问题和监管障碍。最后,它确定了未来的研发方向,强调了优化这些技术以广泛应用于制药业的必要性。
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引用次数: 0
Pioneering bone regeneration: A review of cutting-edge scaffolds in tissue engineering 骨再生先锋:组织工程中的尖端支架综述
Q1 Computer Science Pub Date : 2024-10-20 DOI: 10.1016/j.bprint.2024.e00364
Y. Alex , Sumi Vincent , Nidhin Divakaran , U.T. Uthappa , Parthasarathy Srinivasan , Suhail Mubarak , Mamdouh Ahmed Al-Harthi , Duraisami Dhamodharan
Bone tissue engineering (BTE) is aims to develop advanced strategies to regenerate damaged or diseased bone, through the integration of principles from cellular biology, biomaterials science, and engineering. The vital aspect of these studies includes the design and fabrication of scaffolds that support cell adhesion, proliferation, and differentiation, ultimately promoting the formation of new bone tissue. Recent developments in scaffold materials have focused on organic, inorganic, and composite biomaterials. Each of these showcasing unique and distinct advantages in terms of biocompatibility, biodegradability, and mechanical strength. Polymers, such as poly (lactic-co-glycolic acid) (PLGA), provide flexibility and degradation profiles, which are conducive to tissue integration. While ceramics, including hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP), offer mechanical properties similar to native bone. The fusion of organic and inorganic components in composites has yielded scaffolds with enhanced functionality, such as improved osteo-conductivity and controlled degradation rates. Advanced fabrication techniques, particularly electrospinning and 3D printing, have revolutionized scaffold design by enabling precise control over pore size, porosity, and surface architecture, critical parameters for mimicking the extracellular matrix (ECM) of bone. These structural characteristics directly influence cellular behaviors such as migration, proliferation, and differentiation, which are crucial for successful bone regeneration. This review critically evaluates the recent advances in biomaterials for scaffold fabrication, with a focus on optimizing the interplay between material properties and scaffold architecture to improve therapeutic outcomes in bone regeneration. The findings underscore the importance of material selection and scaffold design in BTE and provide actionable insights for both researchers and clinicians in the development of next-generation scaffolds. By synthesizing recent progress in this field, the review highlights potential avenues for future research aimed at refining scaffold materials and fabrication techniques to enhance bone regeneration.
骨组织工程(BTE)旨在通过整合细胞生物学、生物材料科学和工程学的原理,开发先进的再生受损或病变骨骼的策略。这些研究的重要方面包括设计和制造支持细胞粘附、增殖和分化的支架,最终促进新骨组织的形成。支架材料的最新发展集中于有机、无机和复合生物材料。每种材料在生物相容性、生物降解性和机械强度方面都具有独特的优势。聚合物,如聚(乳酸-共聚-乙醇酸)(PLGA),具有柔韧性和降解特性,有利于组织整合。而包括羟基磷灰石(HA)和β-磷酸三钙(β-TCP)在内的陶瓷则具有与原生骨相似的机械性能。在复合材料中融合有机和无机成分后,支架的功能得到增强,如改善骨传导性和控制降解率。先进的制造技术,尤其是电纺丝和三维打印技术,实现了对孔径、孔隙率和表面结构的精确控制,从而彻底改变了支架的设计,而这些参数正是模拟骨细胞外基质(ECM)的关键。这些结构特征会直接影响细胞的迁移、增殖和分化等行为,而这些行为对于成功的骨再生至关重要。本综述批判性地评估了用于支架制造的生物材料的最新进展,重点是优化材料特性与支架结构之间的相互作用,以改善骨再生的治疗效果。研究结果强调了材料选择和支架设计在 BTE 中的重要性,并为研究人员和临床医生开发下一代支架提供了可行的见解。通过总结该领域的最新进展,综述强调了未来研究的潜在途径,旨在完善支架材料和制造技术,以促进骨再生。
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引用次数: 0
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