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      In situ bone regeneration with sequential delivery of aptamer and BMP2 from an ECM-based scaffold fabricated by cryogenic free-form extrusion

      research-article
      a , 1 , a , 1 , a , a , b , b , b , c , a , ∗∗∗ , b , ∗∗ , a ,
      Bioactive Materials
      KeAi Publishing
      Bone regeneration in situ, Controlled delivery, Cell recruitment, Aptamer, BMP2, 3D, three-dimensional, Apt19s, aptamer 19s, BMD, bone mineral density, BMP2, bone morphogenic protein 2, BMSC, bone marrow-derived mesenchymal stem cell, CLSM, confocal laser scanning microscopy, CSD, critical-sized calvarial defect, ECM, decellularized matrix, FBS, fetal bovine serum, FDA, US Food and Drug Administration, FITC, fluorescein isothiocyanate, FTIR, Fourier transform infrared, H&E, hematoxylin and eosin, HA, hydroxyapatite, pBMP2, PlGF-2123-144*-fused BMP2, PCL, polycaprolactone, PVDF, polyvinylidene difluoride, Rh6G, rhodamine 6G, SIS, small intestine submucosa, ssDNA, single-stranded DNA

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          Abstract

          In situ tissue engineering is a powerful strategy for the treatment of bone defects. It could overcome the limitations of traditional bone tissue engineering, which typically involves extensive cell expansion steps, low cell survival rates upon transplantation, and a risk of immuno-rejection. Here, a porous scaffold polycaprolactone (PCL)/decellularized small intestine submucosa (SIS) was fabricated via cryogenic free-form extrusion, followed by surface modification with aptamer and PlGF-2 123-144*-fused BMP2 (pBMP2). The two bioactive molecules were delivered sequentially. The aptamer Apt19s, which exhibited binding affinity to bone marrow-derived mesenchymal stem cells (BMSCs), was quickly released, facilitating the mobilization and recruitment of host BMSCs. BMP2 fused with a PlGF-2 123-144 peptide, which showed “super-affinity” to the ECM matrix, was released in a slow and sustained manner, inducing BMSC osteogenic differentiation. In vitro results showed that the sequential release of PCL/SIS-pBMP2-Apt19s promoted cell migration, proliferation, alkaline phosphatase activity, and mRNA expression of osteogenesis-related genes. The in vivo results demonstrated that the sequential release system of PCL/SIS-pBMP2-Apt19s evidently increased bone formation in rat calvarial critical-sized defects compared to the sequential release system of PCL/SIS-BMP2-Apt19s. Thus, the novel delivery system shows potential as an ideal alternative for achieving cell-free scaffold-based bone regeneration in situ.

          Highlights

          • In current study, a sequential release system of PCL/SIS-pBMP2-Apt19s was designed to promote the homing and osteogenic differentiation of endogenous stem cells.

          • •Compared with chemokines, growth factors, and peptides, aptamers Apt19s could specifically target endogenous stem cells BMSC and efficiently recruit cell homing.

          • •The insertion of the PlGF-2 123-144 domain to BMP2 (pBMP2) confers a super affinity to ECM-based materials. Thus, pBMP2 has a high ratio of retain in ECM-based materials, and possess a control release profile from ECM-based delivery system.

          • •The novel scaffold PCL/SIS-pBMP2-Apt19s achieves cell-free scaffold-based bone regeneration in situ.

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          Most cited references48

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          3D bioprinting for engineering complex tissues.

          Bioprinting is a 3D fabrication technology used to precisely dispense cell-laden biomaterials for the construction of complex 3D functional living tissues or artificial organs. While still in its early stages, bioprinting strategies have demonstrated their potential use in regenerative medicine to generate a variety of transplantable tissues, including skin, cartilage, and bone. However, current bioprinting approaches still have technical challenges in terms of high-resolution cell deposition, controlled cell distributions, vascularization, and innervation within complex 3D tissues. While no one-size-fits-all approach to bioprinting has emerged, it remains an on-demand, versatile fabrication technique that may address the growing organ shortage as well as provide a high-throughput method for cell patterning at the micrometer scale for broad biomedical engineering applications. In this review, we introduce the basic principles, materials, integration strategies and applications of bioprinting. We also discuss the recent developments, current challenges and future prospects of 3D bioprinting for engineering complex tissues. Combined with recent advances in human pluripotent stem cell technologies, 3D-bioprinted tissue models could serve as an enabling platform for high-throughput predictive drug screening and more effective regenerative therapies.
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            Scaffolds for Bone Tissue Engineering: State of the art and new perspectives.

            This review is intended to give a state of the art description of scaffold-based strategies utilized in Bone Tissue Engineering. Numerous scaffolds have been tested in the orthopedic field with the aim of improving cell viability, attachment, proliferation and homing, osteogenic differentiation, vascularization, host integration and load bearing. The main traits that characterize a scaffold suitable for bone regeneration concerning its biological requirements, structural features, composition, and types of fabrication are described in detail. Attention is then focused on conventional and Rapid Prototyping scaffold manufacturing techniques. Conventional manufacturing approaches are subtractive methods where parts of the material are removed from an initial block to achieve the desired shape. Rapid Prototyping techniques, introduced to overcome standard techniques limitations, are additive fabrication processes that manufacture the final three-dimensional object via deposition of overlying layers. An important improvement is the possibility to create custom-made products by means of computer assisted technologies, starting from patient's medical images. As a conclusion, it is highlighted that, despite its encouraging results, the clinical approach of Bone Tissue Engineering has not taken place on a large scale yet, due to the need of more in depth studies, its high manufacturing costs and the difficulty to obtain regulatory approval. PUBMED search terms utilized to write this review were: "Bone Tissue Engineering", "regenerative medicine", "bioactive scaffolds", "biomimetic scaffolds", "3D printing", "3D bioprinting", "vascularization" and "dentistry".
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              Three-dimensional (3D) printed scaffold and material selection for bone repair

              Critical-sized bone defect repair remains a substantial challenge in clinical settings and requires bone grafts or bone substitute materials. However, existing biomaterials often do not meet the clinical requirements of structural support, osteoinductive property, and controllable biodegradability. To treat large-scale bone defects, the development of three-dimensional (3D) porous scaffolds has received considerable focus within bone engineering. A variety of biomaterials and manufacturing methods, including 3D printing, have emerged to fabricate patient-specific bioactive scaffolds that possess controlled micro-architectures for bridging bone defects in complex configurations. During the last decade, with the development of the 3D printing industry, a large number of tissue-engineered scaffolds have been created for preclinical and clinical applications using novel materials and innovative technologies. Thus, this review provides a brief overview of current progress in existing biomaterials and tissue engineering scaffolds prepared by 3D printing technologies, with an emphasis on the material selection, scaffold design optimization, and their preclinical and clinical applications in the repair of critical-sized bone defects. Furthermore, it will elaborate on the current limitations and potential future prospects of 3D printing technology. STATEMENT OF SIGNIFICANCE: 3D printing has emerged as a critical fabrication process for bone engineering due to its ability to control bulk geometry and internal structure of tissue scaffolds. The advancement of bioprinting methods and compatible ink materials for bone engineering have been a major focus to develop optimal 3D scaffolds for bone defect repair. Achieving a successful balance of cellular function, cellular viability, and mechanical integrity under load-bearing conditions is critical. Hybridization of natural and synthetic polymer-based materials is a promising approach to create novel tissue engineered scaffolds that combines the advantages of both materials and meets various requirements, including biological activity, mechanical strength, easy fabrication and controllable degradation. 3D printing is linked to the future of bone grafts to create on-demand patient-specific scaffolds.
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                Author and article information

                Contributors
                Journal
                Bioact Mater
                Bioact Mater
                Bioactive Materials
                KeAi Publishing
                2452-199X
                24 April 2021
                November 2021
                24 April 2021
                : 6
                : 11
                : 4163-4175
                Affiliations
                [a ]Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
                [b ]State Key Laboratory of Materials Processing and Die & Mould Technology, School of Materials Science and Engineering, Huazhong University of Science and Technology, Wuhan, 430074, China
                [c ]Wuhan Hi-tech Medical Tissue Research Center, Wuhan, 430206, China
                Author notes
                []Corresponding author. xzkrunus@ 123456163.com
                [∗∗ ]Corresponding author. wubin19@ 123456hust.edu.cn
                [∗∗∗ ]Corresponding author. xiaodongguo@ 123456hust.edu.cn
                [1]

                These two authors contributed equally to this work.

                Article
                S2452-199X(21)00182-1
                10.1016/j.bioactmat.2021.04.013
                8099605
                33997500
                f54eab89-efcb-48d2-bf78-cbedf70b79f9
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 13 November 2020
                : 9 April 2021
                : 12 April 2021
                Categories
                Article

                bone regeneration in situ,controlled delivery,cell recruitment,aptamer,bmp2,3d, three-dimensional,apt19s, aptamer 19s,bmd, bone mineral density,bmp2, bone morphogenic protein 2,bmsc, bone marrow-derived mesenchymal stem cell,clsm, confocal laser scanning microscopy,csd, critical-sized calvarial defect,ecm, decellularized matrix,fbs, fetal bovine serum,fda, us food and drug administration,fitc, fluorescein isothiocyanate,ftir, fourier transform infrared,h&e, hematoxylin and eosin,ha, hydroxyapatite,pbmp2, plgf-2123-144*-fused bmp2,pcl, polycaprolactone,pvdf, polyvinylidene difluoride,rh6g, rhodamine 6g,sis, small intestine submucosa,ssdna, single-stranded dna

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