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Articulo Cientifico 10.3390@polym12091962

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69 views14 pages

Articulo Cientifico 10.3390@polym12091962

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Daniel Reyes
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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polymers

Article
3D Printed Polycaprolactone/Gelatin/Bacterial
Cellulose/Hydroxyapatite Composite Scaffold for
Bone Tissue Engineering
Abdullah M. Cakmak 1,2 , Semra Unal 1,2,3 , Ali Sahin 4 , Faik N. Oktar 1,2 , Mustafa Sengor 2,5 ,
Nazmi Ekren 2,6 , Oguzhan Gunduz 2,5, * and Deepak M. Kalaskar 7, *
1 Department of Bioengineering, Faculty of Engineering, Marmara University, 34722 Istanbul, Turkey;
[email protected] (A.M.C.); [email protected] (S.U.);
[email protected] (F.N.O.)
2 Center for Nanotechnology & Biomaterials Application and Research (NBUAM), Marmara University,
34722 Istanbul, Turkey; [email protected] (M.S.); [email protected] (N.E.)
3 Institute of Neurological Sciences, Marmara University, 34722 Istanbul, Turkey
4 Department of Biochemistry, School of Medicine/Genetic and Metabolic Diseases Research and
Investigation Center, Marmara University, 34722 Istanbul, Turkey; [email protected]
5 Department of Metallurgy and Materials Engineering, Faculty of Technology, Marmara University,
34722 Istanbul, Turkey
6 Department of Electrical and Electronics Engineering, Faculty of Technology, Marmara University,
34722 Istanbul, Turkey
7 UCL Division of Surgery and Interventional Sciences, Royal Free Hospital Campus Rowland Hill Street,
London NW3 2PF, UK
* Correspondence: [email protected] (O.G.); [email protected] (D.M.K.)

Received: 28 July 2020; Accepted: 26 August 2020; Published: 29 August 2020 

Abstract: Three-dimensional (3D) printing application is a promising method for bone tissue
engineering. For enhanced bone tissue regeneration, it is essential to have printable composite
materials with appealing properties such as construct porous, mechanical strength, thermal properties,
controlled degradation rates, and the presence of bioactive materials. In this study, polycaprolactone
(PCL), gelatin (GEL), bacterial cellulose (BC), and different hydroxyapatite (HA) concentrations were
used to fabricate a novel PCL/GEL/BC/HA composite scaffold using 3D printing method for bone
tissue engineering applications. Pore structure, mechanical, thermal, and chemical analyses were
evaluated. 3D scaffolds with an ideal pore size (~300 µm) for use in bone tissue engineering were
generated. The addition of both bacterial cellulose (BC) and hydroxyapatite (HA) into PCL/GEL
scaffold increased cell proliferation and attachment. PCL/GEL/BC/HA composite scaffolds provide a
potential for bone tissue engineering applications.

Keywords: bacterial cellulose; gelatin; polycaprolactone; hydroxyapatite; 3D printing; bone


tissue engineering

1. Introduction
The treatment approach to bone injury and degeneration remains a critical challenge,
although autografting continues as the clinical gold standard treatment option [1–3]. This led to
increased interest in tissue engineering and regenerative medicine, which offer a new perspective for
repairing bone defects. Natural bone is a heterogeneous composite material that consists of the orderly
deposition of hydroxyapatite (HA) along with the type I collagen (Col) organic matrix. According to
the biomimetic concept, an ideal 3D scaffold not only actively induces bone regeneration into desired

Polymers 2020, 12, 1962; doi:10.3390/polym12091962 www.mdpi.com/journal/polymers


Polymers 2020, 12, 1962 2 of 14

shapes but also plays a significant role to bridge in bone defects. Therefore, instead of a single-use of
natural (e.g., collagen, gelatin, alginate, hyaluronic acid, and chitosan) synthetic polymers (e.g., PLGA,
PLA, and polycaprolactone (PCL)) and bioceramics (the calcium phosphates (Ca/P) as hydroxyapatite
(HAp), the bioactive glasses and the glass-ceramics), composite forms of them have been widely
used for bone tissue engineering [4,5]. Compared with these natural materials, bacterial cellulose
nanocrystal (BC) has much higher mechanical properties, which are required in most cases when
used as a scaffold in bone tissue engineering There are remarkable features of bacterial cellulose that
make it applicable in bone tissue engineering: biocompatibility, promoting cellular interactions and
tissue development, having interconnected porous structure and significant effects on cell adhesion
and proliferation, high purity level, microporosity, biodegradability, bio-absorbable, non-toxicity,
resembling extracellular matrix of living tissue, and crystallinity [6–10].
Gelatin (Gel) is procured with denaturation of insoluble fibrous collagen protein. This denaturated
material does not show resorbability or antigenicity in vivo [11]. Some properties such as
low antigenicity, abundance, biocompatibility, accessible, functional groups, cost-effectiveness,
and biodegradability give regenerative, and therapeutic characteristics to gelatin [12,13]. PCL is a
synthetic, and semicrystalline polymer, that exhibits outstanding mechanical strength and appropriate
biodegradable properties. As a result that PCL is a hydrophobic polymer whereas BC and Gel are
hydrophilic, proper methods should be explored for uniformly mixing these natural and synthetic
polymers. Scaffolds by a manufacture with various processing methods are not intended to be
permanent implants. They will ideally facilitate host cells to deposit extracellular matrix (ECM) and
replace the scaffold structure over time.
The 3D architecture of the scaffold should be highly porous with an interconnected structure
to allow cell and nutrient migration. The scaffold surface should also be optimized to facilitate
cell attachment, proliferation, and differentiation. Nowadays, such traditional graft processing
methods such as solvent casting, particulate leaching, phase separation, lyophilization, gas foaming,
and electrospinning cannot precisely control uniformity, surface geometry, pore size distribution,
and interconnectivity of the scaffolds. Therefore, it is not easy for conventional techniques to create
patient-specific component scaffolds with various geometrical shapes. 3D printing, as alternatively
additive fabrication processes, is used for designing, and fabricating of scaffolds with designed shape,
interconnected porosity, and controlled chemistry and offers an innovative material processing method
to advance the manufacture artificial bone scaffolds based on the patient data and therefore the
treatment of bone injuries in a clinical application [14–16]. Combined with appropriate techniques and
innovative technologies, bone engineering uses a variety of biomaterials to mimic native bone structure.
The role of biomaterials which are used in tissue engineering is to facilitate and support functions
of the damaged site in the human body and to provide structure for cell specialization, migration,
and population [17]. The scaffold gives structural support for cell proliferation, maintenance of cell
function, and extracellular matrix (ECM) formation [18,19].
Although there are many studies concerning PCL/Gel/HA-based formulations, based on the
existing knowledge, this is the unique study reporting 3D printing results of PCL/GEL/HA and BC
containing PCL/GEL/HA. Incorporation of bacterial cellulose and HA with PCL/GEL was analyzed
by testing tensile strength and breaking elongation to determine how mechanically affected it was.
In-vitro experiments have proven the effect of bacterial cellulose and HA presence on PCL/GEL scaffold
for cell viability.
In this study, PCL/GEL/BC/HA scaffolds were manufactured using 3D printing. The FTIR analysis
was performed to understand the content of the materials. DSC thermogram was drawn to analyze
samples thermally. The tensile testing machine was used to analyze mechanically. Cell attachment
on the scaffold surfaces was visualized with optical microscopy and scanning electron microscopy
(SEM). To understand the toxic effect of 3D structures on cells, an in vitro study was performed with
osteoblast cells.
Polymers 2020, 12, 1962 3 of 14

2. Materials and Methods

2.1. Materials
D(+)-Glucose anhydrous for biochemistry (Mw = 180.16 g/mol, C6 H12 O6 ), disodium hydrogen
phosphate (Mw = 141.96 g/mol, Na2 HPO4 ), acetic acid (glacial) (100% purity, Mw = 60.05 g/mol,
CH3 COOH), sodium hydroxide (Mw = 40.00 g/mol, NaOH), sulfuric acid (95–97% purity,
Mw = 98.08 g/mol, H2 SO4 ), formic acid (98–100% purity, Mw = 46.03 g/mol molecular, CH2 O2 ),
and glycerol (Mw = 92.1 g/mol, C3 H8 O3 ) were purchased from Merck KGaA, Darmstadt, Germany.
Peptone from animal tissue from meat with suitability for cell and plant culture, citric acid (99% purity,
Mw = 192.12 g/mol, C6 H8 O7 ), gelatin from porcine skin (powder, gel strength ~300 g Bloom, Type A,
BioReagent, for electrophoresis, suitable for cell culture), polycaprolactone (PCL) with 80,000 average
Mn were bought from Sigma-Aldrich, St. Louis, MO, USA. Yeast extract and agar bacteriological were
purchased from Biolife, Italia. Hydroxyapatite (Mw = 502.31 g/mol) from was bought from Oerlikon
Metco, Wohlen, Switzerland.

2.2. Methods

2.2.1. Bacterial Cellulose Nanocrystals Production


S. Hestrin and M. Schramm (HS) medium was prepared in distilled water with mixing for
2.0 wt % D-glucose, 0.5 wt % peptone, 0.5 wt % yeast extract, 0.27 wt % disodium hydrogen phosphate,
and 0.115 wt % citric acid, and its pH at 5.0–6.0 with acetic acid [20]. The Glucanoacetobacter xylinus was
transposed to HS medium for the production of bacterial cellulose. The bacterial cellulose production
process was carried out in static condition at ~28 ◦ C for 10 days. At the end of 10 days, the purification
process was carried out for removing cell culture and other impurities. Produced bacterial cellulose
membrane was sterilized using autoclave machine at 120 ◦ C for 20 min for obtaining completely pure,
and sterile BC membrane. These oven-dried membranes were processed with 50% (v/v) sulfuric acid
solution in a cellulose/acid ratio of approximately 20 g/L, at 50 ◦ C for 2 h. Hydrolysis reactions were
discontinued by diluting the reactions 8-fold with cold deionized water. To precipitate the bacterial
cellulose membrane, the centrifuge was operated at 6000 rpm for 15 min at 20 ◦ C. The bacterial
cellulose membrane suspension washed with deionized water and centrifuged several times. Lastly,
the suspension was dialyzed in deionized water to neutral pH, followed by freeze-drying.

2.2.2. Preparation of Solutions and Production of 3D Printed Scaffolds


Firstly, PCL and Gel were blended in a mass ratio of 1:1 (w/w), and the blend was dissolved
in the mixed solvent of formic acid/acetic acid (1:1 v/v) at a concentration of 14 % (w/w). BC and
HA were added into PCL/Gel and PCL/Gel/BC at desired proportions given in Table 1, respectively,
and then stirred at room temperature until well-dispersed nanoparticles in solution were obtained.
The 3D printing process was carried out to produce four different scaffold compositions at 50%, 60%,
70%, and 80% infill rate. The 3D printed scaffolds were fabricated by using a modified 3D printer
(Ultimaker 2+, Ultimaker, Geldermalsen, Netherlands), which utilized a fused deposition modeling
(FDM) system. It included a computer-aided design (CAD) technology using a heatable build-plate.
A digital syringe pump was connected to 3D printer to control the flow rate of solutions feeding into
a syringe with an 0.5 mm nozzle diameter. 3D printed scaffolds were fabricated using conditions in
build-plate temperature of 38 ◦ C, the flow rate of 0.2 mL/h, 0.03 mm distance between needle and
platform. The parameters which were used for fabrication of the scaffolds were summarized in Table 2.
Polymers 2020, 12, 1962 4 of 14

Table 1. Concentrations of polycaprolactone (PCL)/gelatin (GEL)/bacterial cellulose (BC)/hydroxyapatite


(HA) solutions.

PCL Conc. GEL Conc. BC Conc. HA Conc.


Solutions
(wt %) (wt %) (wt %) (wt %)
PCL/GEL 14 14 - -
PCL/GEL/BC 14 14 0.25 -
PCL/GEL/BC/0.25%HA 14 14 0.25 0.25
PCL/GEL/BC/0.50%HA 14 14 0.25 0.50

Table 2. Process parameters for 3D printing of scaffolds.

Parameters Values
Number of Layers 10
Flow Rate (mL/h) 0.2
Needle Tip Outer Diameter (mm) 0.5
Platform Temperature (◦ C) 38
Room Temperature (◦ C) 25
Infill Rate (%) 50, 60, 70, and 80

2.2.3. Morphological, Dimensional and Chemical Analysis of 3D Printed Scaffolds


Dimensional and morphological analyzes of the 3D printed scaffolds were characterized using an
optical microscope (BX51M model, Olympus, Tokyo, Japan) and scanning electron microscopy (SEM,
EVO MA-10, Zeiss, Oberkochen, Germany). The scaffold samples which were analyzed using SEM
were coated with gold using a sputter coater (SC 7620 model, Quorum Technologies, East Sussex,
UK) for 90 s, 18 mA, and observed by SEM with an accelerating voltage of 10 kV. Pore size diameters
were measured from randomly selected 105 pores from SEM images (taken at 75× magnification) with
Image J software. The existence of chemical groups or bonds was analyzed using Fourier Transform
Infrared Spectroscopy (FT/IR-4700, Jasco, Tokyo, Japan). The wavelength value of the FTIR device
ranges between 400 and 4000 cm−1 .

2.2.4. Mechanical and Thermal Analysis of 3D Printed Scaffolds


The mechanical properties of the scaffolds were conducted at room temperature on a tensile
testing machine (EZ-LX model, Shimadzu, Kyoto, Japan) with a load cell of 10 N and crosshead speed
of 5 mm/min. Samples were prepared rectangular strips of 10 mm × 5 mm, and the thickness of the
samples was measured with a digital caliper (3 mm). Thermal properties of the scaffold were analyzed
by using differential scanning calorimeter (DSC) (DSC-60 Plus model, Shimadzu, Kyoto, Japan) in a
temperature range of 25–550 ◦ C at a heating rate of 10 ◦ C/min.

2.2.5. Cell Culture Test for 3D Printed Scaffolds


The 3D printed scaffolds with round pieces (~2.1 mm in thickness and discs of 6 mm in diameter)
were transferred to 96-well plates and sterilized under ultraviolet (UV) light overnight. Then samples
were incubated in cell culture medium for 2 h before cell seeding. Human osteoblast cells (ATCC)
suspension (1 × 104 cells/well in Dulbecco’s modified eagle’s medium (DMEM) supplemented with
10% fetal bovine serum (FBS) and 1% penicillin/streptomycin) were seeded onto scaffold for specific
intervals at 37 ◦ C with 5% CO2 followed by the examination of cell adhesion and cell viability.
A 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay was performed to
analyze cell viability after 1, 3, and 7 days of incubation periods on 3D printed scaffolds. On the day of
the test, the samples were washed with cold PBS (pH 7.4), followed by addition of MTT solution at the
concentration of 0.5 mg/mL (0.5 mL) and incubated for 5 h at 37 ◦ C with 5% CO2 . According to the
manufacturer’s protocol, the supernatant was then removed gently followed by the addition of 1.5 mL
Polymers 2020, 12, 1962 5 of 14

of dimethylsulfoxide (DMSO). Plates were again incubated for 15 min at 37 ◦ C with 5% CO2 , and the
absorbance was measured using a microplate reader in 560 nm wavelength.
Morphological analyzes of the 3D printed scaffolds were characterized using a confocal microscope
(Zeiss Model LSM700, Zeiss, Oberkochen, Germany) and scanning electron microscopy (SEM,
EVO MA-10, Zeiss, Oberkochen, Germany). After 7 days of incubation, samples were fixed with 2.5%
glutaraldehyde (Sigma, St. Louis, MO, USA) for 2 h and then dehydrated through serial dilutions
of ethanol (30%, 50%, 70%, 90%, and 99%). Dried samples which were analyzed using SEM were
sputter-coated with gold (SC 7620 model, Quorum Technologies, Sacramento, CA, USA) for 90 s and
observed by SEM (EVO MA-10, Zeiss, Oberkochen, Germany) with an accelerating voltage of 10 kV.
After 7 days of incubation, the 3D printed scaffolds fixed with 4% formaldehyde for 1 h followed
by washing using PBS. The samples were permeabilized in 0.1% Triton X-100 in PBS for 30 min,
followed by washing with PBS. The samples were then stained with DAPI (1 µg/mL) for 40 min at room
temperature and again washed with PBS. The cell fluorescence was determined using a fluorescence
microscope with a 20×.

3. Results and Discussion


The mean pore sizes for the printed scaffolds with four different infill rate were shown in Figure 1a
for PCL/GEL, Figure 1b for PCL/GEL/BC, Figure 1c for PCL/GEL/BC/0.25%HA, and Figure 1d for
PCL/GEL/BC/0.50%HA. The pore size is an essential parameter for scaffold, which is fabricated for BTE.
This parameter affects the characteristics and quantity of new tissue [21]. Ideal pore size is not well
defined for BTE scaffolds. For osteoconduction, pore sizes (100–400 µm) are recommended as optimal.
Pore sizes (>300 µm) are proposed to increase bone formation by way of vascularization [22,23].
Pore sizes (<100 µm) cannot be qualified from the point of cell migration and mass transport and can
cause the formation of endochondral cartilage. Larger pore sizes can result in redundant void space
and affect adversely mechanical properties of BTE scaffold. These are sufficient for capillary formation.
Therefore, the pore size for BTE scaffold should be small enough to procure mechanical integrity,
but large enough to carry out the waste and nutrient diffusion requirement of bone tissue [21,23].
Infill rate refers to the percentage of infill. In the Simplify program, the fill rate is used to give the
pores to the solid model. If the infill rate is selected as 100%, a completely solid structure with no
pores is formed. If certain values are infilled, the program divides the previously drawn completely
non-porous solid model into certain parts and forms a porous structure. As shown in Figure 1, the pore
size decreased in relation to the filling ratio. According to the results, optimal pore sizes were obtained
at 80% infill rate in this study. Figure 2 shows SEM images and pore size distribution of the 3D printed
scaffolds at 80% infill rate. The structural integrity and the porosity of the fabricated 3D scaffolds
were displayed in this figure. As shown in Figure 2, due to the presence of BC and HA nanoparticles,
surface morphology has changed from smooth rough to between interconnected pores. It can be seen
that while the pore structures in the 3D printed PCL/Gel scaffold were a round shape, they took the
rectangular form with the addition of BC and HA. The mean pore size increased from 301.67 ± 46.3 µm
to 304.77 ± 26.9 µm by the addition of BC in PCL/Gel. A similar trend was observed by addition of
0.50 wt % HA in PCL/Gel/BC, that is, it increased to 314.14 ± 23.2 µm. In addition, the mean pore
size decreased with the presence of 0.25 wt % HA in PCL/Gel/BC, while heterogeneous pore size
distribution was observed at this concentration when compared to the those in 0.50 wt % HA.
The functional groups related to pure polymers and their composites were identified by FTIR
spectroscopy. In Figure 3A, the FTIR spectrum of pure polymers and synthesized bacterial cellulose
is given with their functional groups. In Figure 3A(a), hydroxyapatite (HA) had main absorption
peaks at ~1087.7 cm−1 (PO4 3− , asymmetric stretching), ~1018.2 cm−1 (PO4 3− , asymmetric stretching),
~962.3 cm−1 (PO4 3− , symmetric stretching), ~628.7 cm−1 (OH bending), ~597.8 cm−1 , and ~561.2 cm−1
is due to the asymmetric bend of PO4 3− [24,25]. The spectrum of PCL (Figure 3A(b)) showed several
peaks around ~2940.9 cm−1 , ~2865 cm−1 , ~1720.2 cm−1 , ~1293 cm−1 , ~1238.1 cm−1 , ~1164 cm−1 which
were associated with asymmetric CH2 stretching, symmetric CH2 stretching, carbonyl stretching
Polymers 2020, 12, 1962 6 of 14

(C=O), again asymmetric COC stretching, asymmetric COC stretching, symmetric COC stretching,
respectively [26]. Gelatin showed various bands at ~3277.4 cm−1 which corresponded the N–H stretch
coupled with hydrogen bonding. The peak at ~2935.1 cm−1 is due to the alkenyl C–H stretching.
C=O stretching was observed at ~1628.6 cm−1 . Other peaks were found at ~1443.5 cm−1 (CH2 ),
~1234.2 cm−1 (NH), ~1079 (C–O stretching) (Figure 3 A(c)) [27]. The FTIR spectrum of the BC was given
in Figure 3A(d). There were detected broad absorption peaks for BC some of them are: ~3342 cm−1
(OH stretching), ~2896.6 cm−1 (CH stretching), ~1622.8 cm−1 (related to the bending mode of the
naturally absorbed water), ~14297.1 cm−1 (CH2 and COH bending inside of plane), ~664.4 cm−1 (C–OH
bending out of plane) [28]. Figure 3B showed the FTIR spectrums of the composites. In Figure 3B(a),
there were observed some shifts after the interaction between the PCL and GEL such as the peak for
pure PCL at 2940.9 cm−1 was shifted to 2923.6 cm−1 , another peak for pure GEL which is observed at
1519.6 cm−1 was shifted to 1526.4 cm−1 . The absorption peak for pure GEL at 1332.6 cm−1 was also
observed at PCL/GEL composite. There was found another difference that the peaks at 1079 cm−1
(pure GEL) and 1045 cm−1 (pure PCL), these peaks gave mean value at ~1044.3 cm−1 which can be
evidence of the interaction between the Gelatin and PCL polymers. By the addition of 0.25%BC
into PCL/GEL, BC peaks observed in the mixture at ~2865.7 and ~1530.2 cm−1 points and some
shifts were observed after the interaction (Figure 3B(b)). In Figure 3B(c), the FTIR spectrum of
PCL/GEL/BC/0.25%HA is shown. The specific GEL absorption peaks were observed at ~3278.4 and
~2942.8 cm−1 in the PCL/GEL/BC/0.25%HA spectrum. In addition, by the addition of 0.25%HA,
there were observed small shifts between the PCL/GEL/BC and PCL/GEL/BC/0.25%HA composites.
With the addition of 0.50%HA into the PCL/GEL/BC composite, there was not observed the sharp
difference between the spectrums. The peaks which were observed for the PCL/GEL/BC/0.25%HA
composite were seen in the spectrum of PCL/GEL/BC/0.50%HA composite (Figure 3B(d)).
Polymers 2020, 12, 1962 6 of 14

Figure1. 1. Mean
Figure Mean pore
pore size
sizeforfor(a)(a)
PCL/GEL,
PCL/GEL,(b) (b)
PCL/GEL/BC,
PCL/GEL/BC, (c) PCL/GEL/BC/0.25%HA, (d)
(c) PCL/GEL/BC/0.25%HA,
(d)PCL/GEL/BC/0.50%HA
PCL/GEL/BC/0.50%HAsolution
solution at at
50%, 60%,
50%, 70%,
60%, andand
70%, 80%80%
infill rate,rate,
infill respectively.
respectively.
Polymers 2020, 12, 1962 7 of 14

Polymers 2020, 12, 1962 7 of 14

Figure 2. Cont.
Polymers 2020, 12, 1962 8 of 14
Polymers 2020, 12, 1962 8 of 14

i j

k l

Polymers 2020, 12, 1962 9 of 14

the interaction (Figure 3B(b)). In Figure 3B(c), the FTIR spectrum of PCL/GEL/BC/0.25%HA is shown.
The specific GEL absorption peaks were observed at ~3278.4 and ~2942.8 cm−1 in the
PCL/GEL/BC/0.25%HA spectrum. In addition, by the addition of 0.25%HA, there were observed
small shifts between the PCL/GEL/BC and PCL/GEL/BC/0.25%HA composites. With the addition of
0.50%HA into the PCL/GEL/BC
Figure2.2. SEM
composite, there was not observed the sharp difference between the
Figure SEMimages
imagesof of
(a,i)(a,i)
PCL/GEL, (c,j) (c,j)
PCL/GEL, PCL/GEL/BC,
PCL/GEL/BC,(e,k) PCL/GEL/BC/0.25%HA, (g,l)
(e,k) PCL/GEL/BC/0.25%HA,
spectrums.
(g,l)
The peaks which
PCL/GEL/BC/0.50%HA
PCL/GEL/BC/0.50%HA
were
scaffolds observed
and and
scaffolds
for
porepore the
size size PCL/GEL/BC/0.25%HA
histiograms of (b)ofPCL/GEL,
histiograms
composite were
(d) PCL/GEL/BC,
(b) PCL/GEL, (f)
(d) PCL/GEL/BC,
seen in
the spectrum of PCL/GEL/BC/0.50%HA
(f)PCL/GEL/BC/0.25%HA
PCL/GEL/BC/0.25%HA and h)h)
and composite (Figure
PCL/GEL/BC/0.50%HA
PCL/GEL/BC/0.50%HA 3B(d)).
scaffolds.
scaffolds.

The functional groups related to pure polymers and their composites were identified by FTIR
spectroscopy. In Figure 3A, the FTIR spectrum of pure polymers and synthesized bacterial cellulose
is given with their functional groups. In Figure 3A(a), hydroxyapatite (HA) had main absorption
peaks at ~1087.7 cm−1 (PO43−, asymmetric stretching), ~1018.2 cm−1 (PO43−, asymmetric stretching),
~962.3 cm−1 (PO43−, symmetric stretching), ~628.7 cm−1 (OH bending), ~597.8 cm−1, and ~561.2 cm−1 is
due to the asymmetric bend of PO43− [24,25]. The spectrum of PCL (Figure 3A(b)) showed several
peaks around ~2940.9 cm−1, ~2865 cm−1, ~1720.2 cm−1, ~1293 cm−1, ~1238.1 cm−1, ~1164 cm−1 which were
associated with asymmetric CH2 stretching, symmetric CH2 stretching, carbonyl stretching (C=O),
again asymmetric COC stretching, asymmetric COC stretching, symmetric COC stretching,
respectively [26]. Gelatin showed various bands at ~3277.4 cm−1 which corresponded the N–H stretch
coupled with hydrogen bonding. The peak at ~2935.1 cm−1 is due to the alkenyl C–H stretching. C=O
stretching was observed at ~1628.6 cm−1. Other peaks were found at ~1443.5 cm−1 (CH2), ~1234.2 cm−1
(NH), ~1079 (C–O stretching) (Figure 3 A(c)) [27]. The FTIR spectrum of the BC was given in Figure
3A(d). There were detected broad absorption peaks for BC some of them are: ~3342 cm−1 (OH
stretching), ~2896.6 cm−1 (CH stretching), ~1622.8 cm−1 (related to the bending mode of the naturally
absorbed water), ~14297.1 cm−1 (CH2 and COH bending inside of plane), ~664.4 cm−1 (C–OH bending
out of plane) [28]. Figure 3B showed the FTIR spectrums of the composites. In Figure 3B(a), there
were observed some shifts after the interaction between the PCL and GEL such as the peak for pure
PCL at 2940.9
Figure
Figure 3.3.FTIRcm−1 was
FTIR shifted
spectrums
spectrums to
of 2923.6
of (A,a) (A,a) cm −1, another
pure peak
(A,b)for
hydroxyapatite,
pure hydroxyapatite, pure
(A,b)
pure GEL
PCL,pure which
pureis
PCL,
(A,c) observed
(A,c) pure
gelatin, at pure
1519.6
gelatin,
(A,d)
cmbacterial
−1 waspure
(A,d) shifted to 1526.4
bacterial cm −1. The
cellulose, absorption
(B,a) PCL/GEL, peak
(B,b)for pure GEL
PCL/GEL/BC, at 1332.6
(B,c)
cellulose, (B,a) PCL/GEL, (B,b) PCL/GEL/BC, (B,c) PCL/GEL/BC/0.25%HA, (B,d) cm −1 was also observed
PCL/GEL/BC/0.25%HA,
at PCL/GEL composite. There was found another difference that the peaks at 1079 cm−1 (pure GEL)
(B,d) PCL/GEL/BC/0.50%HA.
PCL/GEL/BC/0.50%HA.
and 1045 cm (pure PCL), these peaks gave mean value at ~1044.3 cm−1 which can be evidence of the
−1

DSC thermograms
interaction
DSC thermograms wereshown
between the Gelatin
were shown
and PCL for PCL/GEL,
forpolymers.
PCL/GEL, By the PCL/GEL/BC,
addition
PCL/GEL/BC, of 0.25%BC PCL/GEL/BC/0.25%HA,
into PCL/GEL, BCand
PCL/GEL/BC/0.25%HA,
and PCL/GEL/BC/0.50%HA in Figure 4. PCL has a melting temperature at approximate ◦ C.
peaks observed in the mixture at ~2865.7 and ~1530.2 cm points and some shifts were 58–6058–60
observed afterThe
−1
PCL/GEL/BC/0.50%HA in Figure 4. PCL has a melting ◦
temperature at approximate °C.
The decomposition temperature (Td ) of PCL is 350 C [29]. As shown in Figure 4, four endothermic
decomposition temperature (Td) of PCL is 350 °C [29]. As shown in Figure 4, four endothermic peaks
at approximate 60 °C observed which are related to melting temperature (Tm) of PCL [30]. It can be
observed that the scaffolds showed a degradation step in the range of 387–430 °C. The maximum
decomposition rate of 420 °C was observed for PCL/GEL/BC/0.50%HA. These conclusions agree with
the values which are reported in the literature [31–33]. In addition, endothermic peaks (Tm) at 61.60,
61.70, 62.04 and 63.54 °C were observed which are related to melting temperature of gelatin [34].
Figure 3. FTIR spectrums of (A,a) pure hydroxyapatite, (A,b) pure PCL, (A,c) pure gelatin, (A,d) pure
bacterial cellulose, (B,a) PCL/GEL, (B,b) PCL/GEL/BC, (B,c) PCL/GEL/BC/0.25%HA, (B,d)
PCL/GEL/BC/0.50%HA.

Polymers 2020, 12, 1962 9 of 14


DSC thermograms were shown for PCL/GEL, PCL/GEL/BC, PCL/GEL/BC/0.25%HA, and
PCL/GEL/BC/0.50%HA in Figure 4. PCL has a melting temperature at approximate 58–60 °C. The
decomposition
peaks temperature
at approximate (Td) of PCL
60 ◦ C observed is 350
which are°C [29]. As
related shown in
to melting Figure 4, four
temperature (Tm )endothermic
of PCL [30]. peaks
It can
at approximate
be observed that60 °Cscaffolds
the observedshowed
which aare related to melting
degradation temperature
step in the (Tm) of PCL
range of 387–430 ◦ [30].
C. The It can be
maximum
observed that the
decomposition ratescaffolds
of 420 ◦ Cshowed a degradation
was observed step in the range ofThese
for PCL/GEL/BC/0.50%HA. 387–430 °C. The agree
conclusions maximum with
decomposition rate of 420 °C was observed for PCL/GEL/BC/0.50%HA. These conclusions agree
the values which are reported in the literature [31–33]. In addition, endothermic peaks (Tm ) at 61.60, with
the values
61.70, 62.04which are reported
and 63.54 in the literature
◦ C were observed [31–33].
which are In addition,
related to meltingendothermic
temperaturepeaks (Tm) [34].
of gelatin at 61.60,
61.70, 62.04 and 63.54 °C were observed which are related to melting temperature of gelatin [34].

PCL/Gel
PCL/Gel/BC

PCL/Gel/BC/0.25%HA
PCL/Gel/BC/0.50%HA

Figure 4. DSC DSC thermogram


thermogram of PCL/GEL,
of PCL/GEL, PCL/GEL/BC,
PCL/GEL/BC, PCL/GEL/BC/0.25%HA,
PCL/GEL/BC/0.25%HA, and
and PCL/GEL/BC/0.50%HA
PCL/GEL/BC/0.50%HA scaffolds.
scaffolds.

To investigate the structural integrity of the PCL/GEL, PCL/GEL/BC, PCL/GEL/BC/0.25%HA,


and PCL/GEL/BC/0.50%HA composites as bone scaffolds, their mechanical properties determined
using the tensile testing device. Tensile testing results in Table 3 showed that PCL/GEL had both the
highest tensile strength (6.61 MPa) and the highest elongation at break (4.66%) values which point
out good deformability and flexibility [35]. By the addition of 0.25 wt % BC into the PCL/GEL matrix,
tensile strength value decreased, but strain at break increased to the value of 5.37%. As a result of
this situation, it could be said that the blending of BC with PCL/GEL did not increase the strength
value. This might be due to the weak physical interactions between the chains of blending polymers
under loading [35]. As the 0.25 wt % HA added to the PCL/GEL/BC composite, tensile strength and
elongation values decreased. By the addition of the 0.50 wt % HA, tensile strength and strain at break
values increased again but still lower than PCL/GEL and PCL/GEL/BC composites. It could be said that
composites produced with high HA (0.50 wt %) exhibited higher strength and strain values than those
produced with low HA (0.25%) [36]. The balance between the bonding and the deposition is an efficient
way to fabricate composite scaffolds and it may influence the mechanical properties of the 3D printed
composite scaffolds [37]. Contrary to expectations, the addition of HA did not improve the mechanical
properties. One of the main reasons behind poor strength was the imperfect bonding between layers at
z-axis. During the printing process, the layers did not fuse properly. Hence, the tensile behaviors may
also be affected by the defects caused by the printing path.

Table 3. Tensile Testing Results for PCL/GEL, PCL/GEL/BC, PCL/GEL/BC/0.25%HA,


and PCL/GEL/BC/0.50%HA.

Samples Tensile Strength (MPa) Strain at Break (%)


PCL/GEL 6.61 ± 1.99 4.66 ± 1.75
PCL/GEL/BC 2.17 ± 0.21 5.37 ± 2.33
PCL/GEL/BC/0.25%HA 1.08 ± 0.34 3.29 ± 1.41
PCL/GEL/BC/0.50%HA 1.58 ± 0.19 3.97 ± 2.27
PCL/GEL/BC/0.50%HA.

Samples Tensile Strength (MPa) Strain at Break (%)


PCL/GEL 6.61 ± 1.99 4.66 ± 1.75
PCL/GEL/BC 2.17 ± 0.21 5.37 ± 2.33
Polymers 2020, 12,PCL/GEL/BC/0.25%HA
1962 1.08 ± 0.34 3.29 ± 1.41 10 of 14

PCL/GEL/BC/0.50%HA 1.58 ± 0.19 3.97 ± 2.27


Tissue engineering scaffolds and their degradation products should not be toxic to the cells.
Tissue engineering scaffolds and their degradation products should not be toxic to the cells.
Therefore, in vitro biological properties of tissue culture plate (TCP) and 3D printed PCL/GEL,
Therefore, in vitro biological properties of tissue culture plate (TCP) and 3D printed PCL/GEL,
PCL/GEL/BC/0.25%HA and PCL/GEL/BC/0.50%HA scaffolds were examined by cell viability and
PCL/GEL/BC/0.25%HA and PCL/GEL/BC/0.50%HA scaffolds were examined by cell viability and
cell-scaffold interaction. The result showed that the proliferation rate of human osteoblast cells
cell-scaffold interaction. The result showed that the proliferation rate of human osteoblast cells
significantly increased in all 3D printed scaffolds compared to TCP after 1 day of incubation (Figure 5).
significantly increased in all 3D printed scaffolds compared to TCP after 1 day of incubation (Figure
The presence of BC into PCL/GEL scaffold increased cell viability.
5). The presence of BC into PCL/GEL scaffold increased cell viability.

200
1.Day
***
*** 4.Day
7.Day
% Viability according to TCP

150 **

100
*

***

50

0
PCL/GEL PCL/GEL/BC PCL/GEL/BC/0.25%HA PCL/GEL/BC/0.50%HA

Figure 5. Cell viability analysis of PCL/GEL, PCL/GEL/BC, PCL/GEL/BC/0.25%HA, and


Figure 5. Cell viability analysis of PCL/GEL, PCL/GEL/BC, PCL/GEL/BC/0.25%HA,
PCL/GEL/BC/0.50%HA scaffolds. Data are the means ± S.E.; n = 3; *p ≤ 0.05, **p ≤ 0.01 ***p ≤ 0.001
and PCL/GEL/BC/0.50%HA scaffolds. Data are the means ± S.E.; n = 3; * p ≤ 0.05, ** p ≤ 0.01, *** p ≤ 0.001
versus
versus TCP, ANOVA,Tukey–Kramer
TCP, ANOVA, Tukey–Kramermultiple
multiplecomparison
comparisontest.
test.

It is clearly shown that in the case of scaffolds containing HA, the cell viability was found to be
significantly increased irrespective of their HA content when compared to PCL/GEL and PCL/GEL/BC
scaffolds. Furthermore, the addition of 0.25 wt % HA to PCL/GEL/BC showed excellent cell viability
during the 3 and 7 days of the incubation period.
Cell morphology on the 3D printed scaffolds was shown in Figure 6. Osteoblast cells were seeded
on scaffolds. After 7 days of cell culture, the morphological structures of cells adhesion to PCL/GEL
(Figure 6A), PCL/GEL/BC (Figure 6B), PCL/GEL/BC/0.25%HA (Figure 6C), and PCL/GEL/BC/0.50%HA
(Figure 6D) scaffolds were demonstrated by SEM analysis. The results clearly showed that osteoblast
cells tend to proliferate and adapt to the extracellular matrix on which they were cultured on the
scaffold. The printed composite scaffolds showed a more rounded and interconnected morphology.
The result clearly showed that culturing cells on PCL/Gel composite scaffold exhibited a spread shape
morphologies with a pseudopodia-like extended structures to the scaffolds. On 3D printed scaffolds,
osteoblast cells displayed extensive cytoplasmic dendritic structures (Figure 6A,B,D), similar to a
characteristic morphology of osteocytes. Cell adhesion on the 3D printed scaffolds was observed using
fluorescent staining with DAPI after 7 days of cell seeding (Figure 7). It was also recognized that the
osteoblast cells had an excellent cell attachment on the 3D printed scaffolds.
interconnected morphology. The result clearly showed that culturing cells on PCL/Gel composite
scaffold exhibited a spread shape morphologies with a pseudopodia-like extended structures to the
scaffolds. On 3D printed scaffolds, osteoblast cells displayed extensive cytoplasmic dendritic
structures (Figure 6A,B,D), similar to a characteristic morphology of osteocytes. Cell adhesion on the
3D printed scaffolds was observed using fluorescent staining with DAPI after 7 days of cell seeding
Polymers 2020, 12, 1962 11 of 14
(Figure 7). It was also recognized that the osteoblast cells had an excellent cell attachment on the 3D
printed scaffolds.

A B

C D

Figure 6. SEM images of human osteoblast cells (white arrow) and pseudopodia-like extended
Figure 6. SEM images of human osteoblast cells (white arrow) and pseudopodia-like extended
morphology (orange arrow) on (A) PCL/GEL, (B) PCL/GEL/BC, (C) PCL/GEL/BC/0.25%HA, (D)
morphology (orange arrow) on (A) PCL/GEL, (B) PCL/GEL/BC, (C) PCL/GEL/BC/0.25%HA,
PCL/GEL/BC/0.50%HA scaffolds (scale bar 2 µm).
(D) PCL/GEL/BC/0.50%HA
Polymers 2020, 12, 1962 scaffolds (scale bar 2 µm). 12 of 14

A B

C D

Figure
Figure 7. Fluorescence
7. Fluorescence microscopy
microscopy images
images of human
of human osteoblast
osteoblast cells oncells on (A) PCL/GEL,
(A) PCL/GEL, (B)
(B) PCL/GEL/BC,
PCL/GEL/BC, (C) PCL/GEL/BC/0.25%HA, (D) PCL/GEL/BC/0.50%HA scaffolds.
(C) PCL/GEL/BC/0.25%HA, (D) PCL/GEL/BC/0.50%HA scaffolds.

4. Conclusions
In this study, porous scaffolds were fabricated using 3D printing for four different composites
at four different infill rates from fifty to eighty percent. It was aimed to produce scaffolds with
ideal/optimal pore size and high uniformity ratio. All three-dimensional printed scaffolds which have
80% infill rate both have an ideal pore size for bone tissue engineering and have a uniformity ratio of
more than 90%. The composite’s tensile strength, although PCL/Gel/BC blends increased compared
to that of PCL/Gel/BC/HA blends, was considerably lower than that of the PCL/Gel. The
Polymers 2020, 12, 1962 12 of 14

4. Conclusions
In this study, porous scaffolds were fabricated using 3D printing for four different composites at
four different infill rates from fifty to eighty percent. It was aimed to produce scaffolds with ideal/optimal
pore size and high uniformity ratio. All three-dimensional printed scaffolds which have 80% infill
rate both have an ideal pore size for bone tissue engineering and have a uniformity ratio of more than
90%. The composite’s tensile strength, although PCL/Gel/BC blends increased compared to that of
PCL/Gel/BC/HA blends, was considerably lower than that of the PCL/Gel. The PCL/GEL/BC/0.25%HA
scaffold demonstrated good cell viability and cell adhesion when compared to PCL/GEL, PCL/GEL/BC
and PCL/GEL/BC/0.50%HA. Altogether, these results suggest that the prepared 3D composite scaffolds
have a great potential to develop better bone implants for biomedical applications.

Author Contributions: Conceptualization, A.M.C., S.U., A.S., F.N.O., M.S., N.E., O.G., and D.M.K.; data curation,
A.M.C., S.U., A.S.; formal analysis, S.U. and A.S.; funding acquisition, F.N.O.; investigation, A.M.C., S.U.,
A.S.; methodology, A.M.C., S.U., and A.S.; supervision, F.N.O., O.G., and D.M.K.; validation, A.M.C., S.U.;
writing—original draft, A.M.C., S.U.; writing—review and editing, A.M.C., S.U., A.S., F.N.O., O.G., and D.M.K.
All authors have read and agreed to the published version of the manuscript.
Funding: This research was funded by Marmara University Scientific Research grant number FEN-C-YLP-121218-0616.
Conflicts of Interest: The authors declare no conflict of interest.

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