journal article·2026-03-11Open access

Single-Step Extrusion Printing of Microgrooved Annulus Fibrosus Scaffolds via Patterned Nozzles

Nadine Kluser, Gion Ursin Alig, Christoph Sprecher, Xavier Woods, Sibylle Grad, Mauro Alini, Sonja Häckel, Christoph E. Albers, David Eglin, Rajkishen Narayanan, Andrea J. Vernengo

Abstract

Intervertebral disk pathology, including disk herniation and degeneration, is a major contributor to chronic low back pain, and when conservative treatment fails, surgical management often involves discectomy-based procedures that leave residual annulus fibrosus (AF) defects associated with reherniation and progressive degeneration. These limitations have motivated interest in regenerative strategies using biomaterial scaffolds; however, reproducing the hierarchical, angle-ply architecture of the AF remains challenging. Here, we present a single-step extrusion-based 3D-printing approach to fabricate polycaprolactone (PCL) scaffolds with aligned microscale surface grooves that promote AF-like organization. Patterned nozzles with circumferential peaks generated uniaxial concave microgrooves (10–17 µm wide) directly during printing, enabling formation of multilamellar angle-ply constructs. Human bone marrow-derived mesenchymal stem cells cultured on patterned scaffolds aligned longitudinally within concave grooves, forming end-to-end arrays that guided extracellular matrix deposition. Gene expression analysis showed that topographical cues governed cellular organization without significantly altering gene expression profiles, while TGF-β3 supplementation upregulated outer AF-associated markers, including COL1, COL12, SFRP2, MKX, MCAM, and SCX. TAGLN expression increased specifically on patterned scaffolds in the absence of TGF-β3, indicating an association between microgroove-guided cellular organization and TAGLN expression, warranting further investigation into potential tension-related mechanisms. This novel single-step extrusion-printing approach leverages custom nozzle geometry to impart concave microgrooves, facilitating scalable fabrication of multilamellar angle-ply scaffolds that induce aligned cellular organization and support potential applications in annulus fibrosus repair, as well as mechanobiological studies of anisotropic musculoskeletal tissues.
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Research context

OpenAlex topics: Spine and Intervertebral Disc Pathology · 3D Printing in Biomedical Research · Cellular Mechanics and Interactions

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

AO Research Institute Davos, 7270 Davos Platz, Switzerland

Federal Institute of Technology, ETH Zurich, 8092 Zurich, Switzerland

Department of Chemical Engineering, Rowan University, Glassboro, NJ 08028, USA

Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse 18, 3010 Bern, Switzerland

Department of Spine Surgery, Sonnenhof Spital, Salvisbergstrasse 4, 3006 Bern, Switzerland

Mines Saint-Etienne, Universite Jean Monnet, INSERM, UMR 1059 Sainbiose, 42023 Saint-Etienne, France

Department of Orthopaedic Surgery, Bone and Joint Institute, Cooper University Health Care, Camden, NJ 08103, USA

Funding

Orthoregeneration Network/European Orthopaedic Research Society · U.S. Department of Education · AO Spine · ETH Zürich Foundation

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