journal article·2025-10Open access

Low-temperature 3D-printed Aloe vera/fish-derived decellularized ECM biocomposites for wound dressing application: fabrication, characterization, and in vitro evaluation

Seong Hyun Lee, Soyoung Noh, Seung Pil Pack, GeunHyung Kim, Hyeongjin Lee

Materials & Design· Volume 258

Abstract

The development of effective wound dressings requires biomaterial platforms with structural integrity, biocompatibility, and multifunctional bioactivity. This study engineered composite hydrogels by blending tilapia skin-derived decellularized extracellular matrix (TSdECM) with Aloe vera (AV) at 0, 5, and 10 mg/mL for wound healing. TSdECM/AV-10 exhibited the highest porosity, water absorption, and swelling capacity, while retaining moderate degradability. Rheological analysis confirmed shear-thinning behavior and tunable storage modulus, with AV reducing viscosity. Low-temperature extrusion-based 3D printing at −20 °C yielded scaffolds with high shape fidelity. The constructs supported robust fibroblast viability and enhanced proliferation, endothelial tube formation, and epidermal differentiation. Air-liquid interface co-culture revealed upregulated cytokeratin 10 and 14, indicative of improved stratification. Macrophage polarization assays showed elevated M2 markers, reduced pro-inflammatory genes, and strong immunomodulatory effects. Moreover, TSdECM/AV-10 scaffolds exhibited potent antibacterial activity against Pseudomonas aeruginosa and promoted rapid blood clot formation. Overall, these findings highlight TSdECM/AV scaffolds as versatile, bioactive platforms that integrate mechanical resilience with pro-regenerative, immunomodulatory, and antimicrobial functions, offering strong translational potential for advanced skin tissue engineering.
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Research context

OpenAlex topics: Electrospun Nanofibers in Biomedical Applications · 3D Printing in Biomedical Research · Additive Manufacturing and 3D Printing Technologies

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

References (68)

Show source-provided references
1. Instructive microenvironments in skin wound healing: biomaterials as signal releasing platforms10.1016/j.addr.2018.03.012 ↗
2. Skin tissue engineering: Wound healing based on stem-cell-based therapeutic strategies10.1186/s13287-019-1212-2 ↗
3. S. A. Eming, P. Martin, M. Tomic-Canic, 2014. Wound repair and regeneration: Mechanisms, signaling, and translation, Sci. Transl. Med. 6 (2014) 265sr6-265sr6. https://doi.org/10.1126/scitranslmed.3009337.10.1126/scitranslmed.3009337 ↗
4. Recent progress of collagen, chitosan, alginate and other hydrogels in skin repair and wound dressing applications10.1016/j.ijbiomac.2022.03.002 ↗
5. Advanced therapeutic dressings for effective wound healing–a review10.1002/jps.24610 ↗
6. Bio-inspired green light crosslinked alginate-heparin hydrogels support HUVEC tube formation10.1016/j.jmbbm.2021.104932 ↗
7. In vitro characterization of chitosan-gelatin scaffolds for tissue engineering10.1016/j.biomaterials.2005.05.036 ↗
8. An overview of the use of equine collagen as emerging material for biomedical applications10.3390/jfb11040079 ↗
9. Acellular fish skin graft use for diabetic lower extremity wound healing: a retrospective study of 58 ulcerations and a literature review
10. The marine Omega3 wound matrix for treatment of complicated wounds: amulticenter experience report10.1007/s00772-018-0428-2 ↗
11. Evaluation of a novel tilapia-skin acellular dermis matrix rationally processed for enhanced wound healing10.1016/j.msec.2021.112202 ↗
12. Tilapia fish waste: an asset for tissue engineering - a review10.4103/jisp.jisp_395_22 ↗
13. Three-dimensional artificial skin construct bioprinted with a marine-based biocomposite10.1021/acs.biomac.3c00253 ↗
14. Biomimetic hydrogel derived from decellularized dermal matrix facilitates skin wounds healing
15. Development and evaluation of tilapia skin-derived gelatin, collagen, and acellular dermal matrix for potential use as hemostatic sponges
16. Wound healing ability of acellular fish skin and bovine collagen grafts for split-thickness donor sites in burn patients: Characterization of acellular grafts and clinical application10.1016/j.ijbiomac.2022.02.055 ↗
17. Application of tilapia skin acellular dermal matrix to induce acute skin wound repair in rats10.3389/fbioe.2021.792344 ↗
18. Preparation and characterization of wound healing hydrogel based on fish skin collagen and chitosan cross-linked by dialdehyde starch
19. Bio-printed hydrogel textiles based on fish skin decellularized extracellular matrix for wound healing10.1016/j.eng.2022.05.022 ↗
20. Decellularization of fish tissues for tissue engineering and regenerative medicine applications10.1093/rb/rbae138 ↗
21. Advanced SA/PVA-based hydrogel matrices with prolonged release of aloe vera as promising wound dressings10.1016/j.msec.2020.111667 ↗
22. The review on properties of aloe vera in healing of cutaneous wounds
23. In situ electrospun aloe-nanofiber membrane for chronic wound healing
24. Study of hybrid alginate/gelatin hydrogel-incorporated niosomal Aloe vera capable of sustained release of aloe vera as potential skin wound dressing10.1007/s00289-019-02753-8 ↗
25. Direct ink writing of aloe vera/cellulose nanofibrils bio-hydrogels10.1016/j.carbpol.2021.118114 ↗
26. Acemannan stimulates gingival fibroblast proliferation; expressions of keratinocyte growth factor-1, vascular endothelial growth factor, and type I collagen; and wound healing10.1254/jphs.08204FP ↗
27. A novel angiogenic factor derived from aloe vera gel: beta-sitosterol, a plant sterol10.1023/A:1009058232389 ↗
28. Aloe vera for tissue engineering applications10.3390/jfb8010006 ↗
29. Preparation and characterization of films based on alginate and aloe vera10.1080/1023666X.2011.599923 ↗
30. J. Movaffagh, M. Khatib, B. S. Fazly Bazzaz, Z. Taherzadeh, M. Hashemi, A. Seyedian Moghaddam, S. A. Tabatabaee, M. Azizzadeh, N. Jirofti, Evaluation of wound-healing efficiency of a functional Chitosan/Aloe vera hydrogel on the improvement of re-epithelialization in full thickness wound model of rat, J. Viab. 31 (4) (2022) 649-656. https://doi.org/10.1016/j.jtv.2022.07.009.10.1016/j.jtv.2022.07.009 ↗
31. Preparation and characterization of aloe vera blended collagen-chitosan composite scaffold for tissue engineering applications10.1021/am401637c ↗
32. Nature-derived aloe vera gel blended silk fibroin film scaffolds for cornea endothelial cell regeneration and transplantation10.1021/acsami.6b04901 ↗
33. Cryogenic 3D printed hydrogel scaffolds loading exosomes accelerate diabetic wound healing10.1016/j.cej.2021.130634 ↗
34. Fabrication of micro/nanoporous collagen/dECM/silk-fibroin biocomposite scaffolds using a low temperature 3D printing process for bone tissue regeneration10.1016/j.msec.2017.11.013 ↗
35. Design of a decellularized fish skin as a biological scaffold for skin tissue regeneration10.1016/j.tice.2021.101509 ↗
36. 3D conductive nanocomposite scaffold for bone tissue engineering
37. In vitrocell migration, invasion, and adhesion assays: from cell imaging to data analysis10.3389/fcell.2019.00107 ↗
38. Targeting vascular endothelial growth factor receptor 2 and protein kinase D1 related pathways by a multiple kinase inhibitor in angiogenesis and inflammation related processes in vitro10.1371/journal.pone.0124234 ↗
39. Designed three-dimensional collagen scaffolds for skin tissue regeneration10.1089/ten.tec.2009.0511 ↗
40. Poly(vinyl alcohol)/chitosan hydrogel incorporating chitooligosaccharide-gentisic acid conjugate with antioxidant and antibacterial properties as a potential wound dressing10.1016/j.ijbiomac.2023.128047 ↗
41. Development of a chitosan-based wound dressing with improved hemostatic and antimicrobial properties10.1016/j.biomaterials.2008.07.034 ↗
42. Decellularized tilapia fish skin: a novel candidate for tendon tissue engineering
43. An overview of tissue and whole organ decellularization processes10.1016/j.biomaterials.2011.01.057 ↗
44. Compositional features of polysaccharides from Aloe vera (Aloe barbadensis Miller) plant tissues10.1016/S0144-8617(98)00163-5 ↗
45. High-contentaloe verabased hydrogels: Physicochemical and pharmaceutical properties10.3390/polym15051312 ↗
46. Collagen extract obtained from Nile tilapia (Oreochromis niloticus L.) skin accelerates wound healing in rat model via up regulating VEGF, bFGF, and α-SMA genes expression10.1186/s12917-020-02566-2 ↗
47. Optimizing scaffold pore size for tissue engineering: insights across various tissue types10.3389/fbioe.2024.1444986 ↗
48. Wound dressings: current advances and future directions10.1002/app.47738 ↗
49. Nanocomposite scaffolds for accelerating chronic wound healing by enhancing angiogenesis10.1186/s12951-020-00755-7 ↗
50. Hydrogels for biomedical applications10.1016/S0169-409X(01)00239-3 ↗
51. Hydrogels in biology and medicine: from molecular principles to bionanotechnology10.1002/adma.200501612 ↗
52. Recent advances on the development of wound dressings for diabetic foot ulcer treatment–a review10.1016/j.actbio.2013.03.033 ↗
53. Aloe vera and the proliferative phase of cutaneous wound healing: Status quo report on active principles, mechanisms, and applications
54. A new biomaterial derived fromAloe vera-Acemannan from basic studies to clinical application10.3390/pharmaceutics15071913 ↗
55. A pH-responsive, surface charge-switchable nanosystem with enhanced biofilm penetration for synergistic photodynamic and antibiotic therapy of diabetic wounds
56. Minireview: Nanoparticles and the immune system10.1210/en.2009-1082 ↗
57. Comparative study of antimicrobial action of aloe vera and antibiotics against different bacterial isolates from skin infection10.1002/vms3.488 ↗
58. Aloe vera-based hydrogels for wound healing: properties and therapeutic effects10.3390/gels9070539 ↗
59. Jammed microgel inks for 3D printing applications10.1002/advs.201801076 ↗
60. Aloe vera-based biomaterial ink for 3D bioprinting of wound dressing constructs10.1002/jbm.b.35379 ↗
61. Assessment methodologies for extrusion-based bioink printability10.1088/1758-5090/ab6f0d ↗
62. Understanding the effect of mean pore size on cell activity in collagen-glycosaminoglycan scaffolds10.4161/cam.4.3.11747 ↗
63. Effect of crosslinking in chitosan/aloe vera-based membranes for biomedical applications10.1016/j.carbpol.2013.06.022 ↗
64. Shape memory polyacrylamide/gelatin hydrogel with controllable mechanical and drug release properties potential for wound dressing application10.1016/j.polymer.2021.123786 ↗
65. Scaffolds for wound healing applications10.3390/polym12092010 ↗
66. X. Yang, J. Gao, S. Yang, Y. Wu, H. Liu, D. Su, D. Li (2023). Pore size-mediated macrophage M1 to M2 transition affects osseointegration of 3D-printed PEEK scaffolds, Int. J. Bioprinting 910.18063/ijb.755 ↗
67. (5) (2023) 755. https://doi.org/10.18063/ijb.755.10.18063/ijb.755 ↗
68. Physical double-network hydrogel adhesives with rapid shape adaptability, fast self-healing, antioxidant and NIR/pH stimulus-responsiveness for multidrug-resistant bacterial infection and removable wound dressing