journal article·2025-06-19Open access

Developing Bioengineered 3D-Printed Composite Scaffolds with Antimicrobial Potential for Bone Tissue Regeneration

Andreea Trifan, Eduard Liciu, Cristina Busuioc, Izabela-Cristina Stancu, Adela Banciu, Carmen Nicolae, Mihai Dragomir, Doru-Daniel Cristea, Rosina-Elena Sabău, David-Andrei Nițulescu, Alexandru Paraschiv

Abstract

This research activity proposes to produce composite hydrogel–bioactive glass. The primary purpose of this research is to develop and optimize 3D-printed scaffolds using doped bioglass, aimed at enhancing bone regeneration in bone defects. The bioglass, a bioactive material known for its bone-bonding ability (SiO2–P2O5–CaO–Na2O), co-doped with europium and silver was synthesized and doped to improve its biological properties. This doped bioglass was then combined with a biocompatible hydrogel, chosen for its adequate cellular response and printability. The composite material was printed to form a scaffold, providing a structure that not only supports the damaged bone but also encourages osteogenesis. A variety of methods were employed to assess the rheological, compositional, and morphological characteristics of the samples: Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM) coupled with energy-dispersive X-ray spectroscopy (EDS). Additionally, simulated body fluid (SBF) immersion for bioactivity monitoring and immunocytochemistry for cell viability were used to evaluate the biological response of the scaffolds.
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Research context

OpenAlex topics: 3D Printing in Biomedical Research · Bone Tissue Engineering Materials · Additive Manufacturing and 3D Printing Technologies

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

Affiliations

3D Printing Laboratory, Center of Innovation and e-Health, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania

Faculty of Chemical Engineering and Biotechnologies, University Politehnica of Bucharest, 1-7 Gh. Polizu Street, 011061 Bucharest, Romania

Faculty of Medical Engineering, University Politehnica of Bucharest, 1-7 Gh. Polizu Street, 011061 Bucharest, Romania

REOROM Laboratory, Hydraulics Department, Politehnica University of Bucharest, 313 Splaiul Independenţei, 060042 Bucharest, Romania

Special Components for Gas Turbines Department, Romanian Research and Development Institute for Gas Turbine COMOTI, 220D Iuliu Maniu, 061126 Bucharest, Romania

References (51)

Show source-provided references
1. Siracusa, V., Maimone, G., and Antonelli, V. (2021). State-of-Art of Standard and Innovative Materials Used in Cranioplasty. Polymers, 13.10.3390/polym13091452 ↗
2. Wei, S., Ma, J.X., Xu, L., Gu, X.S., and Ma, X.L. (2020). Biodegradable materials for bone defect repair. Mil. Med. Res., 7.10.1186/s40779-020-00280-6 ↗
3. 3D bioprinting for engineering complex tissues10.1016/j.biotechadv.2015.12.011 ↗
4. Advances in osteobiologic materials for bone substitutes10.1002/term.2677 ↗
5. Cheng, L., Shoma, K., Suresh, S., He, H., Rajput, R.S., Feng, Q., Ramesh, S., Wang, Y., Krishnan, S., and Ostrovidov, S. (2021). 3D Printing of Micro- and Nanoscale Bone Substitutes: A Review on Technical and Translational Perspectives. Int. J. Nanomed., 16.10.2147/IJN.S311001 ↗
6. 3D printing of hierarchical porous biomimetic hydroxyapatite scaffolds: Adding concavities to the convex filaments10.1016/j.actbio.2021.07.071 ↗
7. Matai, I., Kaur, G., Seyedsalehi, A., McClinton, A., and Laurencin, C.T. (2020). Progress in 3D bioprinting technology for tissue/organ regenerative engineering. Biomaterials, 226.10.1016/j.biomaterials.2019.119536 ↗
8. Farshidfar, N., Iravani, S., and Varma, R.S. (2023). Alginate-Based Biomaterials in Tissue Engineering and Regenerative Medicine. Mar. Drugs, 21.10.3390/md21030189 ↗
9. Arif, Z.U., Khalid, M.Y., Zolfagharian, A., and Bodaghi, M. (2022). 4D bioprinting of smart polymers for biomedical applications: Recent progress, challenges, and future perspectives. React. Funct. Polym., 179.10.1016/j.reactfunctpolym.2022.105374 ↗
10. Ma, P., Wu, W., Wei, Y., Ren, L., Lin, S., and Wu, J. (2021). Biomimetic gelatin/chitosan/polyvinyl alcohol/nano-hydroxyapatite scaffolds for bone tissue engineering. Mater. Des., 207.10.1016/j.matdes.2021.109865 ↗
11. Influence of flow rate and scaffold pore size on cell behavior during mechanical stimulation in a flow perfusion bioreactor10.1002/bit.24424 ↗
12. 3D bioprinting of tissues and organs for regenerative medicine10.1016/j.addr.2018.07.004 ↗
13. Reina-Romo, E., Papantoniou, I., Bloemen, V., and Geris, L. (2019). Computational Design of Tissue Engineering Scaffolds, Elsevier Ltd.10.1016/B978-0-08-102563-5.00004-6 ↗
14. Three-Dimensional Printed Polylactic Acid Scaffolds Promote Bone-like Matrix Deposition in Vitro10.1021/acsami.9b02502 ↗
15. dos Santos, G.G., Malherbi, M.S., de Souza, N.S., César, G.B., Tominaga, T.T., Miyahara, R.Y., Mendonça, P.d.S.B.d., Faria, D.R., Rosso, J.M., and Freitas, V.F. (2022). 4th Generation Biomaterials Based on PVDF-Hydroxyapatite Composites Produced by Electrospinning: Processing and Characterization. Polymers, 14.10.3390/polym14194190 ↗
16. Liu, H., Gong, Y., Zhang, K., Ke, S., Wang, Y., Wang, J., and Wang, H. (2023). Recent Advances in Decellularized Matrix-Derived Materials for Bioink and 3D Bioprinting. Gels, 9.10.3390/gels9030195 ↗
17. Fournet, M.E.B., Azaman, F.A., Gunbay, S., Chen, Y.Y., and Devine, D.M. (2019). Orthopaedic 3D Printing in Orthopaedic Medicine. Polym. -Based Addit. Manuf., 121–142.10.1007/978-3-030-24532-0_6 ↗
18. Dual 3D printing for vascularized bone tissue regeneration10.1016/j.actbio.2021.01.012 ↗
19. Bhargav, A., Sanjairaj, V., Rosa, V., Feng, L.W., and Fuh YH, J. (2018). Applications of Additive Manufacturing in Dentistry: A Review, John Wiley and Sons Inc.10.1002/jbm.b.33961 ↗
20. Jardini, A.L., Larosa, M.A., Kaasi, A., and Kharmandayan, P. (2021). Additive Manufacturing in Medicine. Encyclopedia of Smart Materials, Elsevier.
21. Kačarević, Ž.P., Rider, P.M., Alkildani, S., Retnasingh, S., Smeets, R., Jung, O., Ivanišević, Z., and Barbeck, M. (2018). An Introduction to 3D Bioprinting: Possibilities, Challenges and Future Aspects. Materials, 11.10.3390/ma11112199 ↗
22. Ng, W.L., Chan, A., Ong, Y.S., and Chua, C.K. (2020). Deep Learning for Fabrication and Maturation of 3D Bioprinted Tissues and Organs, Taylor and Francis Ltd.10.1080/17452759.2020.1771741 ↗
23. Gu, Z., Fu, J., Lin, H., and He, Y. (2020). Development of 3D Bioprinting: From Printing Methods to Biomedical Applications, Shenyang Pharmaceutical University.10.1016/j.ajps.2019.11.003 ↗
24. Application areas of 3D bioprinting10.1016/j.drudis.2016.04.006 ↗
25. Dikyol, C., Altunbek, M., Bartolo, P., and Koc, B. (2021). Multimaterial bioprinting approaches and their implementations for vascular and vascularized tissues. Bioprinting, 24.10.1016/j.bprint.2021.e00159 ↗
26. Simcock, I.C., Shelmerdine, S.C., Langan, D., Anna, G., Sebire, N.J., and Arthurs, O.J. (2021). Micro-CT yields high image quality in human fetal post-mortem imaging despite maceration. BMC Med. Imaging, 21.10.1186/s12880-021-00658-5 ↗
27. 3D printed TCP-based scaffold incorporating VEGF-loaded PLGA microspheres for craniofacial tissue engineering10.1016/j.dental.2017.06.016 ↗
28. Gorroñogoitia, I., Urtaza, U., Zubiarrain-Laserna, A., Alonso-Varona, A., and Zaldua, A.M. (2022). A Study of the Printability of Alginate-Based Bioinks by 3D Bioprinting for Articular Cartilage Tissue Engineering. Polymers, 14.10.3390/polym14020354 ↗
29. Bioinks for 3D bioprinting: An overview10.1039/C7BM00765E ↗
30. Printability and Shape Fidelity of Bioinks in 3D Bioprinting10.1021/acs.chemrev.0c00084 ↗
31. Hernández-González, A.C., Téllez-Jurado, L., and Rodríguez-Lorenzo, L.M. (2020). Alginate Hydrogels for Bone Tissue Engineering, from Injectables to Bioprinting: A Review, Elsevier Ltd.10.1016/j.carbpol.2019.115514 ↗
32. Tariq, A., Bhawani, S.A., Alotaibi, K.M., and Moheman, A. (2021). Smart biopolymers and their applications. Smart Polym. Nanocompos. Biomed. Environ. Appl., 145–167.10.1016/B978-0-12-819961-9.00005-0 ↗
33. Smith, G.N., Brok, E., Schmiele, M., Mortensen, K., Bouwman, W.G., Duif, C.P., Hassenkam, T., Alm, M., Thomsen, P., and Arleth, L. (2021). The microscopic distribution of hydrophilic polymers in interpenetrating polymer networks (IPNs) of medical grade silicone. Polymer, 224.10.1016/j.polymer.2021.123671 ↗
34. Suarato, G., Bertorelli, R., and Athanassiou, A. (2018). Borrowing from nature: Biopolymers and biocomposites as smart wound care materials. Front. Bioeng. Biotechnol., 6.10.3389/fbioe.2018.00137 ↗
35. Self-crosslinked oxidized alginate/gelatin hydrogel as injectable, adhesive biomimetic scaffolds for cartilage regeneration10.1016/j.actbio.2014.04.031 ↗
36. Experimental characterization and computational modeling of hydrogel cross-linking for bioprinting applications10.1177/0391398819856024 ↗
37. Biomimetic composite scaffold of hydroxyapatite/gelatin-chitosan core-shell nanofibers for bone tissue engineering10.1016/j.msec.2018.12.027 ↗
38. Shuaib, A., Motan, D., Bhattacharya, P., McNabb, A., Skerry, T.M., and Lacroix, D. (2019). Heterogeneity in The Mechanical Properties of Integrins Determines Mechanotransduction Dynamics in Bone Osteoblasts. Sci. Rep., 9.10.1038/s41598-019-47958-z ↗
39. A review of bioactive glasses: Their structure, properties, fabrication and apatite formation10.1002/jbm.a.34690 ↗
40. Trandaș, A.-N., Trifan, A., Ungureanu, A.-D., Dusciuc, A., Opriș, M., Milea, O.-C., Banciu, A., Constantinoiu, I., Busuioc, C., and Isopencu, G.-O. (2023). Properties of europium and silver doped bioglass thin films obtained by two deposition methods: Biointerfaces for bioinert implants. Mater. Chem. Phys., 309.10.1016/j.matchemphys.2023.128396 ↗
41. Qian, G., Zhang, L., Liu, X., Wu, S., Peng, S., and Shuai, C. (2021). Silver-doped bioglass modified scaffolds: A sustained antibacterial efficacy. Mater. Sci. Eng. C Mater. Biol. Appl., 129.10.1016/j.msec.2021.112425 ↗
42. Fabrication and in vitro characterization of antibacterial magneto-luminescent core-shell bioactive glass nanoparticles10.1016/j.ceramint.2023.03.135 ↗
43. Wu, L., Yang, F., Xue, Y., Gu, R., Liu, H., Xia, D., and Liu, Y. (2023). The biological functions of europium-containing biomaterials: A systematic review. Mater. Today Bio, 19.10.1016/j.mtbio.2023.100595 ↗
44. Effect of Dopants on the Physical, Mechanical, and Biological Properties of Porous Scaffolds for Bone Tissue Engineering
45. (2023). Standard Test Method for Plastics: Dynamic Mechanical Properties Melth Rheology, Book of Standards Volume: 08.02, ICS Code: 83.080.20 (Standard No. ASTM D4440-15).
46. How useful is SBF in predicting in vivo bone bioactivity?10.1016/j.biomaterials.2006.01.017 ↗
47. Facts, Q., and Em, E. (2025, February 18). LIVE/DEAD® Viability/Cytotoxicity Kit *for Mammalian Cells*, 2005. Available online: https://www.thermofisher.cn/order/catalog/product/L3224.
48. Ranmuthu, C.D.S., Ranmuthu, C.K.I., Russell, J.C., Singhania, D., and Khan, W.S. (2020). Evaluating the effect of non-cellular bioactive glass-containing scaffolds on osteogenesis and angiogenesis in in vivo animal bone defect models. Front. Bioeng. Biotechnol., 8.10.3389/fbioe.2020.00430 ↗
49. Li, F., Song, X., Sun, T., Mi, L., Liu, J., Xia, X., Bai, N., and Li, X. (2022). Alginate/Gelatin Hydrogel Scaffold Containing nCeO2 as a Potential Osteogenic Nanomaterial for Bone Tissue Engineering. Int. J. Nanomed., 17.10.2147/IJN.S388942 ↗
50. Karvinen, J., and Kellomäki, M. (2023). Design aspects and characterization of hydrogel-based bioinks for extrusion-based bioprinting. Bioprinting, 32.10.1016/j.bprint.2023.e00274 ↗
51. Kaliampakou, C., Lagopati, N., Pavlatou, E.A., and Charitidis, C.A. (2023). Alginate–Gelatin Hydrogel Scaffolds; An Optimization of Post-Printing Treatment for Enhanced Degradation and Swelling Behavior. Gels, 9.10.3390/gels9110857 ↗