3D printed TCP-based scaffold incorporating VEGF-loaded PLGA microspheres for craniofacial tissue engineering

Objectives. Vascularization is a critical process during bone regeneration/repair and the lack of tissue vascularization is recognized as a major challenge in applying bone tissue engineering methods for cranial and maxillofacial surgeries. The aim of our study is to fabricate avascular endothelial growth factor (VEGF)-loaded gelatin/alginate/beta-TCP composite scaffold by 3D printing method using a computer-assisted design (CAD) model. Methods. The paste, composed of (VEGF-loaded PLGA)-containing gelatin/alginate/beta-TCP in water, was loaded into standard Nordson cartridges and promptly employed for printing the scaffolds. Rheological characterization of various gelatin/alginate/beta-TCP formulations led to an optimized paste as a printable bioink at room temperature. Results. The in vitro release kinetics of the loaded VEGF revealed that the designed scaffolds fulfill the bioavailability of VEGF required for vascularization in the early stages of tissue regeneration. The results were confirmed by two times increment of proliferation of human umbilical vein endothelial cells (HUVECs) seeded on the scaffolds after 10 days. The compressive modulus of the scaffolds, 98 +/- 11 MPa, was found to be in the range of cancellous bone suggesting their potential application for craniofacial tissue engineering. Osteoblast culture on the scaffolds showed that the construct supports cell viability, adhesion and proliferation. It was found that the ALP activity increased over 50% using VEGF-loaded scaffolds after 2 weeks of culture. Significance. The 3D printed gelatin/alginate/beta-TCP scaffold with slow releasing of VEGF can be considered as a potential candidate for regeneration of craniofacial defects. (C) 2017 The Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.