A Novel Porous Bone Scaffold Made with 3D Bioprinter Using Carboxymethyl Chitosan-Hyaluronic Acid for Knee Repair: Mechanical and Chemical Properties

Document Type : Research Article

Authors

1 Islamic Azad University

2 Department of Chemistry (Christchurch) and Department of Chemistry and Physics, University of Canterbury and Maritime University of Imam Khomeini, Tehran, Iran

3 Toxicology Research Center, AJA University of Medical Sciences, Tehran; Iran

4 Orthopedic Surgeon, Department of Surgery, Imam Reza hospital, Tehran, Iran

Abstract

Porous bone scaffolds are made by various methods such as membrane lamination, space holder, freeze-drying, and 3D printing techniques. With the advent of 3D printing, this method has emerged as a new tool for designing porous scaffolds.  The porous scaffolds are expected to have a multifunctional effect and changing porosity patterns as an approach to integrating the mechanical properties of different designs into a unique scaffold design. The knees, as a large joint, in addition to helping the limbs, also bear the weight of the body. In this study, the bone scaffold was fabricated using materials such as carboxymethyl chitosan (CCHI) and hyaluronic acid (HLA) using a three-dimensional bioprinter method for repairing the knee joint bone. In this study, Scanning Electron Microscopy (SEM) analysis is used to study morphology.  In order to investigate the existing phases, phase changes due to different content  to determine the absence of space particles in the production scaffold and to determine the size of blocks by X-Ray Diffraction (XRD). The MTT toxicity, apatite formation, as well as cell growth tests, were used
to evaluate the biocompatibility and biodegradability of the porous scaffold. The scaffold degradation rate is determined after immersion in Simulated Body Fluid (SBF) as well as Phosphate Buffer Saline (PBS). The outcome shows that the sample with 10 wt% HLA presents suitable mechanical and biological properties compared to the pure sample.

Keywords

Main Subjects


[1] Seyedi S.Y., Salehi F., Payandemehr B., Hossein S., Hosseini-Zare M.S., Nassireslami E., Yazdi B.B Sharifzadeh M., Dual Effect of cAMP Agonist on Ameliorative Function of PKA Inhibitor in Morphine-Dependent Mice, Fundamental & Clinical Pharmacology28(4): 445–454 (2014).
[2] Nassireslami E., Nikbin P., Amini E., Payandemehr B., Shaerzadeh F., Khodagholi F., Yazdi B.B., Kebriaeezadeh A., Taghizadeh G., Sharifzadeh M., How Sodium Arsenite Improve Amyloid β-Induced Memory Deficit?, Physiology & Behavior 163: 97–106 (2016).
[3] Amini E., Nassireslami E., Payandemehr B., Khodagholi F., Foolad F., Khalaj S., Hamedani M.P., Azimi L., Sharifzadeh M., Paradoxical Role of PKA Inhibitor on Amyloidβ-Induced Memory DeficitPhysiology & Behavior149: 76–85 (2015).
[4] Nassireslami E., Nikbin P., Payandemehr B., Amini E., Mohammadi M., Vakilzadeh G., Ghadiri T., Noorbakhsh F., Sharifzadeh M., A cAMP Analog Reverses Contextual and Tone Memory Deficits Induced by a PKA Inhibitor in Pavlovian Fear ConditioningPharmacology, Biochemistry, and Behavior105: 177–182 (2013).
[5] Zarei M., Pourahmad J., Nassireslami E., Toxicity of Arsenic on Isolated Human Lymphocytes: The Key role of Cytokines and Intracellular Calcium Enhancement in Arsenic-Induced Cell Death, Main Group Metal Chemistry, 42(1): 125-134 (2019).
[6] Asadi M.S., Mirghazanfari S.M., Dadpay M., Nassireslami E., Evaluation of Wound Healing Activities of Pomegranate (Punica Granatum-Lythraceae) Peel and PulpJRMDS6(3): 230-236 (2018).
[7] Zarei M., Pourahmad J., Aghvami M., Soodi M., Nassireslami E., Lead Acetate Toxicity on Human Lymphocytes at Non-Cytotoxic Concentrations Detected in Human Blood, Main Group Metal Chemistry, 40(5-6): 105-112.
[8] Afshary K., Chamanara M., Talari B., Rezaei P., Nassireslami E., Therapeutic Effects of Minocycline Pretreatment in the Locomotor and Sensory Complications of Spinal Cord Injury in an Animal ModelJournal of Molecular Neuroscience: MN, 70(7): 1064–1072 (2020).
[9] Hajmirzaeyian, A., Chamanara, M., Rashidian, A., Shakyba, S., Nassireslami, E., Akhavan-Sigari, R. Melatonin Attenuated the Behavioral Despair Induced by Acute Neurogenic Stress through Blockade of N-Methyl D-Aspartate Receptors
in Mice,
Heliyon7(1): e05900 (2021).  
[10] Elahabaadi E., Salarian A.A., Nassireslami E., Design, Synthesis, and Molecular Docking of Novel Hybrids of Coumarin-Dithiocarbamate Alpha-Glucosidase Inhibitors Targeting Type 2 Diabetes MellitusPolycyclic Aromatic Compound, 1–11 (2021).
[11] Sahranavard M., Akhavan Rezayat, A., Zamiri Bidary M., Omranzadeh A., Rohani F., Hamidi Farahani R., Hazrati E., Mousavi S.H., Afshar Ardalan M., Soleiman-Meigooni S., Hosseini-Shokouh S.J., Hejripour Z., Nassireslami E., Laripour R., Salarian A., Nourmohammadi A., Mosaed R., Cardiac Complications in COVID-19: A Systematic Review and Meta-AnalysisArchives of Iranian Medicine24(2): 152–163 (2021).
[12] Daud S.M.S.M., Yusof M.Y.P.M., Heo C.C., Khoo L.S., Singh M.K.C., Mahmood M.S., Nawawi H., Applications of Drone in Disaster Management: A Scoping ReviewScience & Justice62(1): 30-42 (2022).
[15] Yusof M.Y.P.M., Mah M.C., Reduwan N.H., Kretapirom K., Affendi N.H.K., Quantitative and Qualitative Assessments of Intraosseous Neurovascular Canals in Dentate and Posteriorly Edentulous Individuals in Lateral Maxillary Sinus WallThe Saudi Dental Journal32(8): 396-402 (2020).
[16] Mohammad N., Yusof M.Y.P.M., Ahmad R., Uad A. M., Region-Based Segmentation and Classification of Mandibular First Molar Tooth Based on Demirjian’s Method, I. Journal of Physics: Conference Series,  1502(1): 012046 (2020).
[18] Ismail A.F., Othman A., Mustafa N. S., Kashmoola M.A., Mustafa B.E., Yusof M.Y.P.M., Accuracy of Different Dental Age Assessment Methods to Determine Chronological Age Among Malay Children, Journal of Physics: Conference Series, 1028(1): 012102 IOP Publishing, (2018).
[19] Yusof M.Y.P.M., Rahman N.L.A., Asri A.A.A., Othman N.I., Mokhtar I.W., Repeat Analysis of Intraoral Digital Imaging Performed by Undergraduate Students Using a Complementary Metal Oxide Semiconductor Sensor: An Institutional Case Study, Imaging science in dentistry47(4): 233-239 (2017).
[20] Angelakopoulos N., Galić I., Balla S.B., Kiş H.C., Gómez Jiménez L., Zolotenkova G., ... Cameriere R., Comparison of the Third Molar Maturity Index (I3M) Between Left and Right Lower Third Molars to Assess the Age of Majority: A Multi-Ethnic Study Sample, International Journal of Legal Medicine,  135(6): 2423-2436 (2021).
[21] Adam F.A., Mohd N., Rani H., Baharin B., Yusof M.Y.P.M., Salvadora Persica L. Chewing Stick and Standard Toothbrush as Anti-Plaque and Anti-Gingivitis Tool: A Systematic Review and Meta-AnalysisJournal of Ethnopharmacology274: 113882 (2021).
[23] Kazemi A., Abdellahi M., Khajeh-Sharafabadi A., Khandan A., Ozada N., Study of in Vitro Bioactivity and Mechanical Properties of Diopside Nano-Bioceramic Synthesized by a Facile Method Using Eggshell as Raw MaterialMaterials Science and Engineering: C71: 604-610 (2017).
[24] Khandan A., Ozada N., Bredigite-Magnetite (Ca7MgSi4O16-Fe3O4) Nanoparticles: A Study on their Magnetic PropertiesJournal of Alloys and Compounds726: 729-736 (2017).
[25] Khandan A., Jazayeri H., Fahmy M.D., Razavi, M., Hydrogels: Types, Structure, Properties, and Applications,  Bioma.t Tiss. Eng.4(27): 143-69 (2017).
[26] Sharafabadi A.K., Abdellahi M., Kazemi A., Khandan A., Ozada N., A Novel and Economical Route for Synthesizing Akermanite (Ca2MgSi2O7) Nano-Bioceramic, Materials Science and Engineering: C71: 1072-1078 (2017).
[27] Shayan A., Abdellahi M., Shahmohammadian F., Jabbarzare S., Khandan A., Ghayour H., Mechanochemically Aided Sintering Process for the Synthesis of Barium Ferrite: Effect of Aluminum Substitution on Microstructure, Magnetic Properties and Microwave absorption, Journal of Alloys and Compounds708: 538-546 (2017).
[28] Heydary H. A., Karamian E., Poorazizi E., Khandan A., Heydaripour J. A Novel Nano-Fiber of Iranian Gum Tragacanth-Polyvinyl Alcohol/Nanoclay Composite for Wound Healing Applications, Procedia Materials Science11:176-182 (2015).
[29] Karamian E., Khandan A., Kalantar Motamedi M.R., Mirmohammadi H., Surface Characteristics and Bioactivity of a Novel Natural HA/Zircon Nanocomposite Coated on Dental ImplantsBioMed Research International,  (2014).
[30] Jabbarzare S., Abdellahi M., Ghayour H., Arpanahi A., Khandan A., A Study on the Synthesis and Magnetic Properties of the Cerium Ferrite CeramicJournal of Alloys and Compounds694: 800-807 (2017).
[32] Khandan A., Ozada N., Karamian E., Novel Microstructure Mechanical Activated Nano Composites for Tissue Engineering Applications. J/ Bioeng/ Biomed/ Sci., 5(1): 1 (2015).
[33] Ravi G.R., Subramanyam R.V., Calcium Hydroxide-Induced Resorption of Deciduous Teeth: A Possible Explanation, Dental Hypotheses3(3): 90. (2012).
[34] Anttonen V., Tanner T., Kämppi A., Päkkilä J., Tjäderhane L., Patinen P., A Methodological Pilot Study on Oral Health of Young, Healthy MalesDental Hypotheses, 3(3): 106 (2012).
[35] Gupta R., Thakur N., Thakur S., Gupta B., Gupta M., Talon Cusp: A Case Report with Management Guidelines
for Practicing Dentists
, Dental Hypotheses,  4(2):67 (2013).
[37] Motamedi M.R.K., Behzadi A., Khodadad N., Zadeh A.K., Nilchian F., Oral Health and Quality of Life in Children: a Cross-Sectional StudyDental Hypotheses5(2): 53 (2014).
[38] Narayanan N., Thangavelu L. Salvia Officinalis in Dentistry. Dental Hypotheses, 6(1): 27 (2015).
[39] Khandan A., Karamian E., Bonakdarchian M., Mechanochemical Synthesis Evaluation of Nanocrystalline Bone-Derived Bioceramic Powder Using for Bone Tissue EngineeringDental Hypotheses5(4): 155 (2014).
[40] Mosallaeipour S., Nejad M.G., Shavarani S.M., Nazerian R., Mobile Robot Scheduling for Cycle Time Optimization in Flow-Shop Cells, A Case Study, Production Engineering12(1): 83-94 (2018).
[41] Ghasemi M., Nejad, M.G., Bagzibagli K., Knowledge Management Orientation: An Innovative Perspective to Hospital Management, Iranian Journal of Public Health46(12): 1639 (2017).
[42] Ghadiri Nejad M., Husseinzadeh Kashan A., Shavarani S.M., A Novel Competitive Hybrid Approach Based on Grouping Evolution Strategy Algorithm for Solving U-shaped Assembly Line Balancing Problems, Production Engineering12(5): 555-566 (2018).
[43] Karamian E., Motamedi M.R.K., Khandan A., Soltani P., Maghsoudi S., An in Vitro Evaluation of Novel NHA/Zircon Plasma Coating on 316L Stainless Steel Dental ImplantProgress in Natural Science: Materials International24(2): 150-156 (2014).
[44] Karamian E., Abdellahi M., Khandan A., Abdellah S., Introducing the Fluorine Doped Natural Hydroxyapatite-Titania Nanobiocomposite Ceramic, Journal of Alloys and Compounds679: 375-383 (2016).
[45] Najafinezhad A., Abdellahi M., Ghayour H.,
Soheily A., Chami A., Khandan A., A Comparative Study on the Synthesis Mechanism, Bioactivity and Mechanical Properties of Three Silicate Bioceramics, Materials Science and Engineering: C72: 259-267 (2017).
[46] Ghayour H., Abdellahi M., Ozada N., Jabbrzare S., Khandan A., Hyperthermia Application of Zinc Doped Nickel Ferrite Nanoparticles, Journal of Physics and Chemistry of Solids111: 464-472 (2017).
[47] Saeedi M.R., Morovvati M.R., Mollaei-Dariani B., Experimental and Numerical Investigation of Impact Resistance of Aluminum–Copper Cladded Sheets Using an Energy-Based Damage ModelJournal of the Brazilian Society of Mechanical Sciences and Engineering42(6): 1-24 (2020).
[48] Kardan-Halvaei M., Morovvati M.R., Mollaei-Dariani B., Crystal Plasticity Finite Element Simulation and Experimental Investigation of the Micro-Upsetting Process of OFHC Copper, Journal of Micromechanics and Microengineering30(7): 075005 (2020).
[49] Fazlollahi M., Morovvati M.R., Mollaei Dariani B., Theoretical, Numerical and Experimental Investigation of Hydro-Mechanical Deep Drawing of Steel/Polymer/Steel Sandwich SheetsProceedings of the Institution of Mechanical Engineers, Part B: Journal of Engineering Manufacture233(5): 1529-1546 (2019).
[50] Saeedi M.R., Morovvati M.R., Alizadeh-Vaghasloo Y.,  Experimental and Numerical Study of Mode-I and Mixed-Mode Fracture of Ductile U-Notched Functionally Graded MaterialsInternational Journal of Mechanical Sciences144: 324-340 (2018).
[51] Morovvati M.R., Mollaei-Dariani B., The Formability Investigation of CNT-Reinforced Aluminum Nano-Composite Sheets Manufactured by accumulative Roll BondingThe International Journal of Advanced Manufacturing Technology95(9): 3523-3533 (2018).
[52] Morovvati M.R., Dariani B.M., The Effect of Annealing on the Formability of Aluminum 1200 After Accumulative Roll BondingJournal of Manufacturing Processes30: 241-254 (2017).
[54] Fatemi A., Morovvati M.R., Biglari F.R., The Effect of Tube Material, Microstructure, and Heat Treatment on Process Responses of Tube Hydroforming Without Axial Force, The International Journal of Advanced Manufacturing Technology68(1): 263-276  (2013).
[55] Pourmoghadam M.N., Esfahani R.S., Morovvati M., R., Rizi B.N., Bifurcation Analysis of Plastic Wrinkling Formation for Anisotropic Laminated Sheets (AA2024–Polyamide–AA2024), Computational Materials Science, 77: 35-43 (2013).
[56] Morovvati M.R., Fatemi A., Sadighi M., Experimental and Finite Element Investigation on Wrinkling of Circular Single Layer and Two-Layer Sheet Metals in Deep Drawing ProcessThe International Journal of Advanced Manufacturing Technology54(1): 113-121 (2011).
[57] Morovvati M.R., Mollaei-Dariani B., Haddadzadeh M., Initial Blank Optimization in Multilayer Deep Drawing Process Using GONNSJournal of Manufacturing Science and Engineering132(6): (2010).
[58] Fatemi A., Biglari F., Morovvati M.R., Influences of Inner Pressure and Tube Thickness on Process Responses of Hydroforming Copper Tubes Without Axial Force., Proceedings of the Institution of Mechanical Engineers, Part B: Journal of Engineering Manufacture224(12): 1866-1878 (2010).
[59] Anarestani S.S., Morovvati M.R., Vaghasloo Y.A., Influence of Anisotropy and Lubrication on Wrinkling of Circular Plates Using Bifurcation TheoryInternational Journal of Material Forming8(3): 439-454 (2015).
[60] Monfared, R.M., Ayatollahi, M.R., Isfahani, R.B., Synergistic Effects of Hybrid WCNT/Nanosilica on the Tensile and Tribological Properties of Woven Carbon Fabric Epoxy Composites, Theoretical and Applied Fracture Mechanics96: 272-284 (2018).
[61] Kamarian S., Bodaghi M., Isfahani R.B., Song J.I. Thermal Buckling Analysis of Sandwich Plates with Soft Core and CNT-Reinforced Composite Face Sheets, Journal of Sandwich Structures & Materials, 23(8): 3606-3644 (2021).
[61] Kamarian S., Bodaghi M., Isfahani R. B., Song, J. I., A Comparison Between the Effects of Shape Memory Alloys and Carbon Nanotubes on the Thermal Buckling of Laminated Composite BeamsMechanics Based Design of Structures and Machines50(7): 2250-2273 (2022).
[62] Barbaz-I R., “Experimental Determining of the Elastic Modulus and Strength of Composites Reinforced with Two Nanoparticles”, Doctoral Dissertation, MSc Thesis, School of Mechanical Engineering Iran University of Science and Technology, Tehran, Iran (2014). 
[64] Kamarian S., Bodaghi M., Isfahani R.B., Song J.I., Thermal Buckling Analysis of Sandwich Plates with Soft Core and CNT-Reinforced Composite Face SheetsJournal of Sandwich Structures & Materials23(8): 3606-3644 (2021).
[65] Kamarian S., Bodaghi M., Isfahani R.B., Song, J.I., A Comparison Between the Effects of Shape Memory Alloys and Carbon Nanotubes on the Thermal Buckling of Laminated Composite BeamsMechanics Based Design of Structures and Machines50(7): 2250-2273 (2022).
[66] Barbaz-I, R. Experimental Determining of the Elastic Modulus and Strength of Composites Reinforced with Two Nanoparticles (Doctoral Dissertation, Doctoral Dissertation, PhD Thesis, School of Mechanical Engineering Iran University of Science and Technology, Tehran, Iran), (2014). 
[68] Talebi M., Abbasi‐Rad S., Malekzadeh M., Shahgholi M., Ardakani A.A., Foudeh K., Rad H.S., Cortical Bone Mechanical Assessment via free Water Relaxometry at 3 T, Journal of Magnetic Resonance Imaging54(6): 1744-1751 (2021).
[69] Shahgholi M., Oliviero S., Baino F., Vitale-Brovarone C., Gastaldi D., Vena P., Mechanical Characterization of Glass-Ceramic Scaffolds at Multiple Characteristic Lengths through NanoindentationJournal of the European Ceramic Society36(9): 2403-2409 (2016).
[70] Fada R., Farhadi Babadi N., Azimi R., Karimian M., Shahgholi M., Mechanical Properties Improvement and Bone Regeneration of Calcium Phosphate Bone Cement, Polymethyl Methacrylate and Glass Ionomer, Journal of Nanoanalysis8(1): 60-79 (2021).
[71] Shahgholi M., Firouzi P., Malekahmadi O., Vakili S., Karimipour A., Ghashang M., Hussain W., , Kareem H.A., Baghaei S., Fabrication and Characterization of Nanocrystalline Hydroxyapatite Reinforced with Silica-Magnetite Nanoparticles with Proper Thermal Conductivity, Materials Chemistry and Physics, (2022).
[74] Jafari H., Danaee I., Eskandari H., RashvandAvei M., Combined Computational and Experimental Study
on the Adsorption and Inhibition Effects of N2O2 Schiff Base on the Corrosion of API 5L Grade B Steel in 1 mol/L HCl,
 Journal of Materials Science & Technology30(3): 239-252 (2014).
[75] Jafari H., Ameri E., Soltanolkottabi F., Berisha A., Seydou M., Experimental and Theoretical Investigations of New Schiff Base Compound Adsorption on Aluminium in 1 M HCl, Journal of Electrochemical Science and Engineering (2022).
[76] Samadian S., Karbalaei A., Pourmadadi M., Yazdian F., Rashedi H., Omidi M., Malmir S.,  A Novel Alginate-Gelatin Microcapsule to Enhance Bone Differentiation of Mesenchymal Stem Cells, International Journal of Polymeric Materials and Polymeric Biomaterials71(6): 395-402. (2022).
[77] Shahmoradi S., Yazdian F., Janghorbani A., Satarian L., Behroozi F., Tabandeh F., Navaei-Nigjeh M., Applying Differentiated Retinal Cell for Age-related Macular Degeneration TreatmentIranian Journal of Chemistry and Chemical Engineering (IJCCE), 41(9): 2900-2909 (2022).
[78] Abou El Fadl F.I., Maziad N., El-hamouly S., Hassan, H.E., Magnetically Responsive Nanocomposite Hydrogels for Controlled Release of CiprofloxacinIranian Journal of Chemistry and Chemical Engineering (IJCCE), 40(9): 2873-2885 (2021).
[79] Sheibani S., Zare K., Mousavi Safavi S.M., The Effects of pH and Chelating Agent on Synthesis and Characterization of Ni Mo/γ-Alumina Nanocatalyst for Heavy Oil HydrodesulfurizationIranian Journal of Chemistry and Chemical Engineering (IJCCE), 40(1): 21-34 (2021).