How to 3D print ‘joint patches’ with ink made of cartilage

Strands of cow cartilage substitute for ink in a 3D bioprinting process that may one day create cartilage patches for worn-out joints.

“Our goal is to create tissue that can be used to replace large amounts of worn out tissue or design patches,” says Ibrahim T. Ozbolat, associate professor of engineering science and mechanics at Penn State. “Those who have osteoarthritis in their joints suffer a lot. We need a new alternative treatment for this.”

The 3D printer lays down rows of cartilage strands in any pattern the researchers choose.

Cartilage is a good tissue to target for scale-up bioprinting because it is made up of only one cell type and has no blood vessels within the tissue. It is also a tissue that cannot repair itself. Once cartilage is damaged, it remains damaged.

Previous attempts at growing cartilage began with cells embedded in a hydrogel—a substance composed of polymer chains and about 90 percent water—that is used as a scaffold to grow the tissue.

“Hydrogels don’t allow cells to grow as normal,” says Ozbolat. “The hydrogel confines the cells and doesn’t allow them to communicate as they do in native tissues.”

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This leads to tissues that do not have sufficient mechanical integrity. Degradation of the hydrogel also can produce toxic compounds that are detrimental to cell growth.

Ozbolat and his research team developed a method to produce larger scale tissues without using a scaffold.

How it works

They create a tiny—from 3 to 5 one hundredths of an inch in diameter—tube made of alginate, an algae extract. They inject cartilage cells into the tube and allow them to grow for about a week and adhere to each other.

Because cells do not stick to alginate, they can remove the tube and are left with a strand of cartilage. The researchers report their results in the current issue of Scientific Reports.

The cartilage strand substitutes for ink in the 3D printing process. Using a specially designed prototype nozzle that can hold and feed the cartilage strand, the 3D printer lays down rows of cartilage strands in any pattern the researchers choose.

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After about half an hour, the cartilage patch self-adheres enough to move to a petri dish. The researchers put the patch in nutrient media to allow it to further integrate into a single piece of tissue. Eventually the strands fully attach and fuse together.

“We can manufacture the strands in any length we want,” says Ozbolat. “Because there is no scaffolding, the process of printing the cartilage is scalable, so the patches can be made bigger as well. We can mimic real articular cartilage by printing strands vertically and then horizontally to mimic the natural architecture.”

Supply your own cartilage?

The artificial cartilage produced by the team is very similar to native cow cartilage. However, the mechanical properties are inferior to those of natural cartilage, but better than the cartilage that is made using hydrogel scaffolding.

Natural cartilage forms with pressure from the joints, and Ozbolat thinks that mechanical pressure on the artificial cartilage will improve the mechanical properties.

If this process is eventually applied to human cartilage, each individual treated would probably have to supply their own source material to avoid tissue rejection. The source could be existing cartilage or stem cells differentiated into cartilage cells.

Researchers from Harvard University and the University of Iowa worked on the project, which was funded by the National Science Foundation, Grow Iowa Value Funds, and the China Scholarship Fund.

Source: Penn State

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Source: Futurity