Abstract

Among 3D-printed composite scaffolds for bone tissue engineering, researchers have been attracted to the use of zinc ions to improve the scaffold’s anti-bacterial activity and prevent surgical site infection. In this study, we assumed that the concentration of zinc ions released from the scaffold will be correlated with the thickness of the zinc oxide coating on 3D-printed scaffolds. We investigated the adequate thickness of zinc oxide coating by comparing different scaffolds’ characteristics, antibacterial activity, and in vitro cell response. The scaffolds’ compressive modulus decreased as the zinc oxide coating thickness increased (10, 100 and 200 nm). However, the compressive modulus of scaffolds in this study were superior to those of other reported scaffolds because our scaffolds had a kagome structure and were made of composite material. In regard to the antibacterial activity and in vitro cell response, the in vitro cell proliferation on scaffolds with a zinc oxide coating was higher than that of the control scaffold. Moreover, the antibacterial activity of scaffolds with 100 or 200 nm-thick zinc oxide coating on Escherichia coli was superior to that of other scaffolds. Therefore, we concluded that the scaffold with a 100 nm-thick zinc oxide coating was the most appropriate scaffold to use as a bone-regenerating scaffold, given its mechanical property, its antibacterial activity, and its in vitro cell proliferation.

Highlights

  • The attachment of bacteria to various surfaces leads to the formation of biofilms, which are known to cause complications in humans [1,2]

  • We developed a 3D-printed kagome-composite (PCL/nanosize hydroxyapatite (nHA)) scaffold with an anti-bacterial zinc oxide coating with the use of a sputtering system to prevent surgical site infections

  • We investigated various thicknesses of zinc oxide coating on 3D-printed kagome-composite (PCL/nHA) scaffolds to find the adequate thickness of zinc oxide, since zinc oxide can enhance the antibacterial activity and cell response of the scaffold

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Summary

Introduction

The attachment of bacteria to various surfaces leads to the formation of biofilms, which are known to cause complications in humans [1,2]. Surgical site infections (SSIs) might arise as a result of the penetration of bacteria into the diseased area. SSIs following implant surgery are a major problem in the field of orthopedic surgery [3]. To preventing SSIs, studies have focused on implant devices with antibacterial functions using physical and chemical. For the physical antibacterial method, nanopillars damage the cell wall of the bacteria when they attach to the surface, effectively killing the bacteria [4,5,6]. Hydrothermal synthesis and electrophoretic deposition were used to synthesize nanopillars on the surface of the specimen

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