Abstract
Nanostructured scaffolds based on cellulose with advanced performances and personalized morphologies for bone tissue engineering are under technological development. 3D-printing and supercritical carbon dioxide (scCO2) technologies are innovative processing strategies that, when combined, allow the precise fabrication of highly porous aerogel scaffolds. Novel sterile cellulose-in-cellulose aerogels decorated with superparamagnetic iron oxide nanoparticles (SPIONs) are synthesized in this work by an integrated technological platform based on 3D-printing and scCO2. Methylcellulose (MC) and bacterial nanocellulose (BC) are two versatile cellulosic polysaccharides with remarkable physicochemical and biological performances, whereas SPIONs are commonly used to functionalize biomaterials aimed at tissue engineering. Aerogels with hierarchical porosity and high structural resolution were obtained according to nitrogen adsorption–desorption analysis, confocal, scanning and transmission microscopies (SEM and TEM). The magnetic properties of SPIONs-doped aerogels confirmed the correct functionalization of the nanostructures. Finally, NIH/3T3 fibroblast cell viability, hemocompatibility with human blood and safety tests (in ovo with HET-CAM and in vivo with Artemia salina) indicate the biocompatibility of the cellulose-in-cellulose aerogels.
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Introduction
Clinically treating large bone lesions resulting from tumor ablation, trauma, or bone fractures require autologous tissues, allografts, or bone graft substitutes for long-term regeneration (Feng et al. 2021). Due to the limited availability of biological grafts and the increment in the morbidity associated with tissue transplants, emerging technologies are proliferating to fabricate bone tissue substitutes (Qu et al. 2021). Biocompatible, highly porous, and hierarchical architectures capable of host blood-biomaterial interaction and harboring neo-tissue regeneration are critical factors when designing bone tissue substitutes (Zhao et al. 2016; Qu et al. 2021).
Natural biopolymers and their derivatives (e.g., methylcellulose (MC), hydroxypropyl cellulose, or hyaluronic acid) have often been used in bone tissue engineering because of their hydrophilicity, biocompatibility, and bioadhesiveness (Li and Chen 2015; Gerasimenko et al. 2020). The incorporation of these biopolymers into scaffolds can improve the osseointegration, inflammation, and bone healing if adequately designed from the composition and morphological points of view (Zhao et al. 2016; Gerasimenko et al. 2020). Bioaerogels, i.e., aerogels obtained from natural polymers, are mesoporous and nanostructured materials with outstanding physicochemical performances and relevant properties for biomedical applications like biocompatibility or biodegradability (Maleki et al. 2016; Budtova 2019; Budtova et al. 2020; Bernardes et al. 2021). The medical field quests to translate those requirements to 3D scaffolds with precise features and replication of functional human native systems (Wang et al. 2022). Specifically, 3D printing technologies are being explored for bone lesion management to manufacture reproducible and scalable scaffolds with tunable physicochemical properties and patient-specific performances (Shokouhimehr et al. 2021). Macroporosity was thus conferred to bioaerogels in 3D-printed alginate-hydroxyapatite aerogel scaffolds resulting in excellent cyto- and hemocompatibility, bioactivity, and stable integrity (Iglesias-Mejuto and García-González 2022). The dual processing strategy used in that case combined the advantages of supercritical fluid technology, such as the nanostructuration of aerogels, with the customization related to the 3D-printed constructs (Iglesias-Mejuto and García-González 2021). The technological combination provides a materials processing solution aligned with circular economy principles since it minimizes waste production and valorizes a residue (scCO2). This environmentally friendly approach can be further endorsed if raw materials from sustainable sources are used (Tang et al. 2019). Different bioaerogel composites such as silk fibroin/cellulose or gelatin/collagen have been studied for bone tissue engineering but so far, only silk fibroin and alginate-based aerogels have been successfully manufactured by 3D-printing for bone regeneration purposes (Karamat-Ullah et al. 2021; Iglesias-Mejuto and García-González 2021, 2022; Ng et al. 2022; Al-Jawuschi et al. 2023).
Cellulose aerogels, also known as the third generation of aerogels, have demonstrated outstanding potential for bone tissue regeneration (Chen et al. 2021; Zhang et al. 2023). Namely, MC is a biocompatible polymer with high affinity to water, resulting in highly viscous solutions with shear-thinning behavior, a key factor for 3D-printing (Ahlfeld et al. 2020; Iglesias-Mejuto et al. 2024). The outstanding printability of MC-based inks results in end structures with a well-defined shape, following the initial CAD design and suitable for personalized medicine. Bacterial cellulose (BC) is another important cellulosic material with attractive properties for biomedical applications (Mbituyimana et al. 2021; Manan et al. 2022). Among those, BC has high crystallinity, high purity, excellent ability to retain water, and favorable mechanical performance. BC constitutes low-density hydrogels composed of nanocellulose fibrils (NF) secreted by bacteria like Komagataeibacter xylinus (Roig-Sanchez et al. 2021) from low molecular weight carbon sources, free of lignin and hemicellulose (Zhang et al. 2023). Nevertheless, the tight arrangement of BC nanofibers (NF) results in low printability when employed as the main component of 3D-printing inks (Wang et al. 2021). Consequently, BC-NF have been successfully used with other polymers and nanomaterials as artificial scaffolds with enhanced mechanical performance (Mbituyimana et al. 2021; Roig-Sanchez et al. 2022). MC polymer was also successfully employed to prevent the delamination and aggregation of nanocellulose (Zhang et al. 2023). Furthermore, BC-metal oxide hybrid nanomaterials have been synthesized to improve the physicochemical characteristics of BC (Oun et al. 2020; Roig-Sanchez et al. 2021). Specifically, biocompatible superparamagnetic iron oxide nanoparticles (SPIONs) are one of the most prominent nanostructures, often incorporated into biomaterials to endow them with magnetic capability while enhancing their stability in physiological fluids for different tissue engineering applications (Pankhurst et al. 2003; Chiang et al. 2013; Charoensuk et al. 2016; Mortimer and Wright 2017; Singh et al. 2020; Luque-Michel et al. 2021). SPIONs have also demonstrated to improve scaffold functionality and mechanical performance (Charoensuk et al. 2016), to confer anti-biofilm (Gholami et al. 2019) and bacteriostatic properties (Shokouhimehr et al. 2021), to improve in vivo imaging (Hu et al. 2018) and to elicit bone repair in tissue engineering (Mortimer and Wright 2017).
The hypothesis of our work is that a new combination of MC and BC-NF in one single structure is feasible via a dual processing strategy comprising 3D-printing and supercritical fluid technologies and that the resulting cellulose-in-cellulose aerogels would have an enhanced structural resolution with high printing fidelities. Moreover, the use of BC-NF doped with SPIONs and blended with MC as aqueous inks to 3D-print gels should not modify the safety of the structures in terms of cell toxicity and hemolytic activity. After the 3D-printing of the wet gels, scCO2 drying was then employed to obtain the aerogels. The printability by rheological assays and the morphological properties by nitrogen adsorption–desorption tests, confocal, SEM and TEM microscopies were used to assess the morphological and textural characteristics of the cellulose-in-cellulose 3D-printed aerogels. The magnetic performance of SPIONs-doped cellulose-in-cellulose aerogels was explored in view of potential tissue engineering applications. Bio- and hemocompatibility by in vitro and in ovo Hen’s egg tests on the chorioallantoic membrane (HET-CAM) and a preliminary in vivo safety assessment based on Artemia salina were also carried out to unveil the biological performance of the scaffolds.
Materials and methods
Materials
Methylcellulose (MC, viscosity 15 cps, Mw 14 kDa, DS 1.5–1.9), citric acid monohydrate (C6H8O7·H2O), NaOH, iron (III) acetylacetonate (Fe(acac)3, 97%), titanium (IV) butoxide (TBOT, 97%), oleyamine (OA, 70%), polyvinylpyrrolidone (PVP, Mw 10 kDa) were supplied by Sigma-Aldrich (Steinheim, Germany). CO2 (purity > 99.9%) was provided by Nippon Gases (Madrid, Spain) and absolute ethanol (EtOH) by VWR (Radnor, PA, USA). Water was purified by reverse osmosis (resistivity > 18 MΩ·cm; Milli-Q, Millipore®, Madrid, Spain).
K. xylinus bacterial strain (NCIMB 5346) was supplied by the Spanish Type Culture Collection (CECT, Spain) and Hestrin-Schramm (HS) culture medium was prepared with dextrose, peptone, yeast extract by Condalab (Madrid, Spain), and sodium phosphate dodecahydrate, and citric acid monohydrate. Sodium hydroxide (NaOH) at 0.1 M was used for cleaning BC pellicles. A. salina eggs and artificial sea water salt for artemia growth were purchased from JBL GmbH and Co., KG (Neuhofen, Germany).
Preparation of BC-NF and SPIONs doped BC-NF
Komagataeibacter xylinus was grown in 5 mL of HS culture medium and incubated statically for 7 days at 30 °C (Mira-Cuenca et al. 2021). 4 mL of bacterial broth was mixed with 56 mL of fresh HS medium and incubated at 30 °C for 5 days. BC pellicles were obtained, and posteriorly cleaned by immersion in 50% EtOH for 10 min, followed by two boiling steps in Milli-Q water for 20 min and twice in 0.1 M NaOH at 90 °C for 20 min. BC films were washed until pH was neutralized, and autoclaved in Milli-Q water at 121 °C for 30 min. Finally, BC pellicles were blended in 1 L of Milli-Q water for 10 min at the maximum speed of a commercial household blender (Jata electro Mod. BT1200, Tudela, Spain), obtaining BC-NF, which were then filtered with a Stericup Quick Release Filter Millipore with a PES membrane of 0.22 µm, autoclaved (121 °C, 30 min) and dispersed at 12 mg/mL in Milli-Q water.
BC-NF doped with SPIONs were synthesized by mixing 15 g of never-dried BC-NF with 40 mL of benzyl alcohol and 1100 mg of Fe(acac)3 in a microwave vessel. After overnight incubation to allow the homogenization of reagents, the mixture was heated for 5 min at 60 °C (300 W) and 10 min at 210 °C (750 W) in a microwave oven (advanced flexible microwave synthesis platform from Milestone, Sorisole, Italy) operating at a frequency of 2.45 GHz and a maximum power of 750 W and 5% agitation. Finally, BC-NF decorated with SPIONs were cooled down, filtered, cleaned twice with acetone and once with Milli-Q water, and autoclaved (121 °C for 20 min). The obtained solution was composed of BC-NF decorated with SPIONs and some unbonded SPIONs.
3D-printing of cellulose-in-cellulose hydrogels
Aqueous 12 wt.% MC inks were firstly prepared, and then BC-NF suspensions (0.5, 1, 10, and 20 vol.%) doped or not with SPIONs were added to the MC inks under vigorous agitation (600 rpm) with a homogenizer (VWR vos 60, Radnor, PA, USA) for 1 h at room temperature (RT). Inks were degassed for 10 min in a sonication bath (Branson 3510 Emerson, Ferguson, MO, USA) to eliminate air bubbles. 3D-printed hydrogels were obtained with a Cellink BIOX Bioprinter (Boston, MA, USA) employing an extrusion printhead at 40 °C, 40 kPa and 3 mm/s, a 3-mL syringe, and a 410-μm nozzle. The resulting hydrogels had dimensions of 20 × 20 × 3 mm, a grid pattern, and 8 layers. Scaffolds were immersed in ethanol after the printing process to obtain alcogels.
Rheological evaluation of aqueous cellulose-in-cellulose inks
Flow behavior of the inks was recorded between 0.05 and 200 rad/s, at 20 °C and at 40 °C. Rheolyst AR-1000N rheometer (TA Instruments, Newcastle, UK) equipped with a Peltier plate and a cone geometry (40 mm diameter, 2°) with a solvent trap was employed. At least four replicates were evaluated for each ink formulation. The Eq. (1) (power law mathematical regression model) was fitted to the linear region of the viscosity vs shear rate-curves.
where η is the viscosity, b and c are the shear-thinning coefficients (consistency and flow indices, respectively) and γ is the shear rate.
scCO2 drying of cellulose-in-cellulose alcogels
Alcogels were immersed in EtOH and placed into a 100-mL stainless steel autoclave (Thar Process, Pittsburg, PA, USA). A CO2 flow (6 g/min) was supplied to the autoclave at 120 bar and 40 °C for 4 h. After CO2 depressurization at a constant rate of 2 bar/min, aerogels were collected and stored at RT for further analysis. Aerogels were denoted as MC NFx-y; being x the content of BC-NF in the ink (0.5, 1, 10 or 20 vol.%), and y the concentration of the BC-NF suspension added (6 or 12 mg/mL) (Table 1). Aerogel formulations manufactured with BC-NF doped with SPIONs were indicated by the suffix S. Aerogels prepared only with MC (i.e. without BC-NF) were obtained as controls and simply denoted as MC. Alternatively, hydrogel precursors were submitted to freeze drying (−80 °C, vacuum) to obtain cryogels or to traditional evaporative drying methods (ambient drying at RT or oven drying at 37 °C) to obtain xerogels to compare the different gel drying methods. Finally, a thaw test was performed as reported elsewhere (Roig-Sanchez et al. 2022). Consistently, hydrogels were frozen in liquid nitrogen and thawed at RT to study the preservation of the macroscopical robustness.
Physicochemical characterization of MC aerogels
The skeletal density of aerogels (ρskel) was obtained at RT and 1.01 bar using a helium pycnometer (Quantachrome, Boynton Beach, FL, USA) and measuring five replicates. Apparent density (ρapp) was calculated from Eq. (2), while scaffold porosity (ε) was determined employing Eq. (3). Volume shrinkage was also determined from the external dimensions of the structures before and after scCO2 drying following Eq. (4):
Low-temperature N2 adsorption–desorption analysis (ASAP 2000 Micromeritics Inc.; Norcross, GA, USA) was used to determine the textural parameters of the scaffolds. Aerogel samples were degassed under vacuum at RT for 24 h. Specific surface area (ABET) of samples was obtained by the BET (Brunauer–Emmett–Teller) method. Specific pore volume (Vp), pore size distribution and mean pore diameter (dp) were calculated by BJH (Barrett–Joyner–Halenda) method from the desorption branch of the isotherm. Morphology of aerogels was analyzed by scanning and transmission electron microscopy (SEM, EVO LS15, Zeiss, Oberkochen, Germany; TEM, JEOL JEM-2010, JEOL, Tokyo, Japan -operating at 200 kV-). Aerogels were iridium-sputtered before being imaged by SEM, whereas phosphotungstic acid (aqueous 1%) was used as the staining solution of aerogels before TEM analysis. SEM–EDX and mapping of the chemical elements present in the aerogel scaffolds were also performed. Confocal microscopy was used to evaluate the distribution of BC-NF decorated with SPIONs in the aerogel matrix with a Leica TCS-SP2 spectral confocal microscope (Leica TCS-SP2, Leica Microsystems Heidelberg GmbH, Manheim, Germany) in the 405-561 nm range. Magnetic response of SPIONs trapped in aerogels was studied by Superconducting Quantum Interface Device analysis (SQUID). Aerogels (0.5 × 0.5 × 0.3 cm) were placed in a plastic tube. Magnetization vs applied magnetic field was obtained in the -6/6 T range at 5 K (Quantum Design MPMS-3, VSM mode). Water contact angle was determined to evaluate the effect of SPIONs incorporation on the surface hydrophilicity. 9 μL of Milli-Q water were deposited on the surface of the aerogel scaffolds and the drop shape was recorded. The water contact angle was obtained using ImageJ software (2 measurements per replicate, 4 replicates per formulation). 4-month stability analysis of aerogels was performed by N2 adsorption–desorption and SEM analysis after conservation of the structures at RT, protected from light and stored in closed plastic jars.
Printing fidelity tests
Shape fidelity factor (SFF) for alcogels and aerogels was calculated from Eq. (5). For SPIONs doped samples, further fidelity indexes (α, L, D, A) were calculated from Eqs. (6) to (9) (Theus et al. 2022).
Cytocompatibility tests
The resazurin (Sigma-Aldrich) conversion into resorufin by metabolically active cells was used to assess the cytocompatibility of aerogels. Viability after 24 and 72 h of mouse embryo fibroblasts (NIH/3T3) in contact with aerogels was evaluated. Cells at concentration of 12,000 cells/cm2 were seeded in 24-well plates with 600 µL of Dulbecco's Modified Eagle's Medium growth media supplemented with 10% bovine calf serum, penicillin 100 U/mL and streptomycin 100 g/mL and were incubated at 37 °C in a humidified atmosphere enriched with 5% CO2. Aerogels (0.5 × 0.5 × 0.3 cm) were UV-sterilized for 30 min and placed in culture inserts. After 24 and 72 h of culture, scaffolds were removed, the growth medium was aspirated and 100 µL of 44 µM resazurin in fresh growth medium was added into each well. Resazurin solution alone was used as a blank. After 3 h of incubation under the same conditions, fluorescence was measured at an excitation wavelength of 544 nm and emission wavelength of 590 nm in a microplate reader (Infinite® M200, Tecan Group Ltd., Männedorf, Switzerland). Cells in the absence of aerogels were maintained at the same conditions to be used as positive controls and cells in contact with cisplatin 10 μM were used as negative controls. All tests were run in triplicate.
Hemolytic activity test
The hemolytic activity of aerogels was assessed using human blood (Galician Transfusion Center, Spain) obtained in accordance with the Declaration of Helsinki. Fresh human blood was diluted to 3% (v/v) in 0.9% (w/v) NaCl. 1 mL of diluted blood was transferred to Eppendorf tubes containing the aerogels (0.5 × 0.5 × 0.3 cm), 100 μL of 4% (v/v) Triton X-100 (positive control) or 100 μL of phosphate buffer saline (PBS, pH 7.4; negative control). Tests were carried out in triplicate. Samples were incubated for 60 min at 37 °C and 100 rpm and centrifuged at 10,000g for 10 min (Sigma 2-16P, Sigma Laboratory Centrifuges, Osterode am Harz, Germany). 150 μL of supernatant were transferred to a 96-well plate, and the absorbance of the haemoglobin was measured at λ = 540 nm (FLUOStar Optima, BMG Labtech, Ortenberg, Germany). Hemolysis was determined by Eq. (10):
Abss is the absorbance of samples with aerogels, Absn is the negative control absorbance (0% of hemolysis), and Absp is the positive control absorbance (100% of hemolysis).
HET-CAM test
Aerogels were evaluated by a HET-CAM (hen's egg-chorioallantoic membrane) test according to Interagency Coordinating Committee on the Validation of Alternative Methods (ICCVAM) guidelines (2010; Salerno et al. 2017). Fertilized hens’ eggs (50–60 g, Coren, Ourense, Spain) were used after incubation at 37 °C in a 60% humidified atmosphere with an 8 h scheduled rotation (incubator Ineltec CC SR 0150, Barcelona, Spain). On day 9, a small window was opened to access the CAM and aerogels (0.5 × 0.5 × 0.3 cm) were placed there. 300 µL of 0.1 N NaOH or PBS pH 7.4 were put in contact with CAM as positive and negative controls, respectively. Each test was carried out in duplicate, and vessels of CAM were observed for 5 min after aerogels contact to evaluate the appearance of haemorrhage, vascular lysis, clotting, hyperemia, or changes in small vessel diameter of CAM by visual inspection.
Preliminary safety tests
The safety of aerogels was evaluated by measuring the mortality of A. salina as a preliminary in vivo model (Hamidi et al. 2014; Ferreira-Gonçalves et al. 2022). Commercial seawater salt was dissolved in tap water according to supplier instructions, and A. salina eggs were left to hatch at 25–30 °C for 48 h, under aeration and illumination. 1 mL of seawater with 10–15 nauplii was transferred to a 24-well plate using six replicates per formulation. 100 µL of seawater salt was used as negative control and 100 µL of DMSO 100% was used as positive control. Nauplii in contact with aerogels (0.5 × 0.5 × 0.3 cm) were incubated for 24 h under the same conditions. Mortality was then calculated according to Eq. (11). 100 µL of DMSO 100% was added to kill the remaining alive nauplii.
Dead 24 h is the number of dead nauplii after 24 h of contact with aerogels and Dead Total is the total number of nauplii per well, as counted in a magnifying glass.
scCO2 sterilization of aerogels
Aerogels were placed into thermally sealed sterilization pouches in a high-pressure 600-mL autoclave (NovaGenesis, NovaSterilis Inc., Ithaca, NY, USA). 1200 ppm of H2O2 were introduced into the autoclave before pressurization with CO2 until 100 bar at 40 °C. After 30 min contact time, the autoclave was depressurized at 5 bar/min. The texture and morphology of the sterilized aerogels were compared with the unsterilized formulations. Sterilized aerogel formulations were denoted with the -st suffix.
Statistical analysis
Results were reported as mean value ± standard deviation and post hoc Tukey HSD multiple comparison tests were performed to determine the statistical significance of differences between formulations concerning controls. Values of p < 0.05 were considered statistically significant.
Results and discussion
Aerogel processing and printing fidelity assessment
Different nanocellulose-based biomaterials have previously displayed good printability and shear-thinning behavior under the applied pressures required for 3D-printing (Athukoralalage et al. 2019). Cellulose-in-cellulose inks were homogeneously obtained with different proportions of BC-NF (Table 1). 3D-printing was performed without relevant clogging of the nozzle for the different formulations studied, thus allowing the incorporation of BC-NF concentrations as high as 20 vol.%. The rheological properties of the inks were analyzed by studying their viscosity versus shear rate sweep, simulating the extrusion-based 3D-printing process by rotational rheology (Corker et al. 2019). Shear-thinning behavior was observed for all the formulations regardless the presence of SPIONs or the experimental temperature (Fig. 1a). Higher viscosities were reached at higher printing temperatures (40 °C) for all the formulations studied. This observation is coherent with the MC gelation at temperatures above RT, due to the MC thermal-responsiveness behavior (Cochis et al. 2018; Shin et al. 2020). The herein obtained shear-thinning effect was less accused in the case of pure MC inks and reached the highest viscosities for those inks containing the highest BC-NF concentration (MC NF10-12 S). A tighter arrangement of the BC-NF could explain this observation, which could increase the ink's viscosity when the BC-NF concentration rises. Furthermore, pseudoplastic behavior was displayed for all formulations tested (Fig. 1b), as non-linear behavior was observed between shear stress and shear rate especially at 40 °C.
Rheological measurements were fitted to the power law equation (Eq. 1). c values closer to zero (Table 2) were obtained when rheology experiments were performed at 40 °C than at 20 °C, thus suggesting a more pronounced shear-thinning behavior and consequently, a better performance for extrusion-based 3D-printing. Regarding b values, results show higher extrudability at lower temperature for both formulations, maybe due to the lower viscosities achieved by MC at lower temperatures (Fig. 1a).
The 3D-printed gel scaffolds were firstly immersed in ethanol to obtain an alcogel, aerogel scaffolds were then produced after the supercritical drying of the alcogels. The overall process was evaluated regarding its reproducibility (Fig. 2a–d). Aerogels showed typical volume shrinkage values (50–60%) for bioaerogels with no relevant differences between the aerogel formulations loaded and unloaded with BC-NF (Fig. 2a). SFF values of alcogels and aerogels were determined to study the printing fidelity. Alcogels loaded with different concentrations of BC-NF displayed similar SFF values while aerogels displayed higher SFF values at the highest BC-NF concentrations (Fig. 2b). Volume shrinkage of gels loaded with BC-NF and SPIONs was lower at the highest concentration of BC-NF, showing a significant decreasing tendency with increasing concentration of BC-NF doped with SPIONs (Fig. 2c). The presence of the nanofibers may split the total volume of the gel into interfibrillar subregions limiting the processing stresses and thus hindering the shrinkage of the gel (Linhares et al. 2019). In general, the presence of BC-NF in the aerogel scaffolds resulted in a better-defined 3D-printed pattern with respect to their non-BC-NF loaded counterparts. An enhancement in the printing fidelity was also observed due to the incorporation of increasing concentration of BC-NF doped with SPIONs into the aerogel structure (Fig. 2d). BC-NF also promoted shape fidelity and enhanced the reinforcement and 3D-printing resolution in silk fibroin scaffolds (Huang et al. 2019). Similar SFF values were herein obtained with and without SPIONs, thus suggesting that the incorporation of SPIONs is not causing any negative impact on the printing fidelity of aerogels (Fig. 2b vs. d).
The scaffolds containing BC-NF doped with SPIONs were selected for a complete printability study and further fidelity indexes were calculated (Fig. 2e). Angles and diameter of strands of scaffolds were printed with a high fidelity as compared to their computer-designed counterparts for all formulations with values close to one for α and D indexes. Area (A) and length (L) indexes of the aerogels were lower than 0.4 and 0.7 respectively, due to the volume shrinkage of the 3D-printed gel after supercritical drying, showing the best values at intermediate concentrations of BC-NF doped with SPIONs.
Contact angle measurements have a strong correlation with the wettability of the surfaces (García-González et al. 2009). Higher contact angles were obtained in aerogel surfaces when SPIONs were incorporated (Fig. 2f), possibly due to an increment in the surface roughness and in the hydrophobic behavior. Similar behavior were described for gelatin-based materials when iron oxide nanoparticles were incorporated (Drobota et al. 2022) and silk-fibroin NF doped with SPIONs incorporated into scaffolds (Nazari et al. 2020).
Physicochemical characterization of cellulose-in-cellulose aerogels
Hierarchical porous MC aerogels with an open and interconnected porosity of different scale sizes were fabricated with and without BC-NF (Fig. 3). Visual observation of the aerogel formulations unveiled 3D-grid patterns with open macroporosities (Fig. 3, inserts). The highest structural resolution in visual appearance was observed for aerogels containing the highest amount of BC-NF (Fig. 3e vs a, c). The porosity of MC aerogels (ɛ in Table 3) was close to the previously reported nanocellulose synthesized by a similar procedure (Zeng et al. 2014). All aerogel formulations presented meso- and macropores within the filaments, but larger macropores were observed when BC-NF were incorporated (Fig. 3d, f vs. b). Macropores are essential for tissue engineering applications, specifically, the presence of pores between 10 and 20 μm were related to cell infiltration (Huang et al. 2019), as the herein observed inside the printed filaments when BC-NF were incorporated into aerogels. Macropores between 100 and 600 μm found between printed strands are linked to good nutrient supply. The open porous and hierarchical structure with meso- and macropores of aerogels with BC-NF (Fig. 3d, f), was previously associated with BC-NF based biomaterials (Zeng et al. 2014).
Similar porosity (80–85%) was obtained for the different aerogel formulations studied (Table 3). Similar values (80%) were also reported for BC-NF scaffolds (Panaitescu et al. 2022). The tight arrangement described for BC-NF may help maintain the aerogel structure without modifying their porosity. The apparent density of the aerogels significantly changed when BC-NF were incorporated into the scaffolds once a threshold BC-NF concentration value (above 0.5 vol.%) was used. These results are coherent with the observed decreasing tendency in volume shrinkage of gels when BC-NF were incorporated at higher concentration (12 mg/mL) and in higher volumes (0.5 vs 1–10 vol. %) (Fig. 2c). The increase in mass with the addition of the nanofibers was compensated by the lower shrinkage in volume of the gels resulting in lower apparent densities of aerogels, as similarly reported for certain fiber-reinforced aerogels in the literature (Linhares et al. 2019).
The specific surface area and pore volume were similar for all the formulations studied, suggesting that incorporating BC-NF into the structures did not have any detrimental effect on the textural properties of the aerogels. Indeed, an important increase in the specific pore volume of ca. 35% was observed for the scaffolds with the highest concentration of BC-NF. Similar BET surface area (241 m2/g) and interconnected nanostructure were described for BC-NF loaded glass scaffolds, but with lower pore volumes (0.33 cm3/g) (Luo et al. 2017).
BC-NF decorated with SPIONs were homogeneously incorporated in the aerogel structures resulting in a change of color of the printed aerogels from white to orange when SPIONs were present. BC-NF doped with SPIONs were randomly distributed throughout the porous structure of the matrix (Fig. 4b, c) with similar nanofibrillar organization in the material to aerogels containing BC-NF without SPIONs (Fig. 4a) and to other scaffolds with BC-NF (Li et al. 2022). EDX spectra of the aerogels confirmed the presence of SPIONs in the scaffolds (Fig. 4). Accordingly, no Fe peaks were observed when SPIONs were not added (Fig. 4a), while these peaks appeared when SPIONs were incorporated at a low (Fig. 4b) or a high (Fig. 4c) concentration. Furthermore, the mapping of the chemical elements in the aerogels confirmed the presence of Fe homogeneously distributed throughout the aerogel structure due to SPIONs doping (Fig. 4d). SEM image of the zone where the mapping was performed shows also white granules that could be due to SPIONs aggregates in the scaffold, similarly to those previously described for pectin aerogels monoliths also loaded with iron oxide magnetic nanoparticles (García-González et al. 2012).
The presence of BC-NF in the aerogels and the preservation of their integrity after all the processing steps were also confirmed by TEM imaging (Fig. 4e, f), where the BC-NF had diameters very close to those measured by SEM imaging (42 ± 7 nm vs 46 ± 8 nm). SPIONs in aerogels (Fig. 4e, f) have a size and morphology coherent with previous measurements of SPIONs not incorporated into aerogels (12 ± 2 nm) thus indicating the stability of the nanoparticles after the dual processing strategy. Moreover, the stability of the SPIONs incorporated into the aerogels and their homogeneous distribution in the material were endorsed by confocal microscopy, where higher intensities were observed for the aerogel formulations with the highest amount of SPIONs (Fig. 4h) with respect to the ones with lower amount (Fig. 4i, j) or without SPIONs (Fig. 4g).
The dual porous structure of the 3D-printed structures was preserved for BC-NF doped SPIONs aerogels (Fig. 4b, c). No relevant differences were observed regarding the textural properties of different SPIONs-decorated aerogels (Table 4), thus suggesting the lack of effect of incorporating SPIONs in the aerogel structure. An important improvement in the BET surface area was herein reported with respect to previous magnetite aerogels obtained by supercritical drying (120 m2/g) (Anastasova et al. 2022). The morphology of these aerogels can only be obtained when the supercritical drying method was used, regardless the selected printed pattern or external shape (Fig. 5a, b, c). Using other drying methods, the shape was not maintained (Fig. 5 d, e, f), and the textural parameters dramatically decreased after ambient, oven or freeze drying of hydrogel scaffolds (ABET for cryogels and xerogels were below de detection limit, i.e. < 5 m2/g). In the case of freeze-dried gels (i.e. cryogels), the interfibrillar macroporosity was lost and several cracks appeared along the structure (Fig. 5d). After ambient and oven dried gels, a dramatic volume shrinkage (ca. 90%) and, in the case of presence of SPIONs, a darker color were obtained (Fig. 5e, f). These results are coherent with those obtained for other polysaccharide cryogels and xerogels (López-Iglesias et al. 2019; Groult et al. 2021) and confirm that ambient, oven or freeze drying are inadequate methods to obtain the advanced textural performance essential for bone tissue engineering. Also, hydrogels were frozen in liquid nitrogen and thawed at RT. After freezing, only the external shape was preserved but not the 3D-printed pattern (Fig. 5g). Consequently, after thawing at RT the 3D-printed hydrogel did not return into their initial morphology (Fig. 5h), thus suggesting that this procedure was not adequate to preserve the robustness and the advanced 3D-printed structure. Hydrogels without an internal 3D-printed pattern have previously maintained their external shape after freezing in liquid nitrogen (Roig-Sanchez et al. 2022).
No relevant changes in terms of textural properties were observed after storage of different aerogel formulations in closed plastic jars for 4 months (Table 5). Moreover, the high structural resolution was preserved after this time period (Fig. 6a, c) as well as the dual porous structure with the BC-NF randomly distributed on it (Fig. 6b, d). All these results suggest the preliminary stability at RT of the 3D-printed cellulose-in-cellulose aerogels with and without SPIONs.
Magnetic properties of SPIONs decorated aerogels
SPIONs were not functionally affected by the 3D-printing or the scCO2 processing as the normalized magnetization vs temperature plot of aerogel composites and of BC-NF doped with SPIONs had similar magnetization behavior (Fig. 7a). Zero-field cooled (ZFC) magnetization increases with temperature until it reached the blocking temperature (TB = 140 K). Above this temperature, aerogels were superparamagnetic; below the blocking temperature, samples were ferrimagnetic (Fig. 7b). Remanent magnetization value (MR) at 5 K was used to know the content of BC-NF doped with SPIONs in the aerogels. MR of SPIONs was 30 emu/g at 5K (previous work). Accordingly, MC NF10-12 aerogels had 1.1 ± 0.1 wt.% of BC-NF labelled with SPIONs and 0.15 ± 0.02 wt.% of SPIONs. MC NF10-6 formulations had 0.42 ± 0.06 wt.% of BC-NF doped with SPIONs and 0.06 ± 0.01 wt.% of SPIONs. Similar results in terms of magnetic behavior were reported for pectin aerogels loaded with iron oxide magnetic nanoparticles (García-González et al. 2012). Further SPIONs contents should be incorporated into aerogel structure to confer magnetic properties at levels of relevance for biomedical applications.
Biocompatibility and preliminary safety tests
High viability of fibroblast cells assessed by resazurin test was obtained after 24 and 72 h in contact with cellulose-in-cellulose aerogels (Fig. 8a). However, no significant differences were observed in cell viabilities for the aerogels loaded with different BC-NF contents, thus indicating no negative impact of the BC-NF on cell survival. Nanocellulose has previously shown excellent biocompatibility and the ability to support cell growth in 3D-printed biomaterials (Athukoralalage et al. 2019). BC-NF composites have also been demonstrated to be biocompatible and able to promote cellular adhesion and proliferation of human mesenchymal stem cells (Jin et al. 2016).
Preliminary safety assays showed high viability of A. salina after 24 h of contact with aerogels loaded with different BC-NF concentrations (Fig. 8b) and these results endorse the previous ones. Aerogels doped with SPIONs also induced a neglectable mortality of A. salina, suggesting the preliminary safety of the BC-NF aerogels decorated with SPIONs. Similar results were reported for pectin aerogels (Ferreira-Gonçalves et al. 2022).
Biomaterials contact with blood is the first event in a bone wound after implantation, broadly affecting the subsequent bone healing (Lagadec et al. 2017). Moreover, bone defects are commonly associated with a damage to blood vessels in the surrounding tissue. The contact of implants with blood induces the formation of a blood clot and the recruitment of inflammatory cells, the first steps in bone regeneration (Yang et al. 2016). Consequently, studying interactions between host blood and biomaterials is crucial to ensure the hemostasis process (Shiu et al. 2014). No hemolytic activity was detected for the aerogels containing the highest concentration of NF doped with SPIONs, with significant differences to the positive control (Fig. 8c) and with similar results to magnetite-loaded aerogels (Anastasova et al. 2022). These results suggest the absence of hemolysis due to BC-NF-loaded aerogels, either with or without SPIONs. HET-CAM images obtained after the contact of SPIONs doped samples were in accordance with these results, with no hemorrhage detected by visual inspection (Fig. 8d). All these data indicate that the studied aerogel scaffolds triggered no lysis or coagulation phenomena of blood cells. These are good results since coatings like polyethylene glycol were needed to coat iron oxide nanoparticles before obtaining functionalized and biocompatible BC-NF (Arias et al. 2016). At the SPIONs concentrations herein employed, no coating of SPIONs was required to enhance their biocompatibility, maybe due to their inclusion inside the aerogel structure.
Sterility procedure evaluation
Different methods like gamma radiation or ethylene oxide are being used to sterilize biomaterials; most of these options were unsuitable for polymeric structures due to their negative impact on their physicochemical characteristics (Ahlfeld et al. 2020; Ribeiro et al. 2020). For this reason, scCO2 is increasingly studied as a sterilizing agent able to preserve the physicochemical features of implants and achieve the sterility levels required for implantable medical devices (Santos-Rosales et al. 2019, 2021). After the sterilization procedure, no relevant morphological and textural changes on aerogels due to scCO2 postprocessing were observed (Table 3). A similar porous structure (pore size distribution and morphology) was also observed for all the formulations studied, including the ones without BC-NF, by comparison of the SEM images obtained before (Fig. 1) and after the sterilization (Fig. 9). There was no statistical difference in the values of porosity of the aerogel scaffolds before and after the supercritical sterilization treatment (Table 3). The distribution and structure of BC-NF were preserved and intercalated in the porous aerogel structure after the scCO2-assisted sterilization (Fig. 9, red circles).
Conclusions
Dual porous cellulose-in-cellulose aerogels were obtained for the first time by combining 3D-printing and scCO2 drying technologies. An enhancement in the printing fidelity (higher SFF) and an improvement in the structural resolution (lower volume shrinkage) were observed due to incorporating BC-NF into the aerogel structure. No detrimental effect on the viability of murine fibroblasts, hemolytic activity of human blood cells nor mortality of A. salina occurred after contact with cellulose-in-cellulose aerogels. Magnetic performance of SPIONs decorated aerogels was demonstrated and can be enhanced by doping with higher contents of these nanoparticles. Finally, either the scCO2-based sterilization or storage for months of 3D-printed cellulose-in-cellulose aerogels did not have any detrimental effect on their physicochemical performance and validated this method for manufacturing sterilized cellulose-in-cellulose aerogel scaffolds. Magnetic properties achieved in this work opens up the avenue for unique structures, providing new understanding on the SPIONs' performance and its potential transitional application for bone tissue engineering. The reported results endorse the candidacy of these cellulose-based bioaerogels for bone tissue engineering applications.
Availability of data and materials
Data and materials are available upon request to the authors.
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Acknowledgments
The authors want to express their gratitude to Thomas Meslier for preparing the SPIONs-loaded BC-NF.
Funding
This work was supported by Xunta de Galicia [ED431C 2020/17], MICINN [PID2020-120010RB-I00; PDC2022-133526-I00; PID2021-122645OB-I00], Agencia Estatal de Investigación [AEI], FEDER funds, 'Severo Ochoa' Programme for Center of Excellence in R&D (CEX2019-000917), and Generalitat de Catalunya (2021SGR00446 Grant). Work carried out in the framework of the COST Action IG18125 “Technical, commercial and societal innovations on aerogels towards circular economy” (ECO-AERoGELS) and funded by the European Commission. This work was also supported by Fundação para a Ciência e Tecnologia (FCT), Portugal, under the project references UIDB/00645/2020, UIDB/04138/2020 and UIDP/04138/2020. A.I.-M. acknowledges to Xunta de Galicia [ED481A-2020/104], N.M. to MICINN (PRE2019-089754, enrolled at the Biotechnology PhD program of the UABand), and T.F.-G. to Fundação para a Ciência e a Tecnologia, I.P. (FCT) [SFRH/BD/147306/2019] for their predoctoral research fellowships. N.M., A.L., and A.R. participate in the Spanish National Research Council (CSIC) interdisciplinary platform for sustainable plastics towards a circular economy (SusPlast), Nanomed Hub, Conexion Nanomedicina, Red Nanocare 2.0, and EPNOE network.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Ana Iglesias-Mejuto, Nanthilde Malandain (BC-NF synthesis) and Tânia Ferreira-Gonçalves (preliminary safety tests). The first draft of the manuscript was written by Ana Iglesias-Mejuto and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Iglesias-Mejuto, A., Malandain, N., Ferreira-Gonçalves, T. et al. Cellulose-in-cellulose 3D-printed bioaerogels for bone tissue engineering. Cellulose 31, 515–534 (2024). https://doi.org/10.1007/s10570-023-05601-1
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DOI: https://doi.org/10.1007/s10570-023-05601-1