3D Printing for Cartilage Replacement: A Preliminary Study to Explore New Polymers.

The use of additive manufacturing technologies for biomedical applications must begin with the knowledge of the material to be used, by envisaging a very specific application rather than a more general aim. In this work, the preliminary study was focused on considering the cartilaginous tissue. This biological tissue exhibits different characteristics, such as thickness and mechanical properties, depending on its specific function in the body. Due to the lack of vascularization, cartilage is a supporting connective tissue with limited capacity for recovery and regeneration. For this reason, any approach, whether to repair/regenerate or as a total replacement, needs to fulfill the adequate mechanical and chemical properties of the surrounding native cartilage to be successful. This work aims to explore the possibility of using new polymers for cartilage total replacement approaches with polymeric materials processed with the specific 3D printing technique of fused filament fabrication (FFF). The materials studied were Nylon® 12 (PA12), already described for this purpose, and LAY-FOMM® 60 (FOMM). FOMM has not been described in the literature for biomedical purposes. Therefore, the chemical, thermal, swelling capacity, and mechanical properties of the filaments were thoroughly characterized to better understand the structure-properties-application relationships of this new polymer. In addition, as the FFF technology is temperature based, the properties were also evaluated in the printed specimens. Due to the envisaged application, the specimens were also characterized in the wet state. When comparing the obtained results with the properties of native cartilage, it was possible to conclude that: (i) PA12 exhibits low swelling capacity, while FOMM, in its dry and wet forms, has a higher swelling capacity, closer to that of native cartilage; (ii) the mechanical properties of the polymeric materials, especially PA12, are higher than those of native cartilage; and (iii) from the mechanical properties evaluated by ultra-micro hardness tests, the values for FOMM indicate that this material could be a good alternative for cartilage replacement in older patients. This preliminary study, essentially devoted to expanding the frontiers of the current state of the art of new polymeric materials, provides valuable indications for future work targeting the envisaged applications.

Sandwich Multi-Material 3D-Printed Polymers: Influence of Aging on the Impact and Flexure Resistances.

With the advances in new materials, equipment, and processes, additive manufacturing (AM) has gained increased importance for producing the final parts that are used in several industrial areas, such as automotive, aeronautics, and health. The constant development of 3D-printing equipment allows for printing multi-material systems as sandwich specimens using, for example, double-nozzle configurations. The present study aimed to compare the mechanical behavior of multi-material specimens that were produced using a double-nozzle 3D printer. The materials that were included in this study were the copolymer acrylonitrile-butadiene-styrene (ABS), high-impact polystyrene (HIPS), poly(methyl methacrylate) (PMMA), and thermoplastic polyurethane (TPU). The configuration of the sandwich structures consisted of a core of TPU and the outer skins made of one of the other three materials. The mechanical behavior was evaluated through three-point bending (3PB) and transverse impact tests and compared with mono-material printed specimens. The effect of aging in artificial saliva was evaluated for all the processed materials. The main conclusion of this study was that the aging process did not significantly alter the mechanical properties for mono-materials, except for PMMA, where the maximum flexural stress decreased. In the sandwich structures, the TPU core had a softening effect, inducing a significant increase in the resilience and resistance to transverse impact. The obtained results are quite promising for applications in biomedical devices, such as protective mouthguards or teeth aligners. In these specific applications, the changes in the mechanical properties with time and with the contact of saliva assume particular importance.

Electroactive Polymers Obtained by Conventional and Non-Conventional Technologies.

Electroactive polymers (EAPs), materials that present size/shape alteration in response to an electrical stimulus, are currently being explored regarding advanced smart devices, namely robotics, valves, soft actuators, artificial muscles, and electromechanical sensors. They are generally prepared through conventional techniques (e.g., solvent casting and free-radical polymerization). However, non-conventional processes such as those included in additive manufacturing (AM) are emerging as a novel approach to tune and enhance the electromechanical properties of EAPs to expand the scope of areas for this class of electro-responsive material. This review aims to summarize the published work (from the last five years) in developing EAPs either by conventional or non-conventional polymer processing approaches. The technology behind each processing technique is discussed as well as the main mechanism behind the electromechanical response. The most common polymer-based materials used in the design of current EAPs are reviewed. Therefore, the main conclusions and future trends regarding EAPs obtained by conventional and non-conventional technologies are also given.

Influence of Build Orientation, Geometry and Artificial Saliva Aging on the Mechanical Properties of 3D Printed Poly(ε-caprolactone).

Additive manufacturing of polymers has evolved from rapid prototyping to the production of functional components/parts with applications in distinct areas, ranging from health to aeronautics. The possibility of producing complex customized geometries with less environmental impact is one of the critical factors that leveraged the exponential growth of this processing technology. Among the several processing parameters that influence the properties of the parts, the geometry (shape factor) is amid less reported. Considering the geometric complexity of the mouth, including the uniqueness of each teething, this study can contribute to a better understanding of the performance of polymeric devices used in the oral environment for preventive, restorative, and regenerative therapies. Thus, this work aims to evaluate 3D printed poly(ε-caprolactone) mechanical properties with different build orientations and geometries. Longitudinal and transversal toolpaths produced specimens with parallelepiped and tubular geometry. Moreover, as it is intended to develop devices for dentistry, the influence of artificial saliva on mechanical properties was determined. The research concluded that the best mechanical properties are obtained for parallelepiped geometry with a longitudinal impression and that aging in artificial saliva negatively influences all the mechanical properties evaluated in this study.

Evaluation of hemorheological parameters as biomarkers of calcium metabolism and insulin resistance in postmenopausal women.

BACKGROUND: Calcium, vitamin D and insulin resistance are linked to osteoporosis and cardiovascular disease in menopause. OBJECTIVE: Determine if hemorheological parameters related to blood viscosity in microcirculation are linked to calcium metabolism and insulin resistance in menopause. METHODS: 25-Hydroxyvitamin D (25(OH)D)), 1, 25-dihydroxyvitamin D3 (1, 25(OH)2D), parathyroid hormone, ionized calcium, glucose, insulin and hemoglobin A1c were measured in blood from 43 volunteers. Red blood cells (RBC) aggregation, RBC deformability and whole blood viscosity were also performed. RESULTS: 25(OH)D showed a positive correlation with RBC deformability 0.60 Pa. Subjects with 25(OH)D≤29.00 ng/mL had lower RBC deformability 0.60 Pa, and higher RBC aggregation and higher HOMA-IR. Ionized calcium showed a negative correlation with RBC aggregation. Subjects with ionized calcium ≤1.24 mmol/L showed higher RBC aggregation. There was a positive correlation between HOMA-IR and RBC aggregation and HOMA-IR showed a negative correlation with RBC deformability 0.30 Pa. Subjects with HOMA-IR <1.80 showed lower RBC aggregation and higher RBC deformability at 0.30 Pa, 0.60 Pa, 1.20 Pa, 3.0 Pa and 6.0 Pa. CONCLUSION: Low 25(OH)D, low ionized calcium and high HOMA-IR are related to impaired hemorheology in menopause. RBC aggregation and deformability can be used as biomarkers of calcium metabolism and insulin resistance in menopause.

Polymeric Coatings with Antimicrobial Activity: A Short Review.

The actual situation of microorganisms resistant to antibiotics and pandemics caused by a virus makes research in the area of antimicrobial and antiviral materials and surfaces more urgent than ever. Several strategies can be pursued to attain such properties using different classes of materials. This review focuses on polymeric materials that are applied as coatings onto pre-existing components/parts mainly to inhibit microbial activity, but polymer surfaces with biocidal properties can be reported. Among the several approaches that can be done when addressing polymeric coatings, this review will be divided in two: antimicrobial activities due to the topographic cues, and one based on the chemistry of the surface. Some future perspectives on this topic will be given together with the conclusions of the literature survey.

3D printing goes greener: Study of the properties of post-consumer recycled polymers for the manufacturing of engineering components.

This study concerns the evaluation of several properties/characteristics of 3D printed poly(lactic acid) (PLA) polymer and acrylonitrile-butadienestyrene (ABS) copolymer, recycled from food packages and car dashboards, respectively. The aim is to evaluate the potential of recycled polymers that are recovered from solid polymer waste (SPW) to be reused for functional components/parts for add-value applications. The study compared the performance of the recycled material with the obtained from the 3D printing of virgin polymer. The characterization was made considering the chemical, thermal and mechanical properties as well as surface roughness and wettability. Although the thermal characterization did not indicate significant variations between recycled and virgin material, the mechanical recycling process induced some chain scission in PLA. Consequently, the semi-crystalline polymer revealed losses of 33% both in tensile stress and flexural strength. On the contrary, recycled ABS did not show changes in the mechanical properties of the printed specimens. Both recycled polymers produced smoother surfaces with a decrease of the mean surface roughness between 55% and 65%. Considering the properties required by manufacturers of food containers and car dashboards, this study indicates that recycled materials can be reused for the same applications.

Present Status in Polymeric Mouthguards. A Future Area for Additive Manufacturing?

Athletes from contact sports are more prone to orofacial injuries because of the exposure to possible shocks and collisions derived from physical proximity. The use of protector polymeric mouthguards proved to be useful in the prevention of the described injuries. There are different types of mouthguards with varying ranges of protection and prices, but they are all made from polymers and share the same propose: to absorb and dissipate the impact energy resulting from the shocks. As they are used inside the mouth, they should not impair breathing and speaking nor compromise the comfort of the athlete. However, the ideal mouthguard is yet to be created. The choice of the most appropriate polymeric material and the standard required properties have not yet been reported. Regardless of the numerous studies in this field, normalized control parameters for both material characterization and mouthguard fabrication are absent. This paper aims to present a review of the current types of available mouthguards and their properties/characteristics. Moreover, a detailed description of the most common polymers for the fabrication of mouthguards, together with the manufacturing techniques, are discussed.

Stem cells out of the bag: characterization of ex vivo expanded mesenchymal stromal cells for possible clinical use.

AIM: Mesenchymal stromal cells (MSC) are a promising tool for cellular therapy and regenerative medicine. One major difficulty in establishing a MSC expansion protocol is the large volume of bone marrow (BM) required. We studied whether cells trapped within a collection bag and filter system could be considered as a source of MSC. RESULTS: From the 20 BM collection bag and filter systems, we recovered an average of 1.68 × 108 mononuclear cells, which is the equivalent to 60 ml of filtered BM. Mononuclear cells were expanded ex vivo to 17 × 106 MSC, with purity shown by a CD44+, CD105+, CD90+ and CD73+ immunophenotype, a reduction of 20% proliferating cells in a mixed lymphocyte reaction and also the ability of adipocyte differentiation. CONCLUSION: Long-term MSC cultures were established from the usually discarded BM collection bag and filter, maintaining an appropriate phenotype and function, being suitable for both investigation and clinical settings.

Peripheral Nerve Regeneration: Current Status and New Strategies Using Polymeric Materials.

Experiments concerning peripheral nerve regeneration have been reported since the end of the 19th century. The need to implement an effective surgical procedure in terms of functional recovery has resulted in the appearance of several approaches to solve this problem. Nerve autograft was the first approach studied and is still considered the gold standard. Since autografts require donor harvesting, other strategies involving the use of natural materials have also been studied. Nevertheless, the results were not very encouraging and attention has moved towards the use of nerve conduits made from polymers, whose properties can be easily tailored and which allow the nerve conduit to be easily processed into a variety of shapes and forms. Some of these materials are already approved by the US Food and Drug Administration (FDA), as is presented here. Furthermore, polymers with conductive properties have very recently been subject to intensive study in this field, since it is believed that such properties have a positive influence in the regeneration of the new axons. This manuscript intends to give a global view of the mechanisms involved in peripheral nerve regeneration and the main strategies used to recover motor and sensorial function of injured nerves.

Zeta potential, contact angles, and AFM imaging of protein conformation adsorbed on hybrid nanocomposite surfaces.

The sputtering deposition of gold (Au) and poly(tetrafluoroethylene) (PTFE) was used to prepare a nanocomposite hybrid thin film suitable for protein adsorption while maintaining the native conformation of the biological material. The monolithic PTFE and the nanocomposite PTFE/Au thin films, with Au content up to 1 at %, were co-deposited by r.f. magnetron sputtering using argon as a discharge gas and deposited onto 316L stainless steel substrates, the most commonly used steel in biomaterials. The deposited thin films, before and after bovine serum albumin (BSA) adsorption, were thoroughly characterized with special emphasis on the surface properties/characteristics by atomic force microscopy (AFM), zeta potential, and static and dynamic contact angle measurements, in order to assess the relationship between structure and conformational changes. The influence of a pre-adsorbed peptide (RGD) was also evaluated. The nanotopographic and chemical changes induced by the presence of gold in the nanocomposite thin films enable RGD bonding, which is critical for the maintenance of the BSA native conformation after adsorption.