BS Extraction
BS was extracted from the marine sponge species Dragmacidon reticulatum collected on the site of Praia Grande, São Sebastião, São Paulo, Brazil. Samples were washed with distilled water to remove any unwanted material from the primary collection, then ground and immersed in 5% (v/v) sodium hypochlorite (NaClO) until the organic matter was degraded (Weaver et al. (2003)). After this stage, samples were washed with distilled water to remove NaClO and nitric acid, and sulfuric acid (1:4) was added to dissolve the residual organic part. After 24 hours, the BS particles were decantated and distilled water was added until it reached a pH > 6 (Weaver, 2003). Finally, the BS powder obtained was dried in an oven at 37 °C and sieved to produce particles around 106 μm in size. BS powder was then stored in a Falcon tube and kept under vacuum.
Printing ink protocol
The ink ratio for the 3D printing was set at 70:30, with 70% BS and 30% sodium alginate (ALG). For this proposal, 9.333 g of BS and 4 g of ALG were weighed. BS was weighed and homogenized with 50 mL of distilled water in a Falcon tube in a vortex to avoid future clogging of the printing needle due to the BS particles and stirring for 1 min. The mixture was transferred to a beaker under a magnetic stirrer and heated with another 50 mL of distilled water until it reached 65-75 °C. When the temperature was reached, ALG was added slowly and then homogenized under the same temperature range for 1 hour. After this period, a homogeneous hydrogel was formed and the printing ink was submitted to a primary crosslinker with 1% m/v calcium chloride (CaCl2), stirred, and finally stored under refrigeration.
3D Printing Protocol for BS scaffolds
For manufacturing the 3D printed scaffold, a computational model was developed using TinkerCAD software, specifying a scaffold diameter of 20 mm and a thickness of 3 mm. Subsequently, the model was imported into a Cura Ultimaker 5.8 software, for the image slicing, and the grid and gyroid infill patterns were selected, as displayed in Figure 1A and 1B, respectively.
Both infill patterns were configured with a filament distance of 1.5 mm, a printing speed of 10 mm/s, and a flow rate of 10 %. Afterwards, the ink was loaded into a 5 mL syringe and inserted into the extruder of the 3D printer (Educational Starter, 3D Biotechnologies Solutions, Campinas, Brazil), with the scaffolds being printed layer by layer. Subsequently, the printed structures underwent a secondary cross-linking process using CaCl2 and were then immersed for 25 minutes. Then, they were briefly rinsed with distilled water, frozen for subsequent freeze-drying for 1 hour, dried in an oven, and finally subjected to tertiary cross-linking under UV (403 nm) light for 10 minutes on each side of the scaffolds.
CHARACTERIZATION OF SCAFFOLDS
Scanning Electron Microscopy (SEM)
Scanning electron microscopy (SEM- JEOL, model JSM-6610LV) was used for analyzing the morphology of the produced scaffolds. The scaffolds were evaluated without incubation and after 1 and 21 days of incubation in PBS. For the analysis, samples were placed on conductive tape and covered with a thin layer of another (20 mm) using a sputter coater (Balzers model SDS 050).
Micro–Computed Tomographic Analysis (Micro-CT)
For three-dimensional observation of the models and assessment of pore size after the 3D printing of the scaffold micro-CT images were collected. Imaging was carried out using a Sky Scan 1172 X-ray microtomograph (Bruker, Belgium) with the following parameters: 80 kV, 124 μA, and a 0.5 mm thick aluminum filter to attenuate beam hardening. The exposure period was set to 590 ms with a rotation step of 0.2º, resulting in a cross-sectional pixel size of 9.91 µm. The scaffolds were photographed, and each sample generated 220 photos. From them, 108 pictures per sample were chosen for further investigation. This resulted in binary pictures (BIN), which were used to identify the size and distribution of pores inside the scaffold. To properly estimate pore sizes, the chosen BIN images were analyzed using CT Analyzer (Bruker micro-CT, version 1.14.4.1) and CTvox (Bruker micro-CT, version 3.0) software.
Compression Test
For the mechanical characteristics of the scaffolds, the maximum tensile stress was measured with the Brazilian disc test . The analysis was carried out in triplicate and the results were obtained using the equation 1:
The stress applied to the material is represented by σ, Fmax is the highest force that the material can bear before breaking, D is the diameter and t is the thickness of the specimen.
Mass Loss and pH Assessment
For the mass loss test, the produced scaffolds were individually weighed to determine their beginning mass before being divided into Falcon tubes, according to the experimental time periods of 1, 3, 7, and 14 days. They were then immersed in phosphate-buffered saline (10 mM, pH 7.4) and incubated in a 37°C oven. Following each time period, the scaffolds were removed, dried in an oven at 37 °C, and weighed to establish their ultimate mass. The leftover PBS was measured with a pH meter using the same technique. This test was performed using five duplicates, and mean values and standard deviations were used to calculate the results.
Fourier-Transform Infrared Spectroscopy (FTIR)
To elucidate the chemical bonds present in the produced scaffolds, the FTIR technique was conducted (Thermo Nicolet Nexus 4000, USA). Spectra were acquired in the range of 400 – 4000 cm-1 with a resolution of 2 cm-1.
Energy-Dispersive X-ray Spectroscopy (EDS)
The relative quantification of atomic elements present in the scaffolds was determined using a Shimadzu equipment, model EDX-720. The samples were immersed in SBF solution for 0, 1, 3, 7, 14, and 21 days. They were then removed and dried in an oven at 37 ºC until completely dry. For this analysis, the samples passed through an X-ray tube with a Rh anode operating at 5–50 kV and 1–1,000 microA.
In vitro culture
The biological response of the BS scaffolds was assessed by culturing osteoblast cells (MC3T3-E1) and murine fibroblast cells (L929), following ISO standard 10993-5:2009 guidelines. These cell types were cultured in bottles using α-MEM and Dulbecco's modified Eagle's medium (DMEM) supplemented with 10 % fetal bovine serum (FBS) and 1% antibiotic-antimycotic solution at 37 ºC in a humidified atmosphere of 5% CO2 for the respective cells. They were maintained at subconfluent densities and passaged weekly until use.
Cell adhesion assay
The MC3T3-E1 (osteoblasts) and L929 (murine fibroblasts) cell lines were seeded (1×106 cells/mL) on the surface of the scaffolds pre-moistened with the culture media, followed by a 3-hour incubation time (5% CO2, 37 ºC and 95% humidity).
Cell adhesion was observed by confocal microscopy (SP8 AOBS Tandem Scanner, LEICA) at 1, 3, 7, and 14 days after seeding. Scaffolds were subjected to a three-step washing process with a PBS solution to remove the cells that were not firmly adhered onto the surface of the scaffolds. They were then immersed in a 4 % perfluoroalkoxyalkanes (PFA) solution for cell fixation of the ones adhered onto the surface of the samples. Subsequently, cells were stained with Phalloidin Alexa Fluor®488 for identifying the presence of actin filaments, and DAPI® to analyze the nuclear DNA.
Statistical Analysis
The distribution of variables was tested using Shapiro-Wilk's normality test. Parametric variables, when comparing groups, underwent a two-way analysis of variance (ANOVA). For non-parametric variables, the analysis involved Welch's T-test. The statistical software used was GraphPad Prism version 8.0, and a significance level of p ≤ 0.05 was adopted, followed by the Bonferroni post-hoc test.