Efficacy of rhBMP-2 Loaded PCL/beta-TCP/bdECM Scaffold Fabricated by 3D Printing Technology on Bone Regeneration

This study was undertaken to evaluate the effect of 3D printed polycaprolactone (PCL)/beta-tricalcium phosphate (beta -TCP) scaffold containing bone demineralized and decellularized extracellular matrix (bdECM) and human recombinant bone morphogenetic protein-2 (rhBMP-2) on bone regeneration. Scaffolds were divided into PCL/beta-TCP, PCL/beta-TCP/bdECM, and PCL/beta-TCP/bdECM/BMP groups. In vitro release kinetics of rhBMP-2 were determined with respect to cell proliferation and osteogenic differentiation. These three reconstructive materials were implanted into 8 mm diameter calvarial bone defect in male Sprague-Dawley rats. Animals were sacrificed four weeks after implantation for micro-CT, histologic, and histomorphometric analyses. The findings obtained were used to calculate new bone volumes (mm(3)) and new bone areas (%). Excellent cell bioactivity was observed in the PCL/beta-TCP/bdECM and PCL/beta-TCP/bdECM/BMP groups, and new bone volume and area were significantly higher in the PCL/beta-TCP/bdECM/BMP group than in the other groups (p < .05). Within the limitations of this study, bdECM printed PCL/beta-TCP scaffolds can reproduce microenvironment for cells and promote adhering and proliferating the cells onto scaffolds. Furthermore, in the rat calvarial defect model, the scaffold which printed rhBMP-2 loaded bdECM stably carries rhBMP-2 and enhances bone regeneration confirming the possibility of bdECM as rhBMP-2 carrier.