3D-printed injectable nanocomposite cryogel scaffolds for bone tissue regeneration

Cryogels are known for their high water content and interconnected macroporosity, two relevant features in tissue engineering approaches. The cryogel structure can support tissue growth as it allows nutrient and oxygen diffusion, removal of waste products, as well as an enhancement of cell infiltration and proliferation. Bioactive glass nanoparticles are biocompatible and clinically approved bioactive materials widely used as implants in the human body to repair or replace diseased or damaged bones. They are known to facilitate bone binding while stimulating bone growth. Indeed, the combination of cryogels with bioactive nanoparticles has already demonstrated promising results for bone regeneration. Although the developed biomaterials succeed in bone regeneration, they lack suitability for minimal invasive procedures or patient-specificity. Here, we demonstrate a freeform 3D printed nanocomposite cryogel, resorting to an ink composed of functionalized gelatin and bioactive glass nanoparticles with methacrylate groups. Complex structures with multiple layers were 3D printed in a xanthan gum supporting bath. The developed 3D printed nanocomposite cryogels demonstrate the ability to recover their shape without any permanent damage, withstanding up to 65 % compression upon injection. Additionally, they stimulate the differentiation of human adipose-derived stem cells into the osteoblast lineage, therefore promoting bone tissue growth. We further demonstrated their suitability for minimal invasive therapeutics by filling a reproduction of a maxillofacial defect. The developed 3D-printed nanocomposite cryogels offer robust shape-recovery properties, easy injectability, tailored geometry into patient-specific injuries, and high osteogenic bioactivity, showcasing its versatility for bone regeneration purposes.