Melt electrohydrodynamic 3D printed poly (ε-caprolactone)/polyethylene glycol/roxithromycin scaffold as a potential anti-infective implant in bone repair

Int J Pharm. 2020 Feb 25:576:118941. doi: 10.1016/j.ijpharm.2019.118941. Epub 2019 Dec 24.

Abstract

Implanted scaffold or bone substitute is a common method to treat bone defects. However, the possible bone infection caused by orthopaedic surgery has created a challenging clinical problem and generally invalidate bone repair and regeneration. In this study, a poly (ε-caprolactone) (PCL)/polyethylene glycol (PEG)/roxithromycin (ROX) composite scaffold was prepared via melt electrohydrodynamic (EHD) 3D printing. Fourier transform infrared spectroscopy (FTIR) spectroscopy was performed to verify the existence of PEG and ROX in the scaffolds. By water contact angle measurement, the addition of both PEG and ROX was found to improve the hydrophilicity of the scaffolds. By in vitro drug release assay, the PCL/PEG/ROX scaffolds showed an initial burst drug release and subsequent long-term sustained release behaviour, which is favourable for the prevention and treatment of bone infections. The antibacterial assays against E. coli and S. aureus demonstrated that the composite scaffold with ROX possessed effective antibacterial activity, especially for S. aureus, the main cause of bone infection. The immunostaining and MTT assay with human osteoblast-like cells (MG63) indicated that cells showed good viability and growth on the scaffolds. Therefore, the melt EHD 3D printed PCL/PEG/ROX scaffold could be a promising anti-infective implant for bone tissue engineering.

Keywords: Bone infection; Melt electrohydrodynamic 3D printing; Poly (ε-caprolactone); Polyethylene glycol; Roxithromycin.

MeSH terms

  • Anti-Infective Agents / chemistry*
  • Anti-Infective Agents / pharmacology*
  • Bone Diseases, Infectious / drug therapy*
  • Bone Diseases, Infectious / microbiology
  • Bone and Bones / drug effects
  • Bone and Bones / microbiology
  • Cell Line, Tumor
  • Escherichia coli / drug effects
  • Humans
  • Hydrophobic and Hydrophilic Interactions
  • Osteoblasts / drug effects
  • Osteoblasts / microbiology
  • Osteogenesis / drug effects
  • Polyesters / chemistry*
  • Polyethylene Glycols / chemistry*
  • Porosity
  • Printing, Three-Dimensional
  • Roxithromycin / chemistry*
  • Roxithromycin / pharmacology*
  • Staphylococcus aureus / drug effects
  • Tissue Engineering / methods
  • Tissue Scaffolds

Substances

  • Anti-Infective Agents
  • Polyesters
  • Roxithromycin
  • polycaprolactone
  • Polyethylene Glycols