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Magnetic nanoparticles in 3D-printed scaffolds for biomedical applications

  • Nina Marovič , Irena Ban , Uroš Maver and Tina Maver EMAIL logo
Published/Copyright: July 18, 2023
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Abstract

Magnetic nanoparticles (MNPs) have recently attracted considerable attention, mainly due to their unique magnetic properties and biocompatibility. Although MNPs have been extensively studied for biomedical applications, there are still very few studies on them as part of three-dimensional (3D)-printed scaffolds. Thus, this review aims to show the potential of MNPs to modulate various properties of 3D-printed scaffolds. 3D Printing is for itself a contemporary method in biomedicine, owing to its ability to produce versatile scaffolds with complex shapes enabling a homogeneous distribution of cells or other entrapped compounds, as well as possible precise control of pore size and shape, porosity, and interconnectivity of pores that contribute to structural stability. All mentioned properties can be upgraded or complemented with the specific properties of MNPs (e.g., biocompatibility and positive effect on cell proliferation). Considering the latest related literature and a steadily increasing number of related publications, the fabrication of magnetically responsive scaffolds is among the most interesting strategies in tissue engineering. According to the literature, incorporating MNPs into scaffolds can improve their mechanical properties and significantly affect biological properties, such as cellular responses. Moreover, under the influence of an external magnetic field, MNPs significantly promoted cell adhesion, proliferation, and differentiation.

Abbreviations

AMF

alternating magnetic field

β-TCP

beta tri-calcium phosphate

BMSCs

bone marrow mesenchymal stem cells

FeHA

iron-doped hydroxyapatite

GC

glycol chitosan

GelMA

gelatin methacryloyl

GO

graphene oxide

HA

hydroxyapatite

hASCs

human adipose stem cells

IONPs

iron oxide nanoparticles

MBG

mesoporous bioactive glass

MGO

magnetic graphene oxide

MH

magnetic hyperthermia

MNPs

magnetic nanoparticles

NPs

nanoparticles

OHA

oxidized hyaluronate

PCL

polycaprolactone

PGA

polyglycolic acid

PLGA

poly(lactic-co-glycolic acid)

PLLA

poly-l-lactic acid

SPIONs

super-paramagnetic iron oxide nanoparticles

TE

tissue engineering

1 Introduction

Magnetic nanoparticles (MNPs), especially iron oxide nanoparticles (IONPs), have attracted increasing attention in recent years due to their unique magnetic properties such as appropriate Curie temperature, superparamagnetism, and magnetic hyperthermia (MH), as well as their biocompatibility, which makes them suitable for biomedical applications [1]. In addition, MNPs exhibit many important properties, such as high specific surface area, chemical stability, low intraparticle diffusion rate, and high loading capacity [2,3]. MNPs are usually composed of magnetic elements such as iron (Fe), nickel (Ni), and cobalt (Co), and their oxides such as magnetite (Fe3O4) and its oxidized form maghemite (γ-Fe2O3). Their ability to be remotely controlled with an external magnetic field is one of the most important properties of MNPs [4]. In the last decade, MNPs have been extensively investigated for biomedical applications such as MH, magnetic resonance imaging, and targeted drug delivery [5,6]. Meanwhile, very few studies have been conducted on using MNPs as part of three-dimensional (3D)-printed scaffolds for tissue engineering (TE), although the interest in such applications is steadily rising. Figure 1 shows the increasing number of scientific publications on MNPs use in 3D-printed scaffolds in recent years. This statistic shows that incorporating MNPs into 3D-printed scaffolds is a promising research area that will continue to grow in the coming years. Considering the overall still a low number of related articles and especially the lack of any review articles, related to the use of MNPs to manipulate the properties of 3D-printed scaffolds to improve their properties for biomedical applications, we present a summarized review of the opportunities arising from this combination.

Figure 1 
               Number of scientific publications per year related to “magnetic nanoparticles” and “3D-printed scaffolds,” according to the ScienceDirect (accessed 25 January 2023).
Figure 1

Number of scientific publications per year related to “magnetic nanoparticles” and “3D-printed scaffolds,” according to the ScienceDirect (accessed 25 January 2023).

2 Methods

A literature review was conducted via the biggest medical literature databases (Medline, PubMed, and ScienceDirect) to obtain studies related to MNPs and 3D printing. The employed search terms in the form of keywords were “magnetic nanoparticles” and “3D-printing.” With the help of specific filters (5-year review), we were able to find relevant new impactful studies on MNPs in 3D-printed scaffolds, which were included in this review.

3 General properties of MNPs and 3D printing

Although a wide variety of MNPs can be used for this purpose, most research has focused only on IONPs. This is at least partially related to the approval of their clinical use by the US Food and Drug Administration (FDA) [7]. In addition to the general advantages of MNPs, IONPs offer many other benefits like relatively simple synthesis, high saturation magnetization, high magnetic susceptibility, and low cytotoxicity [8]. Moreover, when the size of ferrimagnetic Fe3O4 nanoparticles (NPs) is reduced below 20 nm, they exhibit super-paramagnetic properties, as each particle becomes a single magnetic domain [9]. Superparamagnetic Fe3O4 NPs exposed to an alternating magnetic field (AMF) can generate heat through mainly Néel and Brownian relaxations, together with hysteresis losses, which are used in MH [10]. However, despite the many advantages of IONPs, there are also some disadvantages, such as a relatively high Curie temperature. The latter might be a problem in biomedical applications (e.g., MH) since it can lead to overheating of the surrounding tissue if there is no external temperature control to turn off the magnetic field [11]. For this reason, nickel–copper (NiCu) NPs with a Curie temperature within the therapeutic range (42–46°C) seem even more promising when using MH [12,13,14,15]. NiCu NPs are chemically stable, biocompatible, and exhibit desired magnetic properties, which makes them highly interesting for use in biomedicine [11]. Many groups have already investigated the use of NiCu MNPs as mediators for MH, but Stergar et al. were the first to report the potential of NiCu NPs as bimodal therapeutic systems, capable of simultaneous MH and targeted drug delivery [16].

Porosity, pore size and interconnectivity, biocompatibility, biodegradability, and mechanical properties are important parameters to be considered in developing suitable scaffolds [17]. Various techniques have been used to fabricate scaffolds, including freeze-drying, solvent casting, particulate leaching, phase separation, electrospinning, melt moulding, and gas foaming [18]. However, in these techniques, it is often difficult to precisely control the pore size, pore geometry, porosity, and connectivity of the pores [19]. Three-dimensional (3D) printing technology is among the methods developed to overcome these limitations through its layer-by-layer deposition, which enables the fabrication of complex and precise structures [20]. 3D Printing brez pomišljaja technology offers several advantages over traditional scaffold fabrication methods. Among them is the ability to fabricate versatile scaffolds with complex geometries and desired overall shapes. Such possibilities are ideal for designing materials for homogeneous cell distribution, mimicry of the extracellular matrix, and fine-tuning the microenvironment to promote cell adhesion, proliferation, and differentiation [21]. 3D Printing technology has revolutionized many areas of biomedical research and clinical practice. From creating patient-specific implants to printing tissue constructs for drug screening, 3D printing has opened up new possibilities for personalized and precision medicine. Extrusion-based 3D printing is one of the simplest and most cost-effective techniques used in 3D printing of polymers with potential application in TE [22]. Other 3D printing technologies currently being used in the preparation of different tissue scaffolds mainly include selective laser sintering, stereolithography, electron beam melting, 3DP technology, and biological 3D printing [23].

Since 3D printing is one of the most widely used techniques nowadays in TE, a lot of related research focuses on tissue-specific material choice. This is crucial from two perspectives: finding the optimum materials to grow specific cell types and suitable printability. Some natural polymers studied for this purpose are collagen, fibrin, chitosan, hyaluronic acid, alginate, gelatin, and gelatin methacrylate [24,25,26]. Despite their excellent bioactivity and biodegradability, low potential for immune defence and ability to form scaffolds that maintain the extracellular matrix composition of host tissues are the reasons that they are not ideal for TE. Their main disadvantages include their low mechanical strength and rapid degradation rate, which hinder their use in load-bearing applications. Although natural materials are beneficial for cellular processes, synthetic polymers are a better choice for tissue support due to their better mechanical properties, easily modifiable biological properties, and controlled degradation rate. Some of the most commonly used synthetic polymers are poly-l-lactic acid (PLLA), polyglycolic acid (PGA), poly(lactic-co-glycolic acid) (PLGA), and polycaprolactone (PCL) [21,27]. Bioceramic materials such as hydroxyapatite (HA) and beta tri-calcium phosphate (β-TCP) are also widely used in 3D printing. Due to their chemical and structural similarity to the mineral phase of natural bone, they exhibit excellent osteoconductivity and biocompatibility. However, they often have disadvantages due to low fracture toughness, extremely high stiffness, and low elasticity [27]. The disadvantages of the above biomaterials, which limit their use in the biomedical field, have led to the development of biocomposite materials that include particles, fibres, or nanomaterials to reinforce their mechanical and functional properties [24].

The use of MNPs for the fabrication of magnetically responsive scaffolds is one of the most recent strategies in the field of TE. Several studies have reported that incorporating MNPs into a scaffold material can improve the mechanical properties of the scaffolds, such as increased strength and toughness [28,29,30,31,32]. In addition, recent studies have shown that the presence of MNPs in scaffolds significantly affects biological properties and cellular responses. Under the influence of an external magnetic field, MNPs were shown to significantly promote cell adhesion, proliferation, and differentiation [33,34,35] (Figure 2).

Figure 2 
               Various applications of MNPs in 3D-printed scaffolds in biomedicine. The picture was produced using BioRender. The LEFT BOTTOM graph was taken with permission from [36].
Figure 2

Various applications of MNPs in 3D-printed scaffolds in biomedicine. The picture was produced using BioRender. The LEFT BOTTOM graph was taken with permission from [36].

This review focuses on the importance of incorporating MNPs into 3D-printed scaffolds and on the recent advances in the use of MNPs in 3D-printed scaffolds in TE.

4 Contribution of MNPs to specific properties of 3D-printed scaffolds

4.1 Fe3O4 NPs

Considering the advantages of Fe3O4 NPs, several researchers have incorporated Fe3O4 NPs into 3D-printed scaffolds for TE applications. For example, Bin et al. fabricated a magnetic scaffold for bone tissue applications by incorporating Fe3O4 NPs into PLLA by selective laser sintering (Figure 3(a)). The incorporation of Fe3O4 NPs, which acted as nanoscale reinforcement in the polymer matrix, not only improved the mechanical properties of the scaffold, such as compressive strength, modulus, and Vickers hardness, but also significantly improved the biological activity (improved cell adhesion) of the scaffold. The compressive strength and Vickers hardness increased with the Fe3O4 content and reached a maximum value at 7 wt% (Figure 3(b)). The results showed that the PLLA/Fe3O4 scaffold improved MG63 attachment, proliferation, and interaction (Figure 3(c and d)), which promoted the desired cell phenotype [36].

Figure 3 
                  (a) A schematic of the preparation of PLLA/Fe3O4 magnetic composite scaffolds. (b) Mechanical properties of the PLLA/Fe3O4 scaffolds. (c) SEM pseudocolor image of MG63 cell adhesion on the scaffolds. (d) The relative number of living cells and CCK-8 test in the fluorescence graph. Reproduced with permission from [36].
Figure 3

(a) A schematic of the preparation of PLLA/Fe3O4 magnetic composite scaffolds. (b) Mechanical properties of the PLLA/Fe3O4 scaffolds. (c) SEM pseudocolor image of MG63 cell adhesion on the scaffolds. (d) The relative number of living cells and CCK-8 test in the fluorescence graph. Reproduced with permission from [36].

To tailor the degradation rate of PLLA/PGA scaffolds, Shuai et al. incorporated magnetic Fe3O4 NPs into the scaffolds by selective laser sintering. The saturation magnetization of the scaffolds increased from 1.66 to 8.51 emu/g when the content of Fe3O4 NPs increased from 2.5 to 10 wt% and was proportional to the Fe3O4 content. Moreover, the water contact angle decreased with the increase of Fe3O4 NPs, indicating that the incorporation of Fe3O4 NPs significantly improved the hydrophilicity of the scaffold. Although the results indicate that adding Fe3O4 NPs improves the compressive strength and modulus of the scaffold, excessive addition of NPs leads to agglomeration, which reduces the mechanical properties of the matrix. The scaffold with 7.5 wt% was selected for further biological experiments. It was shown that the scaffold promoted cell adhesion, proliferation, and differentiation in vitro and significantly accelerated the formation of new bone tissue in vivo [37].

Chen et al. investigated the effect of water-based magnetic fluids with different Fe3O4 concentrations on 3D-printed Fe3O4/CaSiO3 composite scaffolds for bone TE and obtained similar results. Scaffolds were prepared with Fe3O4 NPs at concentrations of 2.6, 3.5, 5.4 and 10.5 w/v%. The results showed that the composite scaffolds had the highest surface content of Fe3O4 NPs, the highest saturation magnetization of 69.6 emu/g, and the best stability in dynamically stimulated body fluid when the Fe3O4 concentration was 5.4% [38].

In a recent study, Kao et al. fabricated porous calcium silicate/PCL scaffolds with various concentrations of Fe3O4 NPs (0, 2.5, and 5 wt%) using 3D printing and evaluated their capability to regenerate bone tissue. A favourable combination of compressive strength and rate of decomposition was observed with 5 wt% Fe3O4. Results showed that the incorporation of Fe3O4 into scaffolds further enhanced the mechanical strength and increased the secretion of osteogenic-related markers, such as alkaline phosphatase, bone sialoprotein, collagen I, and osteocalcin [39].

De Santis et al. fabricated magnetic nanocomposite scaffolds based on PCL and poly(ethylene glycol) by 3D fibre deposition technique to regenerate complex tissues such as osteochondral bone. The incorporation of Fe3O4 NPs strongly affected the mechanical properties of both PCL- and poly(ethylene glycol)-based scaffolds by increasing the compressive modulus while decreasing ductility [40].

Han et al. demonstrated that introducing magnetic IONPs into 3D-printed PLGA scaffolds improved osteogenic differentiation in vitro and promoted bone regeneration in vivo. These improvements were attributed to enhanced cell adhesion to the magnetic scaffolds due to changes in hydrophilicity, increased surface roughness, and chemical composition of the scaffold. In addition, magnetic effects may also play a role in cell adhesion [41]. 3D-Printed PLGA scaffolds coated with super-paramagnetic iron oxide nanoparticles (SPIONs) were also used in a recent study by Jia et al. Their palate-bone regeneration was investigated in a rat model. It was found that SPIONs-coated scaffolds improved bone regeneration, which was partly related to a change in the oral microbiota due to the antibacterial effect of SPIONs [42].

In the presence of SPIONs, Ko et al. successfully prepared a self-healing ferrogel based on glycol chitosan (GC) and oxidized hyaluronate (OHA) without using additional chemical crosslinkers. The addition of SPIONs decreased the elastic modulus of the GC/OHA hydrogel, and the storage shear modulus of the GC/OHA/SPIONs ferrogel decreased with an increase in SPIONs concentration. In addition, the properties of the ferrogel also depended on the [GC]/[OHA] ratio and the total polymer concentration. Cytotoxicity was evaluated using ATDC5 cells. Since no significant cytotoxicity of the GC/OHA/SPIONs ferrogel was observed, the authors concluded that the ferrogel could be useful for drug delivery systems and TE applications [43].

In a recent study, adipic acid dihydrazide was added to OHA/GC/SPION ferrogels to improve their 3D printability. By combining a self-healing hydrogel and a self-healing ferrogel without subsequent crosslinking, Choi et al. fabricated a 3D-printed dynamic tissue scaffold that can be used to stimulate and regulate cell phenotype under magnetic stimulation [44].

4.2 Hydroxyapatite in combination with magnetic nanoparticles

In addition to the mentioned natural and synthetic polymers, bioceramic materials such as hydroxyapatite (HA) are also widely used for bone TE due to their chemical and structural similarity to the mineral phase of natural bone.

Saraiva et al. fabricated a novel 3D-printed polylactic acid platform loaded with HA and IONPs to promote bone tissue repair and regrowth. Their results showed that the presence of two types of NPs (IONPs and HA) altered the nanomorphological properties of the 3D platforms and increased the osteogenic functionality of the cells [45].

Petretta et al. used 3D printing technology to develop PCL-based scaffolds to which HA and different concentrations of SPIONs were added. These additions aimed to improve the efficiency and control of cell attachment. Two different concentrations of SPIONs, 0.5 and 1%, were chosen, while HA accounted for 10% of the total weight. The addition of SPIONs resulted in higher cell seeding efficiency, activated through an external magnetic field, which was dependent on the degree of scaffold magnetization. The best results in terms of cell entrapment time and adhesion rates were obtained with the 1% SPIONs formulation with a high degree of magnetization. This study showed that PCL-HA-1% SPIONs scaffolds are promising candidates for bone tissue repair and regeneration because they have no toxic effects on fibroblasts and mesenchymal stromal cells and exhibit good cell proliferation and intrinsic osteogenic potential [46].

De Santis et al. also developed 3D-printed magnetic nanocomposite scaffolds for bone TE by incorporating iron-doped hydroxyapatite (FeHA) NPs into a PCL matrix. Previous studies have shown that incorporating FeHA NPs improves magnetic properties (i.e., saturation magnetization, temperature values due to hyperthermia), hydrophilicity (indicated by lower water contact angle values), and stiffness while decreasing their mechanical strength. Since the introduction of FeHA NPs led to discontinuities at the interface between the NPs and the matrix, which could be due to the difference in ductility between the polymer matrix and the inorganic nanofillers, the mechanical properties of PCL/FeHA scaffolds are limited. However, compared with pure scaffolds, PCL/FeHA scaffolds showed greater bone marrow mesenchymal stem cells (BMSCs) growth, resulting in improved bone regeneration [47].

To improve the bacteriostatic properties of the implants, Shokouhimehr et al. incorporated SPIONs into a hyperelastic bone bioink, which consisted of 90 wt% HA and 10 wt% PLGA (Figure 4). Although the incorporation of 200 mg/ml SPIONs increased antibacterial activity compared to the 60 mg/ml SPIONs, the 60 mg/ml group showed the most optimal in vitro cell response [48].

Figure 4 
                  LEFT: Schematic summary of the experimental method used in this study. RIGHT: Characterization of cellular and bacterial response to bioprinted HB constructs in vitro. (a and b) Cellular growth (normalized to day 3) for C3H10T12 mouse cells (a) and human bone osteoblast (HBO) cells (b), measured by the noninvasive AlamarBlue assay for 17 days of in vitro culture. (c–f) Bacteriostatic effects of SPION in 2D culture (c and d) and SPION-loaded HB constructs (e and f) were evaluated by culturing GFP + S. aureus onto scaffolds for 24 h (c and e) and measuring fluorescence signals (d and f). * p < 0.05, ** p < 0.01, and **** p < 0.0001 (reproduced with permission from Shokouhimehr et al. [48]).
Figure 4

LEFT: Schematic summary of the experimental method used in this study. RIGHT: Characterization of cellular and bacterial response to bioprinted HB constructs in vitro. (a and b) Cellular growth (normalized to day 3) for C3H10T12 mouse cells (a) and human bone osteoblast (HBO) cells (b), measured by the noninvasive AlamarBlue assay for 17 days of in vitro culture. (c–f) Bacteriostatic effects of SPION in 2D culture (c and d) and SPION-loaded HB constructs (e and f) were evaluated by culturing GFP + S. aureus onto scaffolds for 24 h (c and e) and measuring fluorescence signals (d and f). * p < 0.05, ** p < 0.01, and **** p < 0.0001 (reproduced with permission from Shokouhimehr et al. [48]).

In addition to various polymers and HA, 3D-printed porous titanium–aluminium–vanadium (pTi) scaffolds are also promising materials for reconstructing large bone defects due to their good mechanical properties, high corrosion resistance, and excellent biocompatibility. However, their restricted induction of bone ingrowth compared to some other materials limits their application in the clinic. To overcome the limitation of the poor osteogenic activity of 3D-printed porous pTi scaffolds, Huang et al. fabricated a magnetic coating by applying Fe3O4 NPs and polydopamine to the surface of the scaffolds. This new coating significantly improved cell adhesion, proliferation, and osteogenic differentiation of human BMSCs in vitro and new bone formation in vivo. Moreover, these improvements could be further enhanced by a static magnetic field [49].

5 Magnetic nanoparticles and their use to manipulate 3D-printed materials

Since induced hyperthermia can cause tumour cell death, MH also presents a potential cancer treatment. Zhang et al. successfully prepared a multifunctional 3D-printed β-TCP bioceramic scaffold by modifying the surface with Fe3O4 NPs/graphene oxide (GO) layers. The resulting β-TCP-Fe-GO scaffold presented a highly ordered macroporous structure with super-paramagnetic behaviour and hyperthermia effects. The porosity of the scaffolds did not change significantly after modification with Fe3O4/GO, while the magnetic intensity of the scaffolds increased with increasing Fe3O4 content, as previously found in other studies. Therefore, by controlling the magnetic intensity and Fe3O4 content, the temperature of the scaffolds could be easily modulated/tailored in the range between 50 and 80°C. The results indicate that such scaffolds have the potential to be used in the therapy and regeneration of bone defects caused by bone tumours due to their excellent magnetic and osteogenic capabilities [50].

In a recent study, Li et al. prepared a novel hydrogel composite scaffold of polyvinyl alcohol/sodium alginate/HA by 3D printing. They optimized its properties by varying the concentrations of magnetic graphene oxide (MGO), with Fe3O4 NPs uniformly distributed on the surface of GO (Figure 5). Adding MGO improved the composite material’s thermal stability and imparted magnetic properties. The prepared composite scaffolds not only improved the biological functions and supported the differentiation of rat BMSCs in vitro but also showed favourable anti-tumour effects in vivo [51].

Figure 5 
               LEFT: Schematic diagrams of MGO hydrogel composite fabrication (above) and application to bone tumour defect regeneration in vitro and in vivo (below). RIGHT: Inhibition of osteosarcoma tumour growth in vivo. (a) In vivo infrared thermography of 143b-tumour-bearing nude mice after intratumorally implantation with MGO hydrogel composite under AMF at various time points. (b) Temperature versus time at the tumour sites implanted with MGO hydrogel composite with and without AMF. (c) Digital photographs of the dissected tumours. (d) Relative tumour volume changes over time after the different treatments (reproduced with permission from Li et al. [51]).
Figure 5

LEFT: Schematic diagrams of MGO hydrogel composite fabrication (above) and application to bone tumour defect regeneration in vitro and in vivo (below). RIGHT: Inhibition of osteosarcoma tumour growth in vivo. (a) In vivo infrared thermography of 143b-tumour-bearing nude mice after intratumorally implantation with MGO hydrogel composite under AMF at various time points. (b) Temperature versus time at the tumour sites implanted with MGO hydrogel composite with and without AMF. (c) Digital photographs of the dissected tumours. (d) Relative tumour volume changes over time after the different treatments (reproduced with permission from Li et al. [51]).

Yang et al. developed implantable magnetocaloric mats capable of hyperthermia for cancer treatment. These properties were achieved by incorporating Fe3O4 NPs into PCL using E-jet 3D printing technology. When the PCL/Fe3O4 mat was exposed to an AMF, it resulted in efficient heating without loss of heating capacity or leakage of Fe3O4 NPs. The mats containing 6 mmol/L Fe3O4 NPs were the most effective, as they peripherally raised the temperature under an AMF to 45°C within 45 min and could inhibit tumour growth in vivo. Such magnetic mats are ideal for hyperthermia treatment of easily accessible tumours [52].

Another interesting study was published by Dong et al., in which the authors report an excellent synergistic therapeutic effect in osteosarcoma treatment. The latter was achieved through a combination of MH with an elaborate catalytic Fenton reaction by Fe3O4 and calcium peroxide (CaO2) NPs. Fe3O4 NPs were loaded into a 3D-printed akermanite scaffold to initiate MH through an AMF and catalyse the generation of hydroxyl radicals from hydrogen peroxide (H2O2). At the same time, the co-loaded CaO2 NPs acted as an H2O2 source [53].

In addition to magnetothermal cancer therapies, magnetic field application could also be used to stimulate osteogenesis for bone repair. Shuai et al. fabricated porous super-paramagnetic PGA/Fe3O4 scaffolds that exhibit favourable mechanical, magnetic, and degradation properties. The magnetic moment of Fe3O4 NPs rearranged along the direction of the self-developed external static magnetic field applied as an external magnetic source, resulting in a locally enhanced magnetic field. As a result, cell adhesion, proliferation, and differentiation were promoted, and bone regeneration was significantly accelerated [54].

Zhang et al. used 3D printing to fabricate mesoporous bioactive glass (MBG)/PCL composite scaffolds containing magnetic Fe3O4 NPs. The saturation magnetization of the Fe3O4/MBG/PCL scaffolds increased with increasing Fe3O4 content, and a positive correlation between the heating rate and Fe3O4 content in the scaffolds was also observed. Although the incorporation of magnetic Fe3O4 NPs into the scaffolds did not affect apatite mineralization ability, it resulted in excellent magnetic heating and significantly stimulated cell proliferation and differentiation. The composite scaffolds also exhibited excellent bioactivity in apatite formation and increased compressive strength. Therefore, there is great potential for using Fe3O4/MBG/PCL scaffolds in the treatment and regeneration of bone defects through a combination of enhanced osteogenic activity, local delivery of anticancer drugs, and MH [55].

The agglomeration potential of IONPs has necessitated the development of strategies to modify the surface of IONPs. Lin et al. chemically modified the IONPs with sodium citrate to obtain a negative charge on the surface before embedding them in a chitosan hydrogel so that the surrounding cells could not directly contact the NPs. The study showed that the inductive coupling magnetic force successfully promoted bone cell growth, as evidenced by higher osteoblast cell proliferation, type I collagen production, alkaline phosphatase expression, and mineralization [56].

6 Magnetic nanoparticles in tailoring delivery of drugs and cells from 3D-printed materials

Scaffolds with incorporated MNPs are also quite interesting for the development of advanced, stimuli-responsive drug delivery systems as they can be guided and triggered by external magnetic fields. In these systems, therapeutic compounds are attached to biocompatible MNPs, which are directed to specific targets in vivo using an external magnetic field, resulting in enhanced delivery to the target site and reduced side effects of drugs by reducing their systemic distribution. For example, when an external magnetic field is applied to MNPs bound to cellular surface receptors, the MNPs generate mechanical forces that can be transmitted to the membrane to activate mechanosensitive ion channels [57]. Zhao et al. incorporated IONPs into alginate hydrogels to control the release of various drugs and cells by causing large deformation and volume change of over 70% under the control of external magnetic field (Figure 6) [58].

Figure 6 
               (a) A cylinder of a macroporous ferrogel reduced its height ∼70% when subjected to a vertical magnetic-field gradient of ∼38 A/m2. (b) SEM images of a freeze-dried macroporous ferrogel in the undeformed and deformed states. Scale bar: 500 μm. (c) Cumulative release profiles of mitoxantrone from macroporous ferrogels subject to 2 min of magnetic stimulation every 30 min, or no magnetic stimulation. Reproduced with permission from [58].
Figure 6

(a) A cylinder of a macroporous ferrogel reduced its height ∼70% when subjected to a vertical magnetic-field gradient of ∼38 A/m2. (b) SEM images of a freeze-dried macroporous ferrogel in the undeformed and deformed states. Scale bar: 500 μm. (c) Cumulative release profiles of mitoxantrone from macroporous ferrogels subject to 2 min of magnetic stimulation every 30 min, or no magnetic stimulation. Reproduced with permission from [58].

Such on-demand release of cells from porous scaffolds can be also very useful for tissue regeneration and cell therapies.

Wang et al. developed a magnetically driven delivery system for precise control of drug, protein, and cell release based on 3D-printed alginate/IONPs hollow fibre scaffolds. In this system, drugs, proteins, and even cells can be extruded from the core of the hollow fibres based on the deformation of the scaffolds under the magnetic field, which could prove useful for disease treatment and TE applications. The scaffolds’ deformation behaviour (and ability to release on demand) can be influenced by several factors, such as the concentration of alginate inks, crosslink density, and the content of incorporated NPs. A higher amount of NPs resulted in more deformation under magnetic stimulation. Furthermore, adding Fe3O4 NPs to the inks did not significantly affect the printing behaviour of the hollow fibre scaffolds [59].

7 Magnetic nanoparticles for remote magnetic actuation of cells in tissue engineering applications

In addition to already described applications, MNPs have recently been explored to enable remote magnetic actuation for targeting and activating specific mechanosensitive membrane receptors and ion channels to regulate cell signalling pathways and consequently control cell behaviour [60]. In TE, this approach has been applied to different types of stem cells, as stem cell-based therapies offer great potential for regenerating and repairing damaged tissues in vivo [60]. Using 3D printing technology, Gonçalves et al. fabricated the magnetically responsive scaffold from a biodegradable polymer blend of starch, and PCL incorporated with IONPs with potential for tendon tissue engineering. In vitro studies showed that incorporation of MNPs did not negatively affect the viability or differentiation of human adipose stem cells (hASCs) and may even enhance cells’ metabolic activity. Furthermore, applying an external magnetic field enhanced the biological performance of hASCs cultured on developed magnetic scaffolds regarding cell proliferation and differentiation. The developed scaffolds were also cytocompatible in an ectopic rat model [61]. Results of another study suggested that Activin receptor type IIA (ActRIIA) in hASCs is a mechanosensitive receptor that can be remotely activated using anti-ActRIIA functionalized MNPs, whose action is stimulated by an external magnetic field, leading to tenogenic differentiation, which enables successful cell therapy for tendon regeneration [62]. An exciting feature of this approach is the ability of functionalized MNPs to activate cells remotely using bio-magnetic approaches. In a more recent study, this approach was successfully translated into a 3D environment combining magnetically responsive scaffolds, and MNPs-ActRIIA tagged hASCs exposed to the actuation of externally applied AMF, the synergy of which enhanced the tenogenic commitment of hASCs [63]. Their findings, therefore, represent the first step towards the mechanical stimulation of the regeneration of tendon tissue.

8 Other applications of MNPs in the 3D-printed scaffolds

Combinations of scaffolds and MNPs were also shown promising for many other applications [57,64]. In addition to bone TE, Li et al. described a method to fabricate biocompatible artificial bile ducts with 3D printing using a tubular composite scaffold based on PCL as a matrix for the organoid cells of the bile duct. A layer of gelatin methacryloyl (GelMA) hydrogel was applied to the outer layer to increase biocompatibility. Ultrasmall super-paramagnetic iron oxide NPs were uniformly dispersed in GelMA to allow monitoring by magnetic resonance imaging [65].

In another recent study, Xiang et al. fabricated a novel bilayered artificial bile duct scaffold with a PLGA inner layer and a GelMA outer layer. PLGA with suitable mechanical properties, slow degradation kinetics, and good biocompatibility was used instead of PCL. Moreover, IKVAV laminin peptide was used to improve cell adhesion and ultrasmall super-paramagnetic iron oxide NPs were used again for magnetic resonance imaging [66].

9 Other magnetic nanoparticles combined with 3D-printed materials

In addition to IONPs, which are the most commonly used due to their relatively simple synthesis, high magnetization, biocompatibility, and chemical stability [8], other MNPs, such as NiCu and CuFeSe2 were also already successfully incorporated into 3D-printed scaffolds to improve their properties [32,67].

To tailor the desired properties of the scaffolds, such as printability, surface roughness, swelling, degradation, and mechanical properties, Milojević et al. incorporated variable concentrations of NiCu NPs into hybrid hydrogel formulations of alginate, carboxymethyl cellulose, and nanofibrillated cellulose. The results showed that NiCu NPs were an effective means of controlling hydrogel viscosity, scaffold swelling, degradation, and topographic properties. In addition, all the scaffolds not only promoted cell adhesion, aggregation, and migration but also supported the long-term growth of pancreatic cells, and thus could be used in the field of pancreas-related disease research [32].

Furthermore, Dang et al. were the first to combine the photothermal performance of semiconductor nanocrystals of CuFeSe2 with the bone-forming activity of bioactive glass (BG) scaffolds. The photothermal performance of the BG-CuFeSe2 scaffolds could be well regulated by controlling the CuFeSe2 content and the laser power density. Due to hyperthermia induced by the CuFeSe2 nanocrystals, the BG-CuFeSe2 scaffolds could not only effectively ablate the bone tumour cells in vitro but also suppress the growth of bone tumour tissue in vivo. Moreover, the BG-CuFeSe2 scaffolds could support the attachment and proliferation of rabbit BMSCs. Finally, the scaffolds were shown to stimulate the formation of new bone in bone defects. The authors concluded that scaffolds with such dual functions (bone tumour therapy and bone defect regeneration) might represent a promising treatment strategy for tumour-induced bone defects [67].

As recently pointed out in a review article by Palenzula and Pumera [68], 3D printing can also be used as a perfect platform for developing sensors and biosensors. An example of the latter is microfluidic platforms for the detection of bacterial pathogens [69]. The vast opportunities enabled by nanoparticle use in the 3D printing of electronic and bioelectronic devices are also highlighted in Hales et al. [70].

10 Conclusion and future perspectives

This review summarizes relevant studies and recent progress on incorporating MNPs into 3D-printed scaffolds for biomedical applications. Several studies have reported that the incorporation of MNPs and their concentration affect the mechanical properties of the scaffolds. MNPs have shown great potential for use in bone TE, as they play several important roles in stimulating and modifying cellular responses that are beneficial for bone formation. The results of several studies indicate that MNPs incorporated into the scaffolds promote cell adhesion, proliferation, and differentiation in vitro and significantly accelerate the formation of new bone tissue in vivo. Moreover, MNPs can potentially be used in MH and drug delivery. However, as most of the research on 3D-printed scaffolds is limited to bone tissue, more research on other tissues will be needed to prove their worth in TE further. Among additional applications are also studies related to the incorporation of NiCu MNPs into polysaccharide-based dressings with antimelanoma activity, conducted by our research group. In addition to MNPs, which have already been successfully incorporated into 3D-printed scaffolds, other nanocomposites such as FeNi, FeCu, or different ferrites, with appropriate mechanical and hyperthermal properties are being investigated.

MNPs incorporated into 3D-printed scaffolds hold great promise for various biomedical applications, and several future perspectives can be explored. The magnetic properties of MNPs can enable magnetic manipulation of the 3D-printed scaffold and the cells within it, which is a highly interesting property in TE. The magnetic field can be used to guide cell migration and promote tissue regeneration. Furthermore, MNPs can be incorporated into 3D-printed scaffolds as carriers for targeted drug delivery. The drug can be attached to the surface of the MNPs and released in response to an external magnetic field. Incorporating MNPs into 3D-printed scaffolds can also enhance the contrast in magnetic resonance imaging (MRI), providing a more detailed and accurate image of the scaffold and the surrounding tissue. It can also enable biosensing applications, such as detecting specific biomolecules or pathogens within the scaffold. MNPs can enhance the sensitivity and selectivity of such biosensors.

Overall, incorporating MNPs into 3D-printed scaffolds for biomedical applications has great potential for enhancing TE, drug delivery, imaging, magnetic manipulation, and biosensing. Continued research in this field will likely lead to further advancements and innovations in the future.


tel: +386 (2) 23 45 878

  1. Funding information: This study was funded by the Slovenian Research Agency (Grant/Award Numbers: P3-0036, P2-0006, J3-2538, J1-2470, N1-0305, and L7-4494).

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Conflict of interest: The authors state no conflict of interest.

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Received: 2023-01-27
Revised: 2023-06-08
Accepted: 2023-06-21
Published Online: 2023-07-18

© 2023 the author(s), published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

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  66. Induction of apoptosis and autophagy via regulation of AKT and JNK mitogen-activated protein kinase pathways in breast cancer cell lines exposed to gold nanoparticles loaded with TNF-α and combined with doxorubicin
  67. Effect of PVA fibers on durability of nano-SiO2-reinforced cement-based composites subjected to wet-thermal and chloride salt-coupled environment
  68. Effect of polyvinyl alcohol fibers on mechanical properties of nano-SiO2-reinforced geopolymer composites under a complex environment
  69. In vitro studies of titanium dioxide nanoparticles modified with glutathione as a potential drug delivery system
  70. Comparative investigations of Ag/H2O nanofluid and Ag-CuO/H2O hybrid nanofluid with Darcy-Forchheimer flow over a curved surface
  71. Study on deformation characteristics of multi-pass continuous drawing of micro copper wire based on crystal plasticity finite element method
  72. Properties of ultra-high-performance self-compacting fiber-reinforced concrete modified with nanomaterials
  73. Prediction of lap shear strength of GNP and TiO2/epoxy nanocomposite adhesives
  74. A novel exploration of how localized magnetic field affects vortex generation of trihybrid nanofluids
  75. Fabrication and physicochemical characterization of copper oxide–pyrrhotite nanocomposites for the cytotoxic effects on HepG2 cells and the mechanism
  76. Thermal radiative flow of cross nanofluid due to a stretched cylinder containing microorganisms
  77. In vitro study of the biphasic calcium phosphate/chitosan hybrid biomaterial scaffold fabricated via solvent casting and evaporation technique for bone regeneration
  78. Insights into the thermal characteristics and dynamics of stagnant blood conveying titanium oxide, alumina, and silver nanoparticles subject to Lorentz force and internal heating over a curved surface
  79. Effects of nano-SiO2 additives on carbon fiber-reinforced fly ash–slag geopolymer composites performance: Workability, mechanical properties, and microstructure
  80. Energy bandgap and thermal characteristics of non-Darcian MHD rotating hybridity nanofluid thin film flow: Nanotechnology application
  81. Green synthesis and characterization of ginger-extract-based oxali-palladium nanoparticles for colorectal cancer: Downregulation of REG4 and apoptosis induction
  82. Abnormal evolution of resistivity and microstructure of annealed Ag nanoparticles/Ag–Mo films
  83. Preparation of water-based dextran-coated Fe3O4 magnetic fluid for magnetic hyperthermia
  84. Statistical investigations and morphological aspects of cross-rheological material suspended in transportation of alumina, silica, titanium, and ethylene glycol via the Galerkin algorithm
  85. Effect of CNT film interleaves on the flexural properties and strength after impact of CFRP composites
  86. Self-assembled nanoscale entities: Preparative process optimization, payload release, and enhanced bioavailability of thymoquinone natural product
  87. Structure–mechanical property relationships of 3D-printed porous polydimethylsiloxane films
  88. Nonlinear thermal radiation and the slip effect on a 3D bioconvection flow of the Casson nanofluid in a rotating frame via a homotopy analysis mechanism
  89. Residual mechanical properties of concrete incorporated with nano supplementary cementitious materials exposed to elevated temperature
  90. Time-independent three-dimensional flow of a water-based hybrid nanofluid past a Riga plate with slips and convective conditions: A homotopic solution
  91. Lightweight and high-strength polyarylene ether nitrile-based composites for efficient electromagnetic interference shielding
  92. Review Articles
  93. Recycling waste sources into nanocomposites of graphene materials: Overview from an energy-focused perspective
  94. Hybrid nanofiller reinforcement in thermoset and biothermoset applications: A review
  95. Current state-of-the-art review of nanotechnology-based therapeutics for viral pandemics: Special attention to COVID-19
  96. Solid lipid nanoparticles for targeted natural and synthetic drugs delivery in high-incidence cancers, and other diseases: Roles of preparation methods, lipid composition, transitional stability, and release profiles in nanocarriers’ development
  97. Critical review on experimental and theoretical studies of elastic properties of wurtzite-structured ZnO nanowires
  98. Polyurea micro-/nano-capsule applications in construction industry: A review
  99. A comprehensive review and clinical guide to molecular and serological diagnostic tests and future development: In vitro diagnostic testing for COVID-19
  100. Recent advances in electrocatalytic oxidation of 5-hydroxymethylfurfural to 2,5-furandicarboxylic acid: Mechanism, catalyst, coupling system
  101. Research progress and prospect of silica-based polymer nanofluids in enhanced oil recovery
  102. Review of the pharmacokinetics of nanodrugs
  103. Engineered nanoflowers, nanotrees, nanostars, nanodendrites, and nanoleaves for biomedical applications
  104. Research progress of biopolymers combined with stem cells in the repair of intrauterine adhesions
  105. Progress in FEM modeling on mechanical and electromechanical properties of carbon nanotube cement-based composites
  106. Antifouling induced by surface wettability of poly(dimethyl siloxane) and its nanocomposites
  107. TiO2 aerogel composite high-efficiency photocatalysts for environmental treatment and hydrogen energy production
  108. Structural properties of alumina surfaces and their roles in the synthesis of environmentally persistent free radicals (EPFRs)
  109. Nanoparticles for the potential treatment of Alzheimer’s disease: A physiopathological approach
  110. Current status of synthesis and consolidation strategies for thermo-resistant nanoalloys and their general applications
  111. Recent research progress on the stimuli-responsive smart membrane: A review
  112. Dispersion of carbon nanotubes in aqueous cementitious materials: A review
  113. Applications of DNA tetrahedron nanostructure in cancer diagnosis and anticancer drugs delivery
  114. Magnetic nanoparticles in 3D-printed scaffolds for biomedical applications
  115. An overview of the synthesis of silicon carbide–boron carbide composite powders
  116. Organolead halide perovskites: Synthetic routes, structural features, and their potential in the development of photovoltaic
  117. Recent advancements in nanotechnology application on wood and bamboo materials: A review
  118. Application of aptamer-functionalized nanomaterials in molecular imaging of tumors
  119. Recent progress on corrosion mechanisms of graphene-reinforced metal matrix composites
  120. Research progress on preparation, modification, and application of phenolic aerogel
  121. Application of nanomaterials in early diagnosis of cancer
  122. Plant mediated-green synthesis of zinc oxide nanoparticles: An insight into biomedical applications
  123. Recent developments in terahertz quantum cascade lasers for practical applications
  124. Recent progress in dielectric/metal/dielectric electrodes for foldable light-emitting devices
  125. Nanocoatings for ballistic applications: A review
  126. A mini-review on MoS2 membrane for water desalination: Recent development and challenges
  127. Recent updates in nanotechnological advances for wound healing: A narrative review
  128. Recent advances in DNA nanomaterials for cancer diagnosis and treatment
  129. Electrochemical micro- and nanobiosensors for in vivo reactive oxygen/nitrogen species measurement in the brain
  130. Advances in organic–inorganic nanocomposites for cancer imaging and therapy
  131. Advancements in aluminum matrix composites reinforced with carbides and graphene: A comprehensive review
  132. Modification effects of nanosilica on asphalt binders: A review
  133. Decellularized extracellular matrix as a promising biomaterial for musculoskeletal tissue regeneration
  134. Review of the sol–gel method in preparing nano TiO2 for advanced oxidation process
  135. Micro/nano manufacturing aircraft surface with anti-icing and deicing performances: An overview
  136. Cell type-targeting nanoparticles in treating central nervous system diseases: Challenges and hopes
  137. An overview of hydrogen production from Al-based materials
  138. A review of application, modification, and prospect of melamine foam
  139. A review of the performance of fibre-reinforced composite laminates with carbon nanotubes
  140. Research on AFM tip-related nanofabrication of two-dimensional materials
  141. Advances in phase change building materials: An overview
  142. Development of graphene and graphene quantum dots toward biomedical engineering applications: A review
  143. Nanoremediation approaches for the mitigation of heavy metal contamination in vegetables: An overview
  144. Photodynamic therapy empowered by nanotechnology for oral and dental science: Progress and perspectives
  145. Biosynthesis of metal nanoparticles: Bioreduction and biomineralization
  146. Current diagnostic and therapeutic approaches for severe acute respiratory syndrome coronavirus-2 (SARS-COV-2) and the role of nanomaterial-based theragnosis in combating the pandemic
  147. Application of two-dimensional black phosphorus material in wound healing
  148. Special Issue on Advanced Nanomaterials and Composites for Energy Conversion and Storage - Part I
  149. Helical fluorinated carbon nanotubes/iron(iii) fluoride hybrid with multilevel transportation channels and rich active sites for lithium/fluorinated carbon primary battery
  150. The progress of cathode materials in aqueous zinc-ion batteries
  151. Special Issue on Advanced Nanomaterials for Carbon Capture, Environment and Utilization for Energy Sustainability - Part I
  152. Effect of polypropylene fiber and nano-silica on the compressive strength and frost resistance of recycled brick aggregate concrete
  153. Mechanochemical design of nanomaterials for catalytic applications with a benign-by-design focus
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