Materials
Polylactic acid (PLA) pellets were purchased from NatureWorks LLC. Dichloromethane (CH2Cl2, < 99.7%, CAS 75-09-2, Sigma-Aldrich), sodium hydroxide (NaOH, pellets, 98.9%, Sigma-Aldrich), sulfuric acid (H2SO4, 95.0–98.0%, CAS 7664-93-9, Sigma-Aldrich), hydrogen peroxide (H2O2, 30% (w/w), CAS 7722-84-1, Sigma-Aldrich), ethanol (96% vol, CAS 64-17-5, Sigma-Aldrich), sodium chloride (NaCl, ≥ 99%, CAS 7747-14-5, Sigma-Aldrich), sodium hydrogen carbonate (NaHCO3, ≥ 99.7%, CAS 144-55-8, Sigma-Aldrich), potassium chloride (KCl, ≥ 99,7%, CAS 7447-40-7, Sigma-Aldrich ), di-potassium hydrogen phosphate trihydrate (K2HPO4.3H20, ≥ 99%, CAS 16788-57-1, Sigma-Aldrich) magnesium chloride hexahydrate (MgCl2.6H2O, ≥ 99%, CAS 7791-18-6, Sigma-Aldrich), calcium chloride (CaCl2, ≥ 97%, CAS 10043-52-4, Sigma-Aldrich), sodium sulfate (Na2SO4, ≥ 99.0%, CAS 7757-82-6, Sigma-Aldrich), Tris-hydroxymethyl aminomethane ((HOCH2)3CNH2) (tris), ≥ 99.8%, CAS 1185-53-1, Sigma-Aldrich), hydrochloric acid (HCl, 36% CAS 7647-01-0, Sigma-Aldrich), Bacillus licheniformis (alcalase, CAS 126741 Sigma-Aldrich), L-cysteine (CAS,52-90-4 ), Azide sodium (CAS 26628-22-8, Sigma-Aldrich), TRIS buffer pH 9.0 (CAS 77-86-1, Alfa Aesar), Dimethyl sulfoxide (DMSO, CAS 23486.297; BDH Prolab), Dulbecco’s Modified Eagle Medium α (DMEM/F12, CAS 10565018; Gibco)), 3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide (MTT, 98%, CAS 298-93-1, Sigma-Aldrich), Fetal bovine serum (FBS, CVFSVF00-01; Eurobio), Trypsin-EDTA (CAS 25300-054; Gibco), hexamethyldisilazane (CAS 999-97-3, Sigma-Aldrich), were obtained and used without further purification. hFOB osteoblastic cell line obtained from ATCC was used for cytocompatibility analysis.
Cellulose nanocrystals synthesis
Cellulose nanocrystals (CNC) were synthesized from Ficus thonningii (FT) by a three-step method based on i) alkali treatment, ii) bleaching and iii) acid hydrolysis as proposed by Dingyuan Zheng52 with modifications. Briefly, FT raw fibers, previously dried and stored at 70°C, were cut, crushed and then dispersed in an alkaline solution of sodium hydroxide (NaOH, 0.5 N) with FTFs/NaOH fiber to solution ratio of 3 g/80 mL. They were stirred continuously at 100°C for 4h. After the alkali treatment, the fibers were filtered, washed with 18M MilliQ water until pH neutralization. The resulting fibers were bleached with hydrogen peroxide (H2O2) for 1h at 80°C. The bleaching sequence was repeated several times to obtain brilliantly white fibers. Finally, nanocellulose synthesis was performed by the acid hydrolysis process followed by ultrasound sonication. In details, 10 g of bleached fibers were dissolved in 200 g of an aqueous solution of sulfuric acid (64%) with magnetic stirring for 1h 30min at 45°C. Then, the suspension obtained was filtered, washed with 18M MilliQ water several times and was then subjected to dialysis for 7 days (in bags of dialysis from 12 000 to 14 000 Da). After dialysis, the resulting solution was sonicated in an ice bath using an ultrasonic homogenizer (BANDELIN electronic, GM 3100) fitted with a 7 cm probe tip. The operating range of the ultrasonic homogenizer was set at 50%. The resulting suspension was centrifuged at 10 000 rpm for 30min and the paste was frozen, lyophilized and then ground using a Moulinex mixer (LM935) at 8 000 rpm for 3min to obtain a white powder of cellulose nanocrystals (CNC). Figure S5 summarizes the steps of the cellulose nanocrystals synthesis from FT stem (See Supplementary Information).
Filaments extrusion and 3D printing of PLA/CNC scaffolds
In order to produce homogeneous PLA/CNC composite filaments by single-screw extrusion, we initially proposed to formulate composites by incorporating nanocellulose fillers into the PLA matrix by chemical dissolution. 30 g of PLA were dissolved in 200 mL of dichloromethane (DCM) at room temperature with continuous magnetic stirring followed by sonication in an ice bath for 5min. Then, the suspension of CNC/DCM was added to that of PLA to give blend slurries of PLA/CNC/DCM with 0, 1, 3 and 5% (w/w) of CNC relative to PLA (Table 3). The PLA/CNC/DCM suspensions obtained were sonicated in an ice bath using an ultrasonic homogenizer for 15 min and kept under continuous magnetic stirring at room temperature for 24 hours to ensure good homogenization. They were then left to dry overnight at room temperature, then cut into small pieces and dried under vacuum for 24 hours to ensure complete drying. The resulting dried composite polymers were extruded using a Noztek model MHB26234 single screw extruder at a temperature range of 160–165°C. They were then cooled by conversion at the nozzle outlet using the extruder fan to give PLA/CNC hybrid filaments denoted PLA/CNCx, where x corresponds to the content of CNC. Finally, filaments of approximately 1.75 ± 0.05 mm in diameter were selected for 3D printing. The pure PLA filaments were produced by direct extrusion from PLA scoops under the same conditions as the composite filaments. Figure 8 summarizes the preparation of PLA/CNC composite filaments. The extrusion sequence was repeated 2 to 3 times to obtain PLA/CNCx filaments of homogeneous diameters. The scaffold was modeled by Computer Aided Design (CAD) using Design Spark Mechanical software, translated to STL file and sliced by Prusa3Dslicer software to generate the G-code. Finally, the cylindrical designs (porous) (diameter (10 mm) x height (2 mm)) and the rectangular pieces (dense) were designed using an FDM Prusa MK2S Research model printer equipped with a nozzle of 0,4 mm diameter at 200°C. The filaments were deposited with a straight filling architecture in precise directions of 0° and 90° between two successive layers. The thickness of each layer was 0.15 mm with 80% filling for the cylinders and 100% filling for the rectangular pieces and the printing speed was 30 mm/s.
Table 3
Formulation of PLA/CNC composites.
Notation
|
Composition
|
PLA weight (g)
|
CNC weight (g)
|
PLA
|
100% PLA + 0% CNC
|
30
|
0.0
|
PLA/CNC1
|
99% PLA + 1% CNC
|
29.7
|
0.3
|
PLA/CNC3
|
97% PLA + 3% CNC
|
29.1
|
0.9
|
PLA/CNC5
|
95% PLA + 5% CNC
|
28.5
|
1.5
|
Thermal properties
PLA and PLA/CNCx composites were examined using differential scanning calorimeter (DSC) (Q20, TA instruments), equipped with an RCS90 cooling system (TA instruments). Samples were weighed in an aluminum TA pan and sealed. An empty sealed pan was used as reference. Samples were first cooled to 25°C and then heated to 250°C with a heating rate of 20°C.min− 1 under nitrogen atmosphere. The thermal properties of PLA and PLA/CNCx composites such as the glass transition temperature (Tg), the cold crystallization temperature (Tcc), the melting temperature (Tm) and the enthalpy of fusion (ΔHm) were evaluated by the heating scans. The degree of crystallinity (\({\chi }_{c}\)) was determined for both the cold crystallization peak and the melting peak using the following equations53:

where ΔHcc is the enthalpy of cold crystallization, W is the weight fraction of PLA in the sample and ΔHm0 is the enthalpy of melting for 100% crystalline PLA material, which was taken as 93 J.g− 1. The thermogravimetric analysis (TGA) was performed using a TGA Q500 device (TA instruments). 10 mg of each sample were heated under nitrogen from room temperature to 800°C at a heating rate of 10°C.min− 1.
Structural and morphological characterization
The Fourier transform infrared (FTIR) spectroscopy was performed in an attenuated total reflectance mode (ATR-FTIR) on a NICOLET NEXUS model spectrometer. All spectra were recorded in a spectral range of 4000 − 650 cm− 1 with an accumulation of 32 scans at a resolution of 4 cm− 1.
The morphology of CNC, extruded PLA and composite filaments as well as 3D printed scaffolds were observed using HITACHI S4800 scanning electron microscopy. The samples were sputter-coated for 30s with platinum using a Polaron SC7620 Mini Sputter Coater for SEM analysis. Image J software was employed to calculate the mean filament diameter by taking average at 20 points and the pore size by taking average of 8 pores, which is denoted as mean ± standard deviation. Topography of the scaffolds’ surfaces was analyzed using 3D optical microscopy (Keyence) and a confocal chromatic roughness tester (STIL SA) equipped with a CHR1000 sensor.
The porosity of the scaffold was obtained by a liquid displacement method as reported in the literature54. Briefly, the scaffolds were immersed in tubes containing a specific amount of ethanol (W 1) for 30 min. Then, the total weight of immersed scaffolds and ethanol was noted as W 2. After removing the scaffolds, the residual ethanol in the tubes was noted as W 3. The porosity of the scaffolds was measured according to the following equation:
Mechanical properties
The mechanical properties of 3D printed PLA/CNC scaffolds were characterized using a tensile system (Zwick Roell), coupled with a 5KN load cell. The specimens were printed in the form of a dog bone (40 mm long, 4mm wide and 1.5 mm thick). The specimens were then clamped between dedicated jaws and pulled at a speed of 0.05 mm.s− 1 until they broke. The Zwick Roell software is able to calculate Young’s modulus, maximum force at break and elongation at break. At least 5 specimens are printed under the same conditions in order to perform a statistical measurement.
Contact angle and swelling
The contact angle of the 3D printed scaffolds with water was examined to determine their hydrophilicity at room temperature using the sessile drop method. Two scaffolds were analyzed: PLA as the reference & PLA/CNC3 as the composite with the best mechanical performance. The drops were photographed using a Drop Shape analyzer - DSA25 equipped with a monochrome camera B-CAM-21-BW (CCCIR) and an R60 Led lamp (Conrad). Briefly, 6 µL of 18 M MilliQ water was dropped onto the surface of each scaffold and the contact angle at equilibrium (considered at 60s) was recorded. One Touch Grabber and Image J software were used to calculate the contact angles. The swelling behavior of the scaffolds was determined by gravimetric method. Scaffolds of previously known weight (Wd) are immersed in 10 mL of 18 M MilliQ water, then incubated with continuous stirring at 37°C for an equilibrium time assumed to be 7 days. Then the samples were removed from the water, cleaned with filter paper to remove excess residual water adsorbed on the surface and weighed (Wh). Finally, the scaffold swelling index was determined as follows:
Enzymatic degradation
The enzymatic degradation of PLA and PLA/CNC3 was carried out using alcalase enzyme according to a protocol previously reported in the literature with modifications29,55,56. Indeed, strips of PLA and PLA/CNC3 tissues (dimensions 5 [W] × 15 [l] × 0.13 [h]) of approximately 0.25 g were printed and immersed in 25 mL of TRIS buffer (pH 9.5, 60°C) with an optimum concentration of 50% (w/w) (relative to the weight of the tissue) of alcalase required for enzymatic hydrolysis, 3 mM L-cysteine and 0.05% (w/w) of azide sodium (relative to the weight of the TRIS buffer). Degradation was assessed by determining weight loss at 4, 7, 14, 21 and 28 days. The samples were first dried at 105°C for 90 min, cooled in a desiccator then weighed in a closed weighing bottle. The percentage of weight loss was calculated as follows:
Where W1 and W2 are the dry weight of the samples before and after biodegradation, respectively.
Cell viability and adhesion assays
The osteoblastic cell line hFOB 1.19 (ATCC® CRL11372™, ATCC, USA)57 was cultured using DMEM/F12 (Dulbecco’s Modified Eagle Medium α) (Gibco 10565018) conditioned media supplemented with 10% (V/V) foetal bovine serum (FBS) (Eurobio CVFSVF00-01). Cells were cultured at 37°C in 5% CO2 in a 10 cm diameter petri dish and trypsinized using 0.05% Trypsin-EDTA (Gibco 25300-054). After sterilization with 70% (w/v) ethanol for 30 min and UV irradiation for 1h, the filaments and printed scaffolds were dried at room temperature and then placed in contact with hFOB cells for 5 days.
Cell viability was analyzed using MTT assay carried out by incubating 100 µL of 0.5 mg/mL of MTT solution on the cells for 3h. Purple coloured formazan crystals were dissolved using 100 µL of DMSO (BDH Prolab 23486.297) and the absorbance was recorded at 560 nm using Multiskan plat reader (thermos, USA).
For adhesion assays, hFOB 1.19 cells were cultured on the scaffolds for 4 days (seeding of 2x104 cells per well of 24 well plate containing the scaffold). Cells cultured on scaffolds were fixed with 2.5% glutaraldehyde solution for 2h at room temperature. Scaffolds with cells were then incubated twice for 15 min at room temperature, using increasing ethanol concentrations (30%, 50%, 70%, 95% (v/v)), followed by absolute ethanol then hexamethyldisilazane overnight. For scaffold growth assays, luciferase expressing hFOB 1.19 cells were cultured on scaffolds for 6 days (seeding of 2x104 cells per well of 24 well plate containing the scaffold). Luciferase activity was quantified using a Luminometer after cell lysis. In order to investigate only the influence of cellulose on PLA biological properties, a 2D model was used.
Mineralization assays
To assess bone bioactivity, the ability to form apatite on PLA and PLA/CNC3 scaffolds was studied by mineralized culture in vitro in simulated body fluid (SBF) according to the method described in the literature58. Briefly, the scaffolds were immersed in 10 mL of fresh SBF and then incubated in a thermoplastic incubator shaker at 37°C. The SBF solution was changed every other day throughout the 4-weeks study period. After incubation, weekly samples were removed from the fluid and dried in a desiccator. Finally, scanning electron microscopy (SEM) and X-ray diffraction (XRD) were performed to investigate the degree of mineralization of the scaffolds. XRD patterns were recorded on PANalytica Xpert powder XRD system using CuKα radiation, 2θ range of 10–70° with a scan speed of 2°.min− 1.
Statistical analysis
For every quantitative characterization method, the ANOVA test was used to evaluate if the data from every group of samples showed a significant difference (p < 0.05 for significant and p < 0.01 for highly significant statistical difference).