3D printing with polylactic acid (PLA) in bone regeneration using animal models: a systematic review


Por: Alvarez-Chimal, R, Pérez-Sánchez, L, Serrano-Bello, J, Vázquez-Vázquez, FC, Alvarez-Pérez, MA

Publicada: 1 ene 2025
Resumen:
Background: Bone regeneration is a critical area of regenerative medicine that faces significant challenges, such as bone defects and fractures. 3D printing offers a promising solution through customized scaffolds that mimic the natural architecture of bone and support tissue healing. Polylactic acid (PLA) is a biodegradable and biocompatible polymer widely used in biomedical 3D printing. Preclinical animal models are essential to evaluate the performance of PLA-based scaffolds before their clinical use. Objective: This systematic review aimed to assess the current applications of 3D-printed PLA scaffolds for bone regeneration in animal models, focusing on PLA, animal models, biological performance, and in vivo outcomes. Methods: A comprehensive search was conducted across databases, covering studies published between January 2009 and January 2025, following the PRISMA guidelines. Studies were included if they reported 3D-printed PLA scaffold constructs for bone regeneration that were validated in animal models. Data on the animal species, defect types, biomaterials, and outcomes were extracted and analyzed. Results: This review included 38 studies that used animal models, such as rodents, rabbits, canines, and sheep, to assess the performance of the 3D-printed PLA scaffolds. Cells and compounds such as hydroxyapatite, drugs, nanoparticles, proteins, and polymers enable active scaffold fabrication that enhances regeneration from 1 to 12 weeks on the defect created in the chosen animal model. Conclusion: 3D printing based on PLA offers significant potential for advancing bone regeneration, with promising preclinical outcomes in animal models. Further preclinical and clinical studies are required to confirm the safety, effectiveness, and scalability for human applications.

Filiaciones:
Alvarez-Chimal, R:
 Univ Nacl Autonoma Mexico, Fac Dent, Postgrad Studies & Res Div, Tissue Bioengn Lab, Mexico City 04510, Mexico

Pérez-Sánchez, L:
 Univ Nacl Autonoma Mexico, Fac Dent, Postgrad Studies & Res Div, Tissue Bioengn Lab, Mexico City 04510, Mexico

Serrano-Bello, J:
 Univ Nacl Autonoma Mexico, Fac Dent, Postgrad Studies & Res Div, Tissue Bioengn Lab, Mexico City 04510, Mexico

Vázquez-Vázquez, FC:
 Univ Nacl Autonoma Mexico, Fac Dent, Postgrad Studies & Res Div, Lab Res Dent Mat & Biomat, Mexico City 04510, Mexico

Alvarez-Pérez, MA:
 Univ Nacl Autonoma Mexico, Fac Dent, Postgrad Studies & Res Div, Tissue Bioengn Lab, Mexico City 04510, Mexico
ISSN: 23751495
Editorial
American Institute of Mathematical Sciences, PO BOX 2604, SPRINGFIELD, MO 65801-2604, UNITED STATES, Estados Unidos America
Tipo de documento: Review
Volumen: 12 Número: 4
Páginas: 453-472
WOS Id: 001591306800001
imagen gold, All Open Access; Gold Open Access

MÉTRICAS