AccScience Publishing / IJB / Online First / DOI: 10.36922/IJB026250258
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RESEARCH ARTICLE
Early Access

Construction of a 3D-printed polycaprolactone scaffold functionalized with extracellular matrix and an MSC-affinity peptide for articular cartilage repair

Xinqiang Zhao1 Xiaoning Liu2 Zhen Huang3 Kun Ding1 Yantao Zhao4* Zhenggang Bi1*
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1 Department of Orthopaedic Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
2 Department of Nurtrition, Women and Children’s Hospital of Qingdao University, Qingdao 266034, China
3 Department of Joint surgery, Minda Hospital of Hubei Minzu University, Enshi 445000, China
4 Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
Received: 19 June 2026 | Revised: 10 July 2026 | Accepted: 13 July 2026 | Published online: 13 July 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Cartilage damage has emerged as a major clinical challenge due to the limited intrinsic regenerative capacity of articular cartilage. Current cartilage repair strategies often rely on exogenous cells and growth factors to promote tissue regeneration; however, their clinical translation is hindered by high costs, complex manufacturing processes, and potential immunogenicity. Thus, the development of high-performance acellular tissue-engineering scaffolds has attracted increasing attention. In this study, we engineered a biomimetic ternary composite scaffold consisting of polycaprolactone (PCL), a bone marrow mesenchymal stem cell (BMSC)-affinity peptide, and cartilage extracellular matrix (ECM) to facilitate efficient cartilage regeneration through synergistic multifunctional effects. PCL scaffolds with well-defined porous architectures and favorable mechanical properties were fabricated using three-dimensional (3D) printing. Following surface functionalization with the mesenchymal stem cell (MSC)-affinity peptide E7, the scaffolds were further coated with decellularized cartilage ECM. This biomimetic design enhances cell adhesion, selectively recruits endogenous MSCs, and provides the structural support required for tissue regeneration. Moreover, the bioactive components and biochemical cues retained within the ECM promote chondrogenic differentiation. In vitro studies demonstrated that E7-modified PCL (E7-PCL) significantly enhanced MSC adhesion and recruitment. The ECM/E7-modified composite scaffold further promoted stem-cell adhesion, proliferation, chondrogenic differentiation, and extracellular matrix deposition while maintaining excellent biocompatibility and mechanical integrity. In vivo, implantation of the ECM/E7-PCL (E/E7-P) scaffold resulted in markedly improved cartilage repair compared with ECM/PCL (E/P) scaffolds and untreated controls. Overall, these findings from in vitro and rabbit in vivo experiments indicate that E/E7-P represents a promising acellular tissue-engineering candidate for cartilage defect regeneration, pending further validation in more comprehensive experimental models.

Keywords
Articular cartilage repair
BMSC affinity peptide
3D printing
Peptide-modified polycaprolactone
Cartilage tissue engineering
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International Journal of Bioprinting, Electronic ISSN: 2424-8002 Print ISSN: 2424-7723, Published by AccScience Publishing