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International

                                                                         Journal of Bioprinting




                                        3D-bioprinted cell-laden hydrogel with anti-

                                        inflammatory and anti-bacterial activities for
                                        tracheal cartilage regeneration and restoration



                                        Pengli Wang , Tao Wang , Yong Xu *, Nan Song *, and Xue Zhang *
                                                                                 1
                                                                      1
                                                                                                 2
                                                   1†
                                                             1†
                                        1 Department  of  Thoracic Surgery, Shanghai  Pulmonary  Hospital,  Tongji University School  of
                                        Medicine, Shanghai 200430, China
                                        2 Dermatology Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai
                                        200092, China
                                        (This article belongs to the Special Issue: Advances in 3D bioprinting for regenerative medicine and
                                        drug screening)
                                        Abstract

                                        Despite  the  notable  advances in  tissue-engineered  tracheal  cartilage  (TETC),
                                        there remain several challenges that need to be addressed, such as uneven cell
                                        distribution for cartilage formation, customized C-shaped tracheal morphology, local
                                        inflammatory reactions, and infections.  To overcome these challenges, this study
            † These authors contributed equally
            to this work.               proposed the addition of icariin (ICA) and chitosan (CS) into a gelatin methacryloyl
                                        (GelMA) hydrogel to develop a new ICA/CS/GelMA hydrogel with anti-inflammatory
            *Corresponding authors:
            Yong Xu                     and anti-bacterial properties, and three-dimensional (3D)-bioprinting feasibility. The
            (xuyong@tongji.edu.cn)      aim of this study was to construct a TETC, a customized C-shaped cartilage structure,
            Nan Song                    with uniform chondrocyte distribution as well as anti-inflammatory and anti-bacterial
            (songnan@tongji.edu.cn)     functions. Our results confirmed that ICA/CS/GelMA hydrogel provides desirable
            Xue Zhang                   rheological properties, suitable printability, favorable biocompatibility, and simulated
            (xuezhang@shsmu.edu.cn)     microenvironments for chondrogenesis. Moreover, the addition of ICA stimulated
            Citation: Wang P, Wang T, Xu Y,   chondrocyte proliferation, extracellular matrix synthesis, and anti-inflammatory
            Song N, Zhang X. 3D-bioprinted   ability, while the encapsulation of CS enhanced the hydrogels’ anti-bacterial ability. All
            cell-laden hydrogel with anti-
            inflammatory and anti-bacterial   these led to the formation of an enhanced TETC after submuscular implantation and an
            activities for tracheal cartilage   elevated survival rate of experimental rabbits after orthotopic tracheal transplantation.
            regeneration and restoration.    This study provides a reliable cell-laden hydrogel with anti-inflammatory and anti-
            Int J Bioprint. 2024;10(1):0146.
            doi: 10.36922/ijb.0146      bacterial activities, suitable printability, and significant advancements in  in vivo
                                        cartilage regeneration and in situ tracheal cartilage restoration.
            Received: April 27, 2023
            Accepted: May 28, 2023
            Published Online: July 13, 2023
                                        Keywords: 3D bioprinting; Anti-inflammation; Anti-bacteria; Cartilage regeneration;
            Copyright: © 2023 Author(s).   Tracheal restoration
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,   1. Introduction
            provided the original work is
            properly cited.             Recently, various novel strategies, including intact cartilaginous tubes,  assembled tubes
                                                                                               1,2
                                                                                            6
                                                              3-5
            Publisher’s Note: AccScience    with interrupted O-shaped,  and C-shaped cartilaginous rings,  have been explored
            Publishing remains neutral with   extensively  to  construct  tissue-engineered  tracheal  cartilage  (TETC)  to  repair  long-
            regard to jurisdictional claims in   segmental tracheal defects. However, tracheal cartilage regeneration and restoration still
            published maps and institutional
            affiliations.               face numerous challenges that need to be addressed, such as uneven cell distribution


            Volume 10 Issue 1 (2024)                       160                        https://doi.org/10.36922/ijb.0146
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