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International Journal of Bioprinting                        Bioprinted cell-laden hydrogel for tracheal application




            (Escherichia  coli) bacteria, we carried out the following   following  the  manufacturer’s  instructions  and  examined
            procedures. We mixed 80 mg of different hydrogel samples   them using a fluorescence microscope (Olympus). We also
            (GelMA, ICA/GelMA, CS/GelMA, and ICA/CS/GelMA)     assessed cell proliferation via the DNA quantification and
            with 200 μL of bacterial solution (1 × 10  cfu/mL) in sterile   Cell Counting Kit-8 (CCK-8) assay to further evaluate the
                                           6
            Eppendorf tubes. Eppendorf tubes containing 200 μL   viability of chondrocytes in hydrogels. DNA was quantified
            of bacterial solution (blank) only were used as a control.   using the PicoGreen dsDNA assay kit (Invitrogen, USA)
            After incubation, we diluted the samples 100-fold and then   according to the manufacturer’s instructions. The CCK-
            plated them to observe colony growth. We measured the   8 assay was performed according to the manufacturer’s
            bacterial-occupied area using the following formula:  instructions, and the absorbance was measured at 450 nm
                100%                                         using a spectrophotometer.
                                                                 To evaluate the chondrogenic capacity of the various
            where α is the area of colonies with the treatment of the   hydrogels, we cultured the printed cell-laden hydrogels
            hydrogel and β is the total area of agar plates.   in the culture medium (DMEM supplemented with
                                                               10% FBS) for 3 weeks. Then, we analyzed the expression
            2.6. Chondrocytes preparation                      level of collagen type II (COL II) in the samples by
            To obtain chondrocytes for our experiments, we collected   immunofluorescence staining, as described in section 2.4.
            auricular cartilage samples from rabbits through surgery. We   We also quantified the COL II contents using an enzyme-
            then digested the samples using 0.15% type II collagenase   linked immunosorbent assay (ELISA).
            and cultured the resultant chondrocytes in DMEM
            containing 10% FBS and 1% penicillin–streptomycin at   2.9. In vivo TETC regeneration
            37°C in a 5% CO  incubator. We used chondrocytes at the   To facilitate the in vivo regeneration of TETCs, a total of
                          2
            second passage (P2) for further experiments.       24 rabbits were randomly assigned to four groups: GelMA,
                                                               ICA/GelMA, CS/GelMA, and ICA/CS/GelMA, with six
            2.7. Bioprinting of C-shaped rings using cell-laden   rabbits per group. The 3D-printed C-shaped rings in all
            hydrogels                                          the cell-laden hydrogel groups were interrupt-stacked
            For 3D bioprinting, we homogeneously mixed         onto a silicone tube and implanted into the platysma
            chondrocytes in the different hydrogels at a concentration   of anesthetized autologous rabbits. The C-shaped rings
            of 1 × 10  cells/mL. The chondrocyte-loaded hydrogels   underwent 3- or 6-week implantation to generate TETC
                    8
            were then loaded into 5 mL syringes equipped with   tissues. The retrieved TETC samples were photographed
            0.21 mm diameter needles and mounted into the syringe   with an SLR camera for gross observation and sectioned for
            pump extruder on a 3D BioArchitect workstation     histological evaluation, including hematoxylin and eosin
            (Regenovo). The temperatures of the syringes and platform   (H&E), safranin-O, and immunohistochemical staining for
            were maintained at 16 ± 1°C. To fabricate a single layer   COL II. Glycosaminoglycan (GAG) and COL II contents
            of ring-shaped constructs (9.0 mm external diameter,   were  quantified using  the  dimethylmethylene  blue assay
            6.0 mm internal diameter, and 1.5 mm height for C rings),   (DMMB, Sigma-Aldrich) and ELISA, respectively.
            we printed four layers of each bioink and photocrosslinked
            them upon light irradiation (365 nm, 20 mW/cm ) within   Moreover,  the  expression  levels  of  TNF-α  and  IL-6,
                                                   2
            30 s. The printing parameters were set as follows: line gap,   as  well  as an  apoptosis-related  marker  (TUNEL)  in  the
            400 μm; layer thickness, 400 μm; photocrosslinking time,   samples, were analyzed by immunofluorescence staining,
            30 s per ring; pneumatic pressure, 0.2 MPa; extrusion   as described in section 2.4. A TUNEL apoptosis detection
            speed, 1.5 mm /s. After printing, we incubated the   kit (C1086; Beyotime, Shanghai, China) was used to detect
                         3
            bioprinted constructs in DMEM supplemented with 10%   apoptotic  cells  by  immunofluorescence  staining.  The
            FBS and 1% penicillin/streptomycin at 37°C and 5% CO .   acquired images were analyzed using ImageJ software to
                                                         2
            We conducted each step under sterile conditions to ensure   calculate  the  relative  intensity.  Specifically,  we  used  the
            the integrity of the bioprinted constructs.        formula α/β × 100%, where α represents the occupied area
                                                               of the positive expressed marker, and β represents the area
            2.8. Cell viability, proliferation, and chondrogenesis   of the total image.
            evaluations
            After printing, the cell-laden hydrogels were incubated at   2.10. Orthotopically transplantation of TETC in
            37°C in a 5% CO  incubator for 9 days. The culture medium   autologous rabbits
                         2
            (DMEM supplemented with 10% FBS) was changed every   The  TETCs  generated  in  the  ICA/GelMA  and  ICA/
            other day. On days 1, 4, and 9, we evaluated the cell viability   CS/GelMA groups (as described in section 2.9) were
            using  the  Live/Dead  Cell  Viability Assay (Invitrogen)   orthotopically transplanted into the 0.6-cm-long native

            Volume 10 Issue 1 (2024)                       164                        https://doi.org/10.36922/ijb.0146
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