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




















































            Figure 4. The anti-bacterial activity of GelMA, ICA/GelMA, CS/GelMA, and ICA/CS/GelMA hydrogels against S. aureus and E. coli. (a) Photographs
            of S. aureus and E. coli grown on agar plates after co-culturing with various hydrogels and control. The percentage of the occupied area of (b) S. aureus
            and (c) E. coli after co-culturing with various hydrogels and control was determined. Statistical analysis was performed, and significance was indicated by
            asterisks (*P < 0.05).

               Immunofluorescence  images  of  TNF-α   and     3.5. Anti-bacterial assessment of TETC after
            IL-6 (inflammatory-related cytokines) and TUNEL    orthotopically tracheal transplantation in
            (apoptosis marker) were obtained to evaluate the   autologous rabbit
            inflammatory response. The GelMA and CS/GelMA      Due to the insufficient mechanical properties of the
            groups exhibited intense positive staining for TNF-α,   GelMA and CS/GelMA groups for orthotopically tracheal
            IL-6, and TUNEL compared to the ICA/GelMA and      transplantation, only the ICA/GelMA and ICA/CS/GelMA
            ICA/CS/GelMA groups at 3 and 6 weeks (Figure 6e1–  groups  were  used  to evaluate the anti-bacterial effect  in
            e8, f1–f8, and  g1–g8). The ICA/GelMA and ICA/CS/  promoting  tracheal  defect  restoration.  The  anti-bacterial
            GelMA groups presented significantly lower TNF-α,   ability of the generated TETC in the ICA/GelMA and
            IL-6, and TUNEL intensities than the GelMA and CS/  ICA/CS/GelMA  groups  was  evaluated  by  orthotopically
            GelMA groups (Figure 6j–l). These data supported the   transplanting the TETC into the tracheal defect of an
            notion that ICA/GelMA and ICA/CS/GelMA hydrogels   autologous rabbit. The survival rate of experimental rabbits
            exhibit an advantage in reducing inflammatory reactions   in the ICA/CS/GelMA group was significantly higher
            compared  to  GelMA  and CS/GelMA  hydrogels,  which   than in the ICA/GelMA group over the observed 8 weeks
            contribute to superior stability in maintaining tracheal   (Figure 7a). Gross images at 3 weeks post-transplantation
            cartilage.                                         revealed evident infection in the ICA/GelMA group, while


            Volume 10 Issue 1 (2024)                       168                        https://doi.org/10.36922/ijb.0146
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