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





















































            Figure 6. The anti-inflammatory effect of various hydrogels for TETC formation at 3 and 6 weeks in a rabbit model. (a1–a8) Gross observation, (b1–b8)
            H&E staining, (c1–c8) Safranin-O staining, (d1–d8) immunohistochemical COL II staining, and immunofluorescence staining of (e1–e8) TNF-α, (f1–f8)
            IL-6, and (g1–g8) TUNEL were conducted for TETC samples in GelMA, ICA/GelMA, CS/GelMA, and ICA/CS/GelMA groups. Quantitative measurements
            of (h) GAG and (i) COL II content, as well as relative (j) TNF-α, (k) IL-6, and (l) TUNEL intensity for TETC samples in GelMA, ICA/GelMA, CS/GelMA,
            and ICA/CS/GelMA groups were also presented. Statistical analysis was performed, and significance was indicated by asterisks (*P < 0.05).
            evidenced by more intensive positive COL II expression   behavior, satisfactory gelation and swelling capabilities,
            in the ICA/CS/GelMA group than in the ICA/GelMA    and satisfactory cytocompatibility. Furthermore, the
            group (Figure 7c). Quantitative data revealed significantly   ICA/CS/GelMA  hydrogel  displayed  potent  in vitro  anti-
            higher COL II content and Young’s modulus in the ICA/  inflammatory capacity when co-cultured with LPS pre-
            CS/GelMA  group  compared  to the  ICA/GelMA group   stimulated RAW264.7 macrophages and impressive  in
            (Figure 7e–f). These data support the notion that the ICA/  vitro anti-bacterial effect when co-cultured with S. aureus
            CS/GelMA hydrogel exhibits an advantage in reducing   and  E. coli. Moreover, the chondrocyte-loaded ICA/CS/
            bacterial infection compared to the ICA/GelMA hydrogel,   GelMA  hydrogel  was  successfully  3D  bioprinted  into  a
            which contributes to the enhanced therapeutic outcome in   precise C-shaped ring configuration. Additionally, the
            restoring tracheal cartilage defect.               printed C-shaped rings in the ICA/CS/GelMA group
                                                               demonstrated excellent in vivo anti-inflammatory function
                                                               and developed a TETC tissue with C-shaped cartilage after
            4. Discussion                                      being subcutaneously implanted into autologous rabbits
            This  study demonstrated  that  the  synthesized ICA/  for 6 weeks. Importantly, the generated TETC in the
            CS/GelMA hydrogel possessed favorable rheological   ICA/CS/GelMA group displayed satisfying  in vivo anti-

            Volume 10 Issue 1 (2024)                       170                        https://doi.org/10.36922/ijb.0146
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