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International Journal of Bioprinting                      CS-laden microporous bio-ink for cartilage regeneration




            glycosaminoglycan (GAG) total content dimethylmethylene   Finally, agarose microwell molds with 2750 microwells were
            blue (DMMB) kit was purchased from GENMED          transferred into the wells of the 6-well plate, and a little 2%
            Scientifics  (Boston,  USA).  Hydroxyproline  (HYP)  assay   agarose was added around the mold for immobilization.
            kit was purchased from Nanjing Jiancheng Bioengineering   These microwell molds were rinsed with DPBS and stored
            (Nanjing, China). Histostain-Plus Immunohistochemical   in a 37°C incubator until use.
            Kit was purchased from NeoBioscience (Shenzhen, China).   For the formation of CSs, chondrocytes were harvested
            LightCycler 480 SYBR Green I Master was purchased from   and resuspended, then 1 mL of the appropriate density of
            Roche (Basel, Switzerland). Oligo(dT)15 Primer, M-MLV   cell suspension was added dropwise into each microwell
            Reverse Transcriptase, and dNTP Mix were purchased   mold. To prepare CSs with different cell numbers, three
            from Promega Corporation (Wisconsin, USA).         cell densities were used: 0.55 × 10 , 1.375 × 10 , and 2.75 ×
                                                                                          6
                                                                                                   6
               New Zealand white rabbits (male, 4 months old) were   10 cells/mL, resulting in approximately 200, 500, and 1000
                                                                 6
            purchased from Beijing Long’an Experimental Animal   cells  per microwell. After the  cells had settled into the
            Breeding Center (Beijing, China). BALB/c nude mice   microwells due to gravity, 4 mL of complete medium was
            (female, 6 weeks old) were purchased from Beijing Vital   carefully supplemented into each microwell mold, and these
            River Laboratory Animal Technology Co., Ltd (Beijing,   6-well plates were incubated at 37°C with 95% humidity
            China). Animal experiments were approved by the Animal   and 5% CO . Half of the medium was refreshed every 2
                                                                         2
            Care and Experiment Committee of Plastic Surgery   days. Images of each group (200, 500, and 1000 cells/CSs)
            Hospital.                                          were taken with a light microscope (T12-U, Nikon, Tokyo,
                                                               Japan) at 0, 1, 7, and 14 days of culture for morphological
            2.2. Isolation and expansion of auricular          evaluation. These images were processed with ImageJ
            chondrocytes                                       software (version 1.53c, NI Health, Bethesda, MD, USA),
            Chondrocytes were obtained from the auricle of the New   and the diameters and areas of the CSs were measured (n =
            Zealand white rabbits. The auricular cartilage was minced   100). The process of non-adhesive microwells preparation
            into  1–2  mm   pieces,  after  removing  the  soft  tissue  and   and CSs formation is illustrated in Figure 1.
                       3
            perichondrium. Following this, the pieces were digested
            with 0.25%  trypsin-EDTA for 30  min and 0.2%  type  II   2.4. Viability, histology, and biochemical analysis
            collagenase  for  6–8  h  under  continuous  agitation  at   of CSs
            37°C. The obtained cells were cultured and expanded in   After 1, 7, and 14 days of culture in microwells, the CSs
            a complete medium (high-glucose DMEM supplemented   were collected for viability, histology, and biochemical
            with 10% FBS and 1% PSN) at 37°C with 95% humidity   analysis. The viability of the CSs was assessed using live/
            and 5% CO . Chondrocytes in passage 2 were used for   dead staining. Briefly, CSs were rinsed with DPBS and
                      2
            further experiments.                               incubated  for  20  min  with  Calcein-AM  (2  μM)  and  PI
                                                               (4.5 μM). In addition, to facilitate the observation of cells
            2.3. Preparation of non-adhesive microwells,       within CSs, DAPI was used to label nuclei according to
            formation, and culture of CSs                      the  manufacturer’s  instructions.  These  CSs were  imaged
            Non-adherent microwells were fabricated by a double-  with an inverted fluorescence microscope (T12-U, Nikon,
            molding procedure. At first, disc-shaped master mold with   Tokyo, Japan).
            a  diameter  of  30  mm  and  a  height  of  3  mm,  consisting
            of 2750 microwells with 400-μm diameter for each well,   For  histology  analysis,  CSs  were  fixed  in  4%
            was designed using AutoCAD (Autodesk, 2022). Each   paraformaldehyde for 1 day, pre-embedded with 0.5%
                                                                                                  25
            microwell comprised a 200-μm deep cylindrical section   agarose (w/v)-1% gelatin (w/v) mixture,  dehydrated
            and a 200-μm deep hemispherical bottom. According to   in graded alcohol, embedded in paraffin, and sectioned.
            the design, polytetrafluoroethylene (PTFE) was processed   Subsequently, sections were stained with hematoxylin and
            by  computer  numerical control (CNC)  machine  tools   eosin (H&E) and Alcian blue to evaluate the histological
            (T-600S, Taikan, Shenzhen, China) to obtain microporous   structure and glycosaminoglycan (GAG) deposition in the
            master molds. Next, the PDMS was poured into the PTFE   CSs. All histological images were obtained using a digital
            molds, cured at 65°C for 2 h after degassing, and demolded   slice scanner (EasyScan 1, Motic, Xiamen, China).
            from them. Then, the sterilized PDMS micropillar molds   At each time point, CSs in three independent agarose
            were placed in a petri dish, and 2% (w/v) ultrapure agarose   molds per group (n = 3, each containing 2750 CSs) were
            dissolved in DPBS was heated and poured onto the PDMS   collected  separately  and  subjected  to  DNA  and  GAG
            molds. Once the agarose molds had solidified after cooling   content measurements. The contents of DNA and GAG
            at room temperature, they were punched into a size (33-mm    were measured using Quant-iT™ PicoGreen® dsDNA assay
            diameter) to fit 6-well plates and separated from the PDMS.   and DMMB assay, respectively.


            Volume 10 Issue 1 (2024)                       201                        https://doi.org/10.36922/ijb.0161
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