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































            Figure 2. Morphological analysis of CSs. (A) Bright-field images of CSs with different cell numbers cultured in microwells at 0, 1, 7, and 14 days.
            (B) Comparison of CSs diameter and area at different culture time points. (C) Comparison of diameter and area of CSs with different cell numbers.
            *p < 0.05; **p < 0.01; ***p < 0.001.

            was analyzed by quantitative real-time polymerase chain   numbers (200, 500, and 1000 cells/CS) and culture times
            reaction (qRT-PCR). The total RNA of each construct   (1, 7, and 14 days) can be prepared in our non-adherent
            was extracted by TRIzol. Subsequently, the RNA was   microwell molds, and an increase in both cell numbers and
            reverse-transcribed  into  cDNA,  and  qRT-PCR  detection   culture times would lead to an enlargement of the CS size
            was performed using the LightCycler® 96 Real-Time PCR   (diameter  and area).  However,  it  was worth  noting  that
            system (Roche, Basel, Switzerland) with SYBR Green. The   there were more scattered cells and debris around the CSs
            relative expression level of each gene was normalized by   in the 200 cells/CS group (as indicated with black arrows
            the GAPDH expression level and analyzed by the 2 - ΔΔCT   in Figure 2A) compared with 500 and 1000 cells/CS groups
            method. The primer sequences used are listed in Table S2   during culture, which may be due to the cell dispersion and
            (Supplementary File).                              insufficient contact among cells in 200 cells/CS group.

            2.13. Statistical analysis                         3.2. Evaluation of the CSs in each group
            All experiments were conducted with at least three   Figure 3A presents the results of viability and histological
            replicates per group. The continuous variables are   analysis of CSs with different cell numbers and culture times.
            presented as the mean ± standard error of mean (S.E.M).   Live/dead and DAPI staining showed high cell viability
            Statistical analysis was carried out through GraphPad   and homogeneous cell distribution in all groups of CSs,
            Prism software (version 9.3.1, GraphPad Software, San   suggesting no obstruction to nutrient supply in them. H&E
            Diego, California USA), and the Student’s t-test or analysis   and Alcian blue staining showed the longer the culture time,
            of variance (ANOVA) was selected to test the significance   the more GAG deposition in the CSs, but the extent of GAG
            according to the characteristics of the data. A p < 0.05 was   deposition of CSs with different cell numbers had no obvious
            considered statistically significant.              difference at each time point. Consistent with the above
                                                               histological staining results, the biochemical quantification
            3. Results and discussion                          results indicated that the GAG content of each CS increased
                                                               significantly with culture time (Figure  3B), while after
            3.1. Preparation of CSs with different cell numbers   normalization by the DNA content, the GAG/DNA ratio
            and culture times                                  in the 500 and 1000 cells/CS groups had no significant
            To examine the influence of cell number and culture time   difference (Figure 3D). However, it should be noted that
            on CSs, the non-adherent microwells method was used in   the biochemical analysis also showed that the DNA content
            our study because it allows for high-throughput preparation   of each CS decreased significantly during the first 7 days
            of uniform CSs with controlled cell number and culture   of culture (Figure 3C), probably due to the difficulty of
            time. As shown in  Figure  2A–C, CSs  with different  cell   chondrocyte proliferation in the non-adherent microwells


            Volume 10 Issue 1 (2024)                       204                        https://doi.org/10.36922/ijb.0161
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