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International Journal of Bioprinting                             NIR-secretome release for nerve regeneration




            of  MSCs secretome,  importantly, a  significantly strong   to the easy and repeatable production of alginate and GO,
            recover of cell viability was observed in neural cells, which   along with the easy storage and stability, future large-scale
            reached 76% ± 1.8% (Figure 4D, p < 0.05, one-way ANOVA   production of these AGO particles will be achievable. These
            and Tukey’s post-hoc test). The production of ROS was also   advantages make AGO microbeads a promising platform
            monitored after neural damage and NIR irradiation. The   for the development of MSC-based therapies for neuronal
            release of culture medium mildly affected the production   recovery after injury. This innovative approach holds
            of free radicals, reducing the levels from 206% ± 28.4% of   great potential for the treatment of various neuropathies
            the  positive  control  down  to  180%  ±  23.6%  (Figure  4E,   and injuries, offering new possibilities for enhancing
            p < 0.05, one-way ANOVA and Tukey’s post-hoc test). The   patient outcomes and quality of life. Further research is
            release of ACM after NIR had an even stronger effect on   warranted to explore the underlying mechanisms of action
            ROS of neural cells, reducing their production to 160% ±   and optimize the parameters of NIR-responsive delivery
            29.5% (Figure 4F, p < 0.05, one-way ANOVA and Tukey’s   systems. Future studies regarding the biodistribution of
            post-hoc test). Finally, the release of MSCs secretome had   microbeads after local injection will have to be performed.
            the strongest effect even on the production of ROS, which   The development of robust and safe MSC-based therapies
            was significantly reduced to 126% ± 3.4% (Figure 4G,   utilizing the controlled delivery of the secretome holds
            p < 0.01, one-way ANOVA and Tukey’s post-hoc test).  promise for addressing the unmet clinical needs in
               Calcein  staining  furtherly  confirmed  viability  and   neuronal regeneration and providing effective treatments
            ROS production data, indicating a significantly higher   for patients with neurological disorders and injuries.
            cell proliferation in neural cells after recovery with MSCs   Acknowledgments
            secretome with respect to the other treatments (Figure 5A
            and B). Our findings demonstrate that the secretome of   None.
            MSCs holds immense regenerative potential for nerve
            repair. Its controlled release from AGO microbeads   Funding
            showcases superior efficacy in enhancing cell viability   Not applicable.
            and reducing ROS production in damaged neural cells,
            surpassing the effects observed with ACM and standard   Conflict of interest
            culture medium. These findings offer promising insights
            into the therapeutic applications of MSC secretome in   The authors declare no conflict of interest.
            nerve regeneration, highlighting its significance in future
            research and clinical interventions.               Author contributions
            4. Conclusion                                      Conceptualization: Massimiliano Papi, Marco De Spirito
                                                               Formal analysis: Giordano Perini
            Our study presents a novel approach for the controlled   Investigation: Giordano Perini, Valentina  Palmieri,
            delivery  of  MSCs secretome  for neuronal regeneration   Marcello D’Ascenzo, Claudia Colussi
            using NIR-responsive bioprinted AGO microbeads. By   Methodology:  Ginevra Friggeri, Alberto Augello, Lishan
            encapsulating the MSCs’ secretome in AGO microbeads   Cui
            and utilizing NIR radiation, we successfully achieved the   Writing – original draft: Giordano Perini
            controlled release of therapeutic factors for promoting   Writing – review & editing: Massimiliano Papi, Claudio
            neuronal proliferation, survival, and viability. Our findings   Grassi, Marco De Spirito
            highlight the efficacy of the MSCs secretome in promoting
            neural proliferation compared to the secretome derived   Ethics approval and consent to participate
            from astrocytes, a known promoter of nerve regeneration.   Animal procedures (E18 isolation and neuronal cultures)
            The controlled release of the MSCs secretome through   were approved by the Ethical Committee of the Università
            non-invasive NIR radiation from AGO microbeads     Cattolica del Sacro Cuore (authorization n° 494/2022-
            demonstrated significant  benefits  in  terms  of neuronal   PR) and were fully compliant with Italian (Ministry of
            proliferation and regeneration following induced toxicity.   Health guidelines, Legislative Decree No. 116/1992) and
            This approach offers advantages over conventional   European Union (Directive No. 86/609/EEC) legislations
            delivery methods, such as precise control over the timing,   on animal research.
            location, and dosage of therapeutic agents. The use of AGO
            microbeads not only allows for controlled release but also   Consent for publication
            provides additional benefits, including potential reductions
            in immunogenicity and tumorigenicity. Furthermore, due   Not applicable.


            Volume 10 Issue 1 (2024)                       238                          https://doi.org/10.36922/ijb.1045
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