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International Journal of Bioprinting                       G40T60@WNT5A promotes osteoblast differentiation




               In this study, we investigated the application of   2.2. RNA extraction and sequencing
            Masquelet technique and 3D printing technology in   Total RNA was separated from peripheral blood samples
            the context osteogenic differentiation and angiogenesis.   using Trizol reagent (15596026, Invitrogen, CA, USA).
            Preliminary findings suggest that utilizing the Masquelet   RNA sample concentrations and purities were measured
            technique and preparing a degradable WNT5A-loaded   using a NanoDrop  2000 spectrophotometer (1011U;
                                                                               TM
            scaffold G40T60 through 3D printing could facilitate the   NanoDrop, USA). The total RNA samples that meet the
            formation of the induced membrane in rats with chronic   following criteria are used for subsequent experiments:
            tibial osteomyelitis and tibial bone defects (CTO&BD),   RNA integrity number (RIN) ≥7.0 and 28S:18S ratio ≥1.5.
            thus promoting osteoblast differentiation and angiogenesis.
            The findings also underscored the potential of Masquelet   The sequencing library was generated and sequenced
            technique  combined  with  3D  printing  as  a  promising   by CapitalBio Technology (Beijing, China). Each sample
            treatment modality for CTO&BD, and showed that WNT5A   used for sequencing contained 5 μg of RNA. The Ribo-
            may be a potential therapeutic target in CTO&BD. The   Zero™ Magnetic Kit (MRZE706, Epicentre Technologies,
            purpose of this study is to explore and develop an advanced   Madison, WI, USA) was used to remove ribosomal RNA
            bone repair technique for the treatment of CTO&BD,   (rRNA) from total RNA. NEB Next Ultra RNA Library
            using a 3D-printed biodegradable WNT5A-loaded scaffold   Prep Kit (#E7775, NEB, USA) was used for Illumina
            constructed based on the Masquelet technique to promote   sequencing library construction. Then, in NEB Next First
            healing. This innovative technology has substantial clinical   Strand Synthesis Reaction Buffer (5×), the RNA fragment
            value in the arena of bone healing. Relative to other   was broken into fragments of approximately 300 base pairs
            3D-printed scaffolds, induced membranes created through   (bp) in length. Reverse transcription primers and random
            bioengineering approach combined with Masquelet    primers were used to synthesize the first and second
            technique have superior quality and are of favorable sizes,   strands of cDNA in the reaction buffer of deoxyuridine
            which are distinct technical and biomechanical attributes.   triphosphate (dUTP) mix (10×) for the second strand
            This technique can effectively treat orthopedic diseases,   synthesis reaction. The ends of cDNA fragments were
            such as CTO&BD, that pose challenges in clinical treatment.   repaired through the addition of polyA tails and the ligation
            Leveraging advanced technologies such as 3D printing and   of sequencing adaptors. After ligating Illumina sequencing
            bioengineering may offer new avenue for addressing critical   adapters, the second strand of cDNA was digested using
            issues in current orthopedic treatments, thereby helping to   USER Enzyme (#M5508, NEB, USA) to construct a strand-
            improve patient’s quality of life and life expectancy.  specific library. The library DNA was amplified, purified,
                                                               and  enriched  through  PCR.  Then,  the  libraries  were
            2. Materials and methods                           assessed by Agilent 2100 and quantified using the KAPA
                                                               Library Quantification Kit (KK4844, KAPA Biosystems,
            2.1. Clinical specimen collection                  USA). Finally, paired-end sequencing was performed on
            Ten healthy individuals and 10 patients with chronic   the NextSeq CN500 (Illumina, USA) sequencer. 41,42
            osteomyelitis with bone defects were recruited in this study.
            Peripheral blood samples were collected from the human   2.3. Quality control of sequencing data and
            participants, under the approval of the Ethics Committee   alignment to reference genome
            of The Third Hospital of Hebei Medical University (Ethics   Fast Quality Control (FastQC) software v0.11.8 was used
            Committee number: Ke-2022-104-1). Peripheral blood   to  check the  quality of the  paired-end  reads  on  the  raw
            mononuclear cells were isolated from the samples using   sequencing data. Raw data were processed using Cutadapt
            heparinized tubes. Fresh peripheral blood (2–5 ml) in   software 1.18, which removed the Illumina sequencing
            each tube was centrifuged at 400 × g at room temperature.   adapters and poly(A) tail sequences. Reads with an N content
            Afterward, 2 ml of the upper layer of plasma was discarded,   exceeding 5% were removed using a Perl script. Reads with
            followed by a top-up with an equal amount of phosphate-  a 70% base quality above 20 were extracted using FASTX
            buffered saline (PBS). Five milliliters of single-nucleus   Toolkit software 0.0.13. The paired-end sequences were
            isolation buffer (1:1) (bio-processing system, #25610) were   repaired using BBMap software. Finally, the filtered high-
            added to a 15-ml centrifuge tube. Then, 5 ml of diluted   quality reads fragments were aligned to the mouse reference
            whole blood was slowly added to the tube containing   genome using hisat2 software (0.7.12). 41,42
            the single-nucleus isolation buffer. The suspension was
            centrifuged at room temperature for 20 min with a speed   2.4. Bioinformatics analysis
            that ensures a smooth descent of the rotor. Specifically, the   Differential gene expression analysis of mRNA was
            deceleration was set to “no break” (DECEL: set to slow).   based on  mRNA  read  count  using  the  “edgeR” package
            The cell layer in which peripheral blood mononuclear cells   in R language, with the criteria of |log2FC| >1 and  P
            (PBMCs) reside is white. 39,40                     <0.05 for differential gene selection. The target genes for

            Volume 10 Issue 2 (2024)                       230                                doi: 10.36922/ijb.1461
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