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International Journal of Bioprinting                       G40T60@WNT5A promotes osteoblast differentiation





































            Figure 8. Influence of the induced membrane loaded with WNT5A on osteogenic differentiation and neovascularization in CTO&BD rat model  (A)
            Alkaline phosphatase (ALP) staining for evaluating ALP activity of BMSCs in each group (scale bar: 400 μm). (B) Alizarin red S (ARS) staining for
            evaluating osteogenic differentiation of BMSCs in each group (scale bar: 200 μm). (C, D) RT-qPCR and Western blot analysis of gene and protein expression
            levels of osteogenic markers (Runx2, Osterix, Alpl, Opn, and Ocn) in BMSCs of each group. (E) Hematoxylin and eosin (H&E) staining for staining the
            induced membrane formed, with arrows indicating the formation of fibrous tissue (scale bar: 100 μm). * indicates comparison between two groups; the
            cell experiment was repeated 3 times.

            results showed that the angiogenic ability of cells in the   4. Discussion
            G40T60 group was significantly increased compared to
            the PBS group. Compared to the PBS group, the WNT5A   In this study, bioinformatics analysis revealed that WNT5A
            group showed significantly increased angiogenic ability,   may be a critical factor in the progression of CTO&BD.
            indicating that G40T60 and WNT5A could significantly   Induction of Wnt5a expression has been reported to
            promote angiogenesis in UVECs. Additionally, compared   promote mesenchymal stem cell osteogenic differentiation
            to the WNT5A group, the G40T60@WNT5A group         and bone formation, as well as enhance osteoblast function
                                                                     33-36,69
            further enhanced the angiogenic ability of UVECs. The   in mice.   In addition, Pkn3 promotes the activation of
            above results indicated that WNT5A attached to the   Wnt5a signaling, promoting bone resorption. This pathway
            scaffold harbors the capability to increase angiogenesis   may be a therapeutic target for bone-related diseases, such
                                                                                                70,71
            (Figure 9C–E). Finally, we assessed the gene expression   as osteoporosis and rheumatoid arthritis.
            levels of the key angiogenic factors, namely  Ang,    We obtained the G40T60@WNT5A scaffold by
            Pecam1, and Vcam1, in the UVECs of each group using   incorporating WNT5A into a 3D-printed biodegradable
            RT-qPCR. The mRNA quantification results of these   scaffold and demonstrated its excellent biocompatibility
            genes showed a significant increase in the levels of Ang,   through  in vitro cell experiments. The construction
            Pecam1, and  Vcam1 in UVECs cells in the G40T60@   of 3D-printed scaffolds is under rapid development,
            WNT5A group after treatment compared to the other   and the application of 3D-printed scaffolds has been
            control groups (Figure 9F). Western blot analysis also   extensively reported. 3D printing has become an essential
            revealed a significant increase in the protein levels of   manufacturing process in skeletal engineering because it
            Ang,  Pecam1, and  Vcam1 in UVECs cells treated with   could control the volume geometry and internal structure of
            G40T60@WNT5A compared to other control groups      tissue scaffolds. 72,73  Developing optimal 3D scaffolds for bone
            (Figure 9G). These findings suggested that the induced   defect repair has always been the focus of the advances in
            membrane formed by G40T60@WNT5A in CTO&BD          bioprinting methods. At present, the available technologies
            rats promotes neovascularization.                  could afford cellular function, vitality, and mechanical


            Volume 10 Issue 2 (2024)                       242                                doi: 10.36922/ijb.1461
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