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International Journal of Bioprinting                                 3D printing with drug for vascular repair




            2.8. Tube formation assay                          3% w/v neutralized atelocollagen and 3% w/v alginate at
            Tube formation assay was performed to assess the function   a 4:1 ratio. NPS and NPC (6 mg/500 μL each) were then
            of EPCs in the formation of blood vessel-like structures   blended with the shell bioinks (3 mL), resulting in a final
            (tubes). 96-well plates were coated with 65 μL of Matrigel   concentration of 2 mg/mL for both NPS and NPC in the
            (BD Biosciences, San Diego, CA) and incubated at 37°C for   bioink. Similarly, NP was mixed with the shell bioink as the
            30 min. Afterward, 5000 cells were seeded into each well   control group. For the core material, 40% w/v Pluronic F-12
            of a Matrigel-coated 96-well plate. After a 3-h incubation,   (Sigma-Aldrich) with 100 mM calcium chloride was used
            the plate was examined every hour for tube formation. The   as  the sacrificial material.  For  vascular  cell printing,  the
                                                                                                    6
            total tube length was measured using ImageJ software.  shell material was blended with EPCs (1 × 10  cells/mL).
                                                               NP, NPS, and NPC without cells were used as controls. The
            2.9. Migration assay                               core-shell bioinks were bioprinted at 80 kPa (core) and 60
            Migration  assay  was  performed  using  a  24-well  8.0   kPa (shell) using a 200 mM CaCl  solution to enable  in
                                                                                           2
            μm polycarbonate Transwell chamber consisting of a   situ crosslinking of the alginate solution. Subsequently, the
            permeable membrane (Corning Inc., Corning, NY, USA).   printed vessel was rinsed with DPBS and incubated at 37°C
            For the assay, 500 μL of EGM-2 media was added below   for 1 h. The sacrificial material (core bioink) was removed
            the cell permeable membrane, while 10,000 cells/100 μL   using ice-cold DPBS. One side of the ABV was set to circulate
            in EBM-2 medium were plated on the upper chamber of   water with the aid of a circulation pump (MasterFlex L/S,
            the permeable membrane. After 24 h of incubation, the   Masterflex, Germany), while the other side was attached to
            migrated cells were fixed with 4% paraformaldehyde and   a digital pressure gauge to measure the burst pressure of the
            stained with 0.5% crystal violet at room temperature. The   ABV. The burst pressure was measured at the point right
            upper chamber was washed, and the top of the membrane   before ABV rupture, and the burst pressure of cell-laden
            was examined for cell migration. The cells were observed   ABV was measured after 7 days of cultivation.
            under an inverted microscope after mounting, and the
            number of cells was counted.                       2.12. Live/dead cell assay
                                                               Calcein acetoxy methylester (calcein AM) and ethidium
            2.10. Measurement of intracellular ROS levels      homodimer-2 (InvitrogenTM Life Technologies, Carlsbad,
            Intracellular ROS levels were measured using the   CA, USA) dissolved in 1× PBS, at the concentration of
            2′,7′-dichlorodihydrofluorescein diacetate (H DCFDA)   4 μM and 2 μM, respectively, were used. Calcein AM labels
                                                  2
            kit (Thermo Fisher Scientific, Carlsbad, CA, USA). After   living cells with bright green fluorescence, while ethidium
            incubation, the EPCs were harvested and washed with 2%   homodimer  is a red fluorophore  that stains nonviable
            FBS and 200 µM ethylenediaminetetraacetic acid (EDTA)   cells since it cannot penetrate living cells. After 15 min of
            in PBS. After centrifugation at 2000 ×g for 3 min, the pellet   incubation, the samples were analyzed using a Lionheart
            was suspended in 10 μM H DCFDA in PBS containing 2%   FX automated microscope (BioTek, Winooski, VT, USA).
                                 2
            FBS and 200 μM EDTA and incubated for 1 h at 37°C in 5%
            CO  atmosphere. Following which, the cells were washed   2.13. Fluidity test on artificial blood vessels
               2
            with PBS and analyzed by flow cytometry using the BD   To assess the perfusion and patency of a 3D-printed ABV,
            Accuri C6 software (BD Biosciences, New Jersey, USA).   perfusion test was conducted using pigment ink. The ABV
                                                               was cut to an appropriate length, and a continuous flow
            2.11. Preparation and mechanical property          of pigment ink was introduced into the vessel using a 26
            evaluation of 3D-bioprinted artificial blood vessel  G (1/2 inch) syringe. Then, the diffusion of pigment was
            To prepare bioinks, sodium alginate (viscosity >2000 cP,   observed.
            25°C; Sigma-Aldrich, St. Louis, MO, USA) in Dulbecco’s
            phosphate-buffered saline (DPBS, Gibco, Grand Island,   2.14. Western blotting
            USA) was prepared and stirred for 6 h at 37°C. Next,   Total protein was isolated from ABV using RIPA Buffer
            an atelocollagen solution (pH 4.0; Baobab Healthcare,   (Thermo Fisher Scientific, Waltham, MA, USA) and a
            Gyeonggi-do, Republic of Korea) was mixed with     protease inhibitor (Thermo Fisher Scientific, Waltham,
                                                               MA, USA), according to the manufacturer’s specifications.
            reconstituted buffer (132 mM Na HPO ) at a volume ratio   Equal amounts of protein were separated by an 8–15%
                                           4
                                      2
            of 1:1 for neutralization.
                                                               sodium dodecyl sulfate polyacrylamide gel electrophoresis
               Vascular printing was performed using a coaxial   (SDS-PAGE). The protein bands were then transferred to
            nozzle (inner needle, 28 G; outer needle, 20 G; Ramé-hart,   a polyvinylidene fluoride (PVDF) membrane (Millipore,
            Succasunna, NJ, USA) equipped with a 3D bioprinter (Root   Billerica, MA, USA). After the membrane was blocked in
            1; Baobab Healthcare, Gyeonggi-do, Republic of Korea).   5% skim milk for 1 h at room temperature, it was incubated
            For the shell material, bioinks were prepared by combining   overnight at 4°C with primary antibodies for VE-cadherin,

            Volume 10 Issue 2 (2024)                       335                                doi: 10.36922/ijb.1857
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