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International Journal of Bioprinting                        Increased ECM stiffness enhances chemoresistance




            oscillatory tests were also conducted through cooling   to each well of the 24-well plate. The culture medium was
            process with the rate of 5°C/min. The intersection of the   changed every two days.
            G′ and  G″ curves is generally considered the gel point
            of the material. Different concentrations (6% and 8%)   2.5. Young’s modulus tests
            of GelMA were incubated at 37°C before testing and the   For each concentration of samples, the same 3D bioprinter
            temperature-controlled testing plate was also set at 37°C   was used to construct cuboids, which were 2 cm long, 1
            as the initial temperature. The time dependence of G′ and   cm wide and 0.6 cm high. Young’s modulus tests were also
            G″ of GelMA hydrogels with different concentrations were   performed on 3D models containing 6% GelMA and 8%
            measured  according  to  a set  measurement temperature   GelMA but without tumor cells, in addition to 3D tumor
            (21.5°C), which corresponded to the setting of the printing   models. Prior to the determination of Young’s modulus, all
            temperature.                                       samples were measured with vernier caliper to determine
                                                               their actual sizes, including length, width, and height. Three
            2.3. Semi-quantification of printability           samples of each condition were loaded and compressed
            When GelMA is in the ideal gelation state, the extruded   until rupture at the rate of 0.05 mm/s using a mechanical
            filaments will show a clear morphology, marked by regular   test instrument (Bose ElectroForce 3200, Bose Corp.). The
            grids and square holes in the manufactured structure.   elastic part (10% to 20% strain) of the stress-strain curve
            We utilized the following formula to calculate GelMA   was used to calculate the Young’s modulus.
            printability (Pr) based on the square shape: 37
                                                               2.6. Cell survival assay
                                   L 2                         Cell survival in the 3D-bioprinted models was assessed
                               Pr=                      (I)    on days 1, 3, 5, 7, and 10 after printing. Cell survival was
                                  16 A                         measured using a live/dead fluorescence assay. Briefly,
                                                               a mixture of calcein-AM (C-AM, 1 µmol/L; Sigma-
               where L means perimeter, and A means area. For an
            acceptable printability state, the interconnected channels   Aldrich, Burlington, USA) and propidium iodide (PI, 2
                                                               µmol/L; Sigma-Aldrich, Burlington, USA) was prepared
            of the 3D-bioprinted model would be square shape, and   and passed through a 0.22-µm filter prior to staining. The
            the Pr value was 1. To determine the Pr value of each   3D-bioprinted model was gently washed with PBS and
            concentration of GelMA at printing temperature, optical   incubated in a C-AM/PI mixture at 37°C for 30 minutes
            images of printed models were analyzed in ImageJ software   in the dark. After incubation, the 3D-bioprinted model
            (version 1.8.0)  to  calculate the perimeter  and  area of   was gently washed with PBS and observed using a laser-
            interconnected channels (n = 4).
                                                               scanning confocal microscope (C2/C2si; Nikon, Tokyo,
            2.4. Construction of 3D-bioprinted ovarian cancer   Japan). Five random fields were captured for each sample,
            model                                              and the cells in the five samples were counted using the
            A 3D cellular bioprinter BIOMAKER (SUNP Biotech,   ImageJ software (Version 1.8.0). Cell survival (%) was
            Beijing, China) was used to construct in vitro ovarian cancer   calculated using the following formula:
            models according to previously reported procedures. 22,23,38
            Briefly,  10%  gelatin  methacryloyl  (GelMA)  hydrogels   Cellsurvival(%)=  Numberof live cells  ×100  (II)
            (EFL-GM-30, Engineering for Life, China) were prepared              Totalnumberofcells
            with phosphate-buffered saline (PBS) containing 0.25%
            (w/v) lithium phenyl(2,4,6-trimethylbenzoyl) phosphinate   2.7. Cell proliferation assay
            (EFL-GM-30, Engineering for Life, China). SKOV3    The 2D-Ov cells and 3D-bioprinted cells on days 1, 3, 5,
            cells cultured in a 2D environment were collected and   7,10 after printing were incubated in a mixture of culture
            prepared as a suspension. The cell suspension was then   medium and Cell Counting Kit 8 (CCK8; Dojindo,
            mixed with 10% GelMA in a volume ratio of 2:3 (6%-  Kumamoto, Japan) at a volume ratio of 9:1. After 2 h of
            3DP) or 1:4 (8%-3DP), with a final cell density of 5×10 /  incubation at 37°C, the absorbance of the culture medium
                                                         6
            mL. The cell/hydrogel mixture was pumped into a sterile   at  450/620  nm  was measured (AMR-100;  ALLSHENG,
            syringe with a 23G needle and placed in a 3D bioprinter   Hangzhou, China).
            at a controlled temperature. The temperature of nozzle
            and molding chamber was 21.5°C and 10°C, respectively.   2.8. Evaluation of protein and mRNA expression
            The cell/hydrogel mixture was squeezed at a rate of 1   The expression of ovarian cancer-associated proteins and
            mm /s to fabricate the model and then exposed to a blue   multidrug resistance genes was evaluated using several
               3
            laser (wavelength 405 nm) for 20 s to modify the GelMA.   methods. Ki-67 and p53 protein expression were detected
            Afterward, 1 mL SKOV3 cell-specific medium was added   by immunofluorescence, and the mRNA expression of p53,


            Volume 10 Issue 3 (2024)                       230                                doi: 10.36922/ijb.1673
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