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International Journal of Bioprinting                              3D-bioprinted hydrogel for pulp regeneration




            rehydrated  through graded  ethanol  solutions. Then,  the   process.  Compared to extrusion and inkjet printing,
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            sections were H&E-stained according to the manufacturer’s   DLP-based  printing  could  prevent  the  lysis  of  the
            instructions. For immunohistochemistry (IHC) staining,   encapsulated stem cells in hydrogels due to the high
            primary antibodies against dentin sialophosphoprotein   mechanical stresses caused by the nozzles, and also rescue
            (DSPP; Santa Cruz Biotechnology, Dallas, Texas, USA) and   the viability of encapsulated stem cells, which can be
            CD31 (Abcam) were used to evaluate the odontogenesis   decimated due to prolonged printing in a line-by-line or
            and angiogenesis. IHC images in each group were    drop-by-drop fashion. 29,30  Upon unconfined compression,
            randomly captured at 20× magnification for quantitative   DPGC showed a lower mechanical strain for a certain
            measurement. DSPP- and CD31-positive expression rates   compression stress, compared with the bulk hydrogel
            were measured using Image J software.              (Figure  2C).  For  instance,  under  50%  deformation  of
                                                               the DPGCs before fracture, the average compression
            2.19. Statistical analysis                         stress on bulk hydrogel constructs was 72.5 kPa, while
            Data are presented as the means ± SD from at least three   the average stress on DPGCs was less than 39.8 kPa. In
            independent experiments. Independent sample  t-test
            and one-way analysis of variance (ANOVA) followed   fact, the mechanical strengths of materials can be divided
            by Tukey’s test were used for inter-group comparisons.   into macroscopic mechanical strength and microscopic
            Statistical significance was analyzed using GraphPad Prism   contact strength. It should be noted that this experiment
            7 (GraphPad Software Inc., Boston, MA, USA). P < 0.05   explored  the  macroscopic  mechanical  property,  while
            was considered as a criterion of statistical significance.  mechanotransduction is mainly affected by mechanical
                                                               cues from the surrounding microenvironment of cells
            3. Results                                         at the microscale. Given the undiluted dextran phase
                                                               and the same crosslinking degree, cells experienced the
            3.1. Characterization and optimization of DLP-based   same microscopic mechanical properties of surrounding
            3D-bioprinted DPGC                                 environments within DPGCs or bulk hydrogels. The
            To assure the appropriate mechanical property of   shape stability evaluation demonstrated that, over the
            DPGC,  15%  (w/v  for  all  expressions  unless  otherwise   course of 2 h and 24 h, and then 48 h, the structural shape
            indicated)  GelMA  solution  was  selected  in  this  study   of the hydrogel constructs in all groups still retained its
            as the base for all bioink formulations to be mixed with   original form during the study (Figure 2D and Figure S2
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            dextran solution in the volume ratio of 2:1.  In order to   in Supplementary File). Considering the pore size
            determine the proper concentration of dextran solution,   (dextran  droplet  size)  and  mechanical  property  of  the
            the different size distributions of the dextran droplets in   DPGC, 10% concentration of dextran was chosen as
            the GelMA-Dextran emulsion were visualized in confocal   the appropriate setting for the subsequent cell culture
            fluorescence field photographs (Figure 2Ai–iii and Figure   and in vivo experiments in the experimental group. The
            S1 in Supplementary File). When the concentration of the   microscopic morphology of DPGC in the 10% dextran
            dextran phase was lower than 5% in the mixture, phase   group was evaluated by using SEM. As shown in Figure 2E,
            separations were poorly formed; when the concentration   DPGC exhibited a 3D hierarchical microporous sponge-
            of the dextran phase was higher than 15%, the inversion   like structure with highly interconnected micropores.
            of the two phases occurred. Considering the structure
            stability of  the microporous constructs,  no statistical   3.2. Stemness properties and YAP nuclear
            analysis was performed for the distribution of dextran   transduction of hDPSCs under the influence of
            droplets in the 15% dextran group. The average size    3D-bioprinted DPGC
            (16.5 ± 0.7 μm) of the 5% dextran group was lower than   Stemness properties play a pivotal role in the functions
            that (49.1 ± 2.4 μm) of the 10% dextran group. The size   of  stem  cells,  both  in vitro  and  in vivo.  Therefore, the
            distribution of the dextran droplets became more extensive,   pluripotent stem cell markers (OCT4, NANOG, and
            and the average size increased to 49.1 ± 2.4 μm as the   SOX2) of the hDPSCs cultured in DPGCs and bulk
            concentration of dextran increased to 10% (Figure 2B).   GelMA hydrogel constructs (control group) and on TCPs
            These data indicated that the pore size (the dextran droplet   were evaluated. The expression levels of OCT4, NANOG,
            size) of the GelMA-Dextran emulsion could be optimized   and SOX2 of hDPSCs encapsulated in DPGC significantly
            through this method to offer an advanced bioink for the   increased compared to that of the other two groups at 3
            subsequent 3D bioprinting procedure.               and 5 days (Figure 3A and B). In addition, the expression
               After the emulsions were photo-crosslinked by UV   of  OCT4,  NANOG, and  SOX2  increased in  the  DPGC
            light, DPGC with a hierarchically microporous structure   and the control group, which exhibited a gradually
            was prepared through a DLP-based 3D bioprinting    increasing trend overall and peaked at day 5. These results


            Volume 10 Issue 3 (2024)                       306                                doi: 10.36922/ijb.1790
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