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International Journal of Bioprinting                                 Biomimetic scaffolds for tendon healing




            as the slope  of  the line tangent to the stress–strain   2.12. Determination of metabolic activity
            curve  at  50%  of  the  ultimate  stress.   Work  to  break   The metabolic activity of iMAT cells inside the tissue
                                           39
            was determined by calculating the area under the stress   constructs was determined using the cell counting kit.
            vs. strain curve until the breaking point was reached.   Following the manufacturer’s instructions, a 1:10 mixed
            Part (D) of the Supplementary File presents the results   solution of CCK-8 reagent (500  µL) was added to each
            of the force vs.  displacement graph along with the   tissue construct and was incubated for 4 h at 37°C.
            corresponding parameters derived from it.          The fluorescence of the samples was determined in an
                                                               Infinitive M200 microplate reader from TECAN Trading
            2.9. Swelling study                                AG (Männedorf, Switzerland). The established parameters
            In the swelling study, the acellular scaffolds were firstly   were a detection wavelength of 450  nm and a reference
            printed,  then  crosslinked,  and  finally  dried  using  a   wavelength of 650  nm. Acellular scaffolds were used as
            lyophilization  process.  Once  lyophilized,  their  initial   blank. The results were represented as absorbance units vs.
            weight was measured (W ). One milliliter of PBS was   test condition (cell density and time). Five sampling times
                                 0
            added to each scaffold. They were incubated under shaking   were established, and four replicates were performed in
            conditions at 37°C for 24 h. At the established sampling   each condition.
            time points, the scaffolds were removed from the PBS,
            slightly dried using a filter paper, and weighed (W ). Ten   2.13. Measurement of lactate
                                                     f
            specimens were tested during the different time points.   dehydrogenase activity
            The  swelling  ratio  was  established  using  the  following   The effect of the bioprinting process on the tenocytes was
            equation (Equation V):                             investigated using a lactate dehydrogenase activity assay
                                                               kit. Following the manufacturer’s instructions, 500 µL of
                                                               master reaction mix was added to each tissue construct
                                     ( W − W )
                        Swelling ratio =  f  0         (V)     and incubated for 4 h at 37°C. Finally, the fluorescence
                                        W 0                    of the samples was determined in an Infinitive M200
                                                               microplate reader. The established parameters were
            2.10. Degradation study                            a detection wavelength of 490  nm and a reference
            To establish the degradation rate, the acellular scaffolds   wavelength of 680 nm. Acellular scaffolds were used as
            were 3D-printed, crosslinked, dried with filter paper, and   blank. The results were represented as absorbance signal
            weighed (W ). One milliliter of DMEM medium was added   vs. test condition (cell density and time) (part (E) of the
                     0
            to each scaffold. Afterward, they were incubated under   Supplementary File). Three replicates were performed in
            shaking conditions at 37°C for 85 days. At the established   each condition.
            sampling time points, the scaffolds were removed from
            the media, slightly dried, and weighed (W ). Twenty-five   2.14. Gene expression study
                                               f
            specimens were tested at each time point. The degradation   The tissue constructs were cultured for 3 and 12 days under
            percentage was established using the following equation   the previously mentioned conditions. At the mentioned
            (Equation VI):                                     time points, four of these tissue constructs were collected,
                                                               enzymatically digested (using 1 mg mL  of alginate lyase,
                                                                                              -1
                                                               at 37°C, and for 15–25 min), and centrifuged to separate
                                       W
                       Degradation (%) =  f  ×100      (VI)    the cells from the rest of the scaffold. The TRIzol method
                                       W 0                     was used to obtain the RNA of the samples. Finally, the
                                                               total mRNA quantity and purity were measured with a
            2.11. Assessment of cell viability                 SimpliNano Nanodrop from GE Healthcare Life Sciences
            The viability of iMAT cells inside the tissue constructs was   (Madrid, Spain). The RNA was reverse-transcribed to
            determined using the LIVE/DEAD™ Viability/Cytotoxicity   cDNA using the Fast Gene Scriptase II, cDNA Synthesis
            Kit assay. Following the manufacturer’s instructions,   Kit. Real-time PCR (RT-qPCR) was performed using
            live cells were stained with calcein-AM (excitation/  StepOnePlus Real-Time PCR Systems. To determine the
            emission wavelength of 495/515 nm) and dead cells with   expression of the target genes (glyceraldehyde-3-phosphate
            ethidium homodimer-1 (excitation/emission wavelength   dehydrogenase,  Gapdh;  Scleraxis  BHLH  transcription
            of 495/635 nm). At the sampling time points, the tissue   factor, Scx;  Fos  proto-oncogene,  c-Fos;  Tenascin  C,  Tnc;
            constructs were imaged using a Nikon TMS microscope   Collagen type I alpha 1 chain, Col1a1; Collagen type III
            (Virginia, USA).                                   alpha 1 chain,  Col3a1; Fibronectin 1,  Fn1), commercial





            Volume 10 Issue 3 (2024)                       447                                doi: 10.36922/ijb.2632
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