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International Journal of Bioprinting                                 Biomimetic scaffolds for tendon healing







































            Figure 6. Results of cell viability assay. Fluorescence micrographs of live/dead-stained tissue constructs. The live (green) and dead (red) cells can be seen
            at the different time points and cells densities (4×). Scale bar: 500 µm.



            reason is that when the tenocyte phenotype is established,   of  Fn1 in tenocytes embedded in the scaffold did not
            the expression of this gene ceases to change. The Tnc gene   change with time.
            encodes  a  glycoprotein  that  is  essential  during  tendon   Under normal conditions, the major component
            regeneration because it is related to collagen fiber alignment   of tendons is collagen, specifically type I collagen.
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            and tissue  homeostasis. 72,74  Although an increasing   When an injury occurs in this tissue, during the first
            tendency was detected over time, it was not statistically
            significant. It has been previously reported that this gene is   phase of the regeneration process, collagen III is the
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            mechanosensitive, so its expression increases over time in   one that is predominantly produced.  In later phases,
            response to the mechanical stimulation to which the cells   this collagen is replaced by type I collagen, indicating
            are subjected when they are embedded in the hydrogel.    greater maturity and mechanical resistance of the
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            The maintenance of Scx expression and the slight increase   tissue.   This is why the expression of both collagens,
            in Tnc expression suggest that cell dedifferentiation is not   as well as their proportion, is of great importance. In
            occurring over time. 76                            the developed tissue constructs, tenocytes presented a
                                                               significant increase in the expression of Col3a1 on day
               c-Fos is a member of a family of intermediate early   12. In the case of Col1a1, its expression exhibited very
            genes involved in a large number of biochemical processes.   slight and not significant changes. This result indicates
            Its transcription is increased as a response to growth   that, during the first 12 days, the tenocytes embedded in
            factors and during cell proliferation, differentiation, and   the scaffold are still in an “initial” phase of production
            transformation, among others.  In the tissue constructs,   of  the  tendon’s  own  ECM.  It  is  necessary  to  mention
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            the expression of this gene increased significantly over time.   that these genes,  Col1a1 and  Col3a1, have also been
            This allows authors to hypothesize that the cells increase   used in many occasions as markers that indicate the
            their proliferation rate over time within the scaffold, in   differentiation or dedifferentiation of tenocytes.
            agreement with the results observed in cell viability and
            metabolic activity assays. On the other hand,  Fn1 is a   In addition to the analysis of the variation of gene
            gene that encodes fibronectin. Its function is related to the   expression over time, it is also interesting to analyze the
            processes of cell adhesion and migration.  The expression   relationship between the expressions of the different genes.
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            Volume 10 Issue 3 (2024)                       457                                doi: 10.36922/ijb.2632
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