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International Journal of Bioprinting                                Stretchable scaffold for modeling fibrosis




            2.13. Statistical analysis                            The scaffold mesh geometry was first defined (Figure 1),
            Statistical analysis of variance (ANOVA) was performed   and PCL scaffolds with biomimetic stiffness were designed
            using GraphPad Prism version 9.0.0 (GraphPad Software   accordingly. Scaffolds with different numbers of layers
            Inc., USA).                                        (two, three, four, seven, and eight layers) were subjected
                                                               to  structural  analysis  under  S-L.B.  and  C.B.  hypotheses.
            3. Results and discussion                          Structure displacement computation was performed for
                                                               stiffness analytic evaluation, considering both tensile force
            In  this  work, bioartificial  PCL/GelMA  scaffolds were   and bending moment (Figure S1). The analysis utilized
            designed and fabricated. These scaffolds were able to   Young’s modulus (E) and yield stress (σ ) values of single
            reproduce the stiffness of human cardiac fibrotic tissue to   PCL filaments fabricated by MEX that were measured by
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            sustain  in vivo-like cyclic mechanical deformations and   uniaxial  tensile  mechanical  tests  (E  =  444  ±  46.32  MPa
            support HCF culture. The ability of bioartificial scaffolds to   and σ  = 17.15 ± 2.36 MPa). Figures 5 and 9A displayed
            sustain cyclic mechanical deformations was imparted by the   the stiffness of PCL scaffolds as a function of the number
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            PCL scaffold architecture, while stiffness could be adjusted by   of scaffold layers, calculated according to the S-L.B. and
            both the number of PCL scaffold layers and the concentration   C.B. approximations. Considering the PCL single filament
            of GelMA hydrogels. Notably, the GelMA hydrogel    section area (b × h) of 0.2 × 0.15 mm , measured from SEM
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            concentration in bioartificial scaffolds was also optimized   images (not shown), scaffold stiffness was found to increase
            by static in vitro tests with HCFs to allow their long-term   as a function of the number of scaffold layers containing
            culture for at least 14 days. Finally, PCL/GelMA scaffolds   wavy filaments. Specifically, stiffness values increased
            cellularized with HCFs were cultured in dynamic conditions   twofold with the addition of any new layer containing
            under cyclic mechanical stimulation to preliminarily assess   wavy filaments, while layers containing straight filaments
            the activation of HCFs into myofibroblasts.        did not affect scaffold stiffness. This was a consequence of

            3.1. Design and characterization of stretchable    the dependence of the area moment on the scaffold cross-
            poly(ε-caprolactone) scaffolds                     section. Indeed, the scaffold cross-section perpendicular to
            PCL scaffolds with cardiac tissue-like stretchability were   the x-direction (Figure 1) increased with the addition of any
            designed to have a tailored mesh geometry with fixed   new layer containing wavy filaments. Hence, scaffolds with
            filament size and a varying number of superimposed   three, four, seven, and eight layers, that is, having the same
            layers, to: (i) mimic the stiffness of human cardiac fibrotic   number of layers with wavy filaments, displayed the same
            tissues (Young’s modulus of 0.4–9 MPa, as measured by   stiffness. As similar results were obtained using both S-L.B.
            uniaxial tensile tests using a 500 N load cell);  (ii) sustain   and C.B. hypotheses (Figure 5), the S-L.B. approximation
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            in vivo-like maximum elastic deformation (≤22%);  (iii)   was then selected for further stiffness evaluations.
                                                     5,21
            display fatigue resistance under uniaxial cyclic tensile tests   The mechanical behavior (e.g., stress distribution) of
            (with 22% maximum strain).                         PCL scaffolds with up to eight stacked layers (Figure 1)

























            Figure 5. PCL: Poly(ε-caprolactone) (PCL) scaffold stiffness computed by structural analysis based on approximations of the single mesh element as a
            straight-line (S-L.B.) or a curved beam (C.B.). Abbreviations: C.B.: Curved beam; S-L.B.: Straight-line beam.


            Volume 10 Issue 3 (2024)                       476                                doi: 10.36922/ijb.2247
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