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Mehri Behbehani, et al.

            (illustrated by single images) and along the whole  Neuronal cells attached and expanded in different
            tube (illustrated by images taken on three different  patterns on the three different substrates. On TCP,
            positions) (Figure 4B). Together, these results provide  neurons distributed evenly over the entire monolayer
            insight into neuronal attachment, alignment and    substrate (Figure 5A), where cells on PCL films
            distribution on PCL microfibres incorporated into  showed a clumped arrangement (Figure 5B). Neurons
            NGCs when using the developed culture model, where  cultured on microfibres inside the NGC device formed
            neurons orientated like they would do as bands of  aligned cellular bands in the direction of the fibres
            Büngner in peripheral nerve regeneration in vivo.  (Figure 5C).

















            Figure 4. 3D confocal microscopy images of neuronal cell
            distribution on aligned PCL fibres in whole nerve guides. The
            incidence of neuronal NG108–15 cells were evaluated on three
            different  positions  throughout  the  NGC  and  neurons
            revealed by phalloidin- TRITC and DAPI. For confocal
            microscopy, the fibres were taken out of the tube and mounted
            on a glass microscope slide. (A) Graphical representation of an
            NGC with incorporated aligned fibres. The arrow indicates the
            position where cells were seeded in the tubes. Imaging was  Figure 5. Overview of live and dead neuronal cells in the
            conducted  in  three  different  positions  on  the  fibres  proposed 3D model. NG108–15 neuronal cells were cultured
            (illustrated by numbers). (B) 3D z-projection confocal images  on TCP (A), PCL films (B) and on PCL microfibres inside the
            of neuronal cell distribution on microfibres inside NGCs.  NGC test device (C) for 4 days. Live cells were identified with
            Z-stack images (depth: ∼400 µm) were taken at three different  Syto 9 (green) and dead cells with propidium iodide (red). Cell
            positions as illustrated in A. Arrow indicates the direction of  imaging on fibres was conducted in the centre of the scaffold in
            microfibres in the NGCs                            z-stacks (depth 400 µm) and was illustrated as maximum
                                                               intensity images. Arrow indicates the fibre orientation in NGCs.
            3.3 Cell Survival Inside Microfibre-filled NGCs    (D) shows the percentile distribution of living (dark bars) and
            Cell viability not only plays an important role for the  dead cells (light bars) in the three different conditions (A–C).
            in vitro analysis and evaluation of cell behaviour and  Living cells on TCP accounted 98.9 ± 0.6 %, on PCL films
                                                               85.6 ± 3.9 % and 91 ± 4.6 % on microfibres in NGCs in
            properties but is also crucial in the injury site to  relation to the total cell population. No significant (ns)
            maintain as many viable cells as possible to increase  differences between data points of living cells on TCP and
            effectiveness of tissue regeneration. In the described  microfibres inside NGCs could be found, where significance
            model, neuronal cells were seeded with greater     was seen between TCP and PCL films. Data points of living
            numbers per area than on flat monolayer substrates  cells were analysed by one-way ANOVA (**p < 0.01).
            and were surrounded by the conduit walls structurally  Scale bar = 150 µm."
            mimicking a peripheral nerve whereas in contrast,    Additionally, the ratio of viable neuronal cells
            monolayer cultured cells are exposed to an open    varied between 85% and 99%, where the highest
            system with unrestricted medium supply. Based on   numbers of living cells could be seen, with more than
            these culturing differences, a comparative overview  90% viability, on microfibres in NGCs and on the flat
            staining of live and dead neuronal cells was       TCP control. No significant differences could be
            conducted between cells on monolayer TCP substrates  seen between living or dead neuronal cells cultured on
            or PCL respectively, and cells, which were cultured on  microfibres inside the NGC device and the TCP
            PCL microfibre scaffolds inside NGCs (Figure 5A–C).  control. However, a significant decrease in living


             6                          International Journal of Bioprinting (2018)–Volume 4, Issue 1
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