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International Journal of Bioprinting                                      Analysis of PVA-silk fibroin stents




                                                               or the one‐way analysis of variance (ANOVA) followed
                                                               by Bonferroni or Tamhane’s T2 post-hoc test for multiple
                                                               comparisons. Non‐parametric data were analyzed using
                                                               the Mann–Whitney U test for non‐normally independent
                                                               variables. The Kruskal–Wallis test was used for comparing
                                                               more than two groups. Results were considered statistically
                                                               significant at p < 0.05.

                                                               3. Results

                                                               3.1. Cell viability in fabricated hydrogels and effect
                                                               of different activation conditions
            Figure 3. Compression test for stent evaluation. A parallel plate rheometer
            captures the mechanical performance of stents under compression.  Cell viability of HFL1 fibroblasts cultured on the fabricated
                                                               hydrogels over 3 days was assessed using an MTT assay
            over the center of the stents. Finally, seeded stents were   (Figure  4). To establish a control line, the percentage
            incubated for 2, 5, 7, and, 9 days to observe cell attachment   of  cell  viability  was  calculated relative  to the  reference,
            and proliferation at 37°C and in a 5% CO  atmosphere. The   represented by the PCL scaffold 3D culture with 30 min
                                            2
            control (i.e., electrospun 15% PCL scaffolds) was seeded in   of FBS activation. Cells seeded on hydrogels were found
            non-adherent cell culture plates with the same cell density   to  have  lower  cell  viability  than  those  seeded  on  PCL
            used for the hydrogel cultures.                    scaffolds, regardless of the method of activation. Cell
                                                               viability in hydrogels that were activated with medium for
            2.5.3. Stent microstructure and cell attachment    30 min or overnight displayed remarkably low cell viability
            Stents, autoclaved at 121°C for 15 min in 90% humidity   values, i.e., <20% of that observed in the PCL scaffold.
            and at dry temperature 121°C for 30 min, were coated   However, a significant difference was observed when the
            and seeded, replicating the conditions of the viability   hydrogels were activated with FBS overnight compared
            assay. Samples seeded for 5 and 9 days were fixed using   to the hydrogels that were activated with medium for 30
            2.5% (v/v) glutaraldehyde solution (in 0.1  M sodium   min. This improvement was consistently observed for
            cacodylate, pH 7.4), washed in 0.1 M sodium cacodylate,   both PVA-SF-Coating hydrogels and those composed of a
            and dehydrated in a graded series of ethanol (50%, 75%,   mixture of PVA-SF (1:1) hydrogels (Figure 4).
            80%, 90%, 95%, and 100%). Structures were dried using a   These results highlight the crucial role of the hydrogel
            K850 CPD critical point dryer (Emitech, USA) and coated   substrate activation process, particularly the use of FBS,
            with gold using a K950 turbo evaporator (Emitech, USA).   in promoting cell viability within hydrogels, ultimately
            Observations were performed using S4100 field emission   affecting the performance and biocompatibility of the
            scanning  electron  microscopy  (SEM)  (Hitachi,  Japan).   engineered construct.
            Images  were  digitally  captured  by  Quartz  PCI  software
            (Quartz, Canada).                                     After determining the method of hydrogel activation,
                                                               a comparison of the different hydrogel manufacturing
            2.5.4. Confocal imaging                            techniques was  conducted to  improve  cell  proliferation
            HFL1 fibroblasts were seeded on PVA and PVA-SF-Coating   in  PVA  hydrogels.  Hydrogels  were  first  fabricated  based
            stents (Sarstedt, Germany) for 5 and 9  days. Samples   on the PVA, PVA-SF-Coating, and PVA-SF (1:1) groups.
            were  fixed  using  4% (w/v)  paraformaldehyde  solution,   Subsequently, the hydrogels were seeded by the immersion
            permeated  by 0.2% (v/v)  Triton™ X-100,  blocked  by 3%   method and cultured for 3 days. Throughout the study,
            (w/v) BSA solution, and dyed using rhodamine-phalloidin   a 3D  PCL scaffold  served as  the reference  material for
            (1:250) and DAPI (1:1000). Fluorescence was observed   standardizing the viability results (Figure 5).
            under an A1R confocal laser scanning microscope (Nikon,
            Japan). Images were captured through Nikon NIS-       The results of the investigation indicate that the
            Elements AR v4.10 software (Nikon, Japan).         presence of SF significantly enhances cell adhesion and
                                                               proliferation to the hydrogel, regardless of the technique
            2.6. Data analysis                                 used. This was observed by a significant increase in cell
            Statistical analysis was performed using IBM SPSS software   proliferation after 3 days. In particular, cell viability
            (SPSS Inc., USA). The data are represented as mean ±   increased more than 10-fold for PVA-coated hydrogels
            standard deviation of the mean (SD). Parametric data were   and  8.72-fold  for  PVA-SF  (1:1) hydrogels  compared
            evaluated using Student’s t-test when comparing two groups   to the reference 3D PCL scaffold. Nevertheless, there



            Volume 10 Issue 4 (2024)                       286                                doi: 10.36922/ijb.3444
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