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International Journal of Bioprinting                              PCL/Fe3O4@ZIF-8 for infected bone repair




            (OCN), was detected by means of real-time polymerase   2.11. Antibacterial activity and bone defect repair
            chain reaction (RT-PCR) and Western blotting. To further   assessment in vivo
            explore the role of Wnt/β-catenin pathway in osteogenic   To evaluate the antibacterial activity of the scaffolds  in
            differentiation ability of BMSCs co-cultured with scaffolds,   vivo, the scaffolds were respectively embedded in the
            the expressions of related genes and proteins were also   subcutaneous  tissue  of  left  dorsum  and  cranial  critical
            detected by RT-PCR and western blot.               size defect (cylinder-shaped full-thickness defect with a
                                                               diameter 8 mm). SD rats, aged 8 weeks with an average
            2.9. ALP staining, ALP activity measurement, and   body  weight  of  200−250  g, were randomly divided  into
            Alizarin red staining                              control group, PCL group, and PCL/Fe O @ZIF-8 group
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            For ALP staining, the co-cultured BMSCs and scaffolds   (n = 3). In the control group, pure PCL scaffolds soaked
            were fixed for 15 min and then stained with NBT/BCIP   with PBS were implanted. In the PCL group and PCL/
            solution (Beyotime, China) according to the manufacturer’s   Fe O @ZIF-8 group, the scaffolds were first soaked in 10
                                                                   4
                                                                 3
            instructions, as previously described. 34,35  ALP activity was   mL of  S. aureus suspension (1 × 10  CFUs/mL) for 10
                                                                                             7
            measured  by  ALP  activity  kit  (Jiancheng  Inc.,  China),   min and then implanted. The concentrations of Fe O @
                                                                                                         3
                                                                                                           4
            following the manufacturer’s instructions. For Alizarin red   ZIF-8 nanoparticles in PCL/Fe O @ZIF-8 scaffolds were
                                                                                          4
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            staining, the co-cultured BMSCs and scaffolds were fixed   determined in in vitro experiments.
            and stained with Alizarin red (Sigma-Aldrich, USA) to
            observe the formation of calcium nodules. For quantitative   For the embedding of scaffolds in subcutaneous tissue,
            analysis, cetylpyridinium chloride (Merck, Germany) was   1.5 cm longitudinal subcutaneous incision was made in
            used to dissolve the Alizarin red stain, and optical density   the left dorsum to form a deep bag for the implantation
            (OD) value was recorded, as previously described. 36  of scaffolds. The skin incision was sutured, and no
                                                               antibiotics were administered. The soft tissues surrounding
            2.10. RT-PCR and Western blotting                  the scaffolds were collected in each group 3 days after
            Total RNA was extracted using an RNA extraction    the surgery. The tissues were fixed overnight with 4%
            kit (Omega Bio-tek, USA) in accordance with the    paraformaldehyde, embedded in paraffin, and then sliced.
            manufacturer’s protocol and then reverse-transcribed into   Hematoxylin–eosin (H&E) staining was performed to
            complementary DNA using a PrimeScript RT reagent kit   detect inflammatory cell infiltration, and Giemsa staining
            (Yeasen, China). cDNA amplification with the 7500 Real   was used to detect bacterial contamination.
            Time PCR System (LIGHT ABI, USA) was performed        For the embedding of scaffolds in cranial critical-size
            using the SYBR Green I Master Mix Reagent kit (Roche,   defect, a cylinder-shaped full-thickness defect with a
            Switzerland) in accordance with the manufacturer’s   diameter 8 mm was made. The rats were anesthetized by
            protocol. The primer sequences are listed in  Table S1   intraperitoneal injection of 3% pentobarbital sodium, and
            (Supplementary File). The relative expression levels were   laid in prone position. After head hair shaving and skin
            normalized to the expression of glyceraldehyde-phosphate   disinfection, 2 cm longitudinal skin incision was made
            dehydrogenase (GAPDH).                             along the midline of the skull. The cranial bone was exposed
               For Western blotting, the total intracellular protein   after periosteal blunt dissection and carefully drilled by a
                                                                                                 37
            of co-cultured BMSCs was extracted using RIPA buffer   trephine without damage to the dura mater.  After scaffolds
            (Omega Bio-tek, USA). After protein concentration   implantation, the surgical wound was closed layer by layer.
            determination with bicinchoninic acid assay (BCA) kit   No antibiotics were administered after the surgery. A week
            (Shaanxi Zhonghui Hecai Bio-pharmaceutical Technology   after the surgery, the rats were sacrificed, and the skulls
            Co., Ltd., China), the protein samples were boiled in loading   were examined by micro-computed tomography (micro-
            buffer (Omega Bio-tek, USA), separated by means of 10%   CT).  The  granulation tissues  surrounding scaffolds were
                                                                                                   3
            SDS-PAGE, and transferred to polyvinylidene fluoride   collected and cut into approximately 1 mm  in size. The
            (PVDF) membranes (Millipore, USA). The membranes   tissue sample was transferred into 10 mL of aseptic saline
            were blocked with 5% milk, and then incubated with   and shaken for 5 min. Subsequently, 100 μL of solution
            primary  antibodies  (1:1000,  Gene  Tex,  USA)  against   was transferred and spread evenly on an agar plate. The
            RUNX2, OCN, β-catenin, GSK-3β, and P-GSK-3β at     agar plate was incubated at 37°C for 24 h, and bacterial
            4°C overnight, followed by incubation with secondary   quantity was determined. RNA was also extracted from
            antibodies (1:5000, Gene Tex, USA) for 1 h. Finally, blots   tissue sample, and the expression of pro-inflammatory
            were detected by a high-sensitivity chemiluminescence   genes, including tumor necrosis factor-α (TNF-α) and
            imaging system (Chemi DOC XRS+, BioRad, USA) and   interleukin-6 (IL-6), was measured by RT-PCR.
            quantified using ImageJ Vol.6.0 software. The expression   In order to investigate the effect of scaffolds on the
            levels of target proteins were normalized to GAPDH.   repair  of  infected  bone  defect,  the  rat cranial  critical-

            Volume 10 Issue 4 (2024)                       301                                doi: 10.36922/ijb.2271
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