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International Journal of Bioprinting                           Stiffness of scaffold-mediated immune response











































            Figure 8. A schematic diagram depicting the possible mechanisms of high immune responses triggered by high-stiffness scaffolds. Diagram created with
            Figdraw. Abbreviations: PAMP, pathogen-associated molecular pattern; DAMP, damage-associated molecular pattern; P, phosphorylation.


            and offering mechanical support for tissue regeneration.    We observed significant differences in Young’s modulus
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            The physical properties of biomaterials, such as shape,   and pore size among the hydrogels, while porosity did
            surface morphology, hydrophilicity, porosity, and stiffness,   not show significant variation. These findings suggest that
            play crucial roles in regulating cell behavior and immune   the observed phenomena in our subsequent experiments
            responses.  Among these properties, material stiffness has   are primarily attributed to the stiffness of the bioink or
                    13
            been identified as a critical factor in influencing immune   3D-bioprinted scaffolds. Furthermore, our investigation
            responses.  Since how 3D-bioprinted alginate–gelatin   into the degradation and swelling properties of the printed
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            composite hydrogel, a promising material for clinical   scaffolds demonstrated that higher stiffness was associated
            application, induced immune response in vivo and in vitro   with higher degradation and increased swelling. This can
            remains unclear, this work sets to investigate the effect of   be attributed to the larger pore size in the hydrogels with
            alginate–gelatin stiffness on immune response. The immune   higher stiffness, allowing for more extensive contact with
            system’s response to biomaterial stiffness can affect the   phosphates in the PBS solution and faster precipitation
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            success of tissue integration and overall tissue regeneration   of crosslinking agent Ca .  This feature makes the softer
            outcomes. 35,36  Alginate–gelatin composite hydrogels, which   hydrogel with lower stiffness more prone to degradation.
            are commonly used in 3D bioprinting, have shown great   In the in vivo experiments, we obtained similar results,
            potential for clinical applications. However, the specific   further  supporting  the  influence  of  bioink  stiffness  on
            effect of alginate–gelatin stiffness on immune responses,   degradation and swelling properties. The findings suggest
            both in vivo and in vitro, remains ambiguous.      that the stiffness of 3D-bioprinted scaffolds has a direct
               In this study, we performed a series of experiments   impact on their in vivo degradation behavior, opening new
            to investigate the influence of bioink stiffness on the   possibilities for tailoring the degradation rate according to
            physical properties and subsequent immune responses.   specific tissue regeneration needs.
            Our  analysis  of  the  bioink’s  physical  properties  revealed   While previous studies have reported the influence of
            that all three hydrogels exhibited shear-thinning behavior.   hydrogel stiffness on macrophage behavior, most of these


            Volume 10 Issue 4 (2024)                       349                                doi: 10.36922/ijb.2874
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