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International Journal of Bioprinting                           Stiffness of scaffold-mediated immune response




            also upregulated in the S3 group. The JAK-STAT signaling   and Technology Talent support program (NJYT24031),
            pathway is involved in a variety of biological processes,   Key Project of Inner Mongolia Medical University
            including immune regulation and inflammation, and   (YKD2021ZD001), Youth Independent Innovation Science
            STAT3, a member of its family, plays an important role in   Fund Project of PLA General Hospital (22QNFC018),
            the differentiation of Th17 cells.  In summary, we speculate   Ulanqab Basic Research Project (2021JC321), and
                                     49
            that higher-stiffness scaffold induces stronger immune   Inner  Mongolia  Medical  University  Doctoral  Initiation
            responses by activating the TLR4/Myd88/NF-κB signaling   Program (YKD2023BSQD012).
            pathway and the IL-6/JAK-STAT signaling pathway.
                                                               Conflict of interest
            5. Conclusion                                      The authors declare no conflicts of interest.
            In the current study, we successfully prepared three
            types of 3D-bioprinted scaffolds with varying stiffness.   Author contributions
            Through in vivo and in vitro experiments, we discovered   Conceptualization: Sha Huang, Qinghua Liu, Bin Yao,
            that the stiffer scaffolds triggered hyperimmune responses   Zhao Li
            predominantly through the TLR4/Myd88/NF-κB signaling   Data curation: Qinghua Liu, Yu Feng
            pathway and the IL-6/JAK-STAT signaling pathway.   Formal analysis: Qinghua Liu, Yu Feng, Bin Yao, Yaxin Tan,
            Moreover, these findings reveal the critical role played by   Jirigala Enhe
            substrate stiffness in governing macrophage behavior and   Funding acquisition: Sha Huang, Xiaohe Li, Irigala Enhe
            polarization. Understanding these relationships provides   Investigation: Qinghua Liu, Yu Feng
            valuable insights for designing biomaterials with tailored   Methodology: Qinghua Liu, Yu Feng, Bin Yao, Chao Zhang,
            stiffness to promote specific macrophage responses, which   Jirigala Enhe
            can ultimately aid in the development of more effective   Project administration: Sha Huang, Wei Song
            tissue engineering strategies and therapies. Overall, these   Resources: Yi Kong, Chao Zhang, Wei Song
            findings emphasize the significance of bioink stiffness in   Supervision: Sha Huang, Xiaohe Li, Zhao Li, Yi Kong,
            regulating physical properties and subsequent immune   Visualization: Yi Kong, Yaxin Tan
            responses  of  3D-bioprinted  scaffolds.  By  understanding   Writing – original draft: Qinghua Liu, Zhao Li
            these relationships, we can further optimize bioink design   Writing – review & editing: Sha Huang
            and tailor the stiffness of the printed scaffolds to achieve
            desired tissue regeneration outcomes.              Ethics approval and consent to participate
               Further investigations are warranted to explore   Animals were maintained in a specific pathogen-
            additional signaling pathways, evaluate long-term immune   free facility of Chinese PLA General Hospital in
            responses, and refine the design of scaffolds with tailored   accordance with the Guide for the Care and Use of
            stiffness to optimize therapeutic outcomes. Ultimately, these   Laboratory Animals. All animal experiments were
            advancements have the potential to enhance tissue repair   approved by the Institutional Animal Care and Use
            and regeneration strategies and greatly benefit patients in   Committee of Chinese PLA General Hospital (approval
            need of effective scaffolds for various medical applications.
                                                               number SCXK(BJ)2017–0019).
            Acknowledgments                                    Consent for publication
            The authors wish to acknowledge the assistance of Dr. Kai   Not applicable.
            Zhang on funding acquisition.
                                                               Availability of data
            Funding
                                                               The data that support the findings of this study are
            This study was supported by the National Natural   available from the corresponding authors upon reasonable
            Science Foundation of China (32000969, 82274362),   request.
            National Key Research and Development Program of
            China (2022YFA1104600, 2022YFA1104604), Beijing    References
            Natural Science Foundation (L234066), Natural Science
            Foundation of Inner Mongolia Autonomous Region of   1.   Kim S, Uroz M, Bays JL, Chen CS. Harnessing
            China (2021LHMS08050), Inner Mongolia Autonomous      mechanobiology for tissue engineering.  Dev  Cell.
            Region Higher Education Innovation Team Development   2021;56(2):180-191.
            Plan (NMGIRT2227), Inner Mongolia Youth Science       doi: 10.1016/j.devcel.2020.12.017


            Volume 10 Issue 4 (2024)                       351                                doi: 10.36922/ijb.2874
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