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International Journal of Bioprinting                                   3D cartilage induction and monitoring




            Therefore, the flow rate could be modified as a function of   transferred into new low-attachment 48-well culture plates
            the ultrasound signal.                             with 1 mL of medium. All samples were incubated under
                                                               a 5% CO  atmosphere at 37ºC for 14 days. The culture
                                                                       2
            2.2. Cells isolation and culture                   medium was replaced every 2 days in control scaffolds,
            Infrapatellar fat pad mesenchymal stem cells (IPFP-  whereas the medium was perfused for BR scaffolds.
            MSCs) were directly extracted from patients with OA
            after receiving approval from the Ethics Committee of   2.6. Metabolic activity
            the Clinical University Hospital of Malaga, Spain (ethical   The metabolic rate was assessed by colorimetric Alamar
            approval number: 02/022010 Hospital Virgen de la   Blue assay (Thermo Fisher Scientific, USA) following
            Victoria, Málaga). Informed consent was obtained from   the manufacturer’s instructions on days 1, 3, and 7 after
            patients for all samples used in this study. Hoffa’s fat pads   treatment (i.e., 8, 10, and 14 days after seeding). Cell-
            were harvested from the inside of the capsule without   free 3D scaffolds were used as controls, and data were
            the vascular and synovial areas. The isolation and culture   normalized to the appropriate control. The fluorescence
            protocol of IPFP-MSCs were according to López-Ruiz   intensity was measured using a plate reader (Synergy HT;
            et  al.   IPFP-MSCs  were  characterized  according  to  the   BIO-TEK, USA).
                33
            established criteria of the International Society for Cell
            Therapy (ISCT). 45                                 2.7. DNA and collagen quantification
                                                               Scaffolds (n = 3) were digested with papain (25 µL∙mL ) in
                                                                                                         −1
            2.3. Printing 3D scaffolds                         phosphated buffer EDTa (PBE) after 14 days in culture with
            The required scaffold was designed using the Cura 3D   Dulbecco’s Modified Eagle Medium (DMEM) Glutamax
            program, and its printing was carried out in a class II   (Thermo Fisher Scientific, USA), supplemented with 1%
            laminar flow cabinet using the Monoprice Mini V2 printer   P/S and 10% fetal bovine serum (FBS). Control scaffolds
            (Monoprice, China). The printer was thoroughly cleaned   were maintained inside a 6-well plate, where cell medium
            with 70% ethanol and ultraviolet (UV) radiation overnight.  was exchanged every 3 days. BR scaffolds were further
               The holder was designed to fit inside a multi-well   cultured inside the system for seven to ensure adequate cell
            plate (i.e., a 6-well plate). Therefore, the holder adopted a   adhesion. DNA content was estimated using a fluorometric
            cylindrical geometry: 24 mm in diameter, 5 mm in height,   marker (DAPI staining), and a DNA standard curve was
            and 200 µm in layer height. The movement speed of the   done using DNA from calf thymus (Sigma-Aldrich, USA).
            extruder was set to 14 mm·s , and the working temperature   For collagen quantification, scaffolds were digested
                                 −1
            was set to 230°C. Finally, the flow rate (the speed of the   in pepsin (1 mg∙mL ) and buffered in acetic acid (0.5N)
                                                                               −1
            filament passing through the extruder) was determined   for 48 h at 4ºC, followed by the addition of 1 mg∙mL
                                                                                                            −1
            to be 1 mm·s . The scaffold’s infill geometry and porosity   pancreatic elastase solution at 4°C for 24 h. Finally,
                      −1
            were extracted from previous work (PS: ≈375 µm). 46  samples  were neutralized with 1  M Tris base, and the
               To ensure complete sterility, the scaffolds were placed   supernatant was collected for further assays. Collagen
            in Petri dishes and washed with an increasing gradient of   was quantified using Sirius Red assay (Sigma Aldrich,
            20%, 50%, and 70% ethanol. After washing, scaffolds were   USA). Samples were placed in microcentrifuge tubes and
            irradiated by UV on both sides for 1 h and subsequently   were embedded in Sirius Red buffer (0.1% in picric acid)
            rewashed with 1% antibiotic (Penicillin-Streptomycin   for 1 h RT. Then, the tubes were centrifuged for 15 min
            [P/S]) in phosphate-buffered saline (PBS) to remove   under 13,000 rpm, and the supernatant was discarded.
            residual ethanol.                                  Then, the pellet was resuspended in 250 µL of 0.1 M
                                                               NaOH. Finally, the absorbance of the supernatant was
            2.4. Scaffolds functionalization                   measured in a microplate reader at 540 nm (Synergy HT;
            Scaffolds were placed in a multi-well plate and immersed   BIO-TEK, USA). For standard collagen, calfskin was used
            in a 10% isopropanol solution of 1,6-hexane diamine for   (Sigma-Aldrich, USA). On the other hand, to quantify
            30 min at room temperature (RT). Thereafter, they were   collagen type II, a commercially available collagen type
            rinsed in PBA (Sigma-Aldrich, USA) at 5 mM dimethyl   II ELISA kit (Chondrex, USA) was used according to
            sulfoxide (DMSO) (Sigma-Aldrich, USA). Finally, the   the manufacturer’s instructions, and its absorbance was
            scaffolds were washed several times with PBS.      measured at 490 nm on a microplate spectrophotometer
                                                               (Synergy HT; BIO-TEK, USA).
            2.5. Seeding cells in scaffolds
            The IPFP-MSCs suspension (1 × 10  cells·mL ) was   2.8. Immunofluorescence
                                                    −1
                                            6
            pipetted onto each scaffold and incubated for 4 h at 37°C   Celltracker  Green (1:1000; Thermo Fisher Scientific,
                                                                        TM
            to facilitate cell attachment. The cell-loaded scaffolds were   USA) was added to the pellet before cell seeding for 30
            Volume 10 Issue 4 (2024)                       369                                doi: 10.36922/ijb.3389
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