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International Journal of Bioprinting                                  3D-bioprinted peripheral nerve scaffold




            Table 2. Primer sequences used to amplify the targeted genes  received an intraperitoneal injection of 105 units of
                                                               penicillin. All rats were euthanized 8 weeks post-surgery.
             Gene      Primers                                 Animal care and use were allowed and strictly adhered to
             NGF       Forward: GCAAGCGGTCATCATCCCATCC         the guidelines set by the researchers’ institution.
                       Reverse: TCTGTGGCGGTGGTCTTATCCC
             BDNF      Forward: GACACTTTCGAACACGTGATAG         2.5.1. Regenerative nerve function
                       Reverse: TACAAGTCTGCGTCCTTATTGT         The walking trajectory analysis was conducted 8 weeks
             GDNF      Forward  CTTCCTAGAAGAGAGCGGAATC         post-experiment by bilaterally applying black ink to the
                       Reverse: ATCAGTTCCTCCTTGGTTTCAT         hind limbs of the rats to collect their footprints while they
             PDGF      Forward  GTAGGGAGTGAGGATTCTTTGG         traversed white paper. On both the experimental (E) and
                       Reverse: GAATCTCGTAAATGACCGTCCT         normal sides (N), we measured the toe spread width (TS),
             P0        Forward: CTATCCTGGCTGTGCTGCTCTTC        paw length (PL), and intermediate toe spread width (IT).
                       Reverse: TGGACCTCCCTGTCGGTGTAAAC        Additionally, the sciatic nerve function index  (SFI) was
                                                                                                    42
             S100B     Forward: AATCAAAGAGCAGGAGGTTGTGGAC      calculated as follows:
                       Reverse: GAACTCGTGGCAGGCAGTAGTAAC
             GAPDH     Forward:  AGATCCCTCCAAAATCAAGTGG           SFI = 109 5.( ETS NTSNTS−  )/  −383.( EPLNPL NPL−  )/  +13 3.( EIT NITNIT−  )  − 888.
                       Reverse: GGCAGAGATGATGACCCTTTT                                                      (I)
                           SFI = 109 5.( ETS NTSNTS−  )/  −383.( EPLNPL NPL−  )/  +13 3.( EIT NITNIT−  )  − 888.
            BNGF-1; RayBio, USA). Shortly, the initial cell density was
            adjusted to be equal for both 2D and 3D cultures. On day   2.5.2. Electrophysiological analysis
            7, the supernatant of the cell cultures was gathered and   Electrophysiological analysis was conducted 8 weeks
            centrifuged. The collected specimens and provided standards   post-surgery  to  visualize  the  right  sciatic  nerve  under
            were  subsequently  placed  in  anti-NGF  antibodies-coated   anesthesia. A bipolar stimulating electrode was affixed
            wells of a 96-well ELISA plate for 2.5 h. After the sequential   to the proximal end of the regenerated nerve to deliver
            addition of biotinylated antibodies and streptavidin solution,   a single electrical signal. Electromyography (EMG)
            the 2D and 3D samples were incubated for 1 h and 45 min,   was performed using an implanted electrode in the
            respectively.  Thereafter,  3,3’,5,5’-tetramethylbenzidine  gastrocnemius muscle. Recordings were taken of
            (TMB) was added to colorize the samples and incubated for   different latencies and distances between stimulus ends,
            30 min before stopping the reaction with a stop solution. The   and measurements were made for both compound
            microplate reader was used to promptly assess the OD value   muscle action potential (CMAP) and nerve conduction
            at a wavelength of 450 nm.                         velocity (NCV).

            2.5. In vivo experiments                           2.5.3. Histological examination
            Twenty-four Sprague-Dawley (SD) rats (male; specific-  For toluidine blue staining, all nerve samples were fixed with
            pathogen-free [SPF] grade; 200–250 g) were randomly   4% glutaraldehyde for 48 h and subsequently treated with
            assigned to four groups: scSHED group (PCL-hydrogel   2% osmium tetroxide (Sigma-Aldrich, USA). Following
            scaffold laden with scSHEDs), PCL Group (PCL-      the embedding of the specimens, tuberculosis (TB)
            hydrogel scaffold without scSHEDs), hydrogel group   staining was conducted. The regenerating sciatic nerve was
            (simple hydrogel scaffold), and autograft group (auto-  observed under a light microscope, and the myelinated
            transplantation). All scaffolds were rolled into a pillar 3   nerve fiber count and the regenerative fiber diameter in the
            days after 3D bioprinting. After intraperitoneal injection   middle of the nerve were calculated. Immunohistochemical
            of sodium pentobarbital (30 mg/kg) for anesthesia, the   staining  for  GAP43  (16971-1-AP;  Proteintech,  USA),
            right sciatic nerve was exposed by incision and isolated.   NF-200 (18934-1-AP; Proteintech, USA), and S-100β
            A 10 mm nerve defect area was created by clipping the   (15146-1-AP; Proteintech, USA) was performed on the
            nerve. In the scSHED, PCL, and hydrogel groups, a 10   midsections of the nerve grafts. Antigen retrieval was
            mm length scaffold was placed in the nerve defect area   performed by subjecting the samples to a heat treatment at
            and sutured with a 9-0 nylon suture (Figure 5A). For the   95°C for 20–25 min in a sodium citrate buffer. To prevent
            autograft group, the clipped 10 mm nerve was inverted   nonspecific  binding,  1%  BSA was  utilized  as  a blocking
            in the defect and sutured with a 9-0 nylon suture. The   agent. The tissue sections were then exposed to primary
            muscles and skin were sequentially closed with 4-0 nylon   antibodies overnight at 4°C, followed by rinsing with PBS
            sutures. The rats were housed in a controlled environment   and subsequent staining using secondary antibodies at
            with a temperature of 20–25℃ and a light/dark cycle   room temperature for 1 h. Subsequently, the samples were
            of 12 h. Immediately after the operation, all animals   rinsed again, stained with 3,3’-diaminobenzidine (DAB),


            Volume 10 Issue 4 (2024)                       464                                doi: 10.36922/ijb.2908
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