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International Journal of Bioprinting                                     Embedded bioprinting of cartilage




            was performed using the built-in particle analysis function.   were washed and digested in 500 µL of 0.1 mg/mL papain
            Cell survival rate was calculated by dividing the number of   extraction reagent in a 65°C water bath for 18 h. A total of
            living cells by the total number of cells. Three samples were   20 µL of the digested samples were mixed with 180 µL of the
            analyzed for each group.                           dye solution (pH 3.0), containing 1,9-dimethylmethylene
               Cell proliferation in the zonally stratified cartilage was   blue (DMMB, 16 μg/mL), glycine (40 mM), NaCl (40 mM),
            investigated quantitatively using a Cell Counting Kit-8   and acetic acid (10 mM).  The absorbance was measured
            (CCK-8; DOJINDO Molecular Technologies, Inc., Japan).   at 525 nm using a microplate reader.  A serially diluted
            Samples were transferred to a 24-well plate and incubated   solution of chondroitin 4 sulfate was prepared as the
            with 10% CCK-8 reagent for 4 h. After incubation with   standard, and the sGAG content was calculated according
                                                               to the standard curve.
                                                                                6
            the CCK-8 reagent, the formazan dye produced by cellular
            dehydrogenases was proportional to the number of living   The level of COL-II secreted by the zonally-stratified
            cells, and the absorbance at 450 nm was measured using   cartilage was quantified using a Human COL-II ELISA Kit
            a  microplate  reader (MD  SpectraMax  i3X;  Molecular   (Jiangsu MeiMian Industrial Co., Ltd., China). Briefly, the
            Devices, USA).                                     supernatant on days 7 and 14 was collected, and the test
                                                               was performed according to the manufacturer’s protocol.
            2.11. Cytoskeleton staining                        The absorbance was measured at  a primary wavelength
            The organization of cells in the zonally stratified cartilage   of 450 nm and a reference wavelength of 590 nm using
            was assessed by F-actin/nucleus staining. Samples were   a  microplate  reader.  The  COL-II  content  was  calculated
            rinsed three times with DPBS, fixed in 4% paraformaldehyde   according to the standard curve. For both sGAG and COL-
            for 60 min, permeabilized in 0.1% Triton X-100 for 30   II, the fold change of Group 1 on day 7 was set as one-fold,
            min, and blocked with 2.5% normal goat serum (NGS)   and the other values were normalized with respect to those
            for 60 min at room temperature. The samples were then   in Group 1.
            incubated with Alexa Fluor 568-conjugated phalloidin
            (1:1000 in 2.5% NGS) for 60 min and 4ʹ,6-diamidino-2-  2.14. Statistical analysis
            phenylindole (DAPI, 1:200 in phosphate-buffered saline   All data were presented as the mean ± standard deviation,
            [PBS])  for  5  min  to  visualize  cell  nuclei.  The  stained   unless stated otherwise, and were analyzed using Student’s
            samples were washed three times with DPBS and imaged   t-test to test for significance when comparing the data.
            using the AxioZoom V16 fluorescent microscope.     Differences were considered significant at  *p < 0.05,
                                                               **p < 0.01, and ***p < 0.001. All statistical analyses were
            2.12. Immunohistochemistry assay                   performed using Statistical Product and Service Solutions
            All primary monoclonal antibodies were purchased from   software (SPSS; IBM, USA).
            Abcam  (USA), and fluorescence-conjugated secondary
            antibodies were purchased from Life Technologies (USA).   3. Results
            Samples on days 7 and 14 were collected and fixed overnight
            with 4% paraformaldehyde at 4°C. After washing three   3.1. Rheological analysis
            times with PBS, samples were then permeabilized for 30   To study the rheological behavior of the support bath, a
            min in 0.1% Triton X-100 solution, followed by blocking   series of rheological tests were performed for the support
            them with NGS (10% in PBS, 60 min). Next, the blocking   baths: 40% G/A microparticles + 60% OAlg, 50% G/A
            buffer was removed and samples were incubated with   microparticles + 50% OAlg, 60% G/A microparticles + 40%
            primary antibodies of mouse anti-human Aggrecan (1:50)   OAlg, 70% G/A microparticles + 30% OAlg, and 80% G/A
            and rabbit anti-human collagen type II (COL-II, 1:200)   microparticles + 20% OAlg. The microparticles fabricated
            overnight at 4°C, respectively. Samples were then washed   by mechanical blending exhibited a polygonal shape with
            twice with PBS and incubated with secondary antibodies   a diameter of 145 ± 23 μm, and most of the microparticle
            (goat anti-mouse IgG [H+L]-Alexa Fluor 488 for Aggrecan   sizes were distributed between 120 and 160 μm (Figure
            and goat anti-rabbit IgG [H+L]-Alexa Fluor 647 for COL-II,   2a). The viscosities of all support baths decreased with
            both at 1:200 dilution) for 1 h. After rinsing thrice with PBS,   increasing shear rates, indicating typical shear-thinning
            samples were incubated with 4ʹ,6-diamidino2-phenylindole   characteristics (Figure 2b). Among all concentrations,
            (DAPI, 1:200, 5 min) for nucleus visualization. Images were   the 80% support bath concentration exhibited the highest
            captured using the AxioZoom V16 microscope.        viscosity. Amplitude sweeps were also performed (Figure
                                                               2c), revealing phase transition points in the support baths,
            2.13. Protein content evaluation                   demonstrating their ability to provide self-support for the
            The excretion of sulfated glycosaminoglycans (sGAG)   printed bioink. Furthermore, results of the thixotropy test
            and COL-II was assessed on days 7 and 14. All samples   indicated that the support bath recovered to ~90% of its


            Volume 10 Issue 4 (2024)                       480                                doi: 10.36922/ijb.3520
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