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International Journal of Bioprinting                                   3D-printed variable stiffness scaffolds




            material  compositions  may  be  used  to  promote  region-  At D21, samples containing HAMA had the greatest
            dependent collagen synthesis similar to the native tissue.   mechanical properties compared to the other groups,
                                                               with the highest compressive modulus at 0.36 MPa and
            3.8. Mechanical properties of cell-seeded          equilibrium modulus at 0.26 MPa. It was reported that
            hybrid scaffolds                                   sGAGs attract water within the meniscus tissue. This
            Mechanical properties are crucial for the success   water uptake and collagen fiber orientation are known to
            of biomaterials in tissue engineering. A decrease in   have a symbiotic relationship concerning the compressive
            mechanical properties  indicates the  dissolution  of  the   properties of the tissue.  In this study, all groups exhibited
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            hydrogel, suggesting a loss of structural integrity. However,   an increase in compressive properties, accompanied by
            an increase in mechanical properties over time may be   an overall reduction in sGAGs from D1 in both GelMA/
            an indication of ECM production.  In this study, no   CS/HA  and  GelMA/CS/HAMA  groups.  Therefore,
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            significant degradation was observed, and all constructs   it is hypothesized that the sGAG level does not fully
            were easy to handle at D21. The addition of CS/HA to the   account for the changes in compressive properties,  but
            GelMA matrix on D1 caused a decrease in the equilibrium   rather the location-specific distribution of GAGs plays a
            and compressive modulus (Figure 10A and  B). This   significant role. From histological analysis, it is evident
            decrease is likely due to a reduction in crosslink density   that newly secreted ECM is concentrated along the PCL
            caused by GAG molecules hindering the crosslinking of   fiber,  potentially resulting in  narrower spaces between
            GelMA. Conversely, the addition of HAMA increased   the fibers. This may  restrict  water flow  and  mimic the
            the equilibrium and compressive modulus. Moreover, the   natural synergetic relationship between the collagen fibers
            addition of HAMA enhanced the hydrogel’s mechanical   and  GAGs in  natural  tissue.  Furthermore,  GelMA/CS/
            properties compared to GelMA alone or with the addition   HA exhibited the most significant change in mechanical
            of unmethacrylated HA. This improvement could be   properties compared to GelMA/CS/HAMA during cell
            attributed to the increased crosslink density of the matrix,   culture, with the compressive modulus increasing by 41%
            with HAMA concurrently crosslinked along with the   between D1 and D21. The initial mechanical properties
            GelMA. The different degradation characteristics of the   are dependent on the crosslink density of the polymer
            hydrogels containing HA and HAMA provide insight into   network, and a lower crosslink density facilitates diffusion
            their crosslinking mechanisms. For instance, the GelMA/  of the newly secreted matrix.  Therefore, hydrogels that are
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            CS/HA hydrogel completely digests in papain. However,   initially stiff may hinder the formation and distribution of
            for GelMA/CS/HAMA, when the gelatin component of a   ECM, while softer materials facilitate new ECM infiltration,
            gel is removed by papain, an intact and stable network of   consequently becoming stiffer after in vitro culture. 63,64  The
            crosslinked HAMA remains. The existence of this stable   same trend is observed here, whereby the HA group features
            HAMA network indicates that an interpenetrating HAMA   enhanced mechanical properties; however, interestingly,
            network exists within the bulk GelMA network, which   both HA and HAMA groups have similar collagen and
            explains the significantly higher equilibrium modulus in   GAG content. Therefore, this change in mechanical
            constructs containing HAMA compared to the HA at D1.   properties may be explained not only by the production of
            Additionally, after one day in culture media, the wet weight   the matrix, but also by the interaction of molecules within
            of constructs containing HA was greater than GelMA   the ECM. It is expected that a higher interaction between
            alone and constructs containing HAMA (Figure 10C). This   the unmethacrylated HA with the newly produced ECM
            is attributed to a reduction in crosslink density, thereby   compared to HAMA enables the retention of molecules
            enabling more water uptake. During culture, the hydrogel   within the matrix when a compressive load is applied.
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            scaffolds were subjected to enzymatic degradation. As the   With longer  in vitro culture, more distinct changes in
            hydrogels are GelMA-based, the presence of cells may   mechanical properties would likely be observed between
            result in rapid degradation of the hydrogel via matrix   the groups.  Both the equilibrium and compressive
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            metalloproteinases (MMP) activity.  After 21 days of   moduli of hydrogels alone were found to be lower than
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            culture, both the compressive and equilibrium modulus   the native meniscal tissue. However, this is mitigated by
            increased in all groups. This change in mechanical   the reinforcement of hydrogels with PCL, which provides
            properties is a result of a balance between the production   structural integrity to the scaffolds. The observed changes
            of new ECM and hydrolytic degradation of the hydrogel.
            Therefore, the enhanced mechanical properties are a   in mechanical properties of hydrogels over time in the in
            result of the cell-laden matrix. Additionally, there was no   vitro cell culture study are indicative of cell proliferation
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            significant change in wet weight within each group over   and ECM production.
            time (Figure 10C), suggesting that the rate of degradation   From these results, GelMA/CS/HAMA is suggested as
            of the gel matched the rate of new matrix production.   a possible candidate for the peripheral region of the full


            Volume 10 Issue 4 (2024)                       510                                doi: 10.36922/ijb.3784
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