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International Journal of Bioprinting                                   3D-bioprinting of osteochondral plugs




            quantity of growth medium and mixed with bioink. Thin   with calcein AM/ethidium homodimer-III according to
            disks of cell-laden chondral bioink containing 20 × 10    the manufacturer’s instructions (Biotium, USA). Samples
                                                          6
            cells/mL  were  extruded into  silicone  molds  (diameter:   of bone bioink were collected at days 1 and 7 while chondral
            6 mm; height: 1.6 mm), photocured for 60 s using a 405   bioink samples were collected at days 1, 7, 28, and 56 and
            nm LED lamp, placed in growth media, and incubated   imaged with a confocal microscope (STELLARIS 5; Leica
            in a 37°C humidified cell culture incubator. After 24 h,   Microsystems Inc., USA).
            disks were placed in a differentiation medium. Chondral
            disks were cultured in human mesenchymal stem cell   2.8. OsteoImage assay
            (hMSC) chondrogenic differentiation medium (PT-3003;   To visualize HAp deposits in the bone bioinks, gels
            Lonza,  USA)  supplemented with 10  ng/mL  TGF-β3   cultured in either osteogenic or growth media for 28 days
            (PeproTech, USA) for up to 56 days. Bone disks (5 wt%   were assessed using a mineralization assay (OsteoImage;
            GelMA bioink containing 5 × 10  cells/mL) were cultured   Lonza, USA) according to the manufacturer’s instructions
                                      6
            in either RoosterNourish-MSC growth medium or hMSC   and  imaged  with  an  inverted fluorescence  microscope
            osteogenic differentiation medium (PT-3002; Lonza, USA)   (Eclipse Ts2; Nikon Instruments Inc., USA) and a color
            for up to 28 days. Media were changed three times per   camera (CoolSnap DYNO; Photometrics, USA).
            week. The material used to 3D print the PCL and ceramic   2.9. Histology and immunohistochemistry
            reinforcing  lattice  of  the  subchondral  bone  section  was   Disks were fixed after 1 or 56 days of culture in neutral-
            also evaluated for biocompatibility. 3D-printed disks were
            seeded with 2 × 10  cells in 50 µL growth medium and   buffered formalin overnight and then stored at 4°C in
                            5
            allowed to attach for 2–3 h. Disks were cultured in 24-well   phosphate-buffered saline (PBS). The hydrogel disks
            plates with 1 mL growth media for up to 14 days.   were  then  paraffin-embedded,  sliced,  and stained with
                                                               alcian blue (pH 1.0) or anti-collagen type II (COL II,
            2.7. Live/dead assay                               mouse polyclonal anti-collagen type II; Abcam, USA) to
            To assess cell viability, hydrogel disks were sliced in half to   observe sulfated GAG and type II collagen. Brightfield
            expose a rectangular cross-section of the gel and stained   images of sections were taken using an automated slide



































            Figure 1. Schematic representation of bioink mixing, curing, culturing, and assaying. (A) Cell suspension and acellular ink in syringes were mixed in
            aseptic conditions to create a bioink, which was cast into disks. (B) Ultraviolet (UV) light was used to crosslink the methacrylate-based bioinks and create
            gels. (C) The hydrogel disks were transferred to a differentiation medium and cultured for up to 56 days. (D and E) After culture, disks were harvested and
            cut in half (D), revealing an interior cross-section of the gel (E), which was used to assess cell viability, conduct histology, or perform biochemical assays.
            Figure was created using BioRender.

            Volume 10 Issue 4 (2024)                       535                                doi: 10.36922/ijb.4053
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