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Liu F, et al.

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           Figure 3. (A) Sequence of operations to fabricate hybrid polycaprolactone/hydrogel scaffolds; (B) sequence of operations to fabricate full-
           layer plasma-treated scaffolds.

           2.7. Biological Tests                               room temperature for 10 min, rinse twice for the removal
                                                               of Triton-X100. Cell nuclei were stained blue by soaking
           In vitro biological  assessments were conducted     scaffolds in a PBS solution containing 4′,6-Diamidine-2′-
           with human adipose-derived stem cells (hADSCs)      phenylindole dihydrochloride (Sigma-Aldrich, Dorset, UK)
           (STEMPRO, in vitro gen, Waltham, MA, USA). Before
           cell seeding, scaffolds were sterilized by soaking in 70%   at the manufacturer recommended concentration. Samples
                                                               were left in the staining solution for 10 min before removal,
           ethanol for 2 h. After sterilization, samples were rinsed
           twice in PBS (Gibco, Thermo Fisher Scientific, Waltham,   rinsed twice thoroughly with PBS. Confocal images were
           MA, USA), transferred  to  24-well  plates  and  air-dried   obtained using a 3D rendering mode on a Leica TCS SP5
           for 24 h at room temperature. 50,000 cells were seeded   (Leica, Milton Keynes, UK) confocal microscope, and cell
           on each sample, including plasma-treated and untreated   colonization was quantified using a standard z-stack method.
           scaffolds.                                          All images were taken at the center area of the scaffolds, and
             Cell viability/proliferation behavior and the percentage   the experiments were performed three times in triplicate.
           of cells attached to the scaffolds (cell-seeding efficiency)   2.8. Data Analysis
           were assessed through Alamar Blue assay (also termed
           the Resazurin assay, reagents from Sigma-Aldrich, UK).   All data are represented as mean ± standard deviation.
           Cell viability/proliferation was measured at 1, 3, 7, and   Biological  results were subjected to one-way analysis
           14 days after cell seeding. For each measurement, cell-  of variance  (one-way)  and  post hoc Tukey’s test  using
           seeded scaffolds were transferred to a new 24-well plate,   GraphPad Prism software. Significance levels were set at
           and 0.7 ml of Alamar Blue solution was added to each well,   P < 0.05.
           the plate was incubated for 4 h under standard condition
           (37°C,  5% CO , and  95% humidity). After  incubation,   3. Results
                        2
           150  µL of  each  sample  solution  was transferred  to  a
           96-well  plate  and  the  fluorescence  intensity  measured   3.1. Hybrid Scaffold Fabrication
           at 540 nm excitation wavelength and 590 nm emission
           wavelength  with a spectrophotometer  (Sunrise,  Tecan,   The  hybrid scaffold, consisting  of PCL and
           Männedorf, Zurich, Switzerland).                    hydrogel solution, was successfully fabricated  using
             Cell attachment and distribution are assessed using   PABS. Figure 4A shows the image of the hybrid scaffold,
           laser confocal microscopy, with cell nuclei stained.  At   where the porous structures hold the hydrogel solution
           day 1 of cell culture and after 14 days, scaffolds were   without any deformation.  Figure 4B and c present the
           removed from 24-well cell culture plate, rinsed twice in   top view and side view of the PCL/hydrogel scaffold,
           PBS  (Gibco,  Thermo  Fisher  Scientific,  Waltham,  MA,   showing the position  of the deposited  hydrogel  was
           USA), fixed with 10% neutral buffered formalin (Sigma-  precisely controlled and well adjacent with PCL scaffold.
           Aldrich, Dorset, UK) for 30 min at room temperature.   3.2. Full-layer Treated PCL Scaffold
           After  fixation,  samples  were  rinsed  twice  with  PBS  for
           the removal of formalin, then permeabilized with 0.1%   Figure 4B shows that  the  printed  full-layer  N  plasma
                                                                                                       2
           Triton-X100 (Sigma-Aldrich, Dorset, UK) in PBS at   treated scaffolds  have a well-bonded interconnected
                                       International Journal of Bioprinting (2019)–Volume 5, Issue 1         5
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