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International Journal of Bioprinting                                 Structural design of D-surface scaffolds




            2.5. Scaffold characterization                     well plate at 37°C with 5% CO  and 95% humidity for 4
                                                                                        2
            The surface microstructure of the scaffold structure   h. Later, the medium culture was discarded to remove the
            was observed by scanning electron microscope (SEM)   non-adherent cells, and fresh medium was supplied. After
            (QUANTA 450, FEI; Thermo Fisher Scientific, USA)   24, 48, and 96 h, the medium was removed from the 96-
            after pretreatment with a thin gold layer. The internal   well plate and washed with sterilized PBS. Thereafter, 100
            microstructure was scanned using computed tomography   μL of 10% Cell Counting Kit-8 (CCK8) working solution
            (CT)  (SIEMENS    SOMATOM     Drive;  SIEMENS      (XCM BIOTECH, China) was added and incubated for 2
            Healthineers, Germany). The scanning parameters    h. The optical density (OD) value of the reaction solution
            were: a voltage of 70 kV, a current of 100 mA, and a slice   was measured at 450 nm using a microplate reader.
            thickness of 500 μm. The 3D models were reconstructed
            using SIEMENS software analysis system, Syngo Via VB40   2.6.3. Calcein AM and nuclear propidium
            (SIEMENS Healthineers, Germany).                   iodide staining
                                                               The scaffolds cultured after 24, 48, and 96 h were stained,
               The compressive property of D-surface scaffolds was   and the cell morphology was analyzed accordingly.
            tested using a universal testing machine (TSE 105D;   Calcein AM and PI dye (Beyotime, China) were added
            Wance, China). According to ASTM D-695, the D-surface   and incubated for 30 min. The scaffolds were then washed
            samples were evaluated at a constant rate of 1 mm/min.   with PBS and observed under an inverted phase contrast
            The force and displacement curves were recorded, and the   fluorescence microscope (LEICA, Germany).
            compression process was pictured per 1 s by an advanced
            contactless charge-coupled device. Each group of samples   2.6.4. Alkaline phosphatase assay
                                                                             4
            had three parallel samples, and the average value with   A density of 4 × 10  cells/mL of MC3T3-E1 subclone 14 was
            standard error bars was presented.                 seeded on cell plates, sterilized scaffolds, and PRP-loaded
                                                               scaffolds,  and their  alkaline  phosphatase  (ALP) activity
               A micro-CT scanner (Xradia 610 Versa; Zeiss, Germany)   was detected by using a kit (XCM BIOTECH, China)
            was used to scan the internal structure of bone-implanted   after 7 and 14 days of incubation. When the cells reached
            scaffolds. The scanning power and voltage were 8.5 W and   70–80% confluence, the osteogenic media supplemented
            70 kV, respectively. The sliced image was collected at every   with 10 mM β-glycerophosphate (Macklin, China)  and
            30 μm and subsequently reconstructed into 3D models   0.05 mg/mL L-ascorbic acid (Xilong Scientific, China)
            using Dragonfly software (Zeiss, Germany).         was added to each cell-seeded well. On days 7 and 14, the
                                                               BCA protein concentration assay kit (XCM BIOTECH,
            2.6. In vitro studies                              China) was used to detect the total protein concentration
            2.6.1. Cell culture                                for each group. The relative ALP activity was measured
            Cell culture was performed using mouse fibrosis L929   by normalizing the ALP activity (obtained at λ = 405 nm)
            (Cell  Bank  of Typical Culture Preservation  Committee   with total protein concentration (obtained at λ =562 nm).
            of Chinese Academy of Sciences, China) and mouse   Each sample group was evaluated in triplicates.
            osteoblast MC3T3-E1 subclone 14 (Shanghai Zhongqiao   2.7. In vivo studies
            Xinzhou Biotech Co., Ltd., China). Roswell Park Memorial   A total of six  New Zealand white rabbits  (2.5 ±  0.1 kg)
            Institute (RPMI 1640; Gibco, USA) and Minimum Essential   were purchased from Kangda Boai Biotechnology Co.,
            Medium (α-MEM; Gibco, USA), supplemented with 10%   Ltd., China. The rabbits were anesthetized using 1 mL/
            fetal bovine serum (FBS) and penicillin/streptomycin, were   kg of 3% pentobarbital sodium via auricular vein infusion
            selected for cell culture. Trypsin-EDTA solution (0.25%;   and 0.1 mL/kg for adequate anesthesia. The distal lateral
            Gibco, USA) was used for subculture, and L929 cells were   leg was then shaved and disinfected. The skin was incised
            cultured at 95% humidity and 5% CO  at 37°C.       at the target surgical sites and disinfected using iodophor.
                                          2
            2.6.2. Proliferation on 3D-printed D-scaffolds     A 1-cm-long incision was made in the distal lateral leg. A
            Two scaffold groups were selected, i.e., bare scaffolds and   low-speed electric drill was used to induce 4 × 8 mm bone
            PRP-loaded D-scaffolds. Prior to cell culture, the scaffolds   defects. The sterilized PRP-loaded graded scaffolds (8 mm
            were washed three times with phosphate-buffered saline   in height with a diameter of 4 mm) were then implanted
            (PBS) (Hyclone, USA) and sterilized using 70% ethanol   in the bone defect. The bare PBAT/PLA scaffold and the
            solution accompanied by ultraviolet (UV) irradiation. L929   unfilled defect were set as controls.
            cells with a density of 3 × 10  cells/mL were pre-seeded   One week after surgery, the rabbits were examined by
                                    3
            into the graded D-surface scaffolds and incubated in a 96-  CT. Then the rabbits were euthanized, and the implanted



            Volume 10 Issue 5 (2024)                       186                                doi: 10.36922/ijb.3416
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