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International Journal of Bioprinting                                     3D printing of collagen II-scaffolds




                                                                  At the beginning of cell culture (12 h), cell distribution
                                                               was relatively uniform in all scaffolds. However, apparent
                                                               cell aggregates (~100 µm) were observed in all collagen II-
                                                               based scaffolds on day 4 (96 h), and they were distributed
                                                               over the majority of the scaffold area. In contrast, the
                                                               aggregates were not observable in gelatin- and collagen
                                                               I-based scaffolds. To our knowledge, this work is among
                                                               the  earliest  to  successfully  visualize  the  enhancement  of
                                                               MSC condensation with collagen II.
                                                                  Quantitatively, the expression of N-cadherin was
            Figure 11. Western blot results. (A) N-cadherin and focal adhesion kinase   upregulated in collagen II-containing scaffolds than their
            (FAK) expression in collagen II-based scaffolds with a rod distance of 320   gelatin and collagen I counterparts (Figure 10). N-cadherin
            (d), 450 (e), and 550 μm (f). (B) Aggrecan and collagen II expression   was identified as a major regulator of MSC condensation
            on gelatin- (a) and collagen I-based (b) scaffolds with a rod distance of         35–37
            450 μm, collagen II-based bulk scaffolds without pores (c), and collagen   in early chondrogenic differentiation,   and a higher
            II-based scaffolds with a rod distance of 320 (d), 450 (e), and 550 μm   concentration of N-cadherin correlated to more apparent
            (f), respectively. Abbreviation: GADPH, glyceraldehyde 3-phosphate   cell aggregates.  The qualitative and quantitative evidence
                                                                           38
            dehydrogenase.                                     of cell condensation from the study went beyond existing
                                                               studies of collagen II-containing scaffolds by exploring the
            average rod diameter of 122 ± 17 μm via 3D printing. The   mechanisms underlying the chondro-inductive capability
            scaffold features one of the highest resolutions among   of collagen II.
            reported hydrogel-based 3D printing thus far. Generally,
            it is challenging to print a rod thinner than the needle   4.3. Synergistic effects of collagen II and printing
            size,  and most reported printing resolutions range   resolution on chondrogenic differentiation
               30
            between  250  and  500  μm. 25,31–33   The  scaffold  resolution   While  existing  studies  have  utilized  collagen  II  in cell
            in our work greatly exceeded this range and the limit   culture, their corresponding scaffold structures did not
            imposed by the needle size, without much difference after   exhibit significant improvements. In particular, some
            printing completion or swelling. Therefore, we not only   studies utilized bulk scaffolds without pores. 39–41  Herein,
            succeeded in printing collagen II-based mesh scaffolds,   the difference between collagen II-based nonporous bulk
            but also enhanced the printing resolution of general   scaffolds (sample c) and 3D-printed mesh porous scaffolds
            hydrogel inks to a greater extent than most existing   (sample d–f) was studied and compared, in terms of their
            studies.                                           ability  to  enhance  cell  proliferation  and  chondrogenic
               Our results also elucidated the rheological properties   differentiation. Our results revealed that the proliferation
            and behaviors of collagen II-based hydrogels, correlating   rate in sample c was not significantly different from
            them  with  printing  performance. Although collagen II   the other samples, and the sample reported the lowest
            remained in a constant gel state over a wide temperature   proliferation rate on days 3–5 (Figure 9B). Cell migration
            range (−5 to 37°C), its gelation strength was quite limited   and substance transportation could be compromised
            compared to gelatin at cryogenic conditions. Therefore, it   by the lack of pores and interconnected pore networks,
                                                                                           42–44
            was insufficient to simultaneously maintain high ink shape   resulting in poor cell proliferation.   Similarly, sample c
            fidelity and printing resolution (e.g., exceeding 150 μm).   also exhibited downregulated expressions of chondrogenic
            Fortunately, we addressed the lack of shape fidelity by   markers,  Aggrecan,  and  ECM  compared  to  the  other
            using a rigid nano-network filler, CNF.            3D-printed  mesh  scaffolds,  emphasizing  the  importance
                                                               of 3D-printed interconnected pore networks (Figure 11).
            4.2. Effects of collagen II on chondrogenic           Furthermore, 3D-printed mesh porous scaffolds with
            differentiation and its underlying mechanism       higher resolution are more favorable for cell proliferation
            Several studies have utilized the collagen II composition   and chondrogenic differentiation. According to our results,
            but did not investigate its underlying mechanism   all chondrogenic markers were upregulated in scaffolds
            in chondrogenic differentiation.  Some researchers   with smaller pores, and the underlying mechanisms could
                                        22
            hypothesized that collagen II could promote chondrogenic   be explained as follows:
            differentiation by promoting the condensation of MSCs, as
            the process is essential for chondrogenic differentiation. 16,21,34    (i)   The level of cell condensation was higher in scaffolds
            Nonetheless, the assumption lacks both qualitative and   with smaller pores, as observed from the upregulated
            quantitative evidence and corroboration.                FAK and N-cadherin expression (Figure 11). This


            Volume 10 Issue 5 (2024)                       286                                doi: 10.36922/ijb.3371
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