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International Journal of Bioprinting                                 Proteins-loaded 3D-printed PEEK cage
































            Figure 1. Design and preparation of modified polyetheretherketone (PEEK) via layer-by-layer (LBL) self-assembly, and its functions after implantation.
            Abbreviations: BMP2, bone morphogenetic protein 2; Chi, chitosan; Gel, gelatin.
            (ALP) activity detection kit, ALP color development kit,   surface of the S-P-BMP2 sample and rotated for 20 s using
            Cycein red dye, and Triton X-100 were obtained from   a spin-coater. Thereafter, 10 μL of Chi solution (5 mg/mL
            Sigma-Aldrich (United States of America [USA]). Cell   in distilled water, pH 5.5) was added and rotated for 20 s.
            counting kit-8 (CCK-8) was obtained from Beyotime   This process was repeated five times to obtain S-P-BMP2/
            (China). Sirius Red staining solution was purchased from   LBL. Finally, SP was deposited onto the S-P-BMP2/LBL
            Sollebo (China). An RNA extraction kit was purchased   surface. To reduce the burst release of SP, a gel solution
            from Bioteck (USA). An RNA reverse transcription kit was   was added to the surface and rotated for 20 s. The resulting
            purchased from Takara-Bio Corporation (Japan).     sample was named S-P-BMP2/LBL-SP.

            2.2. Sample preparation                            2.3. Sample characterization
            The PEEK sample was fabricated by Beijing YUNS     The morphology and roughness of the samples were
            Technology Co., Ltd. using a fused filament fabrication   characterized by observing their surfaces using field
            (FFF) 3D printer (miniFactory Ultra). The print parameters   emission scanning electron microscopy (SEM; FEI Nova
            are listed in Table S1, Supporting information. Figure S1,   400 Nano SEM; Phillips Co, Holland) and atomic force
            Supporting Information displays the samples designed   microscopy (AFM; Dimension; Bruker, Germany). The
            based on the vertebral structure (P). The head of the   hydrophilicity and hydrophobicity of the samples were
            sample was designed as a triangle, making implantation   analyzed by measuring their water contact angles.
            more convenient than traditional interbody fusion devices.
                                                               2.4. Release behavior of BMP2 and substance P
               To achieve a porous structure on the surface of the   To examine the release profile of the embedded peptide,
            PEEK sample, we treated the samples with concentrated   fluorescein  isothiocyanate  (FITC;  Solarbio,  China)  was
            sulfuric acid at room temperature, followed by immersion   used  to  label  SP  (FITC@SP)  following  the  protocol
            in deionized water. The resulting samples were then   outlined in a previous study.  The supernatant was
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            hydrothermally treated at 120°C for 4 h to remove any   extracted at different time intervals after immersing the
            remaining residues. The samples were labeled as S-P.   samples in phosphate-buffered saline (PBS; Solarbio,
            BMP2  was  then  dissolved  in  double-distilled  water  and   China). The release behavior of SP was monitored based
            spin-coated onto the S-P sample. The resulting samples   on FITC fluorescence measurements using a fluorescence
            were labeled as S-P-BMP2.                          spectrophotometer (RF-6000; Shimadzu, Japan). BMP2
               The Gel/Chi multilayer films were prepared using   was labeled with a red fluorescent protein (RFP; Bioss,
            the LBL method on a clean bench. Firstly, 10 mL of Gel   China), and its release behavior was detected using the
            solution (5 mg/mL in distilled water) was added to the   same method described above.


            Volume 10 Issue 5 (2024)                       295                                doi: 10.36922/ijb.3574
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