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




            2.5. Mobility assessment of mesenchymal stem cells  samples for 20 min for qualitative observation. Acetic acid
            The migration capacity of MSCs was assessed using the   solution (10% [v/v]) (Southwest, China) and ammonia
            transwell assay. A 24-well transwell chamber (pore size:   solution (10% [v/v]) (Southwest, China) were then used
            8 mm; Corning, China) was used to evaluate the effect of   to  treat  the  stained  samples.  Finally,  the  mineralization
            different samples on the migration of MSCs. Approximately   of MSCs was measured at an OD value of 405 nm using
            1 × 10  cells were seeded in the upper chamber, and samples   a spectrophotometric microplate reader  (Thermo
                4
            with different coatings were placed in the bottle chamber   Fisher, USA).
            and immersed in 600 mL of medium supplemented with
            1% fetal bovine serum (FBS; ExCell, China). After 12   2.10. Osteogenesis-related gene expression
            and 24 h of incubation, non-migrated MSCs in the upper   The  osteogenesis-related  gene  expression  of  MSCs
            chamber were gently removed with a cotton swab. The   was evaluated by quantitative reverse-transcription
            remaining MSCs were treated with 4% paraformaldehyde   polymerase chain reaction (qRT-PCR). MSCs were seeded
            (Sigma, USA) and stained with 0.1% crystal violet solution   on the surface of different samples and after 3 days of
            (Glpbio, USA). Each group (n = 4) was imaged using an   incubation, qRT-PCR experiments were performed. The
            Olympus inverted microscope (Olympus, Japan), and cell   cells were lysed with TRK lysate and then centrifuged
            migration capacity is determined from the mean number   for RNA extraction. The mRNA concentration of each
            of stained cells.                                  sample was then determined using a NanoDrop 2000
                                                               Spectrophotometer (Thermo Fisher, USA). The reagent
            2.6. Cell viability assay                          was then removed from the frozen Takara PrimeScript RT
            MSCs were seeded on the surface of each sample and   Reagent Kit with gDNA Eraser (Takara, Japan) and thawed
            processed for fluorescein diacetate/propyl iodide (FDA/  on the ice box. The RNA obtained was reverse transcribed
            PI) staining and CCK-8 experiments after 4 and 7 days of   into cDNA using the kit. The expression of genes (ALP,
            incubation. The media of different samples were washed   COLI, OCN, OPN, OPG, and RUNX2) was quantified using
            with PBS, and the working solution was added to the   a qPCR instrument (Bio-Rad, USA), and the primers of
            different samples. When the FDA/PI solution was used, the   osteogenesis-related genes are listed in Table 1.
            samples had to be incubated for 10 min and subsequently
            photographed using a fluorescence microscope (Olympus,   2.11. In vivo animal evaluation
            Japan). For the CCK-8 experiment, we had to determine   New Zealand white rabbits (6 months old; n = 16) were
            the absorbance value (optical density [OD]) at 450 nm   randomly divided into four groups, and the nucleus
            using a spectrophotometric microplate reader (Thermo   pulposus in the L4/5 intervertebral disc was removed from
            Fisher, USA). The OD value is directly proportional to the   the rabbits in all groups. Subsequently, different PEEK
            cell activity.                                     cages were implanted into the L4/5 intervertebral disc
                                                               for 2 months. All animal experiments were approved by
            2.7. Osteogenic response of mesenchymal stem cells  the Experimental Animal Ethics Committee of Southwest
            In this study, MSCs were cultured by conditional culture.   Medical University (approval number: 20230228-013).
            The chromogenic and activity detection of ALP, collagen   After 2 months, the L4 and L5 vertebral bodies were
            secretion detection, and mineralization detection were   sectioned to assess the interbody fusion effect using micro-
            performed. MSCs were co-cultured for 4 and 7 days,   computed tomography (CT) (PerkinElmer, USA) and the
            respectively. The BCIP/NBT ALP kit was used for    push-out test using an electronic static material testing
            qualitative observation. The MicroBCA Protein Assay Kit   system (Instron, UK).
            (Abcam, UK) and the p-nitrophenyl phosphate assay kit
            (Millipore, USA) were employed for quantitative analysis.  2.12. Statistical analysis
                                                               Data are presented as mean ± standard deviation. One-way
            2.8. Collagen secretion assay                      analysis of variance (ANOVA) and student’s  t-test were
            MSCs were co-cultured  for 14 days. Sirius Red was used   performed to determine the statistical significance of the
            to stain the various samples for qualitative observation of   data, i.e., *p < 0.05; **p < 0.01; and ***p < 0.001.
            collagen secretion. Thereafter, 1 mM NaOH was used to treat
            stained samples  for quantitative  analysis. Finally,  collagen   3. Results
            secretion was measured at an OD value of 540 nm using a
            spectrophotometric microplate reader (Thermo Fisher, USA).  3.1. Sample characterization
                                                               Substance P (SP) is a peptide composed of a chain of 11
            2.9. Mineralization assay                          amino acid residues in its sequence. To graft SP onto Gel/
            MSCs were co-cultured for 14 days. Alizarin Red (Glpbio,   Chi multilayer films and maintain its bioactivity, a Schiff
            USA) working solution (pH 4.1) was applied to stain the   base reaction utilizing chitosan with an aldehyde group


            Volume 10 Issue 5 (2024)                       296                                doi: 10.36922/ijb.3574
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