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International Journal of Bioprinting                                Immunomodulatory bone repair by MBG/PCL






























            Figure 9. RAW264.7 cell polarization and immunomodulation of osteogenic properties promoted by F300, F500, and F800 scaffolds. (A) Levels of
            RAW264.7 cell polarization gene expression induced by the scaffolds. (B1, B2) Staining and quantification plots of F300, F500, and F800 in MP-conditioned
            medium, which mediated the expression of ALP in BMSCs. (C) Expression levels of osteogenic genes (Alp, Opn, Runx2, Bmp2, Col1) in F300, F500, and
            F800 scaffolds in MP-conditioned medium.


            ALP secretion (Figure 9B-1 and B-2). Overall, the levels   M2 phenotype at a greater extent. Compared with P200,
            of immunomodulatory osteogenic properties of these   P500 and P800 significantly upregulated the expression of
            three scaffolds were in this order: F500 > F300 > F800.  CD206 and Arg. Meanwhile, the expression of Arg on the
                                                               first day was higher in P500 than in P800, while there was
            3.7. Effect of pore size on the immunomodulatory   no significant difference in Arg expression between P500
            osteogenic properties of MBG/PCL scaffolds         and P800. P200 induced the expression of inflammatory
            In this subsection, we continued to evaluate the effect   genes (Tnfa, Il1b) the most significantly, followed by P800,
            of pore size on the performance of the scaffolds. The   while P500 exhibited a significant inhibitory effect on the
            scaffolds were co-cultured with BMSCs, and on the first   expression of these inflammatory genes. Mediated by MP-
            day of proliferation, P800 had the highest OD, and there   conditioned medium, P500 significantly upregulated the
            was no significant difference between P200 and P500. On   expression of osteogenic genes at all time points, and the in
            days 3 and 7, the cell proliferative activity of P500 was   vitro immuno-osteogenic properties of P800 were superior
            significantly enhanced. Overall, the BMSCs proliferative   to those of P200 (Figure  11C). Similarly, P500 had  the
            activity for these scaffolds is in this order: P500 > P800   highest staining and levels of ALP, followed by P800, while
            > P200, and the results are demonstrated in Figure 10C.   P200 had the lowest levels in these parameters (Figure
            In the fluorescence staining after 3 days of co-culture,   11B-1 and B-2). Overall, the levels of immunomodulatory
            we observed the similar trend. The fluorescence intensity   osteogenic properties of these scaffolds are in this order:
            of P500 was the strongest, followed by that of P800, and   P500 > P800 > P200.
            P200 had the weakest fluorescence intensity (Figure 10A).
            According to the ALP staining and quantification on day   4. Discussion
            7, we could see that P500 had the most significant ALP
            expression effect, and the ALP expression was higher in   Three-dimensional  printing  allows  for the  direct layer-
                                                               by-layer fabrication of highly accurate 3D solids based
            P200 than in P800 (Figure 10B and D). However, in the
            expression of Alp, Opn, Runx2, Bmp2, and Col1, P800 was   on the structure of the bone as well as the type of bone
                                                               defect, with the assistance of imaging data and computer-
            superior to P200, with the most significant upregulation   aided design models, which are widely used in bone tissue
            performance noted in P500 (Figure 10E).
                                                               engineering. 34-36  The performance requirements of bone
               The effect of pore size on the scaffold’s performance in   tissue-engineered scaffolds can be easily met by 3D-printed
            promoting MP polarization is shown in Figure 11A. Large   composite materials (e.g., polymers and bioceramics), and
            pore size seems to promote MPs polarization toward the   thus, 3D printing of these materials is currently a hot research


            Volume 10 Issue 5 (2024)                       332                                doi: 10.36922/ijb.3551
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