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Bozo, et al.
             The binding of plasmid DNA with OCP surface       implants  with  VEGFA-carrying (Control 2) or
           was controlled visually by SEM and chemically       Luc-carrying  plasmid  DNA (test group) were
           when a bound plasmid DNA fraction was taken off     inserted  subcutaneously  to an animal.  Shame-
           with 0.5 M NaH PO ×2H O, and its concentration      operated  animals  (Control  3)  and  those  injected
                              4
                          2
                                   2
           in a solution was measured with fluorometer Qubit   with a solution of plasmid DNA with  Luc gene
           2.0 (Invitrogen, USA).                              (Control 4) were used as additional controls. On
                                                               days 1, 7, 14, and 28, D-luciferin sodium salt
           2.5 In vivo experiments                             (Lumtec,  Russia)  was  intraperitoneally  injected
           Animal trials were carried out in accordance with   to animals which had been preliminarily sedated
           institutional  guidelines/protocols  in  agreement   with  Sol.  Zoletili  100  –  10  mg/kg.  In  10  min,
           with national laws and policies for animal care.    they were placed  in a bioluminometer  IVIS
           The guidelines were approved by PJSC Institute      Spectrum chamber (PerkinElmer, Inc., USA), and
           of Human Stem Cells, Moscow, Russia.                a luminescent signal was recorded for 1 min.

           2.5.1 Biodegradation assessment                     2.5.3 Segmental bone defect reconstruction
                                                               Male pigs with an average body weight of
           Biodegradation  assessment  of  3D printed  OCP     50 ± 2 kg (n = 4) were used in this study. Each
           based and gene-activated implants were studied in   animal underwent surgery on the right tibia and
           male rats with a body weight of 150 g (n = 24).     the mandible  on both sides under combined
           A 15-mm median skin incision was done in the        endotracheal  anesthesia.  After  the  surgery, all
           lower back under inflatration anesthesia with Sol.   animals  received  antibiotic  therapy  (Cefazolin-
           Lidocaini  1 – 2  ml and intramuscular  sedation    natrii 1.0) for 7 days and then were sacrificed by
           with  Sol.  Zoletili  100  –  10  mg/kg  and  20  mm   thiopental sodium overdosage when sedated with
           subcutaneous pockets were formed on both            Sol. Zoletili 100 in 3- and 6-months post-surgery.
           sides of the incision.  The gene-activated  bone    The bones with the previous surgery areas were
           substitutes were implanted into the right zone, but   resected.  Reconstructive plates  and screws were
           3D printed scaffolds without plasmid DNA – into     removed from the tibia;  the metal  constructions
           the left one. A post-operative wound was sutured    were left in the mandible to retain the regeneration
           by  interrupted  stitches  with  Polysorb  5/0.  The   integrity. The materials were fixed in 10% neutral
           animals  were  sacrificed  in  15,  30,  90,  120,  and   formalin.
           180 days by overdosage of Sol. Zoletili 100. The      Tibia  reconstruction:  10-cm straight  incision
           materials were extracted and fixed in 10% neutral   was made through the skin along the anterior tibia
           formalin. Micro CT of the samples was performed     surface, soft tissues were dissected, the diaphysis
           by Brucker SKYSCAN 1174 (Belgium) and then          exposed subperiosteally and a T-shaped fragment
           the  images  were  3D-reconstructred  using  VG     corresponding to a planned bone defect with a total
           Studio  Max software  (Germany).  A  diameter,      length of 30 mm was resected. 3D printed gene-
           shape,  and  a  surface  area  to  implant  volume   activated implant was inserted into the defect, and
           ratio were determined. After decalcification in a   osteosynthesis performed with the use of a 3.2
           Biodec-R solution (Bio-optica, Italy), histological   mm-thick  reconstructive  plate  and screws with
           slices were prepared under a standard procedure     a diameter of 3.7 mm, some of them were fixed
           followed by hematoxylin and eosin staining.         bicortically. Bone fragments were fixed stable on

           2.5.2 Gene constructs delivery  assessment          a surgical table. The post-operative wounds were
                 in vivo                                       closed in four layers with Polysorb 4/0, SurgiPro
                                                               4/0.
           Balb/c mice with a body weight of 30 g (n = 20)       Mandible reconstruction: the intervention was
           were used in this experiment.  3D printed           carried out on both sides of the mandible under
           scaffolds (Control 1), 3D printed  gene-activated   the same protocol. A skin linear incision was made

                                       International Journal of Bioprinting (2020)–Volume 6, Issue 3        97
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