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3D printing of anisotropic bone structure
           and processed using the  Adobe Photoshop 10.0       method combined with controlled lamination of
           software. For quantitative analysis of dendritic    each sheet (Figure  1B). Birefringence analysis
           cell processes, dendrites with length of more than   of the fabricated substrates revealed  that  the
           20 µm were counted . The angle of cell processes    control scaffolds showed no preferred alignment
                              [22]
           was analyzed as a reference of substrate collagen   of  collagen  fibers,  whereas  unidirectional
           orientation.                                        controlled extrusion allowed a uniformly aligned
                                                               microstructure in one direction (Figure  1C).
           2.8 Gene expression analysis                        Quantitative  analysis  of  the  slow  axis  of

           We  extracted  total  RNA  from  the  cultured  cells   collagen molecules (corresponding to the long
           using  column  method  (NucleoSpin  RNA  XS,        axis  of  collagen  fiber)  exhibited  random  and
           Macherey-Nagel). The expression levels of Src gene   unidirectional angular distribution of collagen
           were assessed with quantitative polymerase chain    fibers  in  the  control  and  oriented  substrates,
           reaction  (PCR)  according  to  the  manufacturer’s   respectively (Figure 1D).
           guidelines (Applied Biosystems).  The Ct value      3.2 Anisotropic bone matrix formation by 3D
           was set within the exponential stage in the PCR.    culture of primary osteoblasts
           The expression level  for  each  target  gene was
           determined by standardization of the expression     Primary  osteoblast  cells  isolated  from  neonatal
           value of Gapdh. We provide the obtained results as   mice  calvariae  were cultured  within the
           the gene expression (percentage) relative to Gapdh   fabricated  3D oriented  collagen  substrates for
           expression and then normalized to parallel group.   4 weeks in an osteoinductive  environment
                                                               (Figure  2A). Osteoblasts showed proliferative
           2.9 Crystallographic texture of the bone matrix
                                                               and differentiation activities inside the substrates
           We analyzed the characterization of apatite crystals   with well-mineralized  bone matrix  formation.
           and their preferred c-axis orientation produced by   Cells  embedded  in the substrates showed
           osteoblasts  using  a  microbeam  X-ray  diffraction   Sclerostin-positive  osteocyte-like  morphology
           system with Mo-Kα radiation (R-Axis BQ; Rigaku)     (Figure 2B and C). The mineralized bone matrix
           at 50 kV and 90 mA . The specimens were fixed       produced by the aligned  osteoblasts presented  a
                              [23]
           in 10% formaldehyde for analysis. The preferred     well-characterized  X-ray  diffractometer  profile
           orientation of the apatite  c-axis was evaluated.   for apatite crystals. The integrated intensity ratio
           The relative integrated intensity ratio of the (002)   of (002)/(310) corresponding to the preferred
           diffraction peak to the (310) peak was calculated   orientation  of the  c-axis of apatite  crystals,
           based on the measurement along the longitudinal     showed  a  significantly  higher  level  along  the
           axis and transverse direction of the specimens.     longitudinal  direction  in the  substrate  collagen
                                                               orientation rather than the transverse orientation
           2.10 Statistical analysis                           of the substrates (Figure 2D).

           Statistical significance was assessed by one-way    3.3 Osteocyte responses for fluid flow stimulation
           ANOVA,  followed  by  Tukey’s  post hoc  test. A    inside 3D collagen substrates
           significance of P < 0.05 was required for rejecting
           the null hypothesis.                                Primary osteocytes were successfully obtained
                                                               from the bone fragments derived from the
           3 Results                                           mature bone tissue (Figure 3A). Cells inside the

           3.1 Fabrication of 3D oriented collagen scaffold    bone chips migrated and adhered onto the cell
           with controlled molecular alignment                 culture plate, presenting typical morphology with
                                                               multiple cell processes (Figure  3B). Isolated
           A 3D oriented microstructured collagen scaffold     osteocytes cultured inside the fabricated substrates
           was successfully produced by an extrusion-based     were stimulated with controlled unidirectional

           110                         International Journal of Bioprinting (2020)–Volume 6, Issue 4
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