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International Journal of Bioprinting                                 3D-printed EVs for nasal septal defects




            2.2. Isolation, identification, and staining of EVs   2.2.4. Western blot
            from adipose-derived stem cells (ADSCs)            The protein concentration of EVs was measured using a
                                                               BCA kit (Bvant, China) according to the manufacturer’s
            2.2.1. Isolation of EVs                            method, and the number of EVs in each sample was
            The acquisition of 3D EVs is based on the findings of Chen   calculated based on the assay results. Sodium dodecyl
            et al.,  which involved the use of coaxial printing to obtain   sulfate  (SDS)  buffer  (Servicebio,  China)  was  added  to
                20
            3D adipose-derived stem cell (ADSC)-derived EVs. In   the sample and mixed by vortexing. The proteins were
            this study, 1.5% alginate solution was used for shell flow at   then denatured in water at 95°C before electrophoresis.
            20 mL/h; ADSC suspension (ScinencellTM Laboratories,   After electrophoresis, the gels were separated, and the
            USA) was used for core flow at 5 mL/h.; 3% CaCl  solution   positive EVs protein markers, CD63 and TSG101 (Abcam,
                                                   2
            was used as the receiving medium. The alginate solution in   England),  and  the negative  protein marker  calnexin
            the shell flow rapidly gelled in the CaCl  solution, forming   were  transferred to  a  polyvinylidene fluoride  (PVDF)
                                           2
            microfibers that encapsulated the cells within approximately   membrane (Millipore, Germany). After blocking with a 3%
            10 min. The microfibers were then  rinsed  with a 0.9%   bovine serum albumin (BSA) blocking solution (Solarbio,
            NaCl solution for 5 min, before being transferred to a 150   China), the membrane was incubated with primary and
            mm Petri dish (Zhennuo, China) containing 25 mL MSC   secondary antibodies and visualized accordingly thereafter
            complete medium (NC0103; Yocon, China). The dish   (Chemiscope, China).
            was then placed in a 5% CO  incubator at a temperature
                                   2
            of 37°C. The cell culture medium was collected every 24   2.2.5. Cell uptake
            h and replaced promptly, and the collected medium was   To validate the uptake of 3D-derived EVs by nasal
            frozen at −80°C for storage.                       septal  chondrocytes,  EVs  were  stained  with  PKH26  red
                                                               fluorescent dye (Uimbio Shanghai, China) for 15 min
               Cell  culture  media  uses  continuous  centrifugation   at 37°C, and 3D-EV-loaded chondrocytes were treated
            and filtration for EV collection. Briefly, the cells were   for 24 h after centrifugation to remove excess dye. After
            precipitated at 300 ×g for 10 min at 4°C using an Overspeed   incubation, the cells were fixed with 4% paraformaldehyde
            Centrifuge (Himac Japan) and subsequently at 2000 ×g   (Biosharp, China) for 15 min, washed three times with
            for 30 min to remove dead cells. The remaining purified   PBS, and permeabilized with Triton-100 (Coolaber, China)
            medium was centrifuged at 10000 ×g for 30 min, and the   for 10 min. The membranes were stained using fluorescein
            supernatant was filtered through a 0.22 μm filter (Sartorius,   isothiocyanate (FITC; Aladdin, China) and washed with
            Germany) to remove excess protein. Next, the supernatant   PBS  before  staining  the  nuclei  using  DAPI.  The  images
            was centrifuged at 100000 ×g for 70 min; the sediment was   were captured under an inverted fluorescence microscope
            washed with phosphate-buffered saline (PBS) (zqxzbio,   (Nikon, Japan).
            China); and the solution was transferred to a new tube and
            centrifuged again at 100000 ×g for 70 min to obtain the   2.3. Characterization of molecular structure
            3D-cultured EVs.                                   and microstructure
                                                               Scanning electron microscopy (SEM) was used
               The 2D EVs were synthesized according to the    to  characterize the  electrospun  biofilm  and the
            traditional preparation method.  ADSCs (passage [P]3–6)   microstructure of the composite scaffold; the fiber
                                     30
            were cultured in serum-free stem cell medium (Corning,   diameter of the scaffold was calculated using Origin 2021
            United States of America [USA]) for 48 h; the supernatant   (OriginLab, United States). Briefly, a biological scaffold
            was collected and purified via ultracentrifugation; and the   of suitable size was prepared and its surface was evenly
            2D-cultured EVs were obtained.                     covered with chondrocyte suspension and Dulbecco’s

            2.2.2. Transmission electron microscopy            Modified Eagle Medium (DMEM; Gibco, China)
            The EVs were loaded onto Formvar carbon-coated EM   supplemented with 10% FBS for 2 days. After complete
            copper mesh (HEAD, China), stained with PKH26 kit   cell adhesion and growth, the scaffold was washed with
            (Sigma-Aldrich,  USA),  air-dried,  and  observed  using   PBS. The biofilm of the loaded cells and the composite
            transmission electron microscopy (TEM; Hitachi, Japan).   scaffold were freeze-dried, and the composite scaffold
                                                               was treated with liquid nitrogen embrittlement to expose
            2.2.3. Nanoparticle tracking analysis              the cross-section. The surface of the scaffold was sprayed
            The EV suspension was diluted to 1 mL with stock   with gold at 18 mA using an ion sputter coater (Technol,
            solution and transferred to a 1 mL syringe. The particle   China)  for 60  s. SEM  was  used  to  observe  the  surface
            size distribution of EVs was detected using nanoparticle   morphology of the scaffold; the fiber diameter of the
            tracking analysis (NTA; Malvern Panalytical, Netherlands).  scaffold was calculated accordingly.

            Volume 10 Issue 6 (2024)                       177                                doi: 10.36922/ijb.4118
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