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




            did not enhance the expression of Col II and displayed   relevant matrix is inhibited in an environment with high
            similar fluorescence intensity to the control group. To   concentrations of EVs.
            further explore this phenomenon, we conducted qPCR   3.7. EV composite scaffolds repair cartilage defects
            and western blotting for genes related to chondrogenesis   in vivo
            (Figure 6F). ACAN (Figure 6D and G) is also an important   A 5 × 5 mm defect was created in the nasal septum of
            component of the cartilage extracellular matrix, while   rabbits; samples and tissues were examined at 6 and 12
            SOX9 (Figure 6E and H) primarily regulates chondrocyte   weeks post-stent implantation. We previously tested the
            formation.  The  results  of  qPCR  and  western  blotting   swelling properties of the composite stent, which rapidly
                               8
            indicated that the 5 × 10  EVs/mL group upregulated these   absorbs blood and body fluids around the tissue upon
            three genes, but was not statistically different relative to   implantation, causing it to swell. There were no adverse
            the control group. Interestingly, the three chondrogenesis   reactions in all experimental animal groups after surgery,
            genes in the 10 × 10  EVs/mL group were significantly   with good survival rates.
                              8
            upregulated relative to the other groups, corroborating   We established a sham group, a control group, a
            our immunofluorescence results. In contrast, the 20 × 10    Gel-PLGA scaffold group, and an EV-loaded composite
                                                          8
            EVs/mL group displayed downregulated gene expressions   scaffold  group.  The  staining  results of  the  sections  are
            compared to the other two EV groups, particularly for   presented in Figures 7–9. H&E (Figure 7D) and toluidine
            Col II (Figure 6C and I). Based on the above results, we   blue (Figure 8A) staining revealed that the scaffold
            speculate that the ability of chondrocytes to secrete the   group exhibited some healing compared to the control













































            Figure 6. Expression of genes and proteins related to chondrogenesis. (A and B) Cellular immunofluorescence experiments of 3D extracellular vesicles
            (EVs) at different concentrations (A) and fluorescence intensity analysis of each group (B). (C–E) Quantitative polymerase chain reaction (qPCR) results
            for Col II (C), ACAN (D), and Sox9 (E). (F–I) Western blotting results (F) and normalized analyses of ACAN (G), Sox9 (H), and Col II (I). *p < 0.05, **p
            < 0.01, ***p < 0.001, ****p < 0.0001. Scale bar:100 μm (A). Abbreviation: Ctrl: Control.


            Volume 10 Issue 6 (2024)                       185                                doi: 10.36922/ijb.4118
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