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International Journal of Bioprinting                                  3D-printed contractive pennate muscle




            the bioink. The extruder was connected to an air pump,   h rest), the tissues were incubated in DM for 7 days, during
            which extruded the bioink at the appropriate air pressure.   which the culture medium was changed daily.  We then
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            Simultaneously, it followed the predetermined route in   studied the differentiation of myoblasts into myotubes using
            the slicing software, printing the muscle tissues layer-by-  fluorescence staining of F-actin and nuclei and subsequently
            layer in the support mold (Figure 5C). After printing, the   characterized the differentiation level of C2C12 cells via
            3D-printed pieces were crosslinked under 405 nm light   confocal laser scanning microscopy (CLSM).
            using a portable curing light source (LS-1601; EFL, China),
            and the supports were removed.                     2.7. Myotube alignment analysis in
                                                               engineered tissues
               The quality of muscle tissue morphology includes   Myotube alignment of skeletal muscle cells was analyzed
            macroscopic shape dimensions and microscopic structure   using fluorescence staining and subsequent observation
            dimensions. For macro dimensions, the length and major   under a laser confocal microscope (A1; Nikon, Japan).
            diameter of the tissue were measured using a micrometer   After a seven-day culture, the 3D-printed pieces were
            and thickness gauge, respectively. For the microstructure   cut into thin slices along the long axis, washed, fixed, and
            dimensions, a layer containing microchannels from the   permeabilized. The samples were incubated in Alexa Fluor
            sliced model of tissue was printed separately, and the   488-conjugated phalloidin (1:200) at room temperature in
            width of the microchannels was then measured under a   the dark for 30 min and rinsed with PBS after incubation.
            stereomicroscope (SMZ745; Nikon, Japan).           The cell nuclei were then stained with a DAPI staining

            2.5. Cell viability evaluation                     solution for 30 s (the detailed staining procedure is
            Cell viability was analyzed on days 1, 3, 5, and 7 after 3D   described in the Supporting Information). A laser confocal
            printing using fluorescent labeling with molecular probes   microscope was used for confocal imaging of skeletal
            from the Live/Dead Viability/Cytotoxicity Kit. Since the   muscle cell nuclei to assess myotube alignment. ImageJ
            printed muscles were not exposed to electrical stimulation   software was used to identify the long-axis angle of each cell
            to induce cell differentiation before cell viability evaluation,   nucleus. Origin software was used to conduct a frequency
            the cells retained their ability to proliferate. The culture   distribution analysis of the angular orientation, calculating
            medium was changed daily during cultivation to remove   the frequency of cell orientations in each 20° interval from
            dead cells from the muscle. Molecular probes were used   −95° to 85°. Cells with an angle <30° between the long axis
            to  characterize  cell  activity and  observe  cell  growth  in   of the nucleus and the orientation direction were assumed
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            the 3D-printed muscle tissues. The staining solution was   to be oriented cells.  Additionally, we investigated the
            prepared under dark conditions by adding 1 mL PBS to   effect of 3D printing parameters on cell orientation rate,
            an Eppendorf tube, followed by 2 μL EthD-1 and 0.5 μL   and various printing speeds (6, 8, and 10 mm/s) and air
            calcein AM. The tissues were washed with PBS once and   pressure (2, 3, and 4 kPa) were considered in this study.
            incubated in the mixed staining solution in the dark for   2.9. Contractility evaluation
            15 min. The tissues were washed with PBS three times and   Contraction displacement of tissues was measured
            observed under an inverted fluorescence microscope (Ti-S;   without load under the electric field, while contraction
            Nikon, Japan). Stained live cells emitted green fluorescence   force  was  measured  when  loaded  with  U-shape  posts
            (Ex/Em = 488/500 nm) under blue light excitation, while   made of PDMS. Electrical stimuli were applied to induce
            dead cells emitted red fluorescence (Ex/Em = 560/600 nm)
            under green light excitation. ImageJ software was used to   contraction and displacement. The electrical signal
            count the number of living and dead cells. The cell survival   generator was used to generate a pulse square wave with
            rate was calculated as the ratio of the number of living cells   adjustable amplitude and frequency (1, 2, and 4 Hz).
            to the total number of cells.                      The signal generator was connected to a booster device
                                                               to create an electric field between the two electrodes (1,
            2.6. Cell differentiation with electrical stimulation  2, and 4 V/mm). A microscope thermo plate (TP-C-108;
            The 3D-printed tissues were cultivated with 5 mL DM   Mshot, China) was utilized to maintain the media at 37°C,
            after incubating in GM for 3 days. After 24 h cultivation   providing an appropriate temperature for the muscle
            in DM, electrical field stimulation was generated by a   tissues. A stereomicroscope (SMZ745; Nikon, Japan) was
            signal stimulator (DG812; Rigol, China) as square waves   used to observe the contraction process and record videos;
            (amplitude: 1.0 V/mm; pulse duration: 10 ms; frequency: 1   the load-free contraction displacement was measured
            Hz) and transmitted to platinum electrodes fixed on both   using  Tracker  software;  the  displacement  of  posts  was
            sides of the petri dish. After electrical field stimulation   measured to compute the force exerted against the posts
            was performed on the tissues with the corresponding   after electrical stimulation using Euler-Bernoulli’s beam
            parameters for 10 h (every 1 h stimulation followed with 1   bending equation:

            Volume 10 Issue 6 (2024)                       251                                doi: 10.36922/ijb.4371
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