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International Journal of Bioprinting                             Skin bioprinting: Keratinocytes and stem cells













































            Figure 12. Viability and metabolic activity of co-cultured constructs. (A) Cell viability of biofabricated constructs containing HaCaT and ADSCs on days
            (d) 1, 4, 7, and 14 (n = 3). (B) Metabolic activity of HaCaT and ADSCs within printed constructs on days 1, 4, 7, and 14 (n = 3). (C) HaCaT and ADSCs in
            Alg/HA/Gel and Alg/HA/Fib on days 1, 4, 7, and 14. Scale bars: 100 μm. Green indicates living cells; red indicates dead cells. Data are represented as mean
            ± standard deviation; *p ≤ 0.05. Abbreviations: ADSC, adipose-derived stem cell; Alg, alginate; Fib, fibrin; Gel, gelatin; GelMA, gelatin methacryloyl; HA,
            hyaluronic acid; ROI, region of interest.


               Time significantly impacts the degradation process. All   combined metabolic activity, compared to 50% for the
            constructs displayed a significantly higher area on day 1   GelMA control group. Analyzing the metabolic rate over the
            compared with days 7 and 14, independent of hydrogel and   entire test period using two-way ANOVA and unpaired t-test
            cell  composition.  Furthermore,  all  experimental  groups   revealed significant differences over time for cells within the
            significantly decreased in size from day 4 to 14. Cell-laden   biofabricated constructs and those at the well bottom.
            constructs significantly degraded from day 1 to 4 and from   Cells at the well bottom displayed a significant difference
            day 7 to 14.
                                                               between day 14 and days 1, 4, and 7 for experimental groups
            3.3.2. WST-8 assay                                 Ib (Alg/HA/Gel and Alg/HA/Fib with HaCaT and ADSC),
            The metabolic activity of the bioprinted samples and cells   Ic  (Alg/HA/Gel  and  Alg/HA/Fib  with  HaCaT),  and  IIb
            at the well bottom was measured on days 1, 4, 7, and 14   (GelMA and Alg/HA/Fib with HaCaT and ADSC). On
            (Figure 10).                                       day 14, the cells of group Ic (Alg/HA/Gel and Alg/HA/Fib
                                                               with HaCaT) at the well bottom exhibited a significantly
               All printed constructs displayed a steady increase in
            metabolic activity regardless of cell composition or choice   higher metabolic activity than those of group IIc (GelMA
                                                               and Alg/HA/Fib with HaCaT) (Figure 11A).
            of hydrogel over the experimental period. Likewise, the
            metabolic activity of cells at the well bottom increased for all   Additionally, for  the  cells  at the  well  bottom, Alg/
            experimental groups until day 14. On day 14, the metabolic   HA/Gel displayed  a significantly  higher  metabolic rate
            activity of the constructs composed of Alg/HA/Fib with   compared with GelMA on day 1. HaCaT and ADSCs at
            HaCaT and ADSC in co-culture accounted for 37% of the   the well bottom were differentiated according to their


            Volume 10 Issue 6 (2024)                       274                                doi: 10.36922/ijb.3925
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