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International Journal of Bioprinting                          3D-Printed Zn/MgHA-PCL for angio/osteogenesis




            scaffolds was significantly higher than that of HA-PCLs,   VEGFR2 (KDR), and bFGF (Figure 5E). The expression of
            5Mg10Zn@HA-PCLs, and 10Mg10Zn@HA-PCLs groups       these genes in the groups containing Mg  was higher than
                                                                                               2+
            (Figure S1, Supporting Information), which may be related   that in the other three groups, with the highest expression
            to the morphology of HA in each group. In the XRD results   observed in the 10Mg10Zn@HA-PCLs and 15Mg10Zn@
            of 10Zn@HA and 15Mg10Zn@HA, the  I  (300) /I (211)  and   HA-PCLs groups, consistent with the results of the
            I (002) /I (300)  ratios were closer, indicating irregular spherical   wound healing assay. Western blot (Figure S3, Supporting
            shapes, which may enhance the mechanical performance   Information) analysis confirmed that the Mg-doped
            of the composite scaffolds.                        group exhibited stronger expressions of CD31 and VEGF
                                                               compared to the pure Zn-doped group, and the expression
               Furthermore, we evaluated the cumulative release of                                 2+
            Zn and Mg from the composite scaffolds in simulated in   levels increased with the concentration of Mg , consistent
                                                               with the qPCR results. These findings suggest that Mg
                                                                                                            2+
            vitro environments (Figure S2, Supporting Information).   can promote the proliferation and migration of HUVECs.
            All groups demonstrated stability and sustained release
            effects over  14 days. With  the  addition  of  Mg  ions,  the   3.4. Evaluation of the osteogenic differentiation
            concentration of Zn ions also decreased with increasing   potential of 3D-printed composite scaffolds in vitro
            concentration of Mg ions. Further comparison of Zn and   We investigated the effects of scaffolds on the
                                      2+
            Mg ion release revealed that Zn  was less released than   cytotoxicity and proliferation of BMSCs. First, we
            Mg , probably due to more stable doping of Zn  (fixed in   performed CCK-8 experiments to assess how composite
                                                  2+
              2+
            the crystal lattice).                              scaffolds affected cell proliferation. Results after co-
                                                               culturing composite scaffold extracts with BMSCs for
            3.3. Evaluation of the angiogenic ability of       1, 3, and 5 days indicated no significant difference in
            3D-printed composite scaffolds in vitro            relative cell viability between each group and the control
            We performed CCK-8 experiments to assess the
            proliferation of HUVECs on the composite scaffolds    group on the first day, and all groups exhibited a trend
                                                               of promoting the proliferation of BMSCs with longer
            (Figure 4A). With the increase in culture time, the   culture time; the trend was more pronounced in the Mg/
            number of HUVECs increased, with the Mg/Zn double-  Zn  element-doped  groups  (Figure  5A).  Additionally,
            doped group displaying the best cell proliferation effect.   after co-culturing with composite scaffolds for 72 h, the
            Meanwhile, with the increase in Mg  concentration, its   live/dead staining results indicated that all samples had
                                          2+
            effect on promoting cell proliferation also increased, and at   no obvious dead cells (Figure 5B).
            72 h of culture, the proliferation rate of the 15Mg10Zn@HA-
            PCLs group was significantly higher than the 5Mg10Zn@  To study the effect of composite scaffolds on osteogenic
            HA-PCLs group. Additionally, after co-culture for 72 h,   differentiation,  we  co-cultured  BMSCs  with  composite
            the live/dead staining indicated that almost all HUVECs   scaffolds for 7 and 14 days and performed ALP staining
            remained viable (green fluorescence), with few dead cells   to determine the early bone regeneration ability of the
            (red fluorescence), and the double-element-doped group   composite scaffolds (Figure 6A). The results indicated that
            had more cells than the other three groups, consistent with   the ALP staining area of the element-doped groups was
            the CCK-8 results, indicating that all scaffolds had good   larger than that of the control group and HA-PCLs group.
            cell compatibility (Figure 4C).                    Moreover, the ALP staining area of the Mg/Zn double-
                                                               doped group was greater than that of the single Zn-doped
               We assessed the effect of composite scaffolds on   group, and the staining area also increased with increasing
            HUVEC migration using a wound healing assay, calculating   Mg  concentration;  there  was no  significant  difference
                                                                  2+
            the effect of the composite scaffolds on wound healing   between the 10Mg10Zn@HA-PCLs and 15Mg10Zn@
            based on the difference in the area between 0 and 12/24 h    HA-PCLs groups, consistent with the quantitative
            (Figure 4D). Statistical results (Figure 4B) demonstrated   analysis results of ALP activity (Figure 6C). After 21 days
            that although all groups could promote wound healing, the   of induction  in vitro, ARS staining was performed to
            10Zn@HA-PCLs group had the worst effect compared to   evaluate the late-stage mineralization ability of BMSCs
            other groups. However, with the addition of Mg, the trend   on the composite scaffolds. The results indicated that the
            of the 10Zn@HA-PCLs group was reversed, and the effects   mineralization nodule formation of the Mg/Zn double-
            of the various groups containing Mg were enhanced with   doped  group  was  greater  than  that  of  the  other  three
            increasing  culture  time;  the  10Mg10Zn@HA-PCLs  and   groups, and the formation of mineralization nodules also
            15Mg10Zn@HA-PCLs groups being the best.
                                                               increased with increasing Mg ion doping concentration,
               Meanwhile, we investigated the expression of    (Figure 6B). The quantitative results (Figure 6D) indicated
            angiogenesis-related genes VEGF, VEGFR1 (FLT1),    that the 15Mg10Zn@HA-PCLs group had the highest


            Volume 10 Issue 6 (2024)                       291                                doi: 10.36922/ijb.4243
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