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International Journal of Bioprinting                            Bioprinted plasma biocarriers for MSC delivery




            collected after 96 h in a non-inflamed environment in vitro.   transferred to a bioprinter head maintained at 22°C for
            Understanding how inflammatory molecules influence   at least 5 min to ensure uniform temperature throughout
            MSC activities is crucial, given that MSCs frequently   the cartridge. The BioX printer was operated under the
            encounter  an inflammatory  milieu  within  host  tissues.   following conditions: an extrusion pressure of 30–50 kPa,
            Without a suitable delivery vehicle, making therapeutic   a 20G plastic conical tip, a cartridge maintained at 22ºC, a
            projections is challenging due to uncertainties regarding   pre-flow of −300 ms, a head movement speed of 5 mm/s,
            cell survival in the joint. Therefore, we created reproducible   and a bed temperature of 10ºC. Following bioprinting, each
            BMSC biocarriers through bioprinting and examined their   structure was photocured using the BioX 405 photocuring
            main properties and trophic actions in vitro.      module at 100% power, 4 cm height, for 60 s.
            2. Methods                                         2.4. MSC viability within bioprinted biocarriers
                                                               The viability of MSCs was assessed using the CyQUANT
            2.1. Preparation of plasma products                TN XTT Cell Viability Assay (Invitrogen, Thermo Fisher,
            Whole blood anticoagulated with citrate phosphate   USA). GelMA bioinks mixed with an MSC suspension were
            dextrose (CPD) was collected from six healthy donors   photocrosslinked and incubated. After adding the XTT
            via apheresis and processed by the Basque Biobank.   working solution and further incubation, absorbances at
            Leuko-reduced PRP and fresh frozen plasma (FFP) were   660 and 450 nm were measured to calculate the specific
            generated using the REVEOS Automated Blood Processing   absorbance. Experiments were conducted in triplicate.
            System (TERUMO BCT, Japan). PRP samples were diluted
            1:5 in FFP to standardize platelet counts. Due to limited   2.5. In vitro evaluation of biocarrier biology
            blood availability at the Basque Blood Biobank, platelet   with/without inflammation
            donors were not matched with FFP donors. Supernatants   The GelMA biocarriers enriched with PRP or FFP and
            were prepared by adding 10% CaCl , incubating at 37ºC   loaded with BMSCs were evaluated in non-inflamed and
                                         2
            for 1 h, then centrifuging, filtering, aliquoting, and storing   inflamed environments (50 ng/mL IL-1β or 50 ng/mL
            at −80ºC.                                          TNF-α). The conditioned medium was collected after 96
                                                               h and centrifuged, and the supernatants were stored at
            2.2. Preparation of functionalized GelMA           −80ºC for further analysis.
            To prepare the GelMA stock solution, sterile lyophilized
            GelMA (CellInk PhotoGel® 50% DS; CellInk, Sweden) was   2.6. Antibody-based protein arrays
            combined with sterile-filtered Dulbecco’s Modified Eagle   Protein release from BMSCs in various hydrogel
            Medium/Nutrient Mixture F12 (DMEM-F12; ThermoFisher   formulations was evaluated using the Human Cytokine
            Scientific Inc., USA), supplemented with 0.5% (w/v)   Array Q1000 Kit (126QAH-CAA-1000-1; RayBiotech
            lithium phenyl-2,4,6-trimethylbenzoylphosphinate (LAP)   Inc., USA). Array experiments were conducted as per the
            to achieve a final concentration of 10%. The solution was   manufacturer’s instructions, with results quantified relative
            kept at 37ºC overnight, with gentle agitation and protection   to positive controls. Plasma samples from six donors were
            from light, allowing it to fully dissolve without trapping air   pooled to address biological variability.
            bubbles. Once completely dissolved, the GelMA stock was
            stored in the dark at 4ºC and used within 1 month.  2.7. Bioinformatic analyses
               For bioink preparation, the GelMA stock was heated   2.7.1. STRING database
            in a culture oven at 37°C for at least 30 min until liquefied.   We used the STRING database (version 11.5;  string-db.
            It was then diluted to a 5% final concentration by mixing   org, accessed on February 2024) to explore known protein
            equal volumes of either preheated DMEM-F12 or the   interactions and enriched biological functions. Proteins
            extruded supernatant from PRP clots, all kept at 37°C. 19  overexpressed more than two-fold in PRP biocarriers
                                                               compared to nude biocarriers were selected, with a high
            2.3. Bioprinting of MSC biocarriers                edge confidence of 0.9. Figure 1A and B illustrates robust
            Biocarriers were fabricated using a CellInk BioX bioprinter   networks with edges representing physical and functional
            (CellInk, Sweden). To prepare the bioink, 10% GelMA   associations,  excluding  disconnected  nodes.  The  main
            stock was mixed with the appropriate supplement (DMEM   network  was  clustered  into  four  groups  using  k-means.
            or PRP-derived secretome) and a cell concentrate (3 ×   Enriched functions are presented against –LOG10 (FDR),
            10  MSCs/mL) in a 50:40:10 ratio. All components were   where FDR represents the false discovery rate.
              6
            pre-warmed to 37°C before mixing. The prepared bioinks
            were then loaded into 3 mL pneumatic syringes and briefly   2.7.2. Ingenuity pathway analysis
            placed in a freezer for 2 min to accelerate gelation and   Proteins secreted by MSCs were categorized based on Gene
            prevent cell precipitation. After gelation, the syringes were   Ontology (GO) functions. We compared PRP biocarriers

            Volume 10 Issue 6 (2024)                       302                                doi: 10.36922/ijb.4426
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