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International Journal of Bioprinting                            Bioprinted plasma biocarriers for MSC delivery




            module identifying pathway activation or inhibition based   cluster primarily (but not exclusively) engages in PDGF,
            on the Z-score algorithm. The comparison analysis module   VEGF, and NGF signaling pathways. Additionally, these
            was used to compare different experimental conditions  factors participate in regulating collagen and hyaluronan
                                                               biosynthetic processes (Figure 1C).
            2.8. Matrigel assays
            Angiogenesis assays were performed using a 15-well   3.2. BMSC viability and adhesion within biocarriers
            chambered coverslip with Matrigel (356231; Corning,   We aimed  to evaluate  the effect  of biocarriers on the
            USA). Human umbilical vein endothelial cells (HUVECs)   viability of BMSCs (Figure 2). We conducted live/dead
            were added to the Matrigel bed, and conditioned media   assays on bioprinted constructs after 96 h in culture
            from cell-loaded biocarriers was added. Cells were   (Figure 2A). Fluorescence microscopy of live cells
            stained with CellMask™ Plasma Membrane Green Stain   revealed that GelMa-based hydrogels are cytocompatible,
            (C37608; Thermo Fisher, USA) and counterstained    indicated by the high proportion of live cells after 96 h in
            with Hoechst 33342 (PureBlu™ Nuclear Staining Dye;   culture. Doping the biocarriers with sera (FFP and PRP)
            BioRad, USA). A Zeiss microscope (Axio Observer.Z1   consistently improved viability and proliferation rates, as
            Apotome 2.0, Axiocam 503M camera, Plan Neofluor 20×,   evidenced by direct counts on the whole geometry of the
            40×;  Zeiss,  Germany)  was  used  for  capturing  live  cell   hydrogels after bioprinting (Figure 2B). Additionally, cell
            fluorescence images. Angiogenesis was evaluated using   morphology  in  the  serum-doped  hydrogels  qualitatively
            AngioTool software.                                displayed a more vital cell phenotype and increased cell-
                                                               to-cell contact (Figure 2A).
            2.9. Statistical analysis
            Differences  in  the  distribution  of  Z-scores  among   The sera also promoted cell metabolism, as evidenced
            biocarriers were compared using the Kruskal–Wallis test,   by absorbance readings in XTT-type proliferation assays
            followed by the Bonferroni adjustment. The data were   (Figure 2C), exhibiting approximately twice the intensity
            analyzed using the statistical program SPSS (version 18.0;   compared to bare hydrogels. More importantly, comparing
            IBM Corp., USA)                                    the readings at 24 and 96 h reveals higher readings at 96 h
                                                               in the presence of sera. In their absence, cell metabolism
            3. Results                                         tends to decrease over time, suggesting hibernation of
                                                               cells  in  bare  hydrogels.  Additionally,  IL-1β-mediated
            3.1. Characteristics of the plasma products used for   inflammation did not alter proliferation rates. Overall,
            biocarrier functionalization                       these findings indicate that blood products, both FFP and
            The soluble blood-derived product was obtained by   PRP, enhance the proliferation and viability of BMSCs
            coagulating PRP, which contained twice the platelet   within hydrogels.
            concentration  of  peripheral  blood.  Additionally,  for
            experimental validation, we prepared a soluble blood-  Bioinformatic analysis of the secretome of cells cultured
            derived  product  by  coagulating  plasma  with  a  platelet   in biocarriers doped with hemoderivatives (Table  1)
            count three times lower than that of peripheral blood,   provides further depth to the previous results. The
                                                                                   ®
            named FFP. PRP, the primary tested product, had a   predictions made by IPA  revealed that hemoderivatives
            platelet concentration of 400,000 platelets/µL (twice that   promote signaling pathways involved in cell survival and
            of peripheral blood), while the platelet-poor plasma (FFP)   viability and inhibit those related to necrotic and apoptotic
            had a platelet concentration of 65,000 platelets/µL. In the   events. Notably, these stimulatory effects are maintained
            identification of key signaling proteins within the primary   in the secretome regardless of whether the culture was
            tested PRP, we classified 130 proteins that were at least   performed under inflammatory conditions (IL-1β).
            two  times  more concentrated  in serum-converted PRP   To further investigate cell adhesion in the different
            compared to serum-converted FFP. Employing STRING   hydrogel types, we seeded cells directly onto acellular
            to unravel protein–protein interactions (with a minimum   hydrogels. Figure 3 displays representative fields of BMSCs
            required interaction score of the highest confidence level   cultured on these hydrogels. After 96 h, the cells exhibit
            at 0.9) and functions, Markov Cluster Algorithm (MCL)   uniform growth on the hydrogels under both normal
            clustering methodology revealed distinct clusters of   (control) and inflammatory (IL-1β) conditions. However,
            functional proteins.                               there are minor qualitative differences between the three
               As displayed in Figure 1, we identified two main groups:   types of hydrogels. Without serum in the formulation, cells
            (i) GFs, including neurotrophins (Figure 1A); and (ii) a   tend to grow without agglomeration or strong interactions.
            molecular cluster of chemokines (Figure 1B), particularly   In contrast, hydrogels doped with hemoderivatives display
            involved in leukocyte chemotaxis (Figure 1D). The GF   the formation of nodules connected by large bridging cells,

            Volume 10 Issue 6 (2024)                       304                                doi: 10.36922/ijb.4426
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