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International Journal of Bioprinting                            Bioprinted plasma biocarriers for MSC delivery




            Table 2. Z-scores of common diseases and biofunctions for each experimental condition in an inflammatory environment (IL-1β)
                                                                               Z-score
             Disease/biofunction
                                                             GelMA              PRP                FFP
             Activation of endothelial cells                 0.749              5.562             1.122
             Adhesion of endothelial cells                   0.045              5.446             2.339
             Angiogenesis                                    −0.836             4.542             2.587
             Cell movement of endothelial cells              −0.031             3.939             4.295
             Growth of vessel                                1.192              2.818             2.023
             Migration of endothelial cells                  −0.395             2.557             3.793
             Migration of vascular cells                     −0.541             2.466             1.491
             Migration of vascular endothelial cells         −1.505             2.466              1.46
             Proliferation of vascular cells                 0.102              2.252             2.105
             Proliferation of vascular smooth muscle cells   2.488              2.244             2.216
             Tubulation of endothelial cells                 0.676              2.049             2.389
             Tubulation of vascular endothelial cells        0.719              2.044             2.042
             Adhesion of vascular endothelial cells          0.071              4.676              1.66
            Abbreviations: FFP, fresh frozen plasma; GelMA, gelatin methacryloyl; PRP, platelet-rich plasma.



               Figure 5 depicts differences in junction density   in response to IL-1β or TNF-α compared to BMSCs in
            (junction/mm ) for each experimental condition: cellular   nude GelMA (p = 0.001). Furthermore, in plasma-infused
                       2
            nude-biocarriers, cellular FFP-biocarriers, and cellular   biocarriers, we observed a significant difference in BMSC
            PRP-biocarriers.  Although  not conclusive, HUVECs   behavior when exposed to IL-1β compared to TNF-α
            exposed to media conditioned by FFP-infused carriers   (p = 0.050).
            treated with IL-1β displayed a higher number of junctions   Regarding plasma composition, cells within PRP or FFP
            between skeletal branches, indicating a stronger induction   biocarriers  exhibited  a  similar  inflammatory  phenotype
            of angiogenesis.                                   (p = 0.874), characterized by three distinct clusters of
            3.5. Comparative analyses of plasma-               canonical pathways. The first cluster highlights differences
            infused biocarriers exposed to TNF-α versus        in four interleukin signaling pathways: IL-27, IL-20, IL-
            IL-1β environment                                  10, and IL  1. The second cluster features differences in
            To evaluate the effects of different inflammatory cytokines   “Macrophage Classical Activation Signaling Pathways”
            in the milieu, we generated heat maps based on proteomic   along with alarmin signaling (S100 and HMGB1), IL-
            analyses of the biocarriers’ paracrine functions, using a   8,  and IL-33,  among  others.  The  third  cluster  indicates
            p-value cutoff of 1.3 LOG10. We categorized the canonical   differences in “Macrophage Alternative Activation
            pathways into two groups: one related to inflammation   Signaling Pathways,” including NF-kB, Th1 and Th2
            modulation (chemokine signaling) and neuroinflammation   pathways, and the TNFR2 non-canonical NF-kB pathway.
            (Figure 6A and  B), and the other associated with GF   Several  canonical  pathways  regulating  the  response
            signaling and ECM turnover (Figure 7), both under TNF-α   to both stress and pain were predicted to be differentially
            or IL-1β exposure.                                 activated or inhibited among biocarriers. These pathways
               Protein  analysis  of  the  secretomes  from  all  BMSC   included neuroinflammation, neurotransmitter signaling
            biocarriers subjected to inflammatory environments   (adrenergic and  serotoninergic), and  neurotrophin/TRK
            (TNF-α or IL-1β) displayed clustering based on their   signaling (Figure 6B).
            compositions. BMSCs within nude GelMA biocarriers     Regarding  GF  signaling/ECM  turnover  (Figure  7),
            clustered together under either IL-1β or TNF-α exposure.   BMSC-nude biocarriers displayed no discrepancies in
            In contrast, plasma-infused biocarriers showed distinct   response to TNF-α or IL-1β exposure. Both FFP and
            clustering patterns when exposed to IL-1β or TNF-α,   PRP biocarriers differed from nude biocarriers in IL-1β
            regardless of plasma composition (i.e., B3 vs. B4 and B5   exposure, with p-values of 0.001 and <0.001, respectively.
            vs. B6). Plasma-infused biocarriers altered cell behavior   Comparative analyses reveal differences related to the

            Volume 10 Issue 6 (2024)                       308                                doi: 10.36922/ijb.4426
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