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International Journal of Bioprinting                            Bioprinted plasma biocarriers for MSC delivery




               Furthermore, functionalizing hydrogels with molecular   Author contributions
            pools adds complexity to preclinical studies, making
            omics and bioinformatics essential for understanding the   Conceptualization: Cristina Del Amo, Isabel Andia, Miguel
                                                                  Perez Garrastachu
            biological processes they affect.  In vitro evaluations face   Formal analysis:  Cristina del Amo, Ines Jaúregui,
            challenges such as reduced model complexity, the lack of   Isabel Andia
            immune or inflammatory responses, and the inability to   Investigation: Miguel Perez Garrastachu, Cristina Del Amo
            replicate complex post-implantation events.
                                                               Methodology: Miguel Perez Garrastachu, Cristina Del Amo
            5. Conclusion                                      Writing – original draft: Isabel Andia, Cristina Del Amo
                                                               Writing – review & editing: Isabel Andia, Cristina Del Amo,
            The study demonstrates that both PRP and FFP effectively   Francisco J. Alvarez, Miguel Perez Gasrrastachu
            enhance the proliferation and viability of BMSCs within   Funding Acquisition: Francisco J. Alvarez, Isabel Andia
            the GelMA biocarrier. In non-inflammatory conditions,
            no significant differences in BMSC behavior were observed   Ethics approval and consent to participate
            between PRP and FFP (p = 0.550). However, under    This study was conducted according to the guidelines of the
            inflammatory conditions, both plasma types significantly   Declaration of Helsinki and approved by the Institutional
            altered cell behavior (p = 0.001). PRP and FFP both   Review Board of Galdakao Hospital, Bizkaia, Spain (CEIC
            activated 10 key signaling pathways, including those related   no. CES-BIOEF 201907). Informed consent was obtained
            to cell survival, neuroinflammation, and ECM turnover.   from all subjects involved in this study.
            PRP uniquely activated additional pathways, such as IL-
            17, IL-6, and several GF signaling pathways.       Consent for publication

               Both plasma types significantly promoted angiogenesis   Not applicable.
            compared to the GelMA control (p < 0.001 for PRP; p =
            0.002 for FFP), with FFP exhibiting a particularly strong   Availability of data
            effect under IL-1β treatment (p = 0.042). PRP specifically
            activated TGF-β signaling in response to IL-1β (Z = 2.308;   The data presented in this study are available on request
            p = 1.02E-35), but a response was not observed with   from the corresponding author.
            TNF-α exposure.
                                                               References
               These findings underscore the potential of plasma-
            infused  biocarriers  in  enhancing  therapeutic  efficacy,   1.   Chen N, Fong DYT, Wong JYH. Health and economic
            particularly in inflammatory environments, with PRP   outcomes  associated with  musculoskeletal  disorders
            offering  specific  advantages  in  modulating  certain   attributable to high body mass index in 192 countries and
            inflammatory responses.                               territories in 2019. JAMA Netw Open. 2023;6:E2250674.
                                                                  doi: 10.1001/jamanetworkopen.2022.50674
            Acknowledgments                                    2.   Ferrari AJ, Santomauro DF, Aali A, et al. Global incidence,
                                                                  prevalence, years lived with disability (YLDs), disability-
            The  authors  would  like  to  thank  Javier  Diez-Garcia and   adjusted life-years (DALYs), and healthy life expectancy
            Maria Dolores Garcia-Vazquez from Microscopy and      (HALE) for 371 diseases and injuries in 204 countries and
            Cell Culture Facilities at the Biobizkaia Health Research   territories  and  811 subnational  locations,  1990-2021:  a
            Institute, Spain.                                     systematic analysis for the Global Burden of Disease Study
                                                                  2021. Lancet. 2024;403(10440):2133-2161.
            Funding                                               doi: 10.1016/S0140-6736(24)00757-8
            This work was supported by a collaborative fundamental   3.   Skou ST, Poulsen E, Bricca A, et al. Benefits and harms
            research grant from the Basque Government, Elkartek   of interventions with surgery compared to interventions
            Program (grant no. BIO4CURE kk-2022-000). Cristina    without surgery for musculoskeletal conditions: a systematic
            Del Amo and Inés Jaúregui are funded by PT20/00185    review with meta-analysis.  J Orthop Sports Phys Ther.
                                                                  2022;52:312-344.
            from ISCIII, and Miguel Perez-Garrastachu is funded by      doi: 10.2519/jospt.2022.11075
            the post-doctoral fellowship Margarita Salas.
                                                               4.   Yin P, Jiang Y, Fang X, et al. Cell-based therapies for
            Conflict of interest                                  degenerative musculoskeletal diseases.  Adv Sci (Weinh).
                                                                  2023; 10(21):e2207050.
            The authors declare they have no competing interests.     doi: 10.1002/advs.202207050


            Volume 10 Issue 6 (2024)                       314                                doi: 10.36922/ijb.4426
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