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International Journal of Bioprinting                                 3D-bioprinted respiratory disease model




            3.4. Compressive testing of bulk materials            Live/dead staining of infected constructs was carried
            Compressive testing (n = 12) was used to analyze the   out 6,  24, and 48 h  post-infection.  Figure  8 provides
            mechanical  properties  of  the  bulk  alginate/gelatin/  representative montage images of infected constructs at
            collagen  material.  As  displayed  in  Figure  5,  there  was   the 6-, 24- and 48-h timepoints.
            no significant difference in the compressive modulus   As observed in Figure 8, constructs remained highly
            of constructs cultured in static or dynamic conditions.   viable throughout the infection period; however, an
            Although statistically insignificant, a downward trend in   increasing  number of  clusters of dead  cells can be seen
            compressive modulus can be seen, corresponding to the   from the 6 to 48-h timepoint, especially on the epithelial
            decrease in mass observed in the degradation studies. As   surface and construct edge. The green and red outlines
            these bulk scaffolds have a reduced surface-area-to-volume   of the well plate seen in Figure 8A and B are due to the
            ratio in comparison to 3D-printed structures, the effect of   reflectivity of the well plate during fluorescence imaging.
            degradation and the corresponding decrease in mechanical
            properties may be underrepresented in these results;   3.7. XTT metabolic assay on printed scaffolds
            however, the demonstrated trend would be expected to   Cellular metabolism was tracked over time using an
            remain the same.                                   XTT Assay. As observed in  Figure 9, constructs for all
                                                               conditions started with a similar number of cells; however,
            3.5. Tensile testing of printed scaffolds          by day 14, significant differences in cell metabolism were
            Tensile testing was carried out on 3D-printed structures   seen between constructs cultures in static conditions
            with the same lattice spacing used for the biological studies   and those  cultured  in  dynamic  conditions  containing
            to allow for the determination of how Young’s modulus   nanoparticles. By day 28, all constructs cultured in
            and UTS would vary over a 28-day culture period in both   dynamic conditions were demonstrating significantly
            static and dynamic conditions for the alginate/gelatin/  higher cellular metabolism than those cultured in static
            collagen solution. As observed in Figure 6, no significant   conditions. Cellular metabolism was also tracked over a
            difference was found in either property between static and   two-day infection period (Figure 10). A slight decrease in
            dynamic conditions; however, a statistically significant   cellular metabolism can be observed over the 48-h period,
            decrease in Young’s modulus between day 1 and days 14   while  the mock conditions resulted in a  steady rate of
            and 28 was seen in both static and dynamic conditions,   cellular metabolism. No significant differences in cellular
            while a significant decrease in UTS between days 1 and 28   metabolism were observed between the different culture
            was only seen in the static condition.             and nanoparticle conditions.

            3.6. Live/Dead staining of printed scaffolds       3.8. RT-qPCR for determination of immune response
            Live/dead staining was carried out starting on day 1 post-  Reverse  transcription-quantitative  real-time  polymerase
            seeding. Images were taken on days 1, 7, 14, and 28 for   chain reaction (RT-qPCR) was used to measure the mRNA
            constructs cultured in both static and dynamic conditions.   levels of various cytokines of interest, including IL-1β,
            Figure 7 provides representative images for days 1 and 28   IL-29, IL-8, and IP-10, with GAPDH used as an internal
                                                               control. Mock infections were carried out as a negative
            for both static and dynamic conditions.
                                                               control and used to identify a baseline (fold change of
               Cells were highly viable post-printing with a high   1) for each cell type, cytokine, and condition. In the 2D
            degree of live cells visible throughout the printed strands;   culture, HPFs and HBEpCs were plated separately in
            however, cells generally exhibited a more rounded shape   6-well plates to determine their cytokine mRNA profile.
            instead of the extended morphology that would be   A549 cells were included for comparison and validation
            expected  of  fibroblasts.  While  this  is  relatively  common   of the experimental procedures, as their behavior under
            when encapsulating cells in bioinks, this suggests that the   influenza infection has been well-reported in the literature
            encapsulation of cells within the biomaterial is limiting   (Figure 11). 48-50
            their ability to behave in a physiologically relevant fashion.   As can be observed in Figure 11, each cytokine mRNA
            Background emission from the bioink within the green   was upregulated to a significant extent by at least one of
            channel is due to the inclusion of collagen within the bioink.   the cell types tested. IL-1β mRNA was upregulated by both
            Image  processing included background  removal  of  this   epithelial cell types (A549s and HBEpCs) as was IL-29. IL-8
            autofluorescence; however, not all background emissions   mRNA was upregulated by both primary cell types (HPFs
            could be removed without losing the ability to identify cells   and HBEpCs), though HBEpCs upregulated IL-8 mRNA
            through the depth of a strand. This is especially visible as   to a much greater extent. IP-10 mRNA was upregulated to
            cell density increases (Figure 7C and D).          the greatest extent by A549s; however, HBEpCs and HPFs



            Volume 10 Issue 6 (2024)                       418                                doi: 10.36922/ijb.3895
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