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International Journal of Bioprinting                              Bioprinted skin scaffolds with GNP exposure




            transplant. The mice’s skin was removed 6 days later and   In addition, live-dead staining was conducted to
            used for further experiments.                      examine the cell viability under selected conditions with
                                                               skin cells (Figures S2 and S3, Supplementary  File). The
            2.8. Inductively coupled plasma-optical            range of internal needle diameter had no significant
            emission spectrometry                              influence on cell viability. As days progressed, the ratio
            Three mice were euthanized at 6 days post-injection.   of dead cells gradually increased, consistent with those
            Transplanted skin and other organs  were collected and   cultivated directly in vitro.
            weighed.  A  section  of  each  part  was  minced  into  small
            pieces, digested, and dissolved in nitric acid and a small   3.2. Bioprinting of cell-laden hydrogel
            amount of hydrochloric acid. The amount of gold was   Figure 2A illustrates the steps used for the bioprinting
            determined using inductively coupled plasma-optical   of the composite 3D  skin tissue. To  better imitate  the
            emission spectrometry (ICP-OES; Optima 7300 V ICP-  spatial skin structure, we designed and investigated three
            OES; PerkinElmer, USA). Natural skin was obtained from   different cell-laden scaffold composites (Figure 2B). After
            the nearby site of the transplanted collagen scaffold in the   the bioprinting process, the skin tissue was immediately
            same mouse.                                        imaged by confocal microscopy and cultured in media
                                                               under submerged conditions.  Figure 2C–E features the
            2.9. Statistical analysis                          uniformly distributed GFP-HEKs in the epidermis and
            Results are presented as mean ± standard deviation unless   RFP-HDFs in the dermis. The cells were sparsely but
            otherwise indicated. All of the data were analyzed using   uniformly distributed in the collagen matrix in pattern 3,
            SPSS Statistics  17.0 (IBM, USA) and processed using   whereas in other patterns, the cells were too dense. The
            GraphPad Prism 7 (GraphPad, USA). Differences between   bioprinted cells maintained their shape and viability, and
            two groups were analyzed using a two-tailed unpaired   the boundary between layers was distinct, indicating no
            t-test. Differences were considered significant at p < 0.05.  cell invasion across the dermal and epidermal layers.
                                                               3.3. In vivo transplant
            3. Results                                         Over an 11-day period (Figure 3A), the borders of
            3.1. Bioprinting parameters estimate               the bioprinted skin construct tightly adhered to the
            Prior to 3D cell-laden scaffold bioprinting, we examined   surrounding mouse skin. As time progressed, the
            the utility of the bioprinter by testing serial bioprinting   previously shining surface of the constructs became matte,
            conditions and cell viability. Firstly, different internal   yet the wounds gradually reduced in size (Figures 3B–M
            needle diameters and air pressures were used to assess   and S4A, Supplementary File). The healing of the wound
            the performance of the bioprinter. As anticipated, the   injected with GNPs and normal saline was also analyzed on
            number of pulses required to extrude 1 mL of ultrapure   day 11 (Figure S4B, Supplementary File). No interruption
                                                               of the epidermis could be observed at the junction between
            water decreased with the internal needle diameter and air   the skin scaffolds and the mouse skin (Figures 4, 5, and
            pressures. However, little correlation was observed when   S5,  Supplementary File). The structure of bioprinted
            the air pressures exceeded 12 psi (Figure 1A–F). These   scaffolds retained its shape and dimensions. The absence
            results indicated that the bioprinter functioned effectively   of color merging indicated no cell migration between
            over a broad range of internal needle diameters and    layers (Figure  4). The HEK layers in patterns 1 and 2
            air pressures.                                     were much thicker than those in pattern 3 (Figures 2C–E
               In skin bioprinting, achieving a representative cell   and 4), suggesting that the cell density in patterns 1 and
            density within each layer (epidermis and dermis) is   2 was too high for the optimal growth, proliferation, and
            crucial for obtaining morphologically and functionally   differentiation of the HEKs.
            representative tissue. Various bioprinting air pressures and   3.4. Vascularization
            internal diameter of needles were examined with different   Platelet endothelial cell adhesion molecule-1 (PECAM-1,
            types of cells (Figure 1G–L). Both sets of results displayed   CD31) is a member of the immunoglobulin gene
            high cell viability across various pressures and diameters,   superfamily of cell adhesion molecules. CD31 is a
            indicating the stability of the bioprinter under different   transmembrane glycoprotein that is highly expressed on
            conditions. The viability of the bioprinted cells appeared   the surface of the endothelium, making up a large portion
            to be equivalent to or slightly higher than that of the cells   of its intercellular junctions. Thus, CD31 can be used as a
            cultivated in the Petri dish. The cell density was optimized   marker of vascular endothelial and a hint for endothelial
            by controlling the key bioprinting parameters, such as cell   formation, consequently aiding in tissue development.
            suspension densities.                              Here,  the  increased  expressions  of  CD31  were  found  in

            Volume 10 Issue 6 (2024)                       435                                doi: 10.36922/ijb.4692
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