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International Journal of Bioprinting                                 Nanomaterial-bioinks for DLP bioprinting




            Although not consistently significant for all individual   3.8. Calcification in DLP-printed constructs
            donors, the same trend was observed in the DNA amount   independent of the nanomaterials
            across the individual donors (Figure 5B–E). For CaP- and   In addition to collagen production, the calcification
            GO-modified bioinks, no increase in DNA content (i.e.,   of hMSCs was first investigated on the morphological
            cell proliferation) was observed, independent of the donor.   level after staining the whole constructs or the derived
            DNA content indicated relatively stable cell numbers with   cryosections with ARS (Figure  8). Cell-free constructs
            slight variations between nanomaterials and time points,   served as controls and are depicted in Figure 8A–C (whole
            but no clear trend.                                constructs)  and  Figure  S3,  Supporting  Information
                                                               (cryosections). As expected, CaP-modified GelMaBB
            3.6. Mechanical properties of the printed constructs  resulted  in  a  high  background  for  calcium  signals
            3D-printed constructs (with or without cells) were   (Figure  8B). In contrast, the cryosections indicated
            subjected to compression strength tests at different time   distinct calcification areas associated with embedded
            points  to  compare  the  impact  of  the  nanomaterials,   cells, which were highly pronounced in cell-laden
            temporal development, and the impact of cells on   GelMaBB-CaP constructs (Figures 8H; and Figure S3I–L,
            mechanical stability (Figure 6). Young’s modulus was first   Supporting Information) but not observed in the cell-free
            assessed for constructs printed without cells to focus on   controls (Figure  S3G and H, Supporting Information).
            the impact of the nanomaterials (Figure 6A). On day 14,   Pronounced areas of calcium deposition were associated
            the GO-modified GelMa exhibited the highest values for   with cells in the construct and most prominent in
            Young’s modulus in the cell-free constructs maintained   GelMaBB-CaP compared to GelMaBB or GelMaGO, thus
            in the culture medium before assessment. Conversely, the   indicating  the  remarkable  osteoinductive  properties  of
            cell-laden constructs, i.e., closely mimicking physiological   GelMaBB-CaP.
            conditions, revealed no clear trend for Young’s modulus
            between  nanomaterials  or  across  the  two  tested  time   To quantify the calcification process in DLP-printed
            points, both in the average of all donors (Figure 6B) and   constructs,  alizarin  red was  extracted  and assessed
            for individual donors (Figure  6C–F). When comparing   quantitatively on  days  7  and  14 (Figure  9).  Cell-free
            Young’s modulus in cell-loaded and cell-free constructs at   constructs consisting of different bioinks are depicted in
            different time points of culture, the GO-modified GelMa   Figure 9A with high ratios of calcium in GelMaBB-CaP
            bioink exhibited improved stability compared to GelMaBB   bioinks. In samples with hMSCs from several donors,
            and GelMaBB-CaP, with no significant differences with or   alizarin red values were significantly higher in GelMaBB-
            without cells (Figure 6H). Overall, these data indicate that   CaP samples than in the corresponding samples from the
            GO increases Young’s modulus of the cell-free GelMaGO   other bioinks (Figure  9B). Values are depicted as total
            constructs over culture time. Although the cells seem to   values without subtracting the values from the cell-free
            have  a certain influence,  their  effect on  the  mechanical   scaffolds. Data for individual donors of hMSCs resulted
            properties did not indicate a clear trend.         in a tentative temporal increase in alizarin red for two
                                                               individual donors (Figure 9C and E), whereas two other
            3.7. Collagen deposition in DLP-printed constructs   donors displayed a tentative decrease in alizarin red over
            independent of the bioink                          time (Figure  9D and F). When comparing the alizarin
            Ensuring appropriate cell bioactivity after integration into   red values of cell-free and cell-laden samples as average
            the bioink and within the final 3D-printed construct is   values for all donors, the GelMaBB-CaP samples presented
            crucial for successful bioprinting. To assess the activity of   significantly higher alizarin red values than the other
            cells internalized into the bioink and the DLP construct,   bioink samples. These quantitative data suggest that
            we used cryosections and staining of typical osteogenic   GelMaBB-CaP has osteoinductive properties, despite the
            activities. Collagen production was analyzed by picrosirius   donor-donor variation in ARS over time.
            red  staining  using cell-free  constructs  as  controls
            for background staining (Figure  7). Collagen matrix   3.9. Osteogenic differentiation in the printed constructs
            production associated or localized with embedded cells was   To further analyze the osteoinductive potential of the
            observed for all types of bioinks. No background staining   GelMaBB-CaP vs. GelMaBB bioinks, semi-quantitative
            for picrosirius red was observed in cell-free constructs.   real-time PCR was performed (Figure 10). RNA extraction
            Collagen deposition is more pronounced along the pores   from constructs consisting of GelMaGO was not feasible
            or on the surface of the constructs (arrows in Figure 7B,   and resulted in low RNA quantities. Thus, GelMaGO
            C, E, F, H, and I). However, no clear differences were   was excluded from PCR analysis. For the average of all
            observed for the different bioinks. The collagen deposition   tested  donors  (Figure  10A)  and  the  individual  donors
            by embedded hMSCs underlines their bioactivity.    (Figure 10B–D), GelMaBB-CaP-derived samples indicated



            Volume 10 Issue 6 (2024)                       482                                doi: 10.36922/ijb.4015
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