Page 558 - IJB-10-6
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International Journal of Bioprinting                               Internally-crosslinked ADA/Alg/Gel bioinks




            2.7. In vitro biological characterization          layered grid structures (10 × 10 mm ) with 2 mm strand
                                                                                             2
                                                               spacing were printed using a RegenHU-3DDiscovery
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            2.7.1. Cell culture                                bioprinter (RegenHU, Switzerland) with optimized
            AHCFs were purchased from Lonza (CC-2903; Lonza,   parameters, including the printability window. Cell
            Switzerland) and maintained in culture using Fibroblasts   viability was investigated using the live/dead assay at 1
            Growth Medium-3 (PromoCell, Germany) containing    and 24 h post-printing by culturing constructs in complete
            10% FBS, 1% (v/v) insulin, 1% (v/v) human basal fibroblast   media at 37°C with 5% CO .
            growth factor (hFGF-B), and 1% (v/v) gentamicin. Cells                  2
            were expanded until the fourth passage and then used for   As a proof-of-concept for cardiac TE, bioprinting of
            experiments. H9C2 heart myoblasts were purchased from   ADA/Alg/Gel_50/25/25 embedding H9C2 was investigated.
            the American Type Culture Collection (ATCC, USA) and   Cultured H9C2 were detached using 0.05% Trypsin/EDTA
            maintained in culture using DMEM, supplemented with   and centrifuged. The cell pellet was resuspended in PBS
            10% FBS, 2% L-glutamine, 1% sodium pyruvate, and   and incorporated into bioinks at a concentration of 5 ×
                                                                 5
            1% penicillin/streptomycin.                        10  cells/mL. Subsequently, two-layered grid structures
                                                               (10 × 10 mm ) with 5 mm strand spacing were printed
                                                                          2
               In vitro experiments with AHCFs were conducted in   using the RegenHU-3DDiscovery  bioprinter (RegenHU,
                                                                                          TM
            complete medium composed of DMEM, supplemented with   Switzerland) with optimized parameters, including the
            10% FBS, 1% L-glutamine, and 1% penicillin/streptomycin,   printability window. Cell viability was investigated using
            at 37°C in 5% CO  atmosphere. In vitro experiments with   the live/dead assay at 1 and 24 h post-printing by culturing
                          2
            H9C2 were conducted in a complete medium composed of   constructs in complete media at 37°C with 5% CO .
            DMEM, supplemented with 10% FBS, 2% L-glutamine, 1%                                        2
            sodium pyruvate, and 1% penicillin/streptomycin.   2.8. Statistical analysis
                                                               All measurements were made in triplicate, and data
            2.7.2. Indirect cell viability and cytotoxicity assays  are presented as the mean ± standard deviation. One-
            In vitro  cell viability by indirect contact with ADA/Alg/  way analysis of variance (ANOVA) was performed with
            Gel_50/50/0, ADA/Alg/Gel_50/40/10, and ADA/Alg/    GraphPad Prism 6 software; differences were considered
            Gel_50/25/25 hydrogels was studied using AHCFs following   statistically significant at  p  < 0.05. Tukey post-hoc test
            ISO 10993. AHCFs were seeded in a tissue culture 96-well   was conducted between two or more groups to determine
            at a cell density of 6 × 10  cells/well in a complete medium   if  there were  statistically  significant  differences  between
                               3
            and maintained in a humified incubator at 37°C and 5%   populations. In particular, *p < 0.05, **p < 0.01, ***p < 0.001,
            CO . For each sample, hydrogels with 6.4 mm diameter   and ****p < 0.0001.
               2
            and 2 mm thickness were prepared and incubated (37°C
            and 5% CO ) with 500 μL medium per 100 mg hydrogel for   3. Results and discussion
                     2
            24 h. Eluates were then collected and added to the AHCF
            cultures. Then, AHCFs were cultured for 24 h at 37°C with   This work  aimed to develop  novel bioinks  based  on a
            5% CO . After 24 h, cell viability and cytotoxicity were   combination of ADA with Alg and Gel, exploiting an
                  2
            measured using Cell TiterBlue and CytoTox-ONE  assay,   internal  crosslinking  mechanism  to  achieve  3D-printed
                                                    TM
            respectively. For cell viability, the control group consists of   cell-supporting and self-standing constructs without
            cells cultured in fresh complete medium. For cytotoxicity,   the need for a support bath or external crosslinking.
            the control group consists of cells cultured in fresh complete   Alg-based hydrogels were selected, as Alg has already
            medium and treated with CytoTox-ONE  lysis solution   been widely investigated for biomedical applications,
                                             TM
            (to achieve 100% cell death) according to manufacturer   specifically in cardiac regeneration. 12,20  In this work,
            instructions. Samples were analyzed using a Varioskan   ADA was employed to improve the  degradability of
            spectrophotometer (Thermofisher, Italy) at excitation and   Alg. Firstly, ADA was combined with Alg, and internal
            emission wavelengths of 560 and 590 nm, respectively.  crosslinking was exploited to achieve cardiac tissue-like
                                                               viscoelastic properties, tailoring both the ADA/Alg ratio
            2.7.3. Cell printing                               and calcium ion (CaCO ) content. GDL content was then
                                                                                  3
            Bioprinting  of  ADA/Alg/Gel_50/50/0,  ADA/Alg/    optimized to reduce potential detrimental effects on cell
            Gel_50/40/10, and ADA/Alg/Gel_50/25/25 hydrogels   viability caused by environmental acidification. Then, the
            embedding AHCFs was investigated. Briefly, cultured   incorporation of Gel within the ADA/Alg hydrogels was
            AHCFs were detached using 0.05% Trypsin/EDTA and   optimized to improve cytocompatibility and impart cell
            centrifuged. The cell pellet was resuspended in PBS and   adhesive properties. Printability of ADA/Alg/Gel bioinks
            incorporated into bioinks at a concentration of 5 × 10    was investigated over time to evaluate the effect of time-
                                                          5
            cells/mL. Subsequently, for each bioink composition, two-  dependent pH-triggered release of calcium ions. Finally,


            Volume 10 Issue 6 (2024)                       550                                doi: 10.36922/ijb.4014
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