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HA15-loaded Bone Tissue Scaffold
           HSPA5 gene is a reliable indicator of ER stress in human   1.2  was  used  to  perform  aperture  measurement  on  the
           diseases . Furthermore, HSPA5 promotes cell survival   SEM  micrograph  of  the  bracket.  In  this  regard,  30
                  [33]
           and drug resistance under ER stress conditions . Hence,   measurement holes were randomly selected to calculate
                                                  [34]
           it seems that  β-TCP/PLGA-loaded  HA15  material    the  mean  and  standard  deviations  (SD)  to  make  a
           targeting  HSPA5  which  is  a  master  regulator  of  the   preliminary assessment of the aperture range.
           anti-apoptotic UPR signaling network  can be a good
                                           [35]
           therapeutic option for bone defect problems.        2.3. Mechanical properties of scaffolds
             In  this  study,  we  constructed  a  3D-printed  β-TCP/  An electronic universal testing machine was used to test
           PLGA-loaded  HA15  targeting  HSPA5  bone  tissue   the  mechanical  response  of  the  bone  tissue  scaffolds
           scaffold according to a rabbit model of radial bone defect   with a dimension of 15 mm × 3 mm × 2 mm according
           and performed the implantation. The effect of 3D-printed   to  the  GB/T1041-1992  Chinese  standard  protocol. The
           β-TCP/PLGA-loaded HA15 bone tissue scaffold on bone   prepared sample was inserted in the testing area and the
           defect treatment and the healing condition is thoroughly   compression loading was conducted with a speed of 0.5
           discussed  in  this  article.  This  study  also  provides  a   mm/min until the complete deformation, then the strength
           theoretical and experimental guideline for the treatment
           of bone defect with drug-loaded biomaterials that may be   and modulus of the scaffold were measured.
           a promising treatment of bone lesions.              2.4. In vitro experiments

           2. Materials and methods                            (1) Cell culture

           2.1. Scaffold fabrication                           Murine mesenchymal stem cell line C3H10 was incubated
                                                               under  the  standard  condition  in  DMEM  medium
           The 3D-printed bone tissue scaffold formation procedure   supplemented  with  10%  fetal  bovine  serum,  100  U/ml
           along  with  in vitro and  in vivo  experiments  is  briefly   penicillin G, and 100 mg/ml streptomycin. To seed the
           shown  in  Figure  1.  First,  3  g  of  PLGA  (Shandong   C3H10 cells onto the 3D-printed scaffolds, the scaffolds
           Medical Device Company, P.R. China) with an inherent   were  sterilized  with  ultraviolet  light  and  70%  ethanol
           viscosity  of  0.6–0.8  dL/g  was  dissolved  in  10  mL  of   and were placed in 24-well tissue culture plates. For cell
           dichloromethane (DCM). Then, 3 g of β-TCP was added   seeding,  samples  were  pre-soaked  in  DMEM  complete
           to  prepare  PLGA/DCM  solution,  which  was  subject   culture medium for 24 h. Subsequently, 1 mL complete
           to  a  20-min  ultra-sonication.  After  that,  200  μg of   culture  medium  (3  ×  10   C3H10  cells)  was  poured  on
                                                                                    4
           HA15 was added to 1.5 ml of deionized water to form   the top surface of the scaffolds. Then, the samples were
           an  aqueous  solution.  The  HA15  aqueous  solution  was   incubated for 2 h to permit the cells to attach the scaffolds.
           mixed  with  β-TCP/PLGA/DCM  composite  solution    The  cells  were  stimulated  with  two  concentrations  of
           with the assistance of ultra-sonication to form uniform
           HA15/water/TCP/PLGA/DCM  composite  emulsions       leaching solution from  β-TCP/PLGA/HA15  scaffolds;
           as printing inks. The inks were subsequently added into   the scaffold was infiltrated with 5 ml (HA15-1) or 10 ml
                                                               (HA15-2) culture medium for 48 h.
           a 20 mL syringe connected to a V-shape nozzle (inner
           diameter:  0.4  mm). A  pre-designed  STL  file  shown  in   (2) siRNA knockdown
           Figure 2D and E with dimensions of sample and multi-
           section  views  was  imported  in  a  cryogenic  3D  printer   We transiently transfected C3H10T1/2 cells with HSPA5
           (Shenzhen  Creality  3D  Technology  Co.,  Limited,  P.R.   siRNA  using  Lipofectamine  RNAiMAX  (Invitrogen,
           China)  and  cylindrical  scaffolds  with  3D  grid  patterns   Carlsbad, CA, USA) in Opti-MEM medium (Invitrogen),
           were  printed.  The  printing  procedure  was  carried  out   according  to  the  manufacturer’s  instructions.  The
           according to the pre-set parameters; the feed speed was   sequences  of  HSPA5  siRNA  are  as  follows:  Forward,
           0.005 mL/s and the printing speed was 8 mm/s. Finally, a   5’-AAGGUUACCCAUGCAGUUGTT-3’  and  reverse,
           cylindrical scaffold with a diameter of 4 mm and a height   5’-AGAUUCAGCAACUGGUUAAAGTT-3’. Universal
           of 15 mm were obtained (Figure 2). The printed scaffolds   Non-targeting  Control  siRNA  was  considered  and
           were freeze-dried for 24 h to remove all DCM.       used  as  the  control  for  non-sequence-specific  effects.
                                                               The capability of siRNA knockdown was evaluated by
           2.2. Detection using scanning electron microscope   Western  blotting.  Each  experiment  was  performed  in
           Scanning  electron  microscopy  (SEM)  (TESCAN-Vega   triplicates.
           3  system)  was  used  to  observe  the  pore  structure  and   (3) Western blot analysis
           micro-morphology of the prepared 3D-printed scaffold as
           well as the scaffold aperture size, pore connectivity, and   Cells  were  lysed  in  2%  sodium  dodecyl  sulfate
           surface morphology of pore walls. The Nano Measurer   (SDS)  with  2  M  urea,  10%  glycerol,  10  mM  Tris–

           102                         International Journal of Bioprinting (2021)–Volume 7, Issue 1
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