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Mei, et al.
           2.5. Drug loading capacity and drug release         pain  (10  mg/kg,  gavage,  q.d./2  days)  and  ceftriaxone
                                                               sodium (Dalian Meilun Biotechnology, China) to prevent
           The  500  mg  of  PLA/MTX  scaffolds  were  placed  in  a
           beaker  containing  3  mL  CHCl   to  fully  dissolve,  and   post-operative  infection  (20  mg/kg,  tail  vein  injection,
                                                               q.d./2 days). The  mice  were  housed  under  the  standard
                                      3
           then, phosphate-buffered saline (PBS) was used to extract   conditions.
           the drug. The absorbance of the PBS was determined by
           ultraviolet (UV) spectrophotometer at 305 nm.       (2) In vivo antitumor efficacy and mechanism studies
               The  500  mg  of  scaffold  was  placed  in  a  5  mL
           centrifuge tube containing 3 mL PBS and then shaken at   When  tumor  volume  reached  approximately  62.50  ±
                                                                     3 (
           37°C with a speed of 100 r/min. The absorbance of the   10 mm 5 mm×5 mm×5 mm), mice bearing 4T1 tumors
           scaffolds  was  determined  by  UV  spectrophotometer  at   were  randomly  assigned  to  four  groups  with  five  mice
           305 nm and calculated by the following formula.     in each group. The injection group was administered an
               Loading  efficiency  %  (LE%)  =  (Weight  of   intraperitoneal injection of drugs every 2 days of MTX at
           encapsulated drug/total mass of the PLA/ MTX scaffold)   4 mg/kg. The PLA/MTX scaffolds printed from filament
           ×100%                                               were implanted near the tumors. The tumor size and the
               Entrapment  efficiency  %  (EE%)  =  (Weight  of   weight  of  mice  were  recorded  every  day.  The  animals
           encapsulated drug / Weight of total added drug) × 100%.  were  euthanized  at  the  end  point  (21  days),  and  the
                                                               major organs (heart, liver, spleen, lung, and kidney) were
           2.6. In vitro experiments                           collected for weighing to calculate organ coefficient and

           (1) Cell lines                                      then fixed in 4% paraformaldehyde for histopathological
                                                               examination. The animal research was approved by the
           Mouse embryo osteoblast precursor cells (MC3T3-E1),   Experimental  Animal  Ethics  Committee  of  Yangzhou
           human osteosarcoma cells (MG-63), human breast cancer   University (NSFC2020-HXXY-4).
           cells  (MCF-7),  human  lung  cancer  cell  lines  (A549),
           and  mouse  breast  cancer  cells  (4T1)  were  purchased   2.8. Statistical analysis
           from  Shanghai  Cell  Bank  of  the  Chinese Academy  of   All the experiments were performed in triplicate. Results
           Sciences (Shanghai, China), and cultured in DMEM (or   were  expressed  as  mean  ±  standard  deviation  (SD).
           RPMI)  containing 10%  FBS  and  100  U/mL  penicillin-  Bonferroni post-test was performed to assess statistical
           streptomycin.
                                                               significance.  Statistical  analysis  was  performed  using
           (2) Cytotoxicity assay                              non-parametric  Kruskal–Wallis  tests.  P  <  0.05  was
                                                               considered statistically significant.
           Cells were cultured using 24-well plates with a density
           of 1 × 10  cells/well. When the cells adhered and spread   3. Results
                  4
           in plates, the scaffolds were immersed into the culture
           medium. The CCK-8 assay was performed on days 1,    3.1. Morphological, composition, and structural
           3, and 5. Briefly, the culture medium of the sample was   analysis
           replaced  with  100  μL  DMEM  (RPMI)  and  incubated
           at  37°C  for  2.5  h.  The  absorbance  was  measured  at   The morphology, microstructure, and compositions were
           450 nm in the Multiskan FC enzyme labeling instrument   investigated  by  SEM  and  EDS  (Figure  1).  According
           (Thermo,  Waltham,  USA).  The  cell  viability  was   to Figure 1A-1, SEM image of the PLA/MTX scaffold
           evaluated by live/dead staining. After incubation in the   showed  a  relatively  smooth  surface  and  had  open  big
           medium for 12 h, 24 h, 72 h, and 120 h, 4 μM Calcein-  pores in uniform size with integrated lines (755 ± 0.7 μm)
           AM and 2 μM ethidium homodimer-1 were added to      among the big pores. Moreover, the printed PLA/MTX
           stain  living  cells  and  dead  cells,  respectively.  After   scaffolds were porous, with the porosity and pore size at
           incubated at 37°C for 15 min, the cells were examined   29.7% and 309 ± 0.5 μm, respectively.
           using fluorescence microscope (Olympusix53, Tokyo,      The EDS spectra are shown in Figure 1B, and the
           Japan).                                             peaks of C, N, and O were observed in the spectrum of
                                                               PLA/MTX scaffold. The appearance of N peak confirmed
           2.7. In vivo anti-tumor effect                      that  MTX  was  introduced  into  PLA  matrix.  The  color
                                                               map  obtained  from  EDS  analysis  in  Figure  1A  shows
           (1) Subcutaneous xenograft model                    the N (blue) distribution in the scaffold structure, which
           The 4T1 cells (2 × 10 ) were subcutaneously injected into   proves that MTX was well distributed in the PLA matrix.
                             5
           the back of the BALB/c mice to establish the subcutaneous   The evenly dispersion of MTX in the scaffold provides
           xenograft model. After surgery, celecoxib (Dalian Meilun   the possibility for MTX to be released along with PLA
           Biotechnology, China) was given to relieve postoperative   degradation.

                                       International Journal of Bioprinting (2021)–Volume 7, Issue 4       137
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