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           solution of Triton X-100 in a protease inhibitor cocktail   suspension cells after 48 h, and the adherent cells were
           (0.1% w/v EDTA, 3.5% w/v PMSF in Tris-HCl, pH = 7.5)   expanded up to passage 3. To encapsulate cells for 3D
           for  24  h.  Next,  the  cartilage  and  bone  granules  were   bioprinting,  BMSCs  were  trypsinized  after  reaching
           washed  and  digested  with  50  U/mL  deoxyribonuclease   approximately  80%  confluence  and  then  washed  with
           and 1 U/mL ribonuclease (Sigma-Aldrich, St. Louis, MO,   low-glucose DMEM containing 10% fetal bovine serum.
           USA) for 12 h. To obtain DCM and DBM, the granules   After centrifugation at 1200 rpm for 5 min, BMSCs were
           were  lyophilized  and  solubilized  using  a  previously   resuspended in bioinks at a density of 1.0 × 10  cells mL .
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           reported protocol with modifications . In brief, 10 mg
                                          [30]
           decellularized granules were mixed with 1 mL of 0.1 mol   2.5. Fabrication of bilayered scaffolds
           HCl containing 1 mg of pepsin powder (Sigma-Aldrich,   3D bioprinting system (3D Discovery, Regenhu, Villaz-
           St.  Louis,  MO,  USA)  at  room  temperature  for  2  days.   St-Pierre,  Switzerland)  provided  by  Bioexcellence  Inc.
           After solubilization, 1 Mol NaOH was added to adjust the   (Beijing,  China)  was  used  to  fabricate  the  bilayered
           pH to 7.4. The solution was centrifuged at 10,000 ×g for   scaffolds. DBM bioink and DCM bioink were prepared
           3 min to remove undigested particles and the supernatant   and  loaded  into  10  mL  plastic  containers  at  room
           was lyophilized and stored at −80℃ for longer storage.  temperature. FDA-approved PCL (molecular weight 70–
           2.2. Preparation of TGF-β1-loaded DCM/SF            90 Kda) provided by Polysciences Inc. (PA, USA) was
           bioink                                              loaded into metal container with temperature control, and
                                                               the container temperature was set to 60°C. The parameters
           Solubilized  and  lyophilized  SF protein  (SF, molecular   related to the process of printing are listed in Table 1.
           weight  >100  kDa)  was  purchased  from  Simatech      For the fabrication  of the bone layer (4  mm in
           Inc.  (Suzhou,  China).  Polyethylene  glycol  (PEG  400;   diameter, 4.5 mm in height), PCL was first extruded to
           molecular weight 380~420 Da) was provided by Aladdin   print outline, and then, the DBM/SF bioink was printed
           Inc. (Shanghai, China). About 10% w/v of SF, 5% w/v   to fill the space. DCM/SF bioink was used to print the
           DCM, and 4 μg/mL of TGF-β1 (PeproTech, Rocky Hill,   cartilage layer (4 mm in diameter, 0.5 mm in height) on
           USA) were dissolved in PBS to prepare SF/DCM blends.   the bone layer (Figure 1). The thicknesses of cartilage
           The  blends  were  then  mixed  with  an  equal  volume   layer and bone layer were adjusted to 2 mm for in vitro
           of  80%  v/v  PEG  for  gelation  of  the  DCM/SF  bioinks   investigation.
           (5%  w/v  final  SF  concentration;  2.5%  w/v  final  DCM
           concentration; and 2 μg/mL final TGF-β1 concentration).  2.6. Fourier-transform infrared (FTIR)
                                                               spectroscopy
           2.3. Preparation of BMP-2-loaded DBM/SF
                                                                   The  infrared  spectra  of  DCM/SF  and  DBM/SF
           bioink                                              hydrogels  were  evaluated  using  Thermo  Scientific
           About 10% w/v of SF, 5% w/v DBM, and 4 μg/mL of     Nicolet  iS5  FT-IR  Microscope  (Waltham,  MA,  USA).
           BMP-2 (PeproTech, Rocky Hill, USA) were dissolved in   The samples were prepared by lyophilization for FTIR
           PBS to prepare SF/DBM blends. The blends were then   analysis. Scanning was conducted in the spectral range
           mixed with an equal volume of 80% PEG for gelation   from 1000 cm to 2200 cm .
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           of the DBM/SF bioinks (5% w/v final SF concentration;
           2.5% w/v final DBM concentration; and 2 μg/mL final   Table 1. Parameters of the designed construct and 3D bioprinting.
           BMP-2 concentration).                               Parameters      Cartilage layer  Bone layer
           2.4. Cell isolation and encapsulation                                 DCM/SF      DBM/SF     PCL
                                                                                  bioink      bioink
           BMSCs  were  harvested  and  isolated  as  we  previously   Container   15°C       15°C      60°C
           described [45,46] .  Briefly,  bone  marrow  aspirate  was   temperature
           isolated from the medullary cavity of femur bone in New
           Zealand rabbits. The mixture of cells was separated by   Nozzle diameter  0.25 mm  0.25 mm 0.25 mm
           gradient density centrifugation in 1.073 g/ml lymphocyte   Size (length *  4 mm*   4 mm*4 mm*4.5 mm
           separation solution (Gibco, NY, USA). The mononuclear   width * height)  4 mm*0.5 mm
           fraction  interphase  was  collected  and  washed  twice  in   Interlayer spacing 0.25 mm  0.25 mm 0.25 mm
           sterile PBS. The cells were resuspended in low-glucose   Line spacing  0.20 mm   0.20 mm 2 mm
           DMEM  containing  100  U/ml  penicillin,  100  U/ml   Printing speed  4 – 7 mm/s  3 –     1.8~2.7
           streptomycin,  and  10%  fetal  bovine  serum  (HyClone,                         5 mm/s   mm/s
           UT,  USA),  and  subsequently  incubated  at  37°C  with   Print pressure  0.20–0.30 MPa 0.20– 0.50~0.60
           5% CO . The  culture  medium  was  changed  to  remove                           0.30 MPa MPa
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