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Jiao, et al.
           Dawley (SD) rats. The β-TCP was mixed with Pluronic   2.4. Cytotoxicity assay
           F-127 in an aqueous solution to obtain a β-TCP ink, and   After  being  incubated  in  the  above-mentioned  extract
           the mixture was then stirred until it was homogeneous.   with three replicates per group, BMSCs were seeded in
           The ink was printed using a 22G needle, and the scaffolds   96-well plates at a density of 2.5×10  cells per well for
                                                                                              3
           were  sintered  at  1100°C  for  3  h.  The  sintered  β-TCP   cytotoxicity  assay.  Cell  Counting  Kit-8  (CCK-8)  assay
           scaffolds were observed by scanning electron microscopy   was performed on days 3 and 7 to assess the cytotoxicity
           (SEM, USA). The scaffolds were then used for animal   of  the  β-TCP  extract.  The  BMSCs  were  incubated  in
           experiments.                                        complete  medium  with  10%  CCK-8  reagent  (Dojindo,

           2.2. Cell culture                                   CK04-05, Japan) for 2 h at 37°C. The absorbance of the
                                                               supernatant at 450 nm was measured using a microplate
           Primary  bone  marrow  mesenchymal  stem  cells  were   reader (Infinite M200 Pro, Tecan, Switzerland).
           isolated  after  flushing  the  bone  marrow  of  tibiae  and
           femurs  from  1-week-old  SD  rats.  The  BMSCs  were   2.5. ALP staining
           cultured  in  α-minimum  essential  medium (α-MEM)   ALP  staining  was  conducted  on  the  BMSCs  after
           (HyClone, SH30265.01, USA) supplemented with 10%    incubation in the above extract for 7 days. BMSCs were
           fetal bovine serum (FBS; Gibco, 10099-141, USA), 1%   washed  3  times  with  phosphate-buffered  saline  (PBS)
           penicillin/streptomycin  (Gibco,  15140122,  USA),  and   and fixed with 4% paraformaldehyde (Beyotime, P0099,
           0.4%  gentamicin  (Sangon  Biotech,  Shanghai,  China),   China) for 15 min. After that, the BMSCs were washed
           after which the cells were cultured at 37°C with 5% CO    3 times with PBS. An ALP kit (Hongqiao Lexiang, LRB-
                                                          2
           and 95% humidity. The cell medium was changed every   ALP, China) was used to perform ALP staining according
           3–4 days and the BMSCs were passaged when they were   to  the  manufacturer’s  instructions.  The  results  were
           at nearly 80% confluence.                           analyzed by ImageJ.

           2.3. Preparation of β-TCP extract and               2.6. RNA extraction and quantitative real-time
           characterization measurement of β-TCP extract       polymer chain reaction (PCR)

           β-TCP powder was purchased from Kunshan Chinese     After a culture period of 7 days, the total RNA from
           Technology  New  Materials  Co.,  Ltd  (China).  Two   the  BMSCs  seeded  on  6-well  plates,  at  a  density  of
           grams of the powder were incubated in 10 ml α-MEM   2*10^5  cells  per  well,  was  extracted  using  TRIzol
           at  37°C  for  24  h  to  prepare  β-TCP  extract  (200  mg/  reagent  (Invitrogen,  15596018,  USA)  following  the
           ml) [23-25] .  Then,  the  mixture  was  centrifuged  at  3000   manufacturer’s  instructions.  The  concentration  of
           ×g,  and  the  supernatant  was  collected.  The  extract   total  RNA  was  measured  using  a  NanoDrop  ND-
           was  sterilized  through  0.22  μm  filter  membranes   1000  Spectrophotometer  (Thermo  Fisher  Scientific,
           (Millipore,  SLGPR33RB,  USA)  and  stored  at  4°C   USA), and 1000 ng of the extracted RNA was reverse
           until  further  use.  Size  distribution  and  zeta  potential   transcribed  to  cDNA  using  PrimeScript  Master  Mix
           were detected by Nano Sizer and Zeta potential Tester   (TaKaRa, RR036A, Japan). For the qRT-PCR reaction,
           (Omni,  USA).  We  diluted  the  β-TCP  extract  with   2×  SYBR  Green  qPCR  Master  Mix  (Low  ROX)
           α-MEM  to  concentrations  of  1/32,  1/64,  and  1/128.   (Bimake,  B21703,  China)  and  Applied  Biosystems
           The  concentrations  of  calcium  (Ca)  and  phosphorus   7500  Real-Time  PCR  System  (Applied  Biosystems,
           (P) ions in the three extracts with the concentrations of   Foster  City,  CA,  USA)  were  used.  Glyceraldehyde-
           1/32, 1/64, and 1/128 and α-MEM (control, ctrl) were   3-phosphate  dehydrogenase  (GAPDH)  was  used  as
           detected  using  an  inductively  coupled  plasma  atomic   the quantitative control for normalization. The 2 −ΔΔCt
           emission spectrometer (ICP-AES; avio500, USA). The   method  was  used  to  calculate  the  relative  mRNA
           β-TCP extract at the three concentrations with α-MEM   levels.  The  primers  used  in  this  study  are  listed  in
           was  used  for  cell  experiments  and  supplemented   Table 1.
           with  10%  FBS,  1%  penicillin/streptomycin,  0.4%
           gentamicin,  and  osteogenic  induction  component  (10   2.7. Prediction of Runx2 m6A methylation sites
           mM  β-glycerophosphate,  50  μM  ascorbic  acid,  and   The  prediction  of  possible  sites  modified  by  m6A
           10  nM  dexamethasone).  Cells  in  the  control  group   was performed using SRAMP, a sequence-based m6A
           were  treated  with  α-MEM  supplemented  with  10%   modification  site  predictor  (www.cuilab.cn/sramp).
           FBS,  1%  penicillin/streptomycin,  0.4%  gentamicin,   The entire sequence of RUNX2 mRNA was imported
           and  osteogenic  induction  component  (10  mM      onto  the  server.  Then,  the  possible  Runx2  m6A
           β-glycerophosphate, 50 μM ascorbic acid, and 10 nM   methylation sites were exported from the online tool
           dexamethasone). The treatment lasted for 7 days.    automatically.

                                       International Journal of Bioprinting (2022)–Volume 8, Issue 2        33
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