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     Jiao, et al.
           main  m6A  methyltransferases  (METTL3,  WTAP)  and   by β-TCP, which might lead to an increase in RUNX2
           demethylases  (ALKBH5)  were  significantly  higher  in   expression (Figure  4C).  To  explore  the  effects  of  the
           the  BMSCs  after  β-TCP  induction  at  the  mRNA  level   m6A level increase on the stability of RUNX2 mRNA, we
           (Figure  3A-C).  As  determined  by  Western  blotting,   used Act-D, an RNA polymerase II inhibitor, to detect the
           WTAP and ALKBH5 showed no statistically significant   degradation of RUNX2 mRNA. The results showed that at
           differences  at  protein  level  (Figure  3D, F and G).   4 h and 6 h after the addition of Act-D, the degradation of
           However, METTL3 expression was obviously increased   RUNX2 mRNA treated with β-TCP significantly slowed
           (Figure 3D and E). All the results showed that β-TCP   down, that is, the half-life was prolonged (Figure 4D).
           regulated  the  m6A-related  enzymes,  which  might  have   All  the  data  indicated  that  the  m6A  level  of  RUNX2
           an effect on the m6A level of osteogenesis-related genes.  mRNA increased and the degradation of RUNX2 mRNA
                                                               slowed down after the treatment with β-TCP.
           3.4. RUNX2 showed higher m6A modification
           and the degradation of RUNX2 mRNA slowed            3.5. β-TCP-induced osteogenesis in vivo
           down after β-TCP treatment                          We  further  verified  the  effects  of  the  β-TCP  on
           We  further  investigated  the  mechanism  of  RUNX2   osteogenesis in vivo. β-TCP scaffolds were manufactured
           increase  after  β-TCP  treatment.  First,  we  predicted  the   by 3D printer (Figure 5A), and the diameter of which
           possible sites of RUNX2 that might be modified by m6A.   was about 7 mm each (Figure 5B). The scaffolds were
           As shown in Figure 4A, there were five sites that were   made porous so that they were beneficial for adhesion of
           likely to be modified by m6A with high possibility. We   BMSCs. The surface microstructure of β-TCP scaffolds
           chose the 5279  site as the target site to design-specific   was demonstrated by SEM. Microscopically, the surface
                        th
           primers  (Figure  4B).  It  was  found  that  the  m6A  level   of β-TCP scaffolds was also porous and rough, although
           of  RUNX2  in  the  BMSCs  was  significantly  increased   some  particles  were  sintered  together  (Figure  5C).  To
                                                               embed β-TCP into bone defect sites of rat cranial defect
                                                               models (Figure 5D), we manufactured β-TCP scaffolds
            A             B               C                    using 3D printing technology. Eight weeks after model
                                                               construction,  we  sacrificed  the  rats  to  obtain  the  skull
                                                               samples for micro-CT analyses. It was shown that some
                                                               new bone was formed inside and outside the cranial defect
                                                               (yellow section) (Figure 5E). Next, bone volume fraction
                                                               (BV/TV) and BMD were evaluated to assess new bone
                                                               formation. As shown in Figure 5F and 5G, BV/TV and
                                                               BMD in the β-TCP group increased approximately 2-fold
                                                               compared to that in the Ctrl group. The above findings
                       D                                       indicated  that  β-TCP-induced  osteogenesis  effectively
                                                               and  significantly.  Next,  H&E  and  Masson’s  trichrome
                                                               staining  were  performed  to  analyze  the  proportion  of
                                                               osteogenic  tissue.  H&E  staining  showed  that  the  bone
                                                               defect site was filled with soft tissue in the Ctrl group
                                                               but was surrounded by newly formed bone in the β-TCP
                                                               group (Figure 5H). Consistent with the H&E staining,
           E               F              G                    the Masson’s trichrome staining showed that more new
                                                               bone was present in the β-TCP group (Figure 5I). All
                                                               the  above  data  indicated  that  TCP  induced  new  bone
                                                               formation.
                                                               3.6. β-TCP increased the expression of METTL3
                                                               in vivo
                                                               Furthermore,  we  investigated  the  expression  levels
           Figure 3. Expression level of m6A-related enzymes after β-TCP   of  a  series  of  osteogenic  factors  and  m6A-related
           treatment.  (A-C) The  mRNA  expression  level  of  METTL3  (A),
           WTAP (B), and ALKBH5 (C) in the Ctrl and TCP (1/128 dilution)   enzymes in vivo. RUNX2, OCN, and OPN are the most
                                                                                                     [3,26]
           groups. The expression level was determined by qRT-PCR. (D) The   common  proteins  involved  in  osteogenesis  .  After
           protein expression level of METTL3, WTAP, and ALKBH5 in the   β-TCP  treatment,  the  expression  levels  of  RUNX2,
           Ctrl and TCP groups. (E-G) Quantitative results of (D). *P < 0.05;   OCN, and OPN were significantly increased, indicating
           **P < 0.01.                                         the  osteoinductivity  of  TCP  in  vivo  (Figure  6A-D).
                                       International Journal of Bioprinting (2022)–Volume 8, Issue 2        37
     	
