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Liu, et al.
           Table 1. Quantified physical properties of the PET membrane and EHDJ-printed ultrathin scaffolds (n=3)
                           Thickness     Pore size    Pore density   Porosity        Fiber           TEER
                              (μm)         (μm)       (pores/cm )      (%)        diameter (μm)     (Ω·cm )
                                                                                                          2
                                                              2
           PET membrane    13.63±1.37    0.34±0.15     4.0×10 6[25]  1.85±0.55         -           73.70±0.71
           S20              7.88±0.92   22.91±2.16     6.25×104     33.00±4.74     20.50±0.88      63.14±1.44
           S50             7.96 ± 0.74  52.17 ± 1.27   2.04 × 104   55.04 ± 3.46   21.23 ± 1.27    50.26 ± 1.17

           A                                                       It  is  also  important  for  scaffolds  to  have  similar
                                                               biomechanical properties to Bruch’s membrane to avoid
                                                               incompatibility with surrounding tissues in vivo. In the
                                                               human  body,  Young’s  modulus  of  Bruch’s  membrane
                                                               ranges  from  1.0  to  18.8  MPa .  In  contrast,  Young’s
                                                                                         [26]
                                                               modulus  of  the  commercial  PET  membrane  is  about
                                                               10  times  higher  (~180  MPa) ,  making  it  too  stiff
                                                                                         [27]
                                                               and  susceptible  to  damage  in  the  surrounding  tissue
                                                               if transplanted. The Young’s modulus for S20 and S50
            B                                                  scaffolds  are  much  lower,  that  is,  45.5  ±  5.3  MPa  and
                                                               8.9 ± 3.2 MPa, respectively (Table 2). In addition, the
                                                               ultimate tensile stress, ultimate tensile strain, yield stress,
                                                               and  yield  strain  of  the  S20  and  S50  were  significantly
                                                               different (Figure 4A and B). Since large pore scaffolds
                                                               require  lesser  fibers,  S50  scaffold  is  much  easier  to
                                                               deform, whereas S20 can withstand higher stress. Both
                                                               scaffolds have similar elastic properties compared with
            C                                                  the actual Bruch’s membrane. Young’s moduli of S50 are
                                                               within the range of Bruch’s membrane and thus might be
                                                               better suited for implant applications.
                                                                   Moreover,  both  PCL  scaffolds  have  a  good
                                                               degradation behavior under lipase treatment (Figure 4C),
                                                               with  ~40%  of  the  scaffolds  being  degraded  after  48  h
                                                               of  immersing  with  lipase  solution  in  37°C  (calculated
                                                               by  Equation  2.2).  In  contrast,  the  commercial  PET
                                                               membrane is not biodegradable. Thus, the PCL scaffolds
           Figure 3. Comparison of morphological characteristics of EHDJ-  may be promising for culturing RPE monolayers, with
           printed PCL scaffolds and PET membrane. The top view and side   potential application in transplantation.
           view of (A) PET membrane, (B) S20, and (C) S50 under SEM.  Both  PET  (materials  used  to  make  commercial
                                                               membrane)  and  PCL  are  hydrophobic.  PET  membrane
           membrane has an extremely low porosity at around 1.5%.   exhibited  a  water  contact  angle  of  62.28  ±  1.07°
           The porosity of the S50 PCL scaffold is around 55% and   (Figure  4D),  S20  scaffold  has  a  higher  water  contact
           that of S20 is around 33%. Therefore, we expected the   angle of 95.99 ± 1.72°, and the S50 has the highest water
           RPE cells to grow on the PET membrane and that the   contact angle of 112.81 ± 1.66°. The connective tissues
           PCL  scaffold  would  have  significantly  different  mass   in vivo have higher hydrophilicity as they are made of
           exchange behavior with the culture media.           proteins, but the hydrophobicity for PCL scaffolds is an
               The thickness of the membranes for RPE monolayer   essential factor as a substrate for much small monolayer
           culture  is  another  determining  factor  for  suitability  of   cell RPE to grow on without falling through the pores (20
           implanting in vivo since there is limited subretinal space.   and 50 μm). The water on the hydrophobic scaffold can
           The commercial PET membrane has a thickness of around   form a layer of water film and prevent cells from falling.
           13 μm, measured by SEM. Due to the limitation of PET
           membrane  fabrication,  the  actual  values  of  membrane   3.3. Proliferation and distribution of RPE cells
           thickness  may  vary  up  to  60%  of  the  nominal  value   on PCL scaffolds and membrane
           (10 μm) . In contrast, the printed scaffold has a uniform   The ARPE-19 cells were cultured over 70% confluency
                 [25]
           thickness of 7 μm, making it suitable for in vivo study and   and inoculated to the scaffolds/membrane. ARPE-19 cells
           possible for implant purpose .                      (94%) have cell sizes ranging from 9 to 20 μm with mean
                                   [2]
           7                           International Journal of Bioprinting (2022)–Volume 8, Issue 3
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