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Zheng, et al.
           t-test.  For analyzing  the  hormone levels  and the  IOD   showed that there were various proteins in the dECMs
           value of CD31 of various groups, one-way analysis of   (Figure  1E). SEM revealed that the dECMs  had no
           variance  following  the  LSD method  between  groups   residual cellular components and the fiber orientation and
           was performed. P <0.05 was considered as a significant   structure were hardly affected (Figure 1F).
           difference.
                                                               3.2. Characterization and biocompatibility of the
           3. Results                                          bioink

           3.1. Biochemical characterization of dECM           The generation of 3D ovarian tissue construction includes
                                                               ovarian tissue decellularization, bioink preparation, and
           Decellularization of the ovary ECM is to minimize the loss   3D bioprinting  (Figure  2). Among  them,  the  bioink  is
           and damage of ECM, while maximizing the removal of   particularly  important.  SEM showed the bioink with a
           cellular materials. After physical and chemical treatment,   porous reticular microarchitecture (Figure 3A). Porous
           the ovary color changed from red to white (Figure 1A).   diameters were measured to be 75.58 ± 35.64 µm. The
           We analyzed the DNA content in native and decellularized   results of CD spectrum  (Figure  3B) indicated  that  the
           tissues to assess the decellularization efficiency. As shown   bioink had a typical collagen triple helical conformation,
           in Figure 1B, no DNA strip appeared in the dECMs, and   showing an inverted S-shaped curve (the maximum
           DNA quantification showed that the DNA strips in the   positive  and  negative  absorption  peaks  at  225  nm  and
           dECMs were significantly reduced (861.838 ± 18.06 vs.   199  nm, respectively).  From  the  thermal  denaturation
           48.48 ± 1.88 ng/mg, P < 0.0001). At the same time, H&E   curve, it was known that the unwinding of the triple helix
           staining  and  DAPI  staining  confirmed  that  no  cellular   structure mainly occurred between 45°C and 70°C, and
           material  remained  after decellularization  (Figure  1C).   Tm was 59°C.
           Next, Masson staining and TB staining were performed    The rheological properties of the dECM solution and
           to assess collagen and proteoglycan in the dECMs. As   the bioink are shown in Figure 3C. Both the G’ value of
           shown in Figure 1D, the compositions of the dECMs and   the dECM solution and the bioink were significantly higher
           native tissues share a very basic similarity. SDS-PAGE   than G”, showing solid-like properties. G’ value of the

            A                                     C                             D














                                                                              F
                                                 E
            B













           Figure 1. Biochemical characterization of decellularized extracellular matrices (dECMs). (A) Freeze-dried ECM was tough and follicular
           cavities were observed (black arrows). (B) DNA content analysis. (C) H&E staining and DAPI staining showed that there were no residual
           cellular materials after decellularization. (D) Masson staining and TB staining showed that there were collagen and proteoglycan in the
           dECMs. (E) SDS-PAGE revealed the existence of various proteins within the dECMs. (F) Microarchitecture of decellularized ovary matrix
           by SEM. The extracellular matrix structure was intact. Collagen (white arrow) and flexible fibronectin fibers (black arrow) were found in
           the pore wall.

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