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Lu, et al.
           2. Materials and methods                            tube and exposed to blue light for 20 min to complete the
                                                               photocrosslink reaction. Hydrogel samples were stored at
           2.1. Preparation of PVA/dECM hydrogel               room temperature.
           The  meniscal  dECM was prepared  as previously
           reported . Rabbit  menisci  were sliced  into  thin  slices   2.2. Surface characterization of the PVA/dECM
                  [16]
           (1 mm thick), frozen at −80°C, and then pulverized into   hydrogel
           coarse  powders. For 72  h,  the  powders were  mixed  in   A scanning electron microscope (SEM) was  used to
           a solution of 1% SDS/phosphate-buffered saline (SDS/  examine the surface topography (SU8020;  Hitachi,
           PBS) (w/v) (Sigma-Aldrich,  St. Louis, MO, USA).    Tokyo, Japan). All samples (n = 3 for each group) were
           Every 24 h, the solution was updated. The sample was   dehydrated and dried at room temperature using a series
           then submerged overnight in a considerable volume of   of graded alcohols.  The dried samples were sputter-
           deionized water to remove the leftover compounds after   coated with gold-palladium and viewed with a SEM at
           being treated with 0.1% w/v ethylenediaminetetraacetic   1  kV. A  diffractometer  was  used  to  measure  the  X-ray
           acid (EDTA)/PBS solution (Sigma-Aldrich)  for 24  h.   diffraction patterns of materials at 40 kV and 40 Ma using
           Finally,  the  resulting  dECM  was  frozen  at  −80°C  for   Cu  radiation.  Diffractograms  were  set  to  6  –  70°  (2θ),
           3 days before being lyophilized. The dECM was finely   with a step size of 0.020° (2θ), at a rate of 1.20°/min (2θ).
           powdered before being added to a pepsin/0.01 M
           hydrochloride (HCl) solution (Sigma-Aldrich) and stirred   2.3. Rheological test
           at 15 mg/mL for 48 h at room temperature. 0.1 M sodium
           hydroxide (NaOH; Sigma-Aldrich) and PBS were used to   A Haake  Mars 40 Rotational  Rheometer  was used for
           neutralize the viscous solution (Sigma-Aldrich).    the rheological test (Thermo Fisher Scientific, Waltham,
               PVA (Sigma-Aldrich) was dissolved in deionized   MA, USA). Thin slices of the samples were cut (1 cm in
           water  with  a  10% mass-to-volume  ratio.  The  solution   diameter and 1 mm in thickness). The frequency range
           was stirred in 55℃ water bath for 4 h until PVA crystals   for the frequency sweep experiment was adjusted at 0.1
           were  completely  dissolved.  Then,  the  10%  w/v  PVA   – 100 Hz with a strain of 0.1%. The strain range for the
           and 10% w/v dECM were added to deionized water and   strain sweep experiment was adjusted at 0.1 – 100% with
           stirred evenly.  The 10%  w/v PEGDA (Sigma-Aldrich)   a frequency of 1 Hz. G’ and G” were measured at 0.1%
           and 0.05%  w/v 2-hydroxy-4’-(2-hydroxyethoxy)-2-    strain and 6.28 rad/s rotational velocity for the destroy-
           methylpropiophenone  (Sigma-Aldrich)  were  added  to   recovery  experiment.  The  strain  was then  increased  to
           the solution as crosslinking agent and photoinitiator,   300% for 60 s to destroy the hydrogels, and then reduced
           respectively. After that, 6% w/v alginic acid sodium salt   to 0.1% for 600 s to monitor mechanical property recovery
           (Sigma-Aldrich,  St. Louis, MO, USA) was added and   while keeping the angular velocity at 6.28 rad/s. All of the
           kept in a 4℃ refrigerator overnight.                trials were carried out 3 times.
               The prepared solution was placed into a 2  mL   2.4. Compression test
           centrifuge tube and exposed to blue light for 20  min
           to complete  the photocrosslink reaction.  The hydrogel   The  samples  with a height  of 10  mm  and a diameter
           was cut into small pieces and soaked into the 6 mol/L   of 8  mm  were  used for  the  compressive  test.  The
           NaOH at 3 time points (20/40/120 min). After washing   compressive  stress-strain test  was carried  out using
           with deionized water, the prepared hydrogel was frozen   an Instron-5944 universal  instrument  (Thermo  Fisher
           at  −80℃  for  1  h  and  thawed  for  24  h.  The  freezing/  Scientific) equipped with a 2 kN sensor in air at room
           thawing process was repeated for 10/20 times. According   temperature. In the compression-relaxation cycle test and
           to  differences  in  alkaline  treatment  time  and  freezing/  the compression-crack test, the rate of compression was
           thawing  times,  samples were divided  into  6 groups of   maintained at 2 mm/min. In the stress relaxation test, the
           20-10, 20-20, 40-10, 40-20, 120-10, and 120-20. Finally,   strain in each compression process was set to 10% and
           the PVA/dECM hydrogel was immersed into 80 mmol/L   repeated  5  times. Afterward, the  hydrogel  was quickly
           calcium chloride (CaCl ; Sigma-Aldrich) for 10 min to   preloaded to different strains at a rate of 60 mm/min and
                               2
           achieve  the ionic crosslinking. Hydrogel samples were   kept for 5 min to achieve the stress-relaxation curves. All
           stored at room temperature.                         the experiments were repeated thrice.
               The  control  group was treated  with  deionized    Ef=x0 xf(x)dx, where x0 and xf denote the starting
           water by adding 10%  w/v dECM, 10%  w/v PEGDA,      distance  and fracture  distance of the compression,
           and  0.05%  w/v  2-hydroxy-4′-(2-hydroxyethoxy)-2-  respectively, was calculated  from  the  area  below  the
           methylpropiophenone. The 6% w/v alginic acid sodium   compressive  stress-strain  curve  until  fracture  using  the
           salt was added and kept in a 4℃ refrigerator overnight.   following equation: Ef=x0 xf(x)dx, where x0 and xf
           The prepared solution was put into a 2-mL centrifuge   denote the starting distance and fracture distance of the

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