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3D Printable PLA/BG Composite In Vitro Evaluation
           Deutschland) before and after submersing the printed   for 10  min and were immersed  in a four-step ethanol
           parts (n = 3) and removing of the supernatant. Afterward,   gradient (50%, 75%, 96%, and 100%) for 5 min each.
           the submersed and with agarose filled parts were weighed,   After a short passage in 1,1,1,3,3,3-hexamethyldisilazane
           too. In addition, these values were compared to calculated   (Merck  Schuchardt,  Hohenbrunn,  Germany)  and
           parameters within a CAD tool (Fusion 360, v2.0.12665,   draining overnight, gold was deposited on the samples by
           Autodesk, San Rafael USA).                          sputtering (5 × 60 s, Agar Sputter Coater; Agar Scientific
                                                               Ltd., Stansted, United Kingdom). Analysis was performed
           2.6. Adhesion and metabolic activity of MSC         using a SEM (Hitachi,  Düsseldorf, Germany) and the
           MSCs were seeded at a density of 1 × 10  cells/test specimen   Digital Image Processing System 2.6 (Point Electronic,
                                          4
           and allocated in a well of a 12-well plate. For this purpose,   Halle, Germany).
           cells were suspended in 15 µL culture medium, transferred
           in a droplet onto the test specimen, and incubated for   2.8. Determination of the osteogenicity of BG20
           30 min at 100% humidity to allow the cells to adhere to   Osteogenicity  of the  composite  BG20 was analyzed  in
           the test material. The wells were then carefully filled with   a functional test. For this purpose, 2 × 10  MSCs were
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           500 µL of complete culture medium each.             seeded  into  individual  wells of a 24-well  plate.  After
               Fluorescence micrographs were taken to directly   24 h, the medium was changed and either 500 µL normal
           detect adherent cells. For this purpose, MSCs on the test   medium/well or 500 µL OD medium/well (PromoCell)
           specimens were stained with Calcein-AM (BD Biosciences,   were added in each well. In addition, a test specimen made
           Heidelberg, Germany) 24 h after seeding. Specimens with   of PLA or BG20 was coincubated contact-free through
           cells were transferred into individual wells of a 24-well   an insert (pore size 3 µm, Corning B.V. Life Sciences,
           plate and 1 ml of pre-warmed culture medium containing   Amsterdam, Netherlands) over a period of 14  days.
           20 µM Calcein-AM was added to each well. Cells were   The medium was changed twice a week. After 14 days,
           incubated for 40 min at 37°C, washed carefully 3 times with   calcium deposition of MSC was analyzed by alizarin red
           phosphate-buffered saline (PBS), and stained with DAPI   staining  (Merck, Darmstadt,  Germany)  as described  in
           (1 µg/ml in PBS, Sigma-Aldrich, Taufkirchen, Germany).   the previous study . For evaluation, the percentage of
                                                                              [36]
           After 10 min incubation, cells were again carefully washed   alizarin red positive area per microscopic field of view
           3  times with PBS. MSC adherence and distribution on   was calculated using ImageJ software (https://imagej.nih.
           the  test  specimen  were  then  assessed  by  examining  the   gov/ij/). The experiment was performed 3 times with two
           samples with fluorescence microscopy using a Zeiss Axio   technical replicates each time.
           Observer Z1 (Zeiss, Gottingen, Germany).
               The metabolic activity of MSC adhering to the test   2.9. Assessment of OD and inflammatory
           specimens  was  determined  by  3-(4,5-dimethylthiazol-  pathway gene expression
           2-yl)-2,5-diphenyl-2H-tetrazolium   bromide   (MTT)
           assay (MTT, Roche Diagnostics, Mannheim, Germany).   To evaluate the influence of the BG component on OD and
           For the determination  of the metabolic  activity, test   induction of inflammatory pathways, the expression of the
           specimens  were  carefully  moved  24  h, 72  h, and   genes  involved  in  osteogenesis  (RUNX2 [transcription
           168 h after seeding into a new 48-well plate to prevent   factor], alkaline phosphatase [ALP], collagen-1α
           the  adherence  of cells  to  the  bottom  of  the  wells   [COL1A], and bone morphogenetic  protein-2  [BMP2])
           that could interfere with measurement results. MTT   and  inflammation  mitogen-activated  protein  kinase
           assay principle is based on the cleavage  of the  yellow   ([MAPK]8 cJun-N-terminal kinase 1 [JNK-1], MAPK14
           tetrazolium  salt  MTT  (3-[4,5-dimethylthiazol-2-yl]-2,5-  [p38α], and interleukin-6  [IL-6]) were measured.
           diphenyltetrazoliumbromide) to purple formazan crystals   Analogous  to  the  previously  described  experiments,
           by  metabolically  active  cells.  All  experiments  were   1 × 10  MSCs were seeded onto the different materials
                                                                    4
           performed in duplicate. The MTT assay was performed   and cultured in osteogenic medium for 24 h, 72 h, and
           according  to  the  manufacturer’s  instructions.  Briefly,   168  h. At the respective  time points, the medium  was
           MTT reagent was incubated 2 h followed by overnight   removed and total RNA was isolated using the RNeasy
           lysis of the  formazan  crystals.  The supernatants  were   kit, according to the manufacturer’s instructions (Qiagen,
           collected and transferred into wells of a new 96-well plate   Hilden, Germany). RNA concentration  was measured
           where its absorbance was measured at 570 nm using an   photometrically using NanoDrop (ND-1000, NanoDrop
           ELISA reader (Infinite M200, Tecan, Mainz, Germany).  Technologies, Wilmington, Delaware, USA).
                                                                   Each 1 µg of RNA was reversely transcribed using
           2.7. Scanning electron microscope (SEM)             an Affinity script QPCR-cDNA synthesis kit (Stratagene,
           Scaffolds  seeded  with  cells  were  analyzed using  SEM.   La  Jolla,  CA,  USA) following  the  manufacturer’s
           Samples were fixed with glutaraldehyde (2% in −/− PBS)   instructions. Contaminated genomic DNA was removed

           68                          International Journal of Bioprinting (2022)–Volume 8, Issue 4
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