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3D Printable PLA/BG Composite In Vitro Evaluation
           Table 1. Peptide factors detected in whole blood after 24 h stimulation with either LPS, PLA, or BG20.
            Function         Medium               LPS                   PLA               BG20
           Primary           ---                  TNF-α                 ---               ---
           inflammation
           Anti-inflammation  IL-18BPa            IL-18BPa              IL-18BP           ---
           Chemotaxis        CXCL4 (PF4)          CXCL5 (ENA-78),       CXCL4 (PF4),      CXCL4 (PF4), CCL5
                                                  CXCL8 (IL-8), MCP-1,   CCL5 (RANTES)    (RANTES)
                                                  MIP-1a, MIP-3a, CXCL4
                                                  (PF4), CCL5 (RANTES)
           Cell activation   ---                  IL-24                 ---               MIF
           (growth,
           proliferation)
           Complement        C5a, Compl. Factor D  C5a, Compl. Factor D  C5a, Compl. Factor   Compl. Factor D
                                                                        D
           Angiogenesis      Angiogenin           Angiogenin,           Angiogenin,       Angiogenin,
                                                  Thrombospondin-1      Thrombospondin-1  Thrombospondin-1
           Tissue repair     Chitinase 3-like protein  Chitinase 3-like protein   Chitinase 3-like   Chitinase 3-like protein
           (remodeling)      1, MMP9, Osteopontin,  1, MMP9, Osteopontin,   protein 1, MMP9,   1, MMP9, Osteopontin,
                             Serpin E1            Serpin E1             Osteopontin, Serpin  Serpin E1
                                                                        E1
           Peptide hormone   Adiponectin, Leptin  Adiponectin           Adiponectin, Leptin  Adiponectin, Leptin
           Surface receptor  Endoglin, CD31,      Endoglin, CD31, VCAM Endoglin, CD31,    Endoglin, CD31,
                             VCAM                                       VCAM              VCAM
           Other (transport,   Apolipoprotein-1,   Apolipoprotein-1,    Apolipoprotein-1,   Apolipoprotein-1,
           opsonization,     Vitamin D-BP, CRP,   Vitamin D-BP, CRP,    Vitamin D-BP, CRP,  Vitamin D-BP, CRP,
           proteolysis,      DPP-IV, IGF-BP2,     DPP-IV, IGF-BP2,      DPP-IV, IGF-BP3,   DPP-IV, IGF-BP3,
           regulation        IGF-BP3, Lipocalin-2,   IGF-BP3, Lipocalin-2,   Lipocalin-2, RBP4,   Lipocalin-2, RBP4,
                             RBP4, SHBG           RBP4, SHBG            SHBG              SHBG
           Sum               23                   31                    24                23
           Medium (DMEM) without serum served as negative control. Secreted factors were categorized in terms of their putative major function.


           this rather pro-osteogenic gene expression pattern did not   levels in the BG20 group.  IL-6  gene  expression  was
           result in a significant calcium deposition after 14 days of   also  attenuated in MSC cultured  on BG10 and  BG20.
           incubation. A significant calcium deposition could only   There is increasing evidence that MSCs are maintained
           be achieved by coincubation with OD medium whereas   in a proliferative state  through endogenous IL-6 and
           the  extent  of  calcium  deposition  between  PLA  control   components  of the  IL-6 pathway [51,52] .  We believe  that
           and BG approach was at a similar level.             the observed decrease  in  IL-6  gene  expression  as  well
               These  findings  suggest  that  the  BG  components   as  key  inflammatory  signal  transduction  components
           are sufficient to initiate and/or support OD processes in   indicate the onset of OD, induced by the BG component.
           MSCs,  but that further signals are required to achieve   Pricola et al. (2009) showed that “IL-6 gene expression
           complete OD. These signals could be exogenous factors   is significantly higher in undifferentiated MSC compared
           such as BMP-2 and 7 or mechanical stimuli [48,49] .  with chondrogenically, osteogenically, and adipogenically
               An interesting aspect that emerged in this work is   differentiated MSC .” Thus, ERK1/2 activation has been
                                                                               [52]
           the marked suppression of key pro-inflammatory genes   shown to act as a primary signaling pathway by which
           when cells were cultured on BG20. MAP kinases (JNK1   IL-6 regulates both MSC proliferation and inhibition of
           and p38) are involved in signal transduction leading to a   differentiation .
                                                                          [52]
           pro-inflammatory response mostly through activation of   JNK-1  belongs  to  the  MAPK  family  and  is
           nuclear factor kappa B . In particular, gene expression   ubiquitously expressed in all cells. It is activated by various
                              [50]
           of  JNK1  was  significantly  downregulated  in  MSC   stimuli,  such  as  inflammatory  cytokines  and  growth
           cultured on samples with high BG contents (10% and   factors, and phosphorylates various downstream proteins,
           20%  BG).  Gene  expression  of  p38 was not subject  to   including the transcription factors c-JUN,  ATF-2, and
           this significant regulation, but the highest median levels   ELK1 . However, their specific role in MSC has only
                                                                    [53]
           were always  in  the  PLA group and  the  lowest median   been studied from certain aspects and suggests relevance
           76                          International Journal of Bioprinting (2022)–Volume 8, Issue 4
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