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International Journal of Bioprinting              BNC-reinforced GelMa enhances property of bioprinted cartilage


            3.2.2. SEM examination                             0.4 – 0.8 bar pressure were used as printing parameters for

            Both hydrogels in BNC/GelMA group and GelMA group   subsequent experiments.
            had loose pore structures  (Figure 2D). Through further   Different models were used to test the printing
            analysis of the pore size, it was found that the average pore   formability of the composite hydrogel. The presence of BNC
            size of the hydrogels in BNC/GelMA group and GelMA   led to the extrusion of a stable filament, which, therefore,
            group was 172.8 ± 54.19  μm and 126.0 ± 35.21  μm,   contributes to a homogenous diameter distribution
            respectively (Figure 2E). The scaffold’s pore size of the BNC   alongside the length (Figure 4A). When stacked up to 18
            group was significantly larger than that of the GelMA group   layers, the grid structure formed by the hydrogel could still
            (P < 0.0001). The loose pore structure may be conducive   be seen (Figure 4B). Then, we printed 0.3 times the size of
            to the proliferation and migration of cells in the scaffold .  the human jaw model (3.1 × 2.2 × 0.896 cm) (Figure 4C)
                                                        [38]
                                                               and 0.4 times the size of the human nose model (2.4 × 1.6 ×
            3.3. Printability of composite hydrogel            0.576 cm) (Figure 4D). The addition of BNC helped obtain
            We tested the printability of the hydrogel with nozzles   uniform lines, complete printing structure, clear surface
            of different inner diameters ranging from 150  μm to   outline, and high fidelity; these characteristics are essential
            600  μm  (Figure 3). The nozzles with inner diameters of   for the construction of scaffolds with precise morphology.
            150 μm–210 μm could not be extruded completely, and   3.4. Cell viability and migration
            the nozzles with inner diameters of 250  μm–300  μm
            were occasionally blocked. When a 400  μm nozzle was   3.4.1. Cell viability
            used,  the  hydrogel  could  be  smoothly  extruded  under   The Calcein AM/PI double staining kit was used to stain
            pressures  above  0.4  bar.  Taking  the  cell  viability and   the live and dead cells on the 1 , 4 , and 7  days  after
                                                                                                    th
                                                                                             th
                                                                                          st
            printing accuracy into consideration, a 400 μm nozzle and   printing to evaluate the cell viability. Most of the cells in
                                                               the scaffolds were dyed green fluorescence, and only a few
                                                               cells showed red fluorescence, suggesting high cell viability
                                                               in the hydrogels (Figure 5A). ImageJ software was used
                                                               for quantitative analysis of the number of live and dead
                                                               cells. The percentages of cell viability of the BNC/GelMA
                                                                               th
                                                                                      th
                                                               group on the 1 , 4 , and 7  days were 96.81 ± 1.541%,
                                                                            st
                                                               96.12 ± 0.6627%, and 97.34 ± 1.450%, respectively
                                                               (Figure 5B). There was no significant difference in terms
                                                               of cell viability between the BNC/GelMA group and the
                                                               GelMA group (P > 0.05).
            Figure 3. Extrusion test of the bacterial nanocellulose (BNC)/gelatin
            methacryloyl (GelMA) hydrogel at 21°C with various pressures and   3.4.2. Cell migration
            nozzles. Black indicates that BNC/GelMA cannot be extruded, red
            indicates that BNC/GelMA cannot be extruded smoothly, and green   To explore whether larger internal pores of the BNC/GelMA
            indicates that BNC/GelMA can be extruded smoothly.  hydrogel affected the migration of cells in the scaffold, we

             A                            B






             C                                                   D








            Figure 4. Printability test of bacterial nanocellulose (BNC)/gelatin methacryloyl (GelMA) hydrogel. (A) PSH characters printed with BNC/GelMA
            hydrogel. (B) Cuboid structure at different layers printed with BNC/GelMA hydrogel. (C) Human mandibular model printed with BNC/GelMA hydrogel.
            (D) Human nose model printed with BNC/GelMA hydrogel.


            Volume 9 Issue 1 (2023)                        136                      https://doi.org/10.18063/ijb.v9i1.631
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