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














































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            Figure 7. Histological examination of regenerated cartilage. H&E, Alcian blue, and Safranine-O staining of regenerated cartilage at 4 , 8 , 12 , and
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            24  weeks of in vivo culture. The black arrows indicate undegraded hydrogels. Scale bar: 100 μm.
            the lack of immunity. Therefore, experiments using   The regenerated cartilage, which was well maintained and
            hydrogels with fluorescent labeling and large animals   in condition similar to before implantation  (Figure 8E),
            with immunity are needed to evaluate the degradation of   showed a milky white cartilage appearance  (Figure 8F)
            hydrogels in vivo.                                 and had good elasticity (Supplement 2). Histological
                                                               examination revealed the formation of a considerable
            3.5.3. 3D bioprinting and regeneration of ear-shaped   amount of cartilage-specific extracellular matrix indicated
            cartilage constructs
                                                               by Safranine-O and Alcian blue staining and the formation
            To detect the feasibility of morphological maintenance of   of typical lacunae structure indicated by H&E staining
            the composite hydrogel, we constructed a scaffold with   (Figure 8G).
            0.4 times the size of a normal human ear by 3D bioprinting
            using the composite hydrogel and rabbit auricular    In this study, BNC/GelMA composite hydrogel
            chondrocytes (Video clip 1). The cartilage scaffolds were   was used to regenerate ear cartilage. We confirmed
            superimposed  layer  by  layer  under  the 3D  printer, and   that a small amount of BNC could greatly improve the
            finally, 22 layers were printed  (Figure 8A). The printed   mechanical strength of GelMA hydrogel materials.
            human ear-shaped scaffold was basically consistent   In addition, the cell viability in the hydrogels was still
            with the 3D model, and there was no material collapse   above 95% on day 7, which was higher than in a previous
            during the printing process  (Figure 8B). The live/dead   study, in which Markstedt et al. constructed ear cartilage
            staining results demonstrated that the cells embedded in   scaffolds with alginate/nano-cellulose hydrogel through
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            hydrogels had good viability  (Figure 8C). Subsequently,   3D bioprinting, and the cell viability on the 7  day was
            we  implanted  the  scaffold  subcutaneously  in  nude  mice   only 85.7% [44] . In another study, Martínez et al. proposed
            (Figure 8D) and collected it at 24 weeks after implantation.   the use of a nanocellulose hydrogel for 3D bioprinting


            Volume 9 Issue 1 (2023)                        139                      https://doi.org/10.18063/ijb.v9i1.631
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