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



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            Figure 8. 3D bioprinting of ear-shaped cartilage using bacterial nanocellulose (BNC)/gelatin methacryloyl (GelMA) bio-ink. (A) 3D-bioprinted ear-
            shaped scaffold with BNC/GelMA bio-ink. (B) Ear-shaped scaffold laden with chondrocytes before implantation. (C) Calcein AM/PI staining of the
            ear-shaped scaffold. (D) Ear-shaped scaffold immediately after implantation in nude mice. (e) Ear-shaped scaffold after implantation in nude mice after
            24 weeks of culture in vivo. (F) Morphology of the ear-shaped scaffold after 24 weeks of culture in vivo. (G) H&E staining, Safranine-O, and Alcian blue
            staining of the scaffold after 24 weeks of culture in vivo. Scale bar: 1 mm.

            to regenerate auricular cartilage, and the cell viability   studies in large animal models are required to verify its
            after 3D bioprinting was only 70.9 ± 7.2% [45] . In addition,   potential in preclinical applications.
            it  should  be  noted  that  the  BNC-containing  hydrogel
            promoted cell migration, which is an important cellular   4. Conclusions
            feature for tissue morphogenesis. The most important   A BNC/GelMA composite hydrogel was prepared in this
            criterion for testing whether a biomaterial is suitable   study. Compared with 10% GelMA,  the 0.375% BNC
            for tissue engineering is to evaluate tissue regeneration   composite hydrogel has superior mechanical properties
            in vivo [11] . We implanted the chondrocyte-laden   as  well as  better  printability and  cell  migration ability.
            3D-bioprinted scaffolds into nude mice and cultured   Auricular cartilage was regenerated in nude mice using
            them for 24 weeks  in vivo. The results demonstrated   chondrocyte-laden BNC/GelMA hydrogel. The  cartilage
            that the composite hydrogel was beneficial to the GAG   tissue  regenerated  by  the  hydrogel  had  higher  GAG
            secretion in regenerated cartilage, and its biomechanical   content and better biomechanical properties. Finally,
            properties  were  significantly  enhanced,  which  was   the ear-shaped construct was bioprinted with composite
            close to the Young’s modulus of human ear cartilage.   hydrogels, and the cartilage tissue was successfully
            Moreover, a precise ear-shaped construct was bioprinted,   regenerated  in vivo. Although the superiority of the
            and the cartilage with 3D morphology was regenerated   composite hydrogel needs to be further verified in large
            successfully in vivo, which further verified the feasibility   animal experiments, this study offers insights into using
            of applying BNC-reinforced GelMA hydrogels in      an alternative material coupled with detailed technical
            auricular cartilage tissue engineering. Certainly, future   parameters in the construction of precise-shaped cartilage.


            Volume 9 Issue 1 (2023)                        140                      https://doi.org/10.18063/ijb.v9i1.631
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