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Biocompatible materials and Multi Jet Fusion


            high cell assembly on PA-12 particles (Figure 4A). On the   on 3D-printed PA-12 cell culture chambers that are actively
            other hand, osteoblasts are mostly irregularly flattened   proliferating cells and remain unaffected. The expression
            with elongated filopodia extensions roughly equally from   of the nuclear Ki-67 antigen is strictly associated with
            each side of the cell that appears extensively spread. The   cell proliferation and not present in resting or quiescent
            uneven PA-12 surface and the large size of osteoblasts cause   cells, in which many proliferation-related proteins remain
            the cells to stretch/extend over many unfused particles.   degraded . As a useful predictor for recognizing rapidly
                                                                      [68]
            This facilitates the attachment of the filopodia extensions   proliferating cells, Ki-67 is constitutively expressed by
            causing a “pulling effect” on the cell edges, and therefore,   fibroblasts (Figures S13–S15). However, studies indicate
            the main cell body appears unattached and suspended from   that it may also be present in low levels in some cells (like
            the PA-12 substrate (Table 1). Moreover, the rougher PA-12   osteoblasts as observed in Figures S16–S18) .
                                                                                                  [69]
            surface makes it difficult for osteoblast to reach confluence.   During  in vitro cell culture, long-term successive
            Hence, a stable surface attachment evidenced in fibroblasts   cell passaging is inevitable. Even though the osteoblast
            is not seen in osteoblasts, making it difficult for them to
            proliferate in the same way. In contrast, cells grown on   adherence  and morphology  are sustained  in prolonged
            polystyrene substrates are well adherent, proliferative and   cultures (Figure 7A), the viability and proliferation
            particularly  attain  confluence  (Figure 4D  i–iii).  However,   ability are greatly compromised in MC3T3e1 osteoblasts
            cell morphology with spread and expanded cytoskeleton   after continuous passaging (Figure 7C). While culturing
            remained similar to that observed on PA-12. The osteoblast   MC3T3e1 osteoblasts, the passage number of the cells
            morphology, proliferation, and metabolic activity seem to   matter as they can influence cell function. Cells at passage
            be more sensitive to the topography of the substrate. The   25 are used for this study. Researchers advise against the
            results suggest that the surface roughness of MJF-printed   use of osteoblast cells above 30 passages which involve
                                                                                                  [70]
            12 has a differential effect on the proliferation of different   few risks that occur beyond safe passage . Moreover,
            cell types. It negatively affects MC3T3e1 more than L929,   cells are revived from a -80°C freezer during which the
            possibly due to the larger cell size of the former. Since   cell physiological activities are maintained at a relatively
            adhesion is a necessary step in promoting cell growth,   lower level. It might take a couple of passages for the cells
                                                                                             [71]
            the imperfect contacts between MC3T3e1 and the surface   to recover in terms of functionality . It is no surprise
            could have weakened the transduction of growth signaling   that the osteoblasts are less functional given their retarded
            pathway from the extracellular matrix to the cells. This can   proliferative behavior under normal circumstances when
            be addressed by polishing the surface of printed PA-12   cultured on 3D-printed PA-12 cell culture chambers as
            with sandpaper to smoothen out all the irregular globular   aforementioned. The same phenomenon is also observed
            bumps. Alternatively, the surface could be coated with a   in positive controls (Figure 7C). When using osteoblast
            layer of biocompatible polymer, such as polystyrene, to form   cells, such complications during culture may arise when
            a smooth even surface for attachment. Smoothening the   considering interspecies differences, primary versus
            surface is expected to enhance not just MC3T3e1 but also   established cell cultures, and the possibility of phenotypic
            L929, attachment, and proliferation. To further characterize   heterogeneity of osteoblastic cells when obtained from
                                                                                   [72]
            the effect of roughness on cell growth, a combination of   different anatomical sites .
            other evaluation assays is included to further test the  in   Unlike MC3T3e1, there is no evidence in our results
            vitro cytotoxicity.                                suggesting that PA-12 impaired the L929 fibroblast’s ability

              The LDH assay is another commonly used marker for   to proliferate from subculture to subculture. However,
            cell death. Negligible LDH release is observed in both   certain morphological abnormalities were also observed
            cell lines (Figure 5A and 5B), indicating no cell death nor   mostly due to the surface topography of different substrates
            cell membrane damage as the cells continue to proliferate   indicating  the  fact  that  even  though  cells  adhere  to the
            after day 4 (as suggested by long-term culture studies,   substrates, they may not have completely adapted to the
            Figure 7A–C and Figures S20–S25). Moreover, the influence   topography of its surface (Table 1). Of note, cells transferred
            of oxidative stress in causing cytotoxicity is correlated to the   from PA-12 to plate retain the ability to grow as robustly
            upregulation or downregulation of various gene regulatory   as those subcultured from plate to plate. PA-12, especially
            proteins. Since the intracellular GSH levels are significantly   the coated ones, did not impair their ability to grow on
            higher (as represented by high mBCI fluorescence signals   conventional culture plates in subsequent subculture
            in  Figure 5C  and  Figure S12), corresponding levels of   (Figure 7B). This is important firstly because we do not
            proliferative marker (Ki-67) are observed at day 2 and   want PA-12 to affect cells ability to grow on other surfaces.
            day 4 (Figure 6A). The absence of p53 antigen (anti-  Certain practical applications may necessitate cells to be
            proliferative marker) in both cases suggests cells cultured   subcultured from one type of substrate to another. Second,


            Volume 9 Issue 1 (2023)                         30                      https://doi.org/10.18063/ijb.v9i1.623
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