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International Journal of Bioprinting              A regulated GelMA-MSCs scaffold by three-dimensional bioprinting


            negative control group, and microRNA-410-mimics group   The nozzle specification was 25 G, and the moving speed
            were stained with Ca-AM/PI live and dead reagent (sample   was 360 mm/min. After printing, the GelMA hydrogel was
            size = 9). For the specific staining and culture methods, see   fully cured after irradiation with 405 nm, 3 W light source
            the detailed procedures set out in the above. After staining,   for 30 s, and GelMA hydrogel scaffold was finally obtained.
            the fluorescent pathway was observed under the confocal
            microscope, and the living and dead cells were counted   2.5.2. Surgical procedure and experimental design
            with ImageJ software in the later stage.           All animal experiments were approved by the Medical
                                                               Ethics Committee of Soochow University. All animal
            2.4.5. Chondrogenic differentiation promotion assay
                                                               manipulations were performed in accordance with the
            Alcian blue staining was used to detect whether    Guide for the Care and Use of Laboratory Animals of
            microRNA-410 promoted chondrogenic differentiation   Soochow  University.  A  total  of  18  3-month-old  New
            of MSCs. MSCs of passage 3–5 were transferred into   Zealand rabbits weighing approximately 3  kg were
            chondrogenesis medium for further chondrogenic     studied. Eighteen New Zealand rabbits were randomly
            differentiation experiments. The medium was changed   divided into three groups: (i) blank group (defect
            every 2  days, and Alcian blue staining was performed   sutured without any treatment); (ii) GelMA-MSCs group
            on days 14 and 21, and the medium was removed. After   (GelMA scaffolds containing MSCs transplanted into the
            washing with PBS for 3 times, paraformaldehyde fixative   defect); and (iii) GelMA-microRNA-410-MSCs group
            solution was added for 15 min for full washing and drying.   (GelMA  scaffolds  containing  MSCs  with  upregulated
            Alcian blue staining solution was added for 30 min and   microRNA-410 transplanted into the defect). The rabbits
            then removed for cleaning, followed by the addition of   were anesthetized with sodium pentobarbital injected into
            Alcian blue complex dye solution which was for 60 s.   the ear vein. The skin inside and outside the knee joint
            After washing with PBS, the solution was placed under   was sterilized, and a longitudinal incision of about 2 cm
            an inverted microscope. The degree of chondrogenic   in length (i.e., one finger’s distance outside the patella) was
            differentiation was observed.                      made in the knee patella. The subcutaneous tissue, muscles,

            2.5. In vivo evaluation of cartilage defect repair by   and tendons were isolated, and the patella subluxation was
            3D-printed scaffolds                               pushed laterally after internal examination to expose the
                                                               articular surface of the distal femoral condyle. A 5.0 K-wire
            2.5.1. 3D bioprinting of the GelMA-MSCs scaffold   drill with an electric drill was installed to a depth of 5 mm.
            About 80% adherent cells were selected, digested, and   All animals returned to normal diet after operation, and
            centrifuged. The supernatant was removed, and the pellet   ceftiofur (5 mg/kg) was injected to fight infection on the
                                                                nd
            was, then, suspended with GelMA solution. In traditional   2  day after operation. The wounds were observed every
            printing, GelMA bioink is often put into the syringe   3  days  and the dressing was changed. Three  animals in
            directly until it becomes gel-like. In the present study, the   each group were sacrificed at weeks 6 and 12.
            GelMA solution was added to a print syringe and stored   2.5.3. Computed tomography surface reconstruction
            in a −20°C refrigerator for 6 – 8 min, away from light, to   analysis
            make the GelMA turn into a gel more quickly. This step can
            make the printed GelMA bioink more formable and the   At weeks 6 and 12, animals of the corresponding group
            printing process smoother. According to physicochemical   were sacrificed by air embolization introduced from the
            properties for low-temperature curing of GelMA, the   ear vein. After disinfection, the soft tissues were dissected,
            nozzle of 3D bioextrusion printer (BP6601 - EFL) was set   and the distal femur was dissected. Care should be taken to
            at 25°C and placed in a syringe for 5 min. The temperature   avoid damage to the integrity of the distal femoral condyle.
            of the printer platform was adjusted to 5°C, with the   The removed distal femoral condyle specimens were
            air pressure adjusted to 10–30 kPa. After the hydrogel   immersed  in  a  centrifuge  tube  containing  10%  formalin
            microfilaments were stably extruded from the nozzle, the   for 48 h. The fixed distal femoral condyle specimen was
            hydrogel microfilaments were printed on the base plate. The   taken out, and the computed tomography (CT) scanner
            height of the printing scaffold was 5 mm and the diameter   was turned on and warmed up for 30 min. The scanning
            was 5 mm, and the average number of cells per scaffold   parameters were set to 70 kV, 141 mA, and 1750 ms, and
                                5
            was approximately 5 × 10 . It was a 5 mm cylinder with a   the  spatial  resolution  was  18  μm.  The  hatch  door  was
            height of 0.2 mm for each layer. 1 × 10  cells were mixed   opened to take out the foam box. Each pair of specimens
                                            7
            with 5  mL GelMA solution and pipetted evenly. Eight   was placed side by side at the designated position in the
            GelMA-MSCs scaffolds and eight GelMA-microRNA-410-  foam box. The hatch door was closed for scanning, and the
            MSCs scaffolds were made for subsequent experiments.   operation was repeated until all specimens were scanned.


            Volume 9 Issue 2 (2023)                        181                      https://doi.org/10.18063/ijb.v9i2.662
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