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


            The changes of the surface defect of distal femoral condyle   3. Results
            were quantitatively evaluated by coronal and sagittal
            reconstruction analysis, and ImageJ software was used to   3.1. Characterization of GelMA scaffolds
            quantitate the surface defect repair.              GelMA scaffolds can provide a suitable 3D environment for
                                                               cell growth, proliferation, migration, and differentiation,
            2.5.4. Micro-CT analysis                           which are crucial for further nutrient delivery and defect

            Excess soft tissue and bone were removed from proximal   repair. In this study, a photo-cross-linked GelMA scaffold
            and distal regions of the femoral condyle. Samples were   with high biocompatibility, acceptable mechanical
            fixed in 4% paraformaldehyde fixative (sample size =   strength, and high swelling was selected. A comparative
            18). Next, samples were scanned using microcomputed   study was conducted between GelMA-60 5% and GelMA-
            tomography (micro-CT, Skyscan 117, Basserdorf,     90 10%. It was found that the Young’s modulus of GelMA-
            Germany) with a slice resolution of 18  μm. Micro-CT   90 10% was significantly higher than that of GelMA-60 5%
            slices were imaged at an X-ray energy level of 70 kVp and   (Figure S1A). By measuring the pore size of the two
            a current of 114 μA with an integration time of 150 ms.   scaffolds, it was found that the 5% pore size of GelMA-
            After scanning, data were exported in NRecon software   60 was 176 ± 26.34 μm, which was larger than the 10%
            for 3D reconstruction. CTAn and Mimics 10.01 software   pore size of GelMA-90  (94 ± 14.23  μm) (Figure S1B).
            extracted volumetric and densitometric numbers from the   Larger pore sizes can create larger spaces. It is beneficial
            gray value distribution of the 3D-reconstructed images.  to cell growth, proliferation, and migration. Considering
                                                               that the scaffold may fall off during the movement of
            2.5.5. Immunohistochemistry staining and analysis  rabbits  after  implantation  of  the  defect,  the  appropriate
            Isolated femoral condyle specimen of rabbits fixed   swelling rate of the scaffold can make itself better fit in
            with 4% paraformaldehyde for 3  days. Subsequently,   the defect. By measuring GelMA scaffolds in two different
            they were  decalcified in 10% EDTA buffer  for about   concentrations, it can be found that the swelling rate of
            2  weeks, dehydrated in graded alcohol, and embedded   GelMA-60 5% scaffolds is superior to the GelMA-90 10%
            in paraffin, and the slice thickness was controlled at   scaffolds (Figure S1C), which is probably due to the larger
            3 μm. The sections were stained with hematoxylin-eosin   pores of GelMA-60 5% scaffolds, and the water absorption
            (HE),  Masson’s  trichrome,  and  Safranin  O  fast  green   rate is also naturally higher, resulting in better swelling
            (S-O FS) stains to observe cell morphology. At the same   compared to the GelMA-90 10% scaffolds.
            time, the expression of Col II and BMP-2 was detected   Based on our observation (Figure S1D and S1E),
            by  immunohistochemical  (IHC)  method  using  mouse   GelMA-60  5% scaffolds had a large aperture and were
            anti-rabbit Col II and BMP-2 antibodies. The repaired   loose as a whole. Too high GelMA concentration results in
            tissue was evaluated using a modified Wakitani grading   the formation of excessively dense cross-linked structure
            system consisting  of five categories: cell  morphology,   with increased hardness and decreased pore size, which
            matrix  staining,  surface  regularity,  cartilage  thickness,   adversely affects cell viability within the scaffold structure.
            and integration of the donor with the host. As previously   Combined with the characterization and detection of
            reported, cell morphology was graded using a scale from   GelMA scaffolds in this study, it is preliminarily believed
            0 to 4; matrix staining, surface regularity, and cartilage   that cellular compatibility and cellular activity play a more
            thickness, on a scale from 0 to 3; and integration of the   important role in the repair of full-layer cartilage. In this
            donor with the host, on a scale from 0 to 2 – with a perfect   aspect, GelMA-60 5% is more suitable for repairing full-
            total score being 15 points.                       thickness cartilage defects.
            2.6. Statistical analysis                          3.2. Multi-lineage differentiation and identification

            Statistical analyses were performed using the Statistical   of MSCs
            Package for the Social Sciences (SPSS 19.0, Chicago, IL).   A large number of adherent-growing rabbit bone marrow
            All data are expressed as mean ± SEM. The Levene’s test was   MSCs  were  obtained  through  primary  culture  and
            first performed to check the normality of the distribution   subculture. 3 h after inoculation, the cells began to adhere
            and determine, whether the equal variance assumption of   to the bottom of the culture dish. The cells were cultured
            the data was violated. Multiple group comparisons were   for 5 days, and the medium was changed every 48 h. The
            performed using one-way analysis of variance (ANOVA)   majority of the cells were in the shape of a helical growth
            to  evaluate  the  significance  of  the  experimental  data.   fusiform, and merely, a few cells were in a triangular shape.
            A  confidence level of 95% (P  < 0.05) was considered   After three passages, a morphologically homogeneous
            significant.                                       population of fibroblast-like cells was observed. Even after


            Volume 9 Issue 2 (2023)                        182                      https://doi.org/10.18063/ijb.v9i2.662
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