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



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            Figure 6. The 3D bioprinting process of GelMA-MSCs scaffolds, the establishment of a New Zealand rabbit cartilage defect model, and the quantitative
            evaluation of surface defect repair by gross view and CT surface reconstruction. (A) The complete process of GelMA scaffolds preparation and the
            implantation process of scaffolds bioprinted by 3D extrusion bioprinter. (B) The gross view of the femoral condyle after the rabbits were sacrificed at weeks
            6 and 12, respectively. (C) The CT surface reconstruction of the femoral condyle after the rabbits were sacrificed at weeks 6 and 12, respectively. The black
            circle is the original defect size (circular defect with a diameter of 5 mm). (D) ImageJ software was used to quantitatively analyze the ratio of the existing
            defect reconstructed on the CT surface to the area within the black circle. It was found that the GelMA-microRNA-410-MSCs group significantly increased
            the repaired area of the condyle surface compared with the first two groups (***, P < 0.001). Notes: the defect sutured without any treatment (Blank),
            GelMA scaffolds containing MSCs transplanted into the defect (GelMA-MSCs), GelMA scaffolds containing MSCs with upregulated microRNA-410 that
            were transplanted into the defect (GelMA-microRNA-410-MSCs).

            data are presented as the mean ± SEM of three independent   subchondral bone defect, and the matrix distribution of the
            experiments.                                       surface cartilage layer was relatively loose in the GelMA-
                                                               MSCs group. The native and regenerated cartilage had
            3.9. Histological analysis                         integrated  in the GelMA-microRNA-410-MSCs  group,
            As shown in Figure 8, no obvious new matrix deposition   and the thickness of the regenerated cartilage was similar
            can be seen in the blank group at week 6. However, matrix   to that of the neighboring cartilage. The modified Wakitani
            deposition in the subchondral bone area was observed   score used in this study also indicated that  the GelMA-
            in the GelMA-MSCs group, and the density was lower   microRNA-410-MSCs group was better than the blank
            than that of the normal subchondral bone. The repair   group and GelMA-MSCs group at weeks 6 and 12 (Table 3).
            effect of subchondral bone was improved in the GelMA-  Taken  together,  MSCs  with  upregulated  microRNA-410
            microRNA-410-MSCs group, and the defect was covered   expression promoted cartilage defect repair in vivo.
            by new matrix deposition. At week 12, a small amount of
            matrix can be seen deposited in the subchondral layer on   3.10. Immunohistochemistry analysis
            the surface, while the interior of the defect was still hollow   As shown in Figure 9, each sample was stained for Col II and
            in the blank group. Dense matrix started to deposit in the   BMP 2. At week 6, a small part of new collagen or osteoblasts


            Volume 9 Issue 2 (2023)                        188                      https://doi.org/10.18063/ijb.v9i2.662
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