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International Journal of Bioprinting                                      OMT-loaded spinal cord scaffold


































            Figure 4. Biocompatibility of composite scaffolds. (A) Representative image of NSC morphology under a light microscope. (B) Nestin and SOX2
            immunofluorescence-labeled NSCs. (C) Dead and alive assay of co-cultured NSCs with scaffolds; green represents live cells, and red represents dead cells.
            (D) Representative images of immunofluorescence staining of TUJ1, MAP2, and GFAP after NSCs were co-cultured with scaffolds for 7 days. (E) Quantitative
            analysis of nestin and SOX2 immunofluorescence staining. (F) Survival analysis of NSCs. (G) Semi-quantitative analysis of TUJ1 immunofluorescence
            staining. (H) Semi-quantitative analysis of MAP2 immunofluorescence staining. (I) Semi-quantitative analysis of GFAP immunofluorescence staining. All
            data are presented as the mean ± SD; n = 3 independent experiments.  p < 0.05,  p < 0.01,  p < 0.001 vs. the control group.  p < 0.01 vs. the scaffold group.
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            Scale bars = 50 μm (B–D).
            rapid release in the first 2 weeks and slow release after   scaffold and drug-loaded composite scaffold had sufficient
            2 weeks. The cumulative release of OMT at 30 days was   biocompatibility for NSC growth.
            80.32 ± 7.1%, indicating that OMT can achieve sustained   NSCs co-cultured with scaffolds were subjected to
            release in vitro.
                                                               immunofluorescence staining for TUJ1, MAP2, and GFAP
               Figure 3C and D show the PCL scaffold, PCL/hydrogel   to study the effect of drug-loaded scaffolds on  in vitro
            scaffold, and PCL/hydrogel/OMT scaffold with similar   NSC differentiation (Figure 4D and Figure S1). The results
            tensile strengths (4.29 ± 0.98, 4.59 ± 0.60 mm, 5.00 ±   showed that both a drug-free scaffold and OMT-loaded
            1.19 MPa) and elastic moduli (16.92 ± 1.27, 18.43 ± 3.09,   scaffold  could  promote  the  differentiation  of  NSCs  into
            18.91 ± 2.90 MPa) (p > 0.05), compressive strengths (0.53 ±    neurons, as indicated by more TUJ1  and MAP2  cells. The
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            0.15, 0.55 ± 0.14, 0.57 ± 0.13 MPa), and elastic moduli   effect on the neuronal differentiation of NSCs was more
            (1.67 ± 0.21, 1.66 ± 0.16, 1.69 ± 0.17 MPa) (p  > 0.05),   evident in the scaffold + OMT group than in the scaffold
            indicating that the composite scaffold had superior tension   group (p < 0.05). On the contrary, differentiation of NSCs
            and compressive capacity, and could provide favorable   into astrocytes was significantly reduced in the scaffold +
            living conditions for nerve regeneration.          OMT group (p < 0.05).

            3.2. In vitro biological performance of the composite   3.3. Composite scaffolds loaded with OMT promoted
            scaffolds                                          motor function recovery
            The NSCs were co-cultured with the scaffolds, and the   Eight weeks after surgery, cardiac perfusion samples were
            effect of the scaffolds on the viability and growth state   obtained. The gross observation showed that the texture
            of the NSCs was determined by the live and dead assay.   of the lesion region filled either with the scaffold alone or
            Compared to the control group, the survival rates of   OMT-loaded scaffold was similar to that of the uninjured
            NSCs in  the scaffold  group (83.96  ± 3.99%)  and the   spinal  cord tissue.  The  scaffolds  with  or without  OMT
            scaffold + OMT group (93.71 ± 1.04%) were significantly   were well fused with the host spinal cord tissue. In
            higher (Figure 4C and F), suggesting that the composite   the SCI group, defects/cavities could still be found

            Volume 9 Issue 3 (2023)                        111                         https://doi.org/10.18063/ijb.692
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