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International Journal of Bioprinting              Bioprinting tissue-engineered bone-periosteum biphasic complex.



            clarify the advantages and prospects of co-culture bioprinting   5’-GGAACAGGGTGGTGGAAGAC-3’  (reverse);
            in the construction of complex living tissues and organs, and   glyceraldehyde phosphate dehydrogenase (GAPDH) –
            to promote the clinical translational research of composite   5’-AGACACGATGGTGAAGGTCG-3’  (forward),
            biomaterials, stem cell differentiation, and bioprinting.   5’-TGCCGTGGGTGGAATCATAC-3’ (reverse). The qPCR
                                                               program was as follows: denaturation at 95°C for 10 s, and
            2. Materials and methods                           40 cycles at 95°C for 10 s, and 60°C for 30 s. The results
            2.1. Cell culture and co-culture                   were analyzed using the comparison CT (2 − ΔΔCt ) method.
            2.1.1. Culture of BMSCs and PDSCs of rabbit        GAPDH was used as an internal control, and each sample
            BMSCs of rabbit (rabBMSCs) were acquired according to   was analyzed in triplicate.
            our previous study . Briefly, bone marrow blood of New   2.1.4. Co-culture of rabBMSCs and rabPDSCs
                           [22]
            Zealand White rabbit was extracted from the iliac bone,   We co-cultured rabBMSCs and rabPDSCs using 0.4 μm
            and then cultured in high-glucose Dulbecco’s modified   polycarbonate membrane transwell insert (Corning, USA).
            eagle’s medium (DMEM; Hyclone, USA) with 10% fetal   In this experiment, three groups of cells were used: (I)
            bovine serum (FBS; Gibco, USA), 100 U/mL penicillin, and   rabBMSCs, (II) rabPDSCs, and (III) rabBMSCs+rabPDSCs.
            100 μg/mL streptomycin (Hyclone, USA). PDSCs of rabbit   In group (III), rabPDSCs were seeded onto the upper
            (RabPDSCs) were obtained by enzymatic digestion as   layer of the chamber. After culturing for 24 h, osteogenic
            previously described [12,23] . In brief, the periosteum of rabbit   induction medium was replaced, while the cells of the
            skull was carefully harvested and digested by 0.25% type I   control group were still cultured in complete DMEM.
            collagenase (Sigma, USA). The digested suspension was then
            filtered through a 70 μm nylon mesh, and then centrifuged   2.2. 3D extrusion-based bioprinting
            at 1,500 rpm. The cells were resuspended in complete   2.2.1. Materials preparation
            F-12  DMEM  supplemented  with  10%  FBS,  100  U/mL    The raw material of PLLA with molecular weights of
            penicillin, and 100 μg/mL streptomycin for culturing. Cells   32,000 (3.2 W) and 54,000 (5.4 W) were purchased from
            from the third to fifth generations were used.     Daigang Inc (Shandong, China). HA (>97%, MW =
                                                               502.31) was purchased from Kingmorn Inc (Shanghai,
            2.1.2. Multidirectional differentiation of rabBMSCs   China). Gelatin of porcine skin was obtained from Sigma-
            and rabPDSCs                                       Aldrich (New Jersey, America). I-2959 (>98.0%, MW  =
            The primary cells were  identified by  muitidirectional   224.26), the photoinitiator, was purchased from TCI
            differentiation. Alkaline phosphatase (ALP) staining was   (Shanghai, China). Methacrylic anhydride (MA) and
            used to analyze osteogenic differentiation after 7 days   dichloromethane (≥99.5%, MW = 84.93) were purchased
            of induction. Alizarin red S staining was used to detect   from General Reagent of Titan Inc (Shanghai, China).
            the mineralized nodules after 3 weeks. For adipogenic
            differentiation, the newly produced lipid vacuoles could   PLLA/HA composites with different ratios were
            be  confirmed by  oil  red  O  staining  after  12  days.  For   prepared. Briefly, PLLA was dissolved in dichloromethane
            chondrogenic differentiation, the cells that have been   to form a transparent colloidal solution. HA powder was
            induced for 3 weeks were detected by Alcian blue staining.  then added to the PLLA solution at mass fraction of 10%,
                                                               20%, and 30%. The synthesis of GelMA has been reported
            2.1.3. Real-time polymerase chain reaction (qPCR)  previously . Briefly, gelatin was dissolved in phosphate-
                                                                       [24]
            Total RNA was extracted form rabBMSCs and rabPSDCs   buffered saline (PBS, 10% (w/v)), and then MA was added
            using Trizol reagent (Invitrogen, USA) after 7 days of   (20% v/v). The fully mixed solution was then reacted at
            osteogenic differentiation. After the reverse transcription   50°C for 3 h, and then dialyzed with distilled water for
            reaction,  real-time  polymerase  chain  reaction  (qPCR)   1 week. Finally, the GelMA precursor could be obtained by
            was performed with a QuantStudio 6Flex system (Life   freeze-drying and stored for further use.
            Technologies, USA) using SYBR Premix (Takara, Japan). The   The precursor of GelMA and I-2959 were dissolved
            primer sequences used in this study were described as follows:   in PBS (5% (w/v) hydrogel solution with 0.1% (w/v)
            collagen I (COL1) – 5’-CAGCGGCTCCCCATTTTCTA-3’     photoinitiator). Next, rabBMSCs and rabPDSCs were
            (forward), 5’-ATCTCAGCTCGCATAGCACC-3’ (reverse);   mixed with the prepared hydrogel at a density of 5 × 10 /mL.
                                                                                                         6
            osteocalcin (OCN) – 5’-AGAGTCTGGCAGAGGCTCA-3’      The prepared bioink was rewarmed before being added to
            (forward), 5’-CAGGGGATCCGGGTAAGGA-3’ (reverse);    the printing cartridges.
            osteopontin (OPN) – 5’-AGCGTGGAAACCCAAAGTCA-3’
            (forward), 5’-GCTCGATGGCTAGCTTGTCT-3’ (reverse);    2.2.2. 3D bioprinting process
            runt-related  transcription  factor  2  (RUNX2)  –  The  3D  Bioplotter  printer  (Envision  Tec,  Germany)  was
            5’-GATGACGTCCCCGTCCATTC-3’            (forward),   applied to construct the complex structure. One of the


            Volume 9 Issue 3 (2023)                        134                          https://doi.org/10.18063/ijb.698
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