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



















            Figure 1. Diagram of the bioprinting process of bone-periosteum biphasic complex. Overall, the complex was designed as a flat cylinder structure with six
            layers, and three cartridges were used to deliver poly-L-lactic acid/hydroxyapatite (PLLA/HA) complex, bone marrow mesenchymal stem cells of rabbit
            (rabBMSCs)-loaded gelatin methacryl (GelMA) and periosteum-derived stem cells of rabbit (rabPDSCs)-loaded GelMA, respectively. First, the lower four
            layers of bone phase structure were printed. Each layer was alternately printed by PLLA/HA composite and rabBMSCs-laden GelMA. Next, the upper two
            layers of periosteum phase were printed, which consisted of rabPDSCs-laden GelMA. After printing all six layers, the bone-periosteum biphasic complex
            was finally crosslinked with 365 nm UV light.

            high-temperature cartridges was used to print PLLA/HA   absorbance value was then measured with the microplate
            scaffold, and the other two low-temperature cartridges   reader (Tecan, Switzerland).
            were used to print rabBMSCs-laden and rabPDSCs-laden
            GelMA, respectively. A printing model in stereolithography   2.3.3. Scanning electron microscope
            file format was created and sliced, and then specific printing   The micro morphology of scaffold and cell proliferation on
            parameters were adjusted. Samples were printed directly in   its surface were observed with the use of scanning electron
            the dishes, and all printing processes were carried out in a   microscope (SEM; FEI Quanta 250, USA). The rabBMSCs
            sterile environment.                               were cultured on the PLLA/HA scaffolds for 1 week, fixed
                                                               with 2.5% glutaraldehyde, dehydrated, dried and then
               The bone-periosteum biphasic complex was designed   sprayed with gold for observation.
            as a flat cylinder with six layers. The flow process diagram
            is shown in  Figure 1. The lower four layers were bone   2.4. Characterization of GelMA bioinks
            phase with 1.6 mm line spacing, consisting of PLLA/HA   2.4.1. Physical properties of GelMA
            composite and rabBMSCs-laden GelMA. The upper two   The rheological property of GelMA was measured by the
            layers were periosteum phase with 1.2 mm line spacing,   HAAKE MARS III rheometer (Thermo Fisher, USA) at
            which was just composed of rabPDSCs-laden GelMA. A   room temperature, and the Fourier transform infrared
            co-culture layer was formed between the bone phase and   spectroscopy (FTIR) spectra of the GelMA was obtained
            the periosteum phase. The samples were crosslinked with   using a FTIR spectrophotometer (Bruker, Vertex 70). To
            365 nm UV light after printing and then incubated in the   study the degradation rate of GelMA, the samples were
            culture medium for 1 week.                         immersed in PBS containing 10 μg/mL lysozyme and
                                                               incubated at 37°C. The enzyme solution was replaced every
            2.3. Characterization of PLLA/HA scaffolds         3 days. The percentage of weight loss (%) was determined
            2.3.1. Mechanical test                             by the Equation I:
            We applied the Instron Testing Machine (PA, USA) to test
            the mechanics of different PLLA/HA scaffolds. According                                        (I)
            to the molecular weight of PLLA and mass fraction of HA,
            six kinds of different PLLA/HA scaffolds were printed.   where wi is the initial dry weight of the construct and wf is
            Compression tests were carried out, the stress–strain   the final dry weight during 14 days of incubation.
            curves were recorded, and the values of maximal force and
            elastic modulus were obtained.                     2.4.2. Living and dead cell staining
                                                               The 3D-printed structures were crosslinked with UV
            2.3.2. Cell viability                              light irradiation for 30, 45, and 60 s. Live/dead viability/
                 6
            1 × 10  rabBMSCs were seeded on 5.4 W PLLA/20% HA   cytotoxicity kit (Invitrogen, USA) was used to detect
            scaffolds and then cultured in 24-well plates (1 mL/well).   the activity of cells on the 3D-printed scaffold. Briefly,
            The cell proliferation was detected by cell counting kit-8   working solutions were directly added to rabPDSCs-
            (CCK-8;  Dojindo, Japan) assay within 2 weeks.  Briefly,   laden and rabBMSCs-laden GelMA, and then incubated.
            the analytical solution was added and incubated, and the   Fluorescence microscopy (Nikon, Japan) was applied to


            Volume 9 Issue 3 (2023)                        135                          https://doi.org/10.18063/ijb.698
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