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International Journal of Bioprinting                             3D-printed vascularized biofunctional scaffold



            are cumbersome and the addition of certain chemicals   osteogenic differentiation of the cells, and on the other
            can cause toxic reactions . Instead of selecting a single   hand, several reactive ions released by Lap itself may also
                                [37]
            exogenous growth factor as the main active component   play an important role, which is a subject to be further
            of bioink, our study used PRP prepared by centrifugation   investigated.
            from whole blood of animals to induce angiogenesis and   The  problem of  vascularization of  bone repair
            bone regeneration. PRP, when activated, releases multiple   scaffolds has been one of the central challenges in
            growth factors required for tissue repair in a ratio similar   bone defect repair, especially the problem of rapid
            to the normal ratio in vivo, allowing for better synergistic   vascularization [41] . We observed that after 6 h of
            effects.                                           incubation of HUVECs on the surface of each group,
               The selection of the optimal concentration of PRP for   the hydrogels of the two PRP-based groups significantly
            tissue repair and regeneration applications has also attracted   promoted the formation of HUVEC tubules,
            the attention of researchers. Jiang et al.  integrated 20%   demonstrating their potential to promote angiogenesis.
                                            [38]
            PRP into GelMA hydrogel and found that it showed the   Subcutaneous scaffold implantation experiments further
            best effect on proliferation, migration and chondrogenic   validated these findings, but in addition, we observed
            differentiation of BMSCs, while Zhao et al.  found that   that the number of vessels in the PRP-GA@Lap/PCL
                                               [39]
            mixed hydrogels containing 5% PRP showed the best effect   scaffold was significantly greater than that in the PRP-
            in promoting fibroblast proliferation and migration. In our   GA/PCL scaffold 1 month after implantation and that
            study, we mixed GA hydrogel precursor solution with PRP   the grown-in vessels were more mature. We hypothesize
            to prepare PRP-based bioinks of different concentration   that, in addition to the slow release of pro-angiogenic-
            sizes. We found that GA gels containing PRP significantly   related factors, the active ions such as Mg  and Si
                                                                                                    2+
                                                                                                            4+
            promoted BMSC proliferation by CCK8 assay, with the 20%   released by Lap itself may also play an important role,
            PRP-GA and 50% PRP-GA groups showing significantly   which is a subject for further study.
            higher promotion of cell proliferation than the 5% PRP-  The transition of macrophages from pro-inflammatory
            GA and 10% PRP-GA groups. After 3 and 5 days of culture,   M1 type to later M2 type also plays an important role in
            there was no significant difference in the proliferation-  tissue repair [42,43] . It has been shown that PRP affects the
            promoting effect between 20% PRP-GA and 50% PRP-GA   polarization of macrophages in both in vivo and in vitro
            (Figure S2). This is consistent with the findings of Jiang   experiments . Our in vitro results found that RAW264.7
                                                                         [44]
            et al. . Based on this, in subsequent experiments, we used   cells  grown  on two PRP-containing hydrogels expressed
                [38]
            the 20% PRP-GA formulation.
                                                               fewer M1-type genes compared to the GA group, while
               Lap is widely used in tissue regeneration due to   the expression of M2 genes was increased compared to
            its excellent drug loading ability. These disk-shaped   the GA group, suggesting that PRP-GA and PRP-GA@Lap
            nanoparticles  have  negatively  charged  surfaces  and   hydrogels promote macrophage polarization toward M2,
            positively charged edges, allowing positively charged   which is consistent with previous findings .
                                                                                                [44]
            growth factors, such as VEGF, to form strong electrostatic   Although  our  study  demonstrates  that  PRP-based
            bonds with their surfaces, thus exerting a slow release   3D-bioprinted  vascularized  scaffolds  show  strong  bone
            of growth factors . Our study found that although the   regenerative capacity, there are some limitations. On the
                          [25]
            PRP-GA hydrogel was effective in slowing the release   one hand, we need long-term evaluation studies on large
            of growth factors, the duration of slow release was not   animal models of bone defects; on the other hand, we did
            sufficient, and the addition of Lap maintained the release   not elucidate the specific molecular mechanism of action.
            of various growth factors for up to approximately 14
            days, which further demonstrates the efficacy of Lap in   5. Conclusion
            slowing the release of factors. In addition, Lap material
            has been reported to significantly promote osteogenic   In conclusion, we developed a PRP-GA@Lap composite
            differentiation of BMSCs . Our study found that PRP-  bioink  and  demonstrated  its  good  osteogenic
                                [40]
            GA@Lap  and  PRP-GA  group  hydrogels  have  similar   differentiation  and  vascularization  properties.  It  was
            effects in  promoting  osteogenic  differentiation  at an   also found to promote macrophage M2 polarization.
            early stage. Interestingly, however, by day 14 of culture,   Furthermore, this  bioactive  scaffold  was  shown  to
            we found by Alizarin red staining that the PRP-GA@Lap   promote rapid neovascularization and accelerate bone
            group produced significantly more calcareous nodules   regeneration in vivo through subcutaneous implantation
            than the other two groups. On the one hand, this may be   experiments and femoral defect filling repair experiments.
            due to the fact that Lap further prolongs the slow release   This PRP-based bioprinted active scaffold has great clinical
            of growth factors, which enables it to continuously induce   translational value.


            Volume 9 Issue 3 (2023)                        196                         https://doi.org/10.18063/ijb.702
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