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International Journal of Bioprinting                    Peritoneal scaffolds for the peritoneal adhesion prevention



            interval, three mice were killed, and the peritoneal tissues   solubilized peritoneal resident macrophages (6 × 10 )
                                                                                                            4
            were harvested at the scaffold suture site for hematoxylin–  were inoculated into the upper chamber of the Transwell
            eosin (HE) staining.                               at 100 μL per well. Peritoneal resident macrophages were
                                                               allowed to migrate across the Transwell membrane for 12 h.
            2.7. Preparation and identification of peritoneal   The remaining cells in the upper chamber were scraped
            scaffolds                                          out with a cotton swab, and the migrating macrophages
            Primary peritoneal mesothelial cells were seeded onto the   at the bottom of the upper chamber were detected by
            scaffolds and inoculated with the mesothelial cell culture   immunofluorescence.
            medium (CM-M170; Procell Life Science and Technology
            Co. Ltd.) in 24-well low-adhesion plates (3473; Corning,   2.10. Fluorescent staining
            Corning, NY, USA). Freshly isolated primary mesothelial   To detect the morphology of peritoneal mesothelial cells
            cells (0.75 × 10 ) were suspended in 50 µL of each sample   seeded on the scaffolds, the staining of CK-18 (ab24561;
                        6
            in tissue culture-treated 24-well plates. To promote cell   Abcam, Cambridge, MA, USA) and 4′,6-diamidino-2-
            adhesion, cells were incubated at 37°C with 5% CO  for   phenylindole (DAPI; ab104139; Abcam) was performed
                                                       2
            0.5 h, followed by adding 1 mL of cell culture medium.   as described previously . The slides with cells on them
                                                                                  [23]
                                                               were then washed three times in PBS, fixed for 15 min in
            2.8. Isolation of peritoneal resident macrophages  4% paraformaldehyde, permeabilized for 15 min in 0.5%
            After the mice were killed, they were soaked in 75% alcohol   Triton X-100, and blocked for 30 min in 1% bovine serum
            for 10 s. The mice were removed from alcohol, drained,   albumin. Samples were incubated in CK-18 solution at 1:200
            and placed in the supine position on the ultraclean bench.   for 45 min, and DAPI solution at 1:1000 for 6 min, both
            The abdominal cavity was gently rubbed for 2 min to allow   in the dark at 37°C. Samples were imaged using confocal
            the physiological saline to flow in the cavity after 6 mL of   laser scanning microscopy. Cross-sectional photographs
            saline was added into the cavity with a syringe. The lower   of the scaffolds were chosen from Z-Stack images that
            abdominal skin was lifted with ophthalmic forceps so that   were prepared using an FV1000 Viewer (Olympus, Tokyo,
            the animal tilted to one side. After cutting the abdominal   Japan) and collected every 5 μm to examine cell migration.
            skin, a small incision was made in the muscle layer, and
            the abdominal fluid was aspirated with a rubber-tipped   The procedure of staining for vimentin (60330-
            dropper and transferred into a centrifuge tube. The   1-Ig; Wuhan Sanying, China), phosphoenolpyruvate
            aspiration volume was 4–5 mL per mouse. The collected   carboxykinase (PCK; 16754-1-AP; Wuhan Sanying, China)
            peritoneal lavage fluid was centrifuged at 1000 r/min for   and DAPI (C1002; Beyotime Biotechnology, China) is the
            10 min  at 4°C.  The supernatant was  removed, and  10%   same as described above. The tissue immunofluorescent
                                                                                                         [24]
            high-sugar Dulbecco’s modified Eagle’s medium (DMEM)   staining procedure is essentially the same for the cells .
            was added before cell counting using a cell counting plate.
            Macrophages were counted under a microscope. The cell   2.11. Ischemic buttons model (IBM)
            concentration was adjusted to the desired level. Cells were   The Jinling Hospital’s Animal Investigation Ethics
            inoculated into culture flasks and incubated at 37°C for 4 h.   Committee authorized all of the animal care and
            After full wall attachment, the supernatant was discarded,   experimental protocols, which were carried out in strict
            and the nonadherent cells were removed. Afterward,   accordance with the Chinese Guidelines for the Care
            high-sugar DMEM was added, and the culture flasks were   and Use of Laboratory Animals (Ministry of Science
            returned to the incubator.                         and Technology [2006] file no. 398). Pain was kept to
                                                               a minimum by doing all procedures under anesthesia.
            2.9. Cell migration assay                          Adhesion induction procedures were performed on wild-
            Migration assays of the peritoneal resident macrophages   type B6 (C57BL/6J; GemPharmatech Co. Ltd., China)
            were performed using an 8-μm pore size polyester   mice at 6–8 weeks. On the median line, a skin incision
            membrane Transwell (Corning). The scaffolds were   was made along the length of the abdomen. Based on
            trimmed to completely cover the bottom layer of the upper   the length of the peritoneum, a comparable midline
            chamber of the Transwell. The control group was not   abdominal incision was created in the peritoneum. The
            covered with any object; the blank group was covered with   peritoneum was gently folded to the right and compressed
            a scaffold that did not carry cells; and the experimental   with a hemostat. An ischemia button was inserted into
            group was covered with a peritoneal scaffold that carried   the  right  side  of  the  peritoneal wall after  a  tiny  section
            mesothelial cells. Five hundred microliters of 20% fetal   of peritoneum (about 5 mm in diameter) was clamped
            bovine serum-DMEM was dispensed per well in the lower   with hemostatic forceps, the bottom of which was ligated
            chamber of the Transwell. Cell-tracker Green (C2925;   with 4-0 silk (Suzhou Medical Co. Ltd., China), and the
            Thermo Scientific, USA) -labeled, serum-free DMEM-  forceps were then released. Optionally, a light scrubbing of

            Volume 9 Issue 3 (2023)                         55                          https://doi.org/10.18063/ijb.682
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