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International Journal of Bioprinting             3D-Bioprinted human lipoaspirate-derived cell-laden skin constructs



            sample was pulverized in a freeze-grinding machine. The   respectively. A bioink solution of 7.5% w/v GelMA + 1% w/v
            adECM powder was then digested with 0.5 M acetic acid   HAMA without adECM was prepared. After the bioink
            and 10% pepsin (Sigma-Aldrich, USA) relative to the   solutions were pasteurized, a 10% volume concentration
            adECM weight for 72 h. After the powder was completely   of the photoinitiator lithium phenyl-2,4,6-trimethyl
            dissolved, the pH of the solution was adjusted to 7.4 with   benzoyl  phosphinate  was  added.  Before  bioprinting,
            10 M NaOH, while the temperature was kept at <10°C to   ADSCs were detached using 0.25% trypsin/0.1% EDTA.
            avoid adECM gelation. The pH-adjusted adECM hydrogel   After centrifugation, cells were suspended in phosphate-
            was stored at 4°C.                                 buffered saline (PBS) and then mixed with the bioink at
                                                               a 1:9 ratio. The final working concentration of cells was
            2.2. Evaluation of adipose-derived                 1.0 × 10  cells/mL in the cell-laden bioink. 3D bioprinting
                                                                     7
            decellularized ECM                                 was performed as soon as the bioink with all components
            To evaluate the decellularization efficiency, residual DNA   was prepared.
            within the adECM was extracted using a genomic DNA
            extraction kit (Tiangen, China) and measured using the   2.5. Rheological characterization of bioinks
            NanoDrop  system  (Thermo,  USA).  The  DNA  quantity   The rheological properties of the two acellular bioinks with
            was normalized to the initial dry weight of the tissue.   and without adECM were analyzed using a HR-20 hybrid
            Sircol collagen and Blyscan sGAG assay kits (Biocolor,   rheometer (TA Instruments, USA) equipped with a 40-mm
            UK) were used to evaluate the collagen and sulfated   diameter parallel-plate geometry and a gap size of 1 mm.
            glycosaminoglycan (sGAG) content, respectively, of   The storage (G′) and loss modulus (G″) were recorded at a
            decellularized samples. Hematoxylin and eosin (H&E)   rate of 3°C/min from 0°C to 35°C under a fixed frequency
            staining was performed to visualize any remaining nuclei.   of 1 Hz and strain of 2%. The viscosity was measured in
            An Oil Red O staining kit (Solebo, China) was used to stain   two aspects. First, the effect of temperature on the viscosity
            residual lipids in the adECM.                      was observed at a fixed shear rate of 1 1/s from 0°C to 30°C.
                                                               Then, the effect of shear rate on viscosity was recorded for
            2.3. Culture and identification of ADSCs           a shear rate change from 0.1 to 100 1/s at 17°C. A time-
            ADSCs were obtained from the adipose tissue of the patient   sweep oscillatory test with a fixed frequency of 1 Hz, strain
            undergoing liposuction as mentioned in section  2.1.   of 2%, and temperature of 25°C was used to record the
            Isolation and culture of ADSCs were performed as   modulus changes of the samples before and after 10 s of
            previously described . Liposuction was digested with   UV irradiation with a 405-nm UV lamp (CREE, China).
                             [31]
            0.1% collagenase type I (Sigma-Aldrich, USA) for 60 min
            at 37°C. Samples were then filtered through a 200-  2.6. Swelling of photocrosslinked bioinks
            mesh  filter.  The  filtrate  was  centrifuged  at  1200  ×g  for   Photocrosslinked samples  of  the  two  acellular  bioinks
            5 min. Pelleted cells were washed and resuspended in   with and without adECM were immersed in PBS at 37°C
            L-DMEM (HyClone, USA) supplemented with 10% fetal   for the following time intervals: 1, 6, 12, and 24 h. At each
            bovine serum (FBS) and 1% penicillin–streptomycin–  timepoint, excess PBS was drained from scaffold surfaces,
            amphotericin in a humidified atmosphere of 5% CO  at   and the scaffold weight was then measured and recorded as
                                                       2
            37°C. Cells from the third to fifth passages were used for   W . Scaffolds were lyophilized for 1 week, and the weight of
                                                                 1
            experiments. Commercial kits (Cyagen, China) were used   each after lyophilization was recorded as W . The swelling
                                                                                                  0
            to examine the adipogenic, osteogenic, and chondrogenic   ratio (SR) was calculated using Equation I:
            differentiation abilities  of  the ADSCs  following the    SR = (W  − W )/W                    (I)
            manufacturer’s protocols. Cells were stained with Oil Red    1   0   0
            O, Alizarin red, and Alcian blue to assess adipogenic,   2.7. Degradation of photocrosslinked bioink
            osteogenic, and chondrogenic differentiation, respectively.   scaffolds
            Flow cytometry (BD Biosciences, USA) was used to detect   Scaffolds  prepared  from  the  two  acellular  bioinks  were
            the expression of cell surface markers, such as CD31,   lyophilized, and initial masses were recorded as W . Dried
                                                                                                       0
            CD34, CD45, CD73, and CD90.                        scaffolds were rehydrated in PBS for 24 h and subsequently
                                                               transferred to PBS containing 1.5 U/mL collagenase II for
            2.4. Bioink formulation and cell encapsulation     incubation with shaking at 37°C. Samples were removed
            To improve adECM hydrogel formability for 3D printing,   at different time points for lyophilization, and the weights
            GelMA  and  HAMA  (SunP  Biotech,  China)  were  used   of dried samples were recorded as  W . The percent of
            as composite components of the prepared bioink herein   remaining mass (RM) after degradation was calculated
                                                                                               t
            based on their photocrosslinked properties. The final   using Equation II:
            concentrations of adECM, GelMA, and HAMA in the
            bioink formulation were 1.125%, 7.5%, and 1% w/v,      RM(%) = W /W  × 100%                    (II)
                                                                               0
                                                                            t
            Volume 9 Issue 4 (2023)                         32                          https://doi.org/10.18063/ijb.718
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