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International Journal of Bioprinting               Single-step bioink deposition and maturation of human epidermis































            Figure 1. Overview of the steps involved in bioprinting the epidermis. (A) Keratinocytes will be harvested from a piece of healthy skin from the patient
            and expanded in culture. (B) When sufficient keratinocytes are obtained, they are placed in a cartridge containing media with NaOH. The other cartridge
            contains collagen dissolved in acetic acid. (C) On mixing of components from both cartridges, collagen gelation occurs when the pH is neutral. (D) A
            handheld bioprinter is used to dispense the bioink onto the patient’s wound, (E) where the keratinocytes would proliferate and differentiate in culture to form
            a neo-epidermis. Abbreviations: S.C., stratum corneum; S.G., stratum granulosum; S.S., stratum spinosum); S.B., stratum basale; B.M., basement membrane.
            Modified figure from Materials Today: Proceedings, International Conference of Additive Manufacturing for a Better World (AM Conference) 2022 .
                                                                                                         [42]
            Table 1. List of antibodies used in immunofluorescence   passaged in tissue culture flasks when they reach 80%
            staining.                                          confluency. Primary human keratinocytes were cultured
                                                               in KGM, and cells no later than passage 3 were used in all
             Antibody                         Brand (region)   experiments. HDFs were cultured in DMEM/F-12 medium
            Primary antibodies                                 supplemented with 10% fetal bovine serum (FBS, Hyclone,
             Filaggrin (ab81468)              Abcam (UK)       USA). Media were changed every 2 days, and cells were
             Keratin 10 (DKO.M7002)           DAKO (Denmark)   routinely passaged at 80% confluency using 0.05% trypsin-
             Collagen type IV (CIV22)         DAKO (Denmark)   EDTA. All cell cultures were kept in 37°C incubator (ESCO,
             Ki67 (514520)                    Invitrogen (USA)  Singapore) with 5% CO  before being used in experiments.
                                                                                  2
             Keratin 14 (ab7800)              Abcam (UK)       2.4. Cell viability
             p63 (ab735)                      Abcam (UK)
            Secondary antibodies                               Viability assays  of  N/TERT  keratinocytes and  primary
                                                               keratinocytes in various media were performed.
             Alexa Fluor 488                  Invitrogen (USA)
             Alexa Fluor 568                  Invitrogen (USA)  2.4.1. Viability of N/TERT keratinocytes in PDα
             Alexa Fluor 647                  Invitrogen (USA)  medium
                                                               N/TERT keratinocytes (5000  cells/well) were seeded on
            was prepared with a 1:1 mixture of collagen solution   24-well plate in PDα medium (A*STAR RSC, Singapore)
            (0.1% w/v) and neutralization solution consisting of primary   and CnT-PR medium. Cells were cultured for 72  h and
            keratinocytes and sterile 5 mM sodium hydroxide (NaOH,   cell viability was then measured by performing CellTiter-
                                                                  ®
            Sigma, USA). Mixing of these two components was done on   Blue  Cell Viability Assay (Promega, USA) with excitation
            ice to prevent pre-mature gelation of the collagen solution.  wavelength at 555 nm and emission wavelength at 585 nm.
            2.3. Cell culture                                  2.4.2. Viability of primary keratinocytes in high pH
                                                               environment
            N/TERT keratinocytes were cultured in CnT-PR medium
            and culture medium was changed every 2  days. Cells   Before mixing the two-part component of the bioink,
            were trypsinized with TrypLE™ Express and routinely   primary keratinocytes were suspended in chilled PDβ


            Volume 9 Issue 4 (2023)                        438                         https://doi.org/10.18063/ijb.738
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