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     International Journal of Bioprinting             3D-Bioprinted human lipoaspirate-derived cell-laden skin constructs
            Figure  6. Fabrication of 3D-printed constructs. (A) 3D-bioprinting platform. (B) Bioink was used for printing in a layer-by-layer style in a sterile
            environment. (C) Printed constructs exhibited a complex lattice-shaped structure as expected. (D) Image taken by the printer’s high-definition camera. (E)
            Representative microscopic image of printed construct. (F) Representative SEM micrograph of printed construct.
            95.73% ±  1.21%, and 96.17% ± 1.05%,  respectively,   of wound closure showed that the wound area decreased
            and those in the GelMA–HAMA group were 96.43% ±    over time in each treatment group. However, wound sizes
            1.07%, 95.35% ± 1.52%, and 95.19% ± 1.4%, respectively.   differed among the groups, and on day 7 after implantation,
            No significant difference in cell viability was observed   the wound area of the blank control group decreased the
            between the two bioinks (Figure 7E and F). CCK-8 assay   most slowly. On day 14, the two groups with ADSC-laden
            and live/dead staining results together demonstrated the   scaffolds had achieved complete wound closure. Notably,
            biocompatibility of adECM–GelMA–HAMA. We propose   the skin in the ADSC-laden adECM–GelMA–HAMA
            that the high cell viability in both groups may be related   group had healed more completely, whereas that in the
            to the nutrient-rich medium used for cell growth in vitro,   ADSC-laden GelMA–HAMA group still showed an area
            which differs from the complex wound microenvironment   of poor epithelization. In both treatments with acellular
            in vivo . Although no significant difference was observed   scaffolds, a small area of unclosed wound remained, but
                 [17]
            between the two bioink groups, cell viability was >95% in   the wound areas in these groups were smaller than those in
            both groups. Together, the CCK-8 assay results and live/  the blank control group (Figure 8B).
            dead staining results demonstrated the biocompatibility of
            both prepared bioinks.                                Quantitative measurement of wound closure
                                                               showed that the area of the unclosed wound at day 7
            3.7. In vivo wound healing after treatment with    was remarkably smaller in the ADSC-laden adECM–
            3D-bioprinted scaffolds                            GelMA–HAMA group (15.4% ± 1.56%) than that in the
            A full-thickness skin defect model in nude mice was used   ADSC-laden GelMA–HAMA, adECM–GelMA–HAMA,
            to evaluate the effectiveness of ADSC-laden 3D-bioprinted   GelMA–HAMA, and blank control groups (26.43% ±
            adECM–GelMA–HAMA scaffolds for promoting the       4.11%, 29.47% ± 3.23%, 34.68% ± 3.73%, and 54.48% ±
            wound-healing  process  (Figure  8A).  Gross  observation   6.59%, respectively). On day  14, the wound area  in the
            Volume 9 Issue 4 (2023)                         39                          https://doi.org/10.18063/ijb.718
     	
