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International Journal of Bioprinting                       3D bioprinting of ultrashort peptides for chondrogenesis



            Table 2. Shape fidelity assessment score after 3D bioprinting  and IIZK peptides, and then the cell-laden constructs
                                                               were stained for cytoskeleton, and z-stack 3D images were
             Score  Description                                taken using confocal microscopy. The distribution and
             1     •  Extremely poor resolution                arrangement of cells were evaluated within cuboids with
                   •  Slow gelation                            1.0 cm edges and 0.26 cm height. After 21 days of culture,
                   •  Forms clumps
                   •  Does not form consistent thread of hydrogel  cells in both ultrashort peptides’ cell-laden constructs
                   •  Cannot identify details of structure     retained their fibroblast-like morphology, with actin
             2     •  Poor resolution                          fibers well-defined. This cell elongation demonstrates
                   •  Slow gelation                            the connection between cells and the ultrashort peptide
                   •  Clumpy and inconsistent                  hydrogel, pointing to the high cytocompatibility of
                   •  Structure details are visible but blurry  the ultrashort peptide biomaterial and a high level of
                   •  Begins to fall apart as structure gets taller  interaction with the ultrashort peptide hydrogel.
             3     •  Good resolution
                   •  Gelation time is reasonable                 Z-stack images and (x,  y,  z) projected area images
                   •  Forms a consistent thread of hydrogel with occasional   demonstrated the 3D distribution of the cells throughout
                     clumping                                  the printed structures. Using both ultrashort peptide
                   •  Details of structure are clearly visible but weak  bioink, the cells were found to be dispersed throughout
                   •  Difficult to hold shape for taller structures
             4     •  Very good resolution                     the entire printed constructs with cytoplasmic extensions
                                                               and cell–cell interaction. A summary comparing the
                   •  Gel forms immediately
                   •  Consistent thread of hydrogel            two ultrashort peptide bioink in terms of mechanical
                   •  Details of structure are cleary visible  properties, printability, shape fidelity, and biocompatibility
                   •  Holds shape for tall structures but may have gap in   is listed in Table 3.
                     layers due to excess water
             5     •  Excellent resolution                     3.4. Ultrashort peptide bioink supports
                   •  Gel forms immediately                    chondrogenic differentiation of hMSCs
                   •  Consistent thread of hydrogel is very fine
                   •  Sharp details are clearly visible        The differentiation of MSCs is governed by their
                   •  Holds shape for tall structures without sagging due to   surrounding  microenvironment,  including  growth
                     excess water                              stimulation,  activation  of  intracellular  signaling,  and
                                                               interaction of cells with the ECM. Besides stimuli of the
            that the brief delay in gelation resulted in slightly weaker   growth factors, it has been shown that matrix stiffness can
            walls as compared to IZZK which resulted in a score of 4   regulate and guide the differentiation of these cells toward
            for IIZK. This was expected as it reflected the difference   a specific lineage. For instance, soft substrates were found
            in stiffness and elasticity in both ultrashort peptides, as   to promote the differentiation of MSCs toward adipogenic
            seen in rheology readings. Overall, IZZK and IIZK both   lineage,  whereas  stiff  substrates  were  found  to  promote
            achieved printability and maintained strong shape fidelity.  the  differentiation toward  osteogenic  lineage [41,42] .  MSCs
                                                               sense the mechanical signals and biophysical cues from
            3.3. Assessment of 3D-bioprinted cell-laden        the surrounding ECM, eliciting intracellular signaling
            constructs                                         pathways that influence and guide cell fate decisions [43,44] .
            Long-term cell  viability  postprinting  is one  of  the most   Accordingly,  mechanical stiffness is  an essential  factor
            crucial parameters in evaluating the potential use of bioink   for consideration when designing material for tissue
            for tissue engineering. We had previously demonstrated the   engineering applications.
            high cell viability rate upon 3D bioprinting using peptide-  For the first time, we investigated at the molecular
            based bioink and the in-house developed robotic arm   level which ultrashort peptide hydrogel (IIZK or IZZK) is
            bioprinting , which was further confirmed in this study.   better suited for the chondrogenic differentiation of MSCs
                     [29]
            The cell viability of 3D-bioprinted cell-laden constructs   and can be preferably used in cartilage tissue regenerative
            was assessed using the LIVE/DEAD cell imaging assay.   medicine applications. Accordingly, to study chondrogenic
            A high percentage of viable cells was observed for both   differentiation, the MSCs were 3D-bioprinted using IIZK
            ultrashort peptide bioink (Figure 3A). Using the ultrashort   or IZZK, and cells were supplemented with chondrogenic
            peptide bioinks, instant gelation was achieved without   induction media. Then, gene expression analysis of
            needing harmful crosslinking reagents.
                                                               cartilage-specific markers using RT-PCR was studied at
               We also investigated the 3D distribution of cells within   different time points (days 7 and 14) upon differentiation
            both ultrashort peptides after bioprinting (Figure 3B). In   (Figure 4). Chondrogenic biomarkers such as collagen
            this regard, hBM-MSCs were 3D-bioprinted using IZZK   type II (Col-II), aggrecan, and SRY-related high mobility

            Volume 9 Issue 4 (2023)                         68                         https://doi.org/10.18063/ijb.719
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