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International Journal of Bioprinting                               DLP-printed scaffold for bone regeneration



            transwell assay. The scaffolds were placed in 24-well plates   rabbits via micro-CT scans. The scanning parameters were
            and then HUVECs (10 /well) were inoculated in the upper   an effective pixel size of 17.34 μm, a current of 500 μA, a
                              4
            chamber with a pore size of 8 μm and cultured for 12 h   voltage of 80 kV, and an exposure time of 1500 ms. The two-
            and 24 h using low-serum medium (H-DMEM, 2% FBS,   dimensional (2D) images were reconstructed into 3D images
            1% penicillin–streptomycin), after which the cells were   using Inveron Research Workplace (Siemens) to calculate
            fixed and the upper layer was removed with cotton swabs,   the bone regeneration parameters: bone mineral density
            stained with 1% crystalline violet. After staining, the cells   (BMD), bone volume/total volume (BV/TV), trabecular
            were observed under a microscope, and cell detection was   thickness (Tb.Th), and trabecular spacing (Tb.Sp).
            performed using ImageJ.
                                                               2.9.3. Histology analysis
            2.8.2. Scratch wound assay                         Samples  were  decalcified  in  10%  Ethylenediamine
            HUVECs (10 ) were inoculated on 6-well plates and   Tetraacetic Acid (EDTA), dehydrated in a gradient of
                       5
            cultured to 80%–90% confluence with complete medium   ethanol, and cleared using xylene. The samples were then
            (H-DMEM, 10% FBS, 1% penicillin–streptomycin). The   embedded in paraffin and cut into 10-mm slices using a
            cells were scratched with a 1000 µL sterile tip to form straight   microtome for staining.
            rows of scars, and then the suspended cells were washed
            off,  the  medium  was  replaced  with  low-serum  medium   2.10. Statistical analysis
            (H-DMEM, 2% FBS, 1% penicillin–streptomycin), and the   Statistical analysis was performed by one-way analysis of
            culture was continued for 12 h, following which the extent   variance (ANOVA) with post hoc tests using the GraphPad
            of scratch healing was determined.                 Prism software (version 8, GraphPad, USA). The data are
                                                               expressed as the mean ± standard deviation (SD), and
            2.8.3. Tube formation assay                        all experiments were performed at least three times. The
            In order to explore the ability of different scaffolds to   results were analyzed by one-way ANOVA with the Tukey–
            promote angiogenesis, Matrigel (BD, growth factor-  Kramer multiple comparison analysis. A value of p < 0.05
            reduced, 356231) was covered on the surface of µ-Slide   was regarded as statistically significant (*p < 0.05, **p
            Angiogenesis (ibidi, 81506), and then 10  cells were   < 0.01, and ***p < 0.001).
                                                4
            inoculated on the surface of Matrigel. Different conditioned
            culture medium was used to induce tubes for 6 h, and   3. Results
            they were observed under a microscope. The extent of   3.1. Characterization and degradation of GelMA/
            angiogenesis on the obtained images was determined   PMAA scaffolds
            using ImageJ software.                             The mechanical and biological properties of GelMA

            2.9. Effect of scaffold in vivo                    hydrogels can be regulated by the degree of methacrylate (DS)
            Eighteen of New Zealand white rabbits (2.5 kg ± 0.5 kg,   substitution as well as the concentration and crosslinking
            male) were randomly divided into three groups: blank,   time of GelMA. First, we synthesized the macromonomer
            GelMA, and GelMA/3%PMAA groups, and each sample    via methacryloyl (MA) reacting with gelatin (Figure S1A
                                                                                                      1
            was repeated three times. All animals used in this study   in Supplementary File). The local high-resolution  H NMR
            were obtained from the Animal Experiment Center of   spectra of gelatin (left) and GelMA (right) in  Figure 2A
            the  PLA  General  Hospital  and  approved  by  the  Ethics   showed the appearance of new proton signals at 5.5 and 5.7
            Committee (2022-x18-51).                           ppm (–CH=CH ) in the macromonomer, suggesting that the
                                                                           2
                                                               methyl acryloyl group was successfully grafted onto the side
            2.9.1. Implantation in rabbit radio defects        chain of gelatin. The substitution degree of methacrylate was
            The  rabbits  were  anesthetized,  and  the  distal  femur   about 90%, and GelMA with interconnected pores could be
            was shaved and disinfected. After cutting the skin and   easily prepared by exposing it to UV for 10 s (Figure S1B
            subcutaneous tissue, a cylindrical defect, which was 6 mm   and S1C in Supplementary File).
            in diameter, was created using a surgical drill, without
            penetrating the contralateral cortex in the distal femur. The   To better harmonize the mechanical strengths, we chose
            sterile scaffolds were inserted into the defect site, and the   PMAA concentrations of 3% and 6% as a way of exploring
            subcutaneous tissue and skin were sutured layer by layer.   more suitable concentrations for  in vivo implantation.
            The rabbits were sacrificed at week 4 and week 8 post-  The introduction of PMMA increased the toughness and
            operatively for the next step of treatment.        strength of the scaffolds compared to GelMA (Figure 2D).
                                                               At the same time, the scaffolds’ modulus decreased from
            2.9.2. Micro-CT analysis                           66.72  ±  4.73  kPa  to  28.42  ±  3.15  kPa  with  the  increase
            The Inveron MM System (Siemens, Munich, Germany) was   of MAA concentration (Figure 2E). The structure of the
            used to evaluate the amount of new bone in each group of   scaffolds was observed by SEM, which had a macropore

            Volume 9 Issue 5 (2023)                        116                         https://doi.org/10.18063/ijb.754
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