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International Journal of Bioprinting        3D printed PEEK scaffold mediates macrophages to affect osseointegration



            2.2.2. Water contact angle                         CO  for 30 min, and then, a microplate reader (BIO-
                                                                  2
            The water contact angle of the untreated, sulfuric acid-  RAD 680, USA) was used to test the absorbance value
            treated and nitric acid-treated scaffold was measured   (OD ) of the culture solution at 450 nm. The adhesion
                                                                  450
            by using a Drop Shape Analysis System DSA100 (Kruss,   and distribution of macrophages on the surface of PEEK
            Germany) at room temperature.                      scaffolds were observed by fluorescence microscope. After
                                                               macrophage seeding for 7 days, the cells were fixed in 4%
            2.2.3. Parameters of scaffold pore                 paraformaldehyde for 30 min. All samples were rinsed
            According to the SEM image of the scaffold, the distance   several times with PBS and permeabilized with 0.5% Triton
            (pore size) between the printed filaments in the SEM image   X-100.  After  that,  cells  were  stained  with  70  nM  FITC-
            of the scaffold was counted using ImageJ software, and the   labeled rhodamine phalloidin (Solarbio, China), washed
            average value of 20 pore sizes was counted and calculated.   with  PBS  after  incubation for  30  min.  The  fluorescence
            According to the pore size measured by SEM and the width   images  of  the constructs  were  observed  with  a confocal
            of the printing wire, the average porosity of five scaffolds   microscope (LSM880, Zeiss, Germany).
            was calculated. The connectivity between the pores of the
            scaffold was observed, and the pore connectivity of the 20   2.3.3. Cytokine measurements
            scaffolds was counted and calculated.              M1 macrophages were seeded on the surface of PEEK0,
                                                               PEEK200, and PEEK400 scaffolds at a density of 2 × 10
                                                                                                             4
            2.3. Characteristics of macrophages incubated in   cells/well, and the supernatant of each experimental group
            3D-printed PEEK scaffolds                          was collected after 3 days of incubation. The concentrations
            2.3.1. Macrophage seeding                          of TNF-α, IL-6, IL-10, BMP-2, VEGF, and PDGF-bb were
            RAW264.7 (murine monocyte/macrophage cell line)    quantified by ELISA kit (4A Biotech).
            were obtained from American Type Culture Collection
            (ATCC) and incubated in basal culture media composed   2.3.4. Expression of macrophage polarization-related
            of Dulbecco’s modified eagle medium (DMEM; Gibco)   genes
            supplemented with 10% fetal bovine serum (FBS; Gibco)   To  simulate  the  state  of  acute  inflammatory  response
            and 1% penicillin and streptomycin (HyClone) in 25 cm    produced by biomaterials in the early stage of implantation,
                                                          2
            culture flask. The induction of M1 macrophages followed the   M1 macrophages were seeded on the surface of 3D-printed
            steps below after RAW264.7 cells were adherently cultured   PEEK scaffolds with different pore sizes at a density of 1 ×
                                                                 5
            in culture flasks overnight, and the medium was changed   10  cells/well. After 3 days of co-culture, the cells were
            to induction medium containing 20 ng/mL interferon   collected and washed with PBS for three times. Total RNA
            gamma (IFN-γ) and 100 ng/mL lipopolysaccharide (LPS).   was isolated using the Trizol Reagent (Life Technologies,
            After induction culture for 12 h, the induction medium   USA) method as described by the manufacturer (BIO-
            was replaced with complete medium, and M1 macrophages   RAD 680, USA). cDNA was synthesized from the isolated
            were obtained after culturing for 24 h.            RNA using PrimeScript™ cDNA synthesis kit (TaKaRa
                                                               Bio, Japan). The sequences of forward and reverse primers
               For  cell  seeding,  3D-printed  PEEK scaffolds  (10 mm   of housekeeping gene and target gene (C-C chemokine
            in  diameter,  3 mm  in  height)  were  sterilized  and pre-  receptor type 7 [CCR7], TNF-α, inducible nitric oxide
            incubated with DMEM for 12 h. Subsequently, the M1   synthase [iNOS], VEGF, CD206, TGF-β, BMP-2, and
            macrophages were washed three times with phosphate-  PDGF-bb) are listed in  Table S1 (Supplementary File).
            buffered  saline (PBS),  and  then  the  concentrated   RT-PCR samples were prepared by mixing the cDNA,
            suspensions of macrophage were injected evenly on the   SYBR Green qPCR Master Mix (Life Technologies), and
            surface of the PEEK scaffold. The scaffolds were cultured   the primers, and the RT-qPCR was performed utilizing the
            in a humidified atmosphere of 5% CO , 37 °C for 1 h, and   7500HT Fast Real-Time PCR (Applied Biosystems, USA).
                                          2
            basal culture media were added for further incubation; the   The relative gene expression was calculated using the 2 −ΔΔCt
            medium was changed every 2 days.                   method with GAPDH as the reference gene.

            2.3.2. Macrophage proliferation and adhesion on    2.4. Paracrine effect of macrophage on BMSCs
            scaffolds                                          2.4.1. Preparation of macrophage-conditioned media
            M1 macrophages were seeded on the surface of PEEK0,   Conditioned medium (CM) is the supernatant of the
            PEEK200, and PEEK400 scaffolds at a density of 2 ×   medium produced after co-culture of macrophages and
              4
            10  cells/well and then cultured for a further 1, 4, and 7   scaffolds . After the scaffolds were co-cultured with
                                                                      [27]
            days. Then, the original medium was removed, CCK-8   macrophages for 3 days, the supernatant was collected,
            working solution (a mixture of 90% complete medium   centrifuged at 300×g for 1 h to remove any residual, and
            and 10% CCK-8) was added and incubated at 37°C, 5%   then filter-sterilized using a 0.22-μm sterile microporous

            Volume 9 Issue 5 (2023)                        130                         https://doi.org/10.18063/ijb.755
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