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



            filter,  and CM of  scaffolds with different  pore sizes  was   were incubated in 40 mM Alizarin red S for 10 min after
            finally obtained.                                  being fixed with 4% paraformaldehyde for 30 min. The cell
                                                               mineralization was observed by using stereomicroscope
            2.4.2. BMSCs growth and adhesion                   (SteREO, ZEISS, Germany). The optical density (OD) value
            BMSCs were seeded at a density of 3 × 10  cells/well and   was measured at 540 nm after the stain was solubilized
                                              4
            cultured in the CM for 48 h and then cultured for a further   with 10% cetylpyridinium chloride.
            3 and 7 days in osteogenic media (DMEM supplemented
            with 10  M dexamethasone, 10 M β-Glycerophosphate,   2.5. Paracrine effect of macrophage on HUVECs
                  -7
                                      -2
            and 50 μg/mL ascorbic acid [Sigma, USA]) . Then, the   2.5.1. Scratch healing experiment
                                               [28]
            original medium was removed, and CCK-8 working     HUVECs were seeded in 6-well plates at a density of 1 ×
            solution  (a  mixture  of 90%  complete  medium  and  10%   10  cells/well and incubated overnight. When cells reached
                                                                 5
            CCK-8)  was  added  and incubated  at 37°C,  5%  CO    90% confluency, a sterile 200-μL pipette tip was used to
                                                          2
            for 30 min. One hundred microliter of the incubated   make a cell-free scratch in the middle of the monolayer
            culture solution was transferred to a 96-well plate, and a   of HUVECs and rinsed with PBS to remove unadhered
            microplate reader (BIO-RAD 680, USA) was used to test   cells as well as cell fragments . Furthermore, after adding
                                                                                      [29]
            the absorbance value (OD ) of the culture solution at   different CMs, HUVECs were further cultured at 37°C and
                                  450
            450 nm.                                            5% CO  for 12 and 24 h. After 0, 12, and 24 h of incubation,
                                                                     2
               The adhesion and distribution  of BMSCs on the   the scratches were photographed with a microscope, and
            surface of PEEK scaffolds were observed by fluorescence   then the scratch area was quantitatively analyzed using
            microscope. After BMSCs seeding for 7 days, the cells were   ImageJ software, and the scratch healing rate was calculated
            fixed in 4% paraformaldehyde for 30 min. All samples   using Equation I:
            were rinsed several times with PBS and permeabilized                 At
            with 0.5% Triton X-100. After that, cells were stained with   Wound area %    A0 100 %     (I)
            70 nM FITC-labeled rhodamine phalloidin (Solarbio,
            China), washed with PBS after 30 min of incubation. The   where At is the area of scratches at different time points,
            fluorescence images of the constructs were observed with a   and A0 is the area of scratches at 0 h.
            confocal microscope (LSM880, Zeiss, Germany).      2.5.2. Expression of angiogenesis-related genes

            2.4.3. Expression of osteogenesis-related genes    HUVECs cells were seeded in 24-well plates at a density
                                                                      5
            BMSCs were seeded at a density of 3 × 10  cells/well and   of 1 × 10  cells/well and cultured overnight, and then, the
                                              4
            cultured in the basal culture media or CM for 48 h and then   cell culture medium was changed to a 1:1 mixed medium
            cultured for a further 7 days in osteogenic media. After 7   of CM and complete medium. After 3 days of co-culture,
            days of culture, the cells were collected and washed with   the cells were collected and washed with PBS for 3 times.
            PBS for 3 times. RT-PCR was used to detect the expression   RT-PCR was used to detect the expression of angiogenesis-
            of osteogenesis-related genes, and the detection steps were   related genes, and the detection steps were the same as
            the same as those in Section 2.3.4. The sequences of forward   those in section 2.3.3. The sequences of forward and
            and reverse primers of target genes (ALP, OCN, OPN, and   reverse  primers  of  target  genes  (Angiogenin,  FGF,  and
            RUNX2) are listed in Table S2 (Supplementary File).  SDF) are listed in Table S3 (Supplementary File).

            2.4.4. ALP activity analysis                       2.6. Animal experiment
            BMSCs were seeded at a density of 3 × 10  cells/well and   2.6.1. Surgical procedure
                                              4
            cultured in the basal culture media or CM for 48 h and   Ethical approval was obtained from the Experimental
            then cultured for a further 7 and 14 days in osteogenic   Animal Ethics Committee of Jinan University. The
            media. According to the instructions of the kit, ALP assay   tibial defect model animals used were New Zealand
            kit (Solarbio, China) and BCA Protein assay kit (Solarbio,   rabbits, which were purchased from Huadong Xinhua
            China) were used to determine the ALP activity of BMSCs,   Experimental Animal Farm. Then, the rabbits were
            and three independent experiments were conducted.  anesthetized with 3% sodium pentobarbital (1 mL/kg) and
                                                               xylazine hydrochloride (0.1 mL/kg), and the hind limbs
            2.4.5. Alizarin red S staining                     of rabbits were cleaned and disinfected with iodophor
            BMSCs were seeded at a density of 3 × 10  cells/well and   and alcohol. Afterward, a defect of 8 mm in diameter
                                              4
            cultured in the basal culture media or CM for 48 h and   and 3 mm in depth was made on the tibial plateau with a
            then cultured for a further 21 days in osteogenic media.   trephine with a diameter of 8 mm, and then the sterilized
            After 21 days of culture, the supernatants were removed,   3D-printed PEEK scaffold was implanted into the defect.
            and cells were rinsed with PBS for 3 times. Then, the cells   Then, the wound was sutured layer by layer, and the rabbits

            Volume 9 Issue 5 (2023)                        131                         https://doi.org/10.18063/ijb.755
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