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







































            Figure 2. Proliferation and adhesion of cells on PEEK scaffolds with different pore sizes. (A) CCK-8 results of M1 macrophage cultured on PEEK scaffold
            with different pore sizes (0, 200, and 400 μm) for 1, 4, and 7 days. (B) The fluorescence staining of macrophages co-cultured with scaffolds of different pore
            sizes for 7 days (scale bar = 200 μm).

            pore size can promote the anti-inflammatory effect of   direct effect of paracrine secretions after co-culture of
            macrophages and increase the release of osteogenesis and   macrophages with scaffolds on the induction of osteogenic
            angiogenesis-related factors.                      differentiation of BMSCs, the ALP activity of BMSCs
                                                               after 14 days of culture in CM was examined, as shown
            3.3. Macrophage-mediated osteogenic activity       in Figure 5B. The results showed that the ALP activity in
            To evaluate the immunomodulatory effect of samples, the   the PEEK group was relatively the lowest, while the ALP
            supernatants from macrophage cultures were used as CM   activity in the PEEK400 group was the highest, and there
            to evaluate the osteogenic activity of BMSCs. The time-  was a statistical difference between the two groups. The
            based proliferation of BMSCs is shown in Figure 4. After   results of ALP staining (Figure 5A) showed that the ALP
            incubation for 1 day, no obvious difference was reported   staining in the PEEK200 and PEEK400 scaffold groups
            among the three groups. The PEEK200 and the PEEK400   was significantly deeper than that in the PEEK group after
            showed higher proliferation rate in comparison with the   BMSCs were induced and cultured for 14 days, and the
            PEEK after 4 and 7 days of culture, and the rabbit BMSCs   PEEK400 group had the most obvious staining results,
            exhibited much greater proliferation  on the  PEEK400   which reconfirmed the results of ALP. Furthermore, the
            group (p < 0.01). Figure 4B showed the cell morphology   Alizarin red S staining results (Figure 5D) showed that
            of rabbit BMSCs cultured for 7 days. It can be seen that   with the increase of pore size, the staining of Alizarin red
            the  cells  in  the  PEEK  group  grow  mono-dispersedly,   S gradually became intense, and the semi-quantitative
            while the cells in the PEEK400 group are connected to   results of Alizarin red S staining (Figure 5C) showed that
            each other and spread more obviously, indicating that the   the OD value at 600 nm of the PEEK400 scaffold group
            paracrine secretions after co-culture of macrophages with   was significantly higher. This indicates that the paracrine
            macropore-sized scaffolds can promote the proliferation   secretion of macrophages in PEEK400 group induces a
            and adhesion of BMSCs, which is consistent with the   higher level of extracellular mineralization of BMSCs,
            results of CCK-8.
                                                               which also means that it has the strongest effect on
               ALP is one of the commonly used indicators for the   inducing osteogenic differentiation, which can be mutually
            osteogenic differentiation of BMSCs. To examine the   confirmed with the results of ALP activity.

            Volume 9 Issue 5 (2023)                        134                         https://doi.org/10.18063/ijb.755
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