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International Journal of Bioprinting                                 Scaffold for engineering enthesis organ



            2.2.2. Tendon/Ligament-like region                 After sterilization, scaffolds were incubated overnight
            To mimic the physiological, morphological, and mechanical   in DMEM-F12, supplemented with 10% FBS, 100 U/mL
            characteristics of T/Ls, a scaffold must exhibit an anisotropic   penicillin, and 100 mg/mL streptomycin. On the scaffolds
            fiber  orientation, as  in  native  tissues.  In T/Ls,  collagen   fabricated by solvent casting, the day after the soaking,
            fibers are oriented along the applied stress direction .   20,000 cells were seeded in each well (24-multiwell
                                                        [29]
            To replicate this characteristic, PLGA was processed by   plate). For the tridimensional scaffolds, 250,000 cells
            electrospinning technology. For this application, using and   were seeded on 3D-printed PCL in a 24-multiwell plate;
            manipulating a strong electric field allow the nanofibers   30,000 cells were seeded on an electrospun PLGA scaffold
            to  be  extruded  and collected  in  an  adjustable  manner.   in  a  24-multiwell  plate.  Similarly,  for  the  multimaterial
            To collect aligned fibers, a rotating drum collector was   enthesis structure, 30,000 cells were seeded on the PLGA
            used (drum diameter = 10 cm). PLGA nanofibers were   side and 70,000 cells on the PCL side and used for further
            obtained by electrospinning a solution of 10% (w/v) of   experiments. As a control, 30,000 cells were seeded on
            PLGA dissolved in 1,1,1,3,3,3-hexafluoro-2-propanol   plastic in a 24-multiwell plate.
            (HFIP). This solvent possesses a dielectric constant almost
            4 times higher than chloroform allowing thinner fibers   2.3.3. Viability tests
            to  be electrospun . The  electrospinning  process was   The MTS assay (CellTiter 96 Aqueous One Solution Cell
                           [30]
            performed using a Linari Engineering apparatus (Linari   Proliferation Assay kit, Promega, Madison, Wisconsin,
            Eng, Italy) featuring a commercial 10 mL syringe with a   United States) was performed on cells seeded on the
            21 G needle as its spinneret. Electrospinning parameters   scaffolds fabricated by solvent casting in DMEM-F12,
            were as follows: the applied voltage was 35 kV, the distance   supplemented with 10% FBS, 100 U/mL penicillin, and
            between the spinneret and the grounded collector was 10   100 mg/mL streptomycin,  after 3 and  7 days of  culture,
            cm, the rotating speed of the collector was 800 RPM, and   as described by the manufacturer. Briefly, 250 µL of fresh
            the flow rate was 1 mL/h. The process was conducted for   medium was added to each well with 37.5 µL of the MTS
            2 h at room temperature, T = 21°C, and relative humidity,   reagent and incubated for 2 h at 37°C in 5% CO . The
                                                                                                        2
            RH, = 45%. Samples of electrospun PLGA for cell culture   supernatants  were  transferred  in  a  96-multiwell  plate  to
            into a 24-multiwell plate were prepared by die cutting.  avoid the interference of the materials, and the absorbance
                                                               was read at 490 nm (Ensight, PerkinElmer, Waltham,
            2.2.3. Enthesis scaffold                           Massachusetts, United States).
            The enthesis gradient in physical properties was replicated
            by developing an ad-hoc biofabrication protocol in which   2.3.4. Immunofluorescence analysis
            PCL was directly 3D-printed on electrospun PLGA mats.   Cells were seeded on the scaffolds fabricated by solvent
            Through  the  3D  printer,  two  layers  of  PCL  (single  layer   casting (or on the glass as control) and maintained in
            height 0.2 mm and oriented at 90 degrees to each other)   DMEM-F12, supplemented with 10% FBS, 100 U/mL
            were extruded, fabricating a grid structure on the PLGA   penicillin, and 100 mg/mL streptomycin for 3 days. Then
            strips. The extrusion parameters are the same as listed in   cells were fixed in 4% paraformaldehyde (PFA) for 15 min,
            Table 1.                                           rinsed three times in PBS, permeabilized in  PBS-BSA
                                                               2.5% with Triton X-100 0.1% for 7 min, and washed and
            2.3. Biological validation of materials            incubated in the blocking solution (PBS-BSA 2.5%) for
            2.3.1. Cell culture                                1 h at room temperature. Then, samples were incubated
            MSCs (human mesenchymal stem cells (bone marrow),   with primary antibody Anti-CD90 (HPA003733, Sigma-
            SCC034,  Millipore, Burlington,  Massachusetts,  United   Aldrich, St. Louis, Missouri, United States) and Anti-
            States)  were  purchased  and  were  maintained  in  xeno-  Actin  (MAB1501,  Millipore, Burlington,  Massachusetts,
            free medium (XF MSC expansion medium, cod: SCM045   United  States)  diluted  in  blocking  solution overnight
            Millipore, Millipore, Burlington, Massachusetts, United   at 4°C. The day after, samples were rinsed in PBS-BSA
            States). Cells were grown at 37°C in 5% CO  and detached   2.5% and incubated with the secondary antibody (Anti-
                                              2
            using Trypsin with EDTA 1x (25-053-CI, Corning Inc.,   Rabbit Alexa Fluor 488, A-11001, and Anti-Mouse Alexa
            New York, United States) at 80% confluence, used until   Fluor 594, 1:500, A-11012, Thermo Fisher Scientific,
            passage 6.                                         Waltham, Massachusetts, United States) for 45 min at
                                                               room temperature. Finally, cells were rinsed in PBS and
            2.3.2. Mesenchymal stem cells seeding protocol     mounted with the Fluoroshield mounting medium with
            All the tested scaffolds were sterilized by UV exposure   DAPI staining (F6057, Sigma Aldrich, St. Louis, Missouri,
            and then washed in phosphate-buffered saline (PBS);   United States), and images were acquired using a Nikon
            moreover, the three synthetic ones were rapidly washed   E-Ri microscope with a magnification of 60x.
            in  ethanol  (70%  in  H O)  before  the  UV  light  exposure.
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            Volume 9 Issue 5 (2023)                        299                         https://doi.org/10.18063/ijb.763
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