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International Journal of Bioprinting                                 Scaffold for engineering enthesis organ













































            Figure 11. Proliferation and differentiation of MSCs on electrospun PLGA scaffolds (ePLGA). MSCs were seeded on different scaffolds for 3 (A) or 7
            (B) days. In the end, the MTS assay was performed. Data are expressed as the percentage of cell proliferation versus undifferentiated MSCs seeded on
            plastic (CTRL). (C) Schematic representation of differentiation protocol used. (D–F) Cells were seeded on the electrospun PLGA scaffolds (ePLGA) or
            plastic (CTRL) and maintained in a growth medium or tenogenic medium (Teno) for 14 or 21 days. In the end, aniline blue staining was performed, and
            representative images after 21 days were reported (D). Data are expressed as the percentage of differentiation versus non-differentiated (CTRL) MSCs
            grown on plastic. Data are the results of three independent experiments. ***p < 0.001 vs. CTRL.


            3.5.3. Differentiation of MSC on multimaterial     medium (pre-differentiated MSC) before being
            scaffolds                                          seeded  on the  scaffold. Specifically, osteoblast pre-
            To assess the ability of the enthesis scaffold to promote   differentiated cells were seeded on the PCL region and
            and maintain both the osteogenic and tenogenic     tenocyte pre-differentiated cells on the PLGA region
            differentiation, alizarin red and aniline blue stainings   and then maintained in a growth medium. As expected,
            were  performed.  Thus,  undifferentiated  MSCs  were   osteogenic pre-differentiated cells were able to improve
            seeded on the enthesis scaffold and maintained in a   their differentiation into osteoblasts on enthesis,
            growth medium for 14 and 21 days to assess the ability   with a significant increase of calcium deposition with
            to support osteoblast and tenocyte differentiation,   respect to the undifferentiated ones (Figure 12B).
            respectively (Figure 12A). In fact, the calcium    Similarly, tenogenic pre-differentiated cells were able
            deposition  was  already  significantly  increased  after   to significantly increase  the collagen  deposition on
            14 days of culture on the scaffold (Figure 10E and F).   enthesis with respect to the undifferentiated ones
            Conversely, 21 days were needed to obtain a significant   (Figure 12C).
            deposition of collagen (Figure 11E and F). The enthesis
            scaffold slightly induced osteoblast and tenocyte   3.6. Clinically-relevant scale scaffold
            differentiation when undifferentiated MSCs were used   Uniaxial tensile testing results of 3D braided scaffolds
            (Figure 12B and C). Then to induce the differentiation,   are shown in  Figure 13. Analyzing the stress–strain
            MSCs were primed with osteogenic or tenogenic      curve (Figure 13B), it is possible to distinguish: (i) the


            Volume 9 Issue 5 (2023)                        308                         https://doi.org/10.18063/ijb.763
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