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International Journal of Bioprinting                         3D-printed Mg scaffolds promote bone defect repair



            β-glycerophosphate, 50 mM ascorbic acid, and 100 nM   2.2.8. Real-time quantitative polymerase chain
            dexamethasone. As mentioned earlier , ALP staining was   reaction
                                          [18]
            performed on the day 7, and ALP activity was determined   Real-time quantitative polymerase chain reaction (RT-
            using an ALP detection kit (Beyotime Biotechnology,   qPCR) was performed as described previously . Briefly,
                                                                                                     [21]
            China)  according  to the  manufacturer’s instructions.  To   rBMSCs were seeded in 6-well culture plates at a density
            evaluate the formation of calcium nodules, rBMSCs were   of 2 × 10  cells/well and cultured with different scaffold
                                                                       5
            stained with Alizarin Red solution (Cyagen, USA) 21   extracts for 3 days. BMMs were seeded in 6-well culture
            days after osteogenic induction. After photography and   plates  at  density  of 3  ×  10   cells/well  and  cultured  with
                                                                                     5
            recording, the mineralized nodules were dissolved in 10%   different scaffold extracts containing M-CSF and RANKL
            cetylpyridine (Sigma-Aldrich, USA), and the absorbance   for 3 days. Total RNA from rBMSCs and BMMs was
            at 562 nm was measured for semi-quantitative analysis.  separated using TRIzol reagent (Life Technologies,
                                                               USA). According to the manufacturer’s instructions, the
            2.2.4. Tartrate-resistant acid phosphatase (TRAP)   total  RNA  was  reverse-transcribed  into  complementary
            staining assay                                     cDNA using PrimeScript RT kit (TaKaRa, Japan), and TB
            Mouse bone marrow-derived macrophages (BMMs) were   Green Premix Ex Taq (TaKaRa, Japan) was used for real-
            isolated as previously described . BMMs were seeded in   time PCR on QuantStudio 6 flex real-time PCR platform
                                     [20]
            96-well culture plates at a density of 8 × 10  cells/well and   (Applied Biosystems, France). All the measured genes were
                                              3
            incubated different scaffold extracts containing 30 ng/mL    normalized to GAPDH and calculated by the 2 -ΔΔCt  method.
            macrophage colony-stimulating factor (M-CSF) and 100   Primer sequences (Sangon Biotech Co., Ltd., China) are
            ng/mL nuclear factor kappa B receptor activator ligand   listed in Table 1.
            (RANKL; R&D, USA) for 5 days. On the 5th day, the cells
            were stained using a TRAP staining kit (Sigma-Aldrich,   2.3. In vivo animal experiments
            USA). After staining, the number and the area of TRAP-  2.3.1. Osteoporotic bone defects model
            positive osteoclasts with three or more nuclei were counted   Animal experiments were conducted in accordance
            and observed, respectively, with the aid of a light microscope   with the relevant guidelines and approved by the Ethics
            (Leica, Germany) and analyzed using the ImageJ software.  Committee of the Ninth People’s Hospital affiliated with

            2.2.5. Actin ring formation assay                  the Shanghai Jiao Tong University School of Medicine. In
            BMMs were seeded in 48-well culture plates at a density of   this  study,  60  three-month-old  female  Sprague-Dawley
            2 × 10  cells/well and treated with different scaffold extracts   rats (Shanghai Sipper BK Laboratory Animals Ltd.,
                 4
            in the presence of M-CSF and RANKL for 5 days. The   Shanghai, China) were used for the in vivo experiments. A
            cells were stained with rhodamine-conjugated phalloidin   rat model of osteoporosis was established by ovariectomy
            (Abcam, UK) and subsequently stained with 4-amino-6-  to simulate postmenopausal osteoporosis as described
                                                                       [18]
            diamino-2-phenylindole (DAPI; Sigma-Aldrich, USA).   previously . A tube with a diameter of 3 mm was formed
            Finally, the actin rings were observed and imaged using a   on the outside of the right femoral condyle using a drill bit,
            fluorescence microscope (Leica, Germany).          and 3D-printed Mg alloy implants were implanted into the
                                                               tube. The animals were euthanized 3, 6, and 9 weeks after
            2.2.6. Bone resorption assay                       implantation to evaluate the effect of the implants on the
            BMMs were seeded onto bovine bone slices in 96-well   repair of osteoporotic bone defects.
            culture plates at a density of 8 × 10  cells/well. The cells
                                         3
            were treated with different scaffold extracts in the presence   2.3.2. X-ray and micro-computed tomography
            of M-CSF and RANKL. After 14 days, the cells on the   A Multifocus X-ray system (Faxitron, Biotics, USA) was used
            bone slices were removed. Bone slices were coated with   to examine the anteroposterior and lateral plain films of the
            gold after gradient dehydration, and bone resorption was   right femur according to the manufacturer’s instructions.
            observed using SEM.                                After fixation in 4% paraformaldehyde, the femur specimens
                                                               were scanned by micro-computed tomography (micro-CT;
            2.2.7. Intracellular reactive oxygen species (ROS)   SCANCO Medical AG, Bassersdorf, Switzerland). The
            assay                                              femoral condyle was considered as the region of interest
            BMMs were seeded on 35-mm petri dish at a density of   (ROI). High-resolution 3D reconstruction of the femoral
            3 × 10  cells/well and cultured in different scaffold extracts   condyle was also performed. The residual volume of
                 5
            containing M-CSF and RANKL for 48 h. The cells were   scaffolds, bone mineral density/bone volume (BMD/BV),
            incubated at 10 μM DCFH-DA (Beyotime Biotechnology,   bone volume/tissue volume (BV/TV), mean trabecular
            China) and observed under laser confocal scanning   thickness (Tb.Th), and mean trabecular spacing (Tb.Sp)
            microscope (LCSM, Leica, Germany).                 were quantitatively analyzed.


            Volume 9 Issue 5 (2023)                        404                         https://doi.org/10.18063/ijb.769
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