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








































            Figure 4. Osteoclast formation and bone resorption of BMMs cultured in the extract of magnesium (Mg) alloy scaffolds and stimulated with RANKL
            (100 ng/mL). (A) Representative images of TRAP-positive osteoclasts. (B) Quantification of the number (left) and the average area (right) of TRAP-
            positive multinucleated osteoclasts. (C) Representative images of F-actin ring formation in osteoclasts. (D) Quantification of the average number of F-actin
            ring; (E) Representative SEM images of bone resorption. (F) Quantification of resorbed bone slice area. *P < 0.05 vs. Control group;  P < 0.05 vs. Mg group.
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            slightly lower than that in the control group; however,   ZA groups was significantly higher than that in the control
            the difference was not statistically significant. On the 1st   group (Figure 3D), indicating that the environment of
            3rd, 5th, and 7th days, the OD value of the Mg group   rapid degradation of the Mg alloy in the Mg group was
            was significantly lower than that of the control group,   not conducive to osteogenic differentiation of rBMSCs. In
            indicating that the alkaline environment and excessive   contrast, the degradation products produced in the Mg/
            concentration of Mg ions after the rapid degradation of the   Sc and Mg/Sc/ZA groups were beneficial for osteogenic
            Mg alloy slowed down the proliferation rate of rBMSCs.   differentiation of rBMSCs because of the slow degradation
            Under the protection of the ceramic coating converted by   of the Mg alloy. In addition, there was no significant
            polysilazane, the degradation rate of the Mg alloy substrate   difference between the Mg/Sc and Mg/Sc/ZA groups.
            of the Mg/Sc and Mg/Sc/ZA groups decreased, and the   Therefore, the addition of ZA had no significant effect
            physical and chemical properties of the culture medium   on early osteogenic differentiation of rBMSCs. The semi-
            minimally changed; therefore, the cell proliferation of the   quantitative results for the mineralized nodules were
            Mg/Sc and Mg/Sc/ZA groups was not significantly affected.  similar to those for ALP activity (Figure 3E). As shown
                                                               in Figure 3F, the expression of ALPL, SPP1, RUNX2, SP7,
            3.4. Osteogenic differentiation                    COL1A1, and BGLAP related to bone differentiation in
            The effect of the 3D-printed Mg alloy scaffold extracts on   the Mg/Sc and Mg/Sc/ZA groups was significantly higher
            the osteogenic differentiation ability of rBMSCs is shown   than that in the control and Mg groups, further confirming
            in Figure 3. Figure 3B and C shows that the degree of ALP   that the Mg/Sc/ZA extracts can promote osteogenic
            and Alizarin Red staining in the Mg group was significantly   differentiation in vitro.
            weaker than that in the control group, whereas those in the
            Mg/Sc and Mg/Sc/ZA groups were significantly stronger   3.5. Osteoclastogenesis, bone resorption, and
            than those in the control group. The relative activity of   intracellular reactive oxygen species
            ALP in the Mg group was significantly lower than that in   TRAP  staining  results  are  shown  in  Figure  4A.
            the control group, whereas that in the Mg/Sc and Mg/Sc/  Quantitative statistics showed that the area and number


            Volume 9 Issue 5 (2023)                        409                         https://doi.org/10.18063/ijb.769
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