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International Journal of Bioprinting                                   Surface modification of PCL scaffolds




            3.3. Effect of surface modification on cell        3.6. Surface modification mediated osteogenesis via
            morphology and adhesion                            integrinα2/β1-PI3K-AKT signaling pathway
            Cell morphology and adhesion were analyzed through   Transcriptomics analysis  identified 2116  differentially
            double staining of vinculin (red) and F-actin (green).   expressed genes (DEGs), with 1413 upregulated and 713
            The cytoskeletons of BMSCs were observed to form a   downregulated DEGs (Figure 6A and B). The underlying
            ring-shaped structure and interweave within the pores   mechanisms were then analyzed using KEGG analyses,
            of all scaffolds (Figure 3A). In addition, the study found   which revealed the top 20 KEGG pathways (Figure 6C).
            that BMSCs on M-PCL scaffolds produced a greater   Previous studies have shown that the use of hierarchical
            amount of vinculin compared to those on PCL scaffolds.   microgroove/nanopore topography on titanium implants
            This was confirmed through quantitative analysis of   can improve osseointegration through the activation of the
            the average fluorescence intensity (Figure 3A and  B).   PI3K-AKT signaling pathway . Therefore, it was chosen
                                                                                       [45]
            SEM results showed that BMSCs on M-PCL scaffolds   for subsequent study. Further analysis demonstrated a
            displayed more and longer filopodial protrusions   significant upregulation of gene expression in the PI3K-Akt
            compared to relatively short and less filopodia on PCL   signaling pathway in the M-PCL group compared to the
            scaffolds (Figure 3C).                             PCL group (Figure 6D). Western blotting confirmed the
                                                               activation of the PI3K-Akt signaling pathway (Figure 6E).
            3.4. Effect of surface modification on osteogenic   These findings suggest that the NaOH-modified surface can
            differentiation                                    enhance osteogenic differentiation through the integrinα2/
            The study utilized qRT-PCR to detect the expression of   β1-PI3K-Akt signaling pathway (Figure 6F).
            osteogenesis-related genes such as collagen type 1 (Col1),
            osteocalcin  (Ocn),  osteopontin  (Opn),  and  runt-related   3.7. Effect of surface modification on bone
            transcription factor 2 (Runx2). Results showed that,   formation in vivo
            except  for  the  Col1  gene,  the  expressions  of  the  other   In order to evaluate the effect of surface modification
            three genes were significantly higher in BMSCs cultured   on bone formation of critical-sized bone defects, the rat
            on M-PCL scaffolds than in BMSCs on PCL scaffolds   cranial defect model was utilized. After 1 and 3 months of
            after  7  days (Figure  4A),  whereas  the  expression  levels   implantation, micro-CT 3D reconstruction was performed
            of all four genes were significantly higher at 14 days in   to assess new bone regeneration on scaffolds. The resulting
            M-PCL scaffolds compared to PCL scaffolds (Figure 4B).   micro-CT 3D images showed that there was a higher
            Immunofluorescence staining was used to measure the   amount of newly formed bone on the M-PCL scaffolds than
            protein expression of OCN, OPN, and RUNX2. The results   on the PCL scaffold at both 1 and 3 months (Figure 7A;
            of the staining were consistent with those obtained from   Figure S1 in Supplementary File). The results were further
            qRT-PCR. Specifically, the expressions of OCN, OPN,   confirmed through quantitative analysis. It was observed
            and RUNX2 proteins were observed to increase on PCL   that M-PCL scaffolds had a higher BV/TV value in
            scaffolds following alkaline treatment (Figure 4C).  comparison to PCL scaffolds (Figure 7B). Additionally, the
                                                               new bone formed on M-PCL scaffolds exhibited improved
            3.5 Effect of surface modification on mineralization
            and ALP activity                                   trabecular structural features, which was confirmed by the
            The study measured mineralization and ALP activity using   quantitative analysis of Tb.Th and Tb.Sp (Figure 7C and D).
            ARD and ALP staining. BMSCs were cultured in basic   To measure new bone formation, fluorescent double
            medium without osteoinductive factors to determine the   labeling of calcein (green) and Alizarin Red (red) was
            osteogenic capacity of the scaffolds. The depth of ARD   performed. The M-PCL scaffold showed a bigger distance
            staining was higher in M-PCL scaffolds compared to PCL   between the two fluorescent signals (Figure 7E). Further
            scaffolds on days 14 and 21. Furthermore, there was more   quantitative analysis revealed that the mineral apposition
            and larger calcium ion deposition and mineralization in the   rate (MAR) of M-PCL scaffolds was higher than that of
            M-PCL scaffolds compared to PCL scaffolds (Figure 5A).   PCL scaffolds (Figure 7F).
            These findings were also confirmed by quantitative analysis   After a duration of 1 month, the control group showed
            (Figure  5C).  Similarly,  the  study  found  that  M-PCL   thin fibrous tissue at the defect site. However, there was a
            scaffolds had a higher level of ALP activity compared to   stable integration between M-PCL scaffolds and host bone
            PCL scaffolds after 7 and 14 days of culture (Figure 5B).   at the edge of the bone defect. Only a few scattered bone
            Meanwhile,  additionally,  quantitative  analysis  of  ALP   formations were noted in PCL scaffolds. After a period of 3
            staining confirmed that alkaline treatment of PCL scaffolds   months, a higher amount of bone formation was observed
            resulted in increased ALP activity (Figure 5D).    in M-PCL scaffolds, resulting in a bony bridge at the defect




            Volume 9 Issue 6 (2023)                        350                          https://doi.org/10.36922/ijb.1071
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