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International Journal of Bioprinting                             3D bioprinting of in vitro cartilage tissue model




            chondrocyte-based cartilage models, such as the    taken with an EVOS microscope to quantify the filament
            chondrocyte 3D pellet model [32,33] , can be used when   width using Fiji ImageJ software (1.53t version). Six
            native tissue explants are not available. Here, we explored   images were taken at different locations within the printed
            peptide hydrogel bioinks, PeptiInks®, in terms of their   structure. In each image, the filament width was quantified
            application in 3D bioprinting using human primary   three times using ImageJ and compared to the theoretical
            chondrocytes for cartilage tissue modeling  in vitro. We   filament resolution.
            compared its performance to a control 3D chondrocyte-
            based pellet developed in vitro using previously optimized   2.3. Cell culture
            manufacturing protocol .                           Human primary chondrocytes (HCHs; CellApplications,
                               [34]
                                                               San Diego, CA) were used in this study. HCHs between
               In this study, we assessed the potential of PeptiInk   passages  5  and  7  were  consistently  used.  HCHs  were
            Alpha  1 (Manchester BIOGEL, Alderley Park, UK) as a   cultured in chondrogenic growth media (Cell Applications,
            material for 3D-bioprinting human cartilage tissue in vitro   San Diego, CA), and they were incubated at 37°C in a
            models. Primary human chondrocytes were encapsulated   humidified  atmosphere  with  5%  pCO .  The  media  was
            into PeptiInk Alpha 1, a neutrally charged peptide hydrogel,   changed every 2 to 3 days.  2
            and 3D-bioprinted structures were manufactured. Cell
            viability, cell proliferation, and specific cartilage marker   2.4. Hydrogel cell encapsulation
            production were assessed and compared to the current   HCHs were manually mixed into Alpha 1 at a concentration
            gold standard, chondrocyte cell pellets.           of 1 × 10  cells/mL using a ratio of 1 mL of PeptiInk to
                                                                       6
                                                               100 µL of cell culture media (1:10). Cell-laden PeptiInks
            2. Materials and methods                           were loaded into 3-mL printing cartridges (Nordson, USA)
            2.1. Hydrogel rheological characterization         using  a positive displacement  pipette  (Gilson  Scientific,
            Synthetic self-assembling peptide hydrogel Alpha 1 was   Dunstable, UK). Loaded cartridges were centrifuged
            obtained from Manchester BIOGEL (Alderley Park, UK).   to remove air microbubbles for 2 min at 3500 rpm and
            Alpha 1 was chosen due to its neutral charge, which has   immediately printed into 12-well culture plates.
            previously  been shown  to  promote  the  chondrogenic   2.5. 3D bioprinting of HCH cell-laden Alpha 1
            behavior of bovine chondrocytes in 3D in vitro cultures [28-30]    The 3D-bioprinting process was performed using
            and has a compressive modulus (E = 31 kPa ) in line   the commercial printer BIOX6 (CELLINK, Sweden).
                                                 [29]
            with previously used hydrogels for cartilage tissue   Cylindrical structures with an outer diameter of 5 mm and
            engineering [16,24]  .
                                                               a thickness of 1 mm with 60% infill density were bioprinted
               Oscillatory shear rheometry was performed using a   using a 25G conical nozzle, an extrusion pressure between
            Kinexus pro+ rheometer (Netzsh, Germany) with parallel   8 and 10 kPa, and a printing speed of 5 mm/s. The printed
            sandblast plate geometry (40 mm, 0.5 mm gap size),   structures were submerged in chondrogenic medium,
            equilibrated to room temperature (25°C), and a solvent   which was changed three times during the first hour to
            trap to prevent the hydrogel from drying. Alpha 1 alone   ensure pH equilibrium and twice each week over the
            and Alpha 1 mixed with cell culture media in a 1:10 ratio   culture period. Cell constructs were cultured for up to 14
            were tested in triplicate to ensure reproducibility. For all   days at 37°C in a humidified atmosphere with 5% pCO .
                                                                                                          2
            mixtures, rotational shear-viscosity measurements were
            performed. Flow sweeps at 1% strain with a shear rate   2.6. Cell pellet formation and culture
            ranging from 150 to 1 Hz were performed to assess the   3D control cell pellet cultures were formed using the
                                                                                    [34]
                                                                                                   5
            viscosity behavior under shear stress.             methods of Yeung  et al.  Briefly, 4 × 10  cells were
                                                               centrifuged in 500 µL of culture media at 1750 rpm for 5 min
            2.2. Printability tests                            in 15 mL tubes. After 72 h, the pellets were gently aspirated
            Alpha 1 was loaded into a printer cartridge and printed,   into ultra-low adhesion 24-well plates (ScienceCell, 0383),
            using the BIOX6 bioprinter (CELLINK, Sweden), with   with one pellet per well cultured in 1 mL of chondrogenic
            multiple gauge (G) conical nozzles: 22G (400 μm—   medium. Culture media were changed every 2 to 3 days.
            extrusion diameter), 25G (250 μm—extrusion diameter),   The cell pellets were cultured for up to 14 days at 37°C in a
            and 27G (200 μm—extrusion diameter). 25G conical   humidified atmosphere with 5% pCO .
            nozzle was chosen as it gave a compromise between                                2
            structural accuracy and shear stress production. Different   2.7. Cell viability
            pressures and printing speeds were combined to assess the   Cell viability was assessed using a LIVE/DEAD assay.
            filament continuity and width of Alpha 1 printed with a   Bioprinted constructs were assessed 2 h post-printing (day 0),
            25G conical nozzle. Images of the printed structures were   on day 7 and day 14. Samples were cut in half to enable the

            Volume 9 Issue 6 (2023)                        452                        https://doi.org/10.36922/ijb.0899
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