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International Journal of Bioprinting                                      Bioprinted osteoarthritis scaffolds




            OA-related pathology and effectively model bone–cartilage   Gel + 1% Alg (9 Gel–1 Alg). Briefly, accurately weighed
            interactions under both healthy and diseased conditions.    amounts of 7% Gel (3.5 g) and 3% Alg (1.5 g) (Biosharp,
                                                         30
            However, this technology faces challenges in terms of   China) were UV-sterilized (254 nm) for 3 h. The sterilized
            reproducibility, organ maturity, and the integration   powders were then aseptically transferred into a 50 mL
            of  key elements,  such as  vasculature, innervation,   centrifuge  tube  containing  10  mL  of  culture  medium.
            and immune cells. Further technical development is   The tube was sealed with parafilm to maintain sterility.
            essential for expanding its utility in disease modeling and   The mixture was homogenized by continuous agitation
            drug screening. 31,32                              at 150 rpm in a 60°С incubator shaker for 3 h to ensure
                                                                                40
               3D bioprinting represents a cutting-edge platform   complete dissolution.  The resulting bioinks were loaded
            that enables the fabrication of living tissues using bioinks   into 3D bioprinting cartridges using sterile 3 mL Pasteur
            composed of cells, growth factors, and biocompatible   pipettes and centrifuged at 800 rpm for 3 min to remove
            materials.  Compared to other 3D models, bioprinting   air bubbles. The prepared bio-inks were stored at 4°С and
                    33
            offers  superior  spatial precision, structural  fidelity,  and   remained stable for up to 7 days.
            mechanical tunability, making it especially attractive for   2.2. Viscosity and printability of bioinks
            regenerative medicine and disease modeling. In cartilage   To assess the viscoelastic properties of Gel–Alg bioinks
            tissue engineering, the scaffold material must possess   with three different concentration ratios, a rotational
            excellent biocompatibility, mechanical integrity, and   rheometer (Thermo Fisher, United States of America
            support for cellular activity. 34,35  Gelatin (Gel) and sodium   [USA]) was employed. Briefly, the bioinks were thoroughly
            alginate (Alg) are widely used in 3D bioprinting due to their   mixed to eliminate air bubbles and then loaded between
            favorable  biological  properties  and  printability.  Recent   the parallel plates of the rheometer, with the initial gap
            studies have successfully encapsulated chondrocytes in   set at 1 mm. Shear rates ranging from 0.1 to 1000 s ¹ were
                                                                                                        –
            Gel–Alg hydrogels using bioprinting, maintaining high cell   applied, and measurements were conducted at a constant
            viability and regional gene expression. 36–39  Another study   temperature  of  25°C. The  viscosity  (η)  versus  shear  rate
            developed Gel–Alg-based bioinks crosslinked with calcium   curve was recorded to evaluate the shear-thinning behavior
            chloride to fabricate scaffolds with robust mechanical   of the bioinks.
            properties and biocompatibility. These scaffolds supported
            long-term chondrocyte survival and functionality in vitro   2.3. Fabrication of 3D-bioprinted scaffolds
            and demonstrated effective cartilage repair in vivo. 39  Hydrogel scaffolds were fabricated using 3D bioprinting
               In this study, we established a novel cartilage   technology. Briefly, a stereolithography file of the scaffold
            senescence model using Gel–Alg hydrogels at three   model was designed using Autodesk Fusion 360 CAD
            different  concentration  ratios.  ACs  were  encapsulated   software (Figure 2A) and imported into a 3D bioprinter
            in  3D-bioprinted  constructs,  followed  by  H₂O₂-induced   (Regenovo, China) for fabrication. Gel and Alg were
            senescence. The innovation lies in the integration   selected as the scaffold materials. A nozzle with an inner
            of biofabricated cartilage with precisely engineered   diameter of 0.34 mm was used, and scaffolds were printed
            structural  and  biochemical cues, coupled with  oxidative   layer-by-layer with an alternating 0–90° stacking pattern
            stress-induced aging. This two-stage modeling strategy,   to ensure high structural precision. Immediately after
            which mimics age-related cartilage degeneration, has   printing, the scaffolds were crosslinked in 3% sterile
                                                                                                  41
            not been reported in current OA models (Figure 1). The   CaCl₂ solution (Sigma, USA) for 5 min,  rinsed with
            resulting  platform  provides  a  physiologically  relevant   sterile phosphate-buffered saline (PBS), and prepared for
            microenvironment that supports AC viability, maintains   subsequent experiments.
            region-specific phenotypic markers, and reproduces   2.4. Surface morphology analysis
            senescence-associated changes under oxidative stress. This   The microstructure and surface morphology of the
            3D-bioprinted cartilage senescent model offers a promising   3D-bioprinted Gel–Alg hydrogel scaffolds were examined
            experimental system for investigating OA pathogenesis   using field emission scanning electron microscopy (SEM)
            and developing targeted therapeutic interventions.  (Jeol, Japan). Briefly, the scaffolds were freeze-dried under

            2. Materials and methods                           a vacuum for 24 h to preserve their structural integrity.
                                                               The dried samples were then fractured to obtain cross-
            2.1. Preparation of bioinks                        sectional views for microscopic analysis. To improve
            Three different Gel–Alg bioink formulations were prepared   electron conductivity, the surfaces were treated with a gold
            for the 3D bioprinting of hydrogel scaffolds: 7% Gel + 3%   jet  machine  (Jeol,  Japan).  Imaging  was  performed at  an
            Alg (7 Gel–3 Alg), 8% Gel + 2% Alg (8 Gel–2 Alg), and 9%   acceleration voltage of 10 kV.



            Volume 11 Issue 4 (2025)                       191                            doi: 10.36922/IJB025150136
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