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International Journal of Bioprinting                                Sr-doped printed scaffolds for bone repair




            inductively coupled plasma optical emission spectrometer   2.4.4. ALP staining and activity analysis
            (ICP-OES) (Agilent 5110, Agilent Technologies, America).  The scaffolds and BMSCs of each group were cultured with
                                                               an osteogenic induction solution. After 7 days of culture,
            2.3.6. Thermodynamic analysis of the scaffolds     ALP dye was added to stain the samples, and the absorbance
            The thermal weight loss data of the scaffolds were   (OD) at 405 nm was measured by an enzyme marker. The
            determined  using  a  thermogravimetric  analyzer  cellular activity of the composite scaffold group relative to
            (NETZSCH, Germany), in which the samples were heated   the control group was calculated from the measured OD
            from room temperature to 800°C at a rate of 10°C/min in a   values. The ALP-stained cells on the scaffold surface were
            nitrogen atmosphere.                               observed using an inverted fluorescence microscope (Leica
                                                               Microsystems, Germany).
            2.3.7. Mechanical strength of the scaffolds
            The mechanical properties of the scaffolds were analyzed   2.4.5. In vitro osteogenic capacity
            by placing the scaffolds on an INSTRON tester (34 sc-5,   Approximately 1 × 10  BMSCs were added to 48-well plates
                                                                                5
            Instron, America), drying them, and compressing them at   containing the scaffold samples. After 24 h of incubation,
            a rate of 1 mm/min.                                the supernatant was aspirated and discarded. Complete
                                                               medium, osteogenic induction medium (100 mL complete
            2.4. In vitro experiments                          medium  +  0.39  mg  dexamethasone +  1.76  mg  vitamin
            2.4.1. Cell culture and scaffold sterilization     C + 306.11 mg sodium β-glycerophosphate), or MP-
            The BMSCs and RAW264.7 cells were cultured in a cell   conditioned medium was added, respectively; the culture
            culture incubator (MCO-18AIC, PHC, Japan) at 37°C and   medium was changed regularly. After 7 and 14 days of
            5% CO . The basal medium used was high glucose medium   osteogenic induction, the expression of osteogenic marker
                 2
            (DMEM), supplemented with 10% fetal bovine serum   genes of ALP (ALP), Runt-associated transcription factor
            (FBS), 100 μg/mL penicillin, and 100 μg/mL streptomycin.   2 (RUNX2), and collagen type I (COL1) was measured
            During culture, the medium was changed daily or every    using real-time fluorescence quantitative polymerase chain
            2 days, depending on the cell condition. Cells were   reaction (qRT-PCR).  GAPDH was used as the internal
            passaged upon reaching 70–80% confluency, and only cells   reference gene. ALP activity was measured on days 7 and
            from passages 3 to 5 were used. Before the experiment,   14 using the ALP kit combined with the BCA method.
            each group of scaffolds was immersed in a 75% ethanol   2.4.6. MP polarization gene expression levels
            solution for 2 h; the scaffolds were rinsed three times and   RAW264.7 cells were inoculated into the scaffold samples
            stored overnight in PBS inside an ultraviolet (UV) sterilizer   and transferred to 48-well plates at a density of 5 × 10
                                                                                                             4
            (30–800 L, Sheng Zhi Yuan and Science and Education   cells per well. The complete medium was changed every
            Equipment Co., China).                             2–3 days. The medium removed from each set of samples
                                                               was collected and mixed with osteogenic induction
            2.4.2. Cell activity assay                         solution at a ratio of 1:5 to prepare MP-conditioned
            After BMSCs adhered and proliferated on the scaffold   medium for backup. The expression of the M1 MP immune
            surface for 3 days, the morphology and distribution of   marker genes, including tumor necrosis factor-α (TNF-α)
            cells on the scaffold surface were observed by staining the   and recombinant human interleukin 1β (IL1β), and the
            cells on the scaffold surface with a live-dead cell dye. The   M2 MP immune marker genes, including CD206 (CD206)
            morphology and distribution of cells on the scaffold surface   and  arginase  (ARG),  were  detected  using  qRT-PCR  on
            were observed using an inverted fluorescence microscope   days 1 and 3. GAPDH was used as the internal reference
            (Leica Microsystems, Germany).                     gene. As shown in Table 1, the base sequences of each gene
            2.4.3. Histocompatibility assessment               are presented.
            Rat  bone  marrow  MSCs  (BMSCs)  were  utilized  to   2.4.7. ELISA assay
            evaluate the histocompatibility of different cells with the   The concentrated washing solution (phosphate buffer
            scaffolds. Briefly, sterile scaffold samples were placed in   [PBS] containing Tween-20, with a pH value of 7.2–7.4.)
            48-well plates, and the samples were inoculated with 5 ×   was  heated  in  a  water  bath  to  dissolve  the  crystals
            10  BMSCs. The supernatant was aspirated after 1, 3, and    completely. The concentrated washing solution was diluted
              4
            7 days of incubation, and the rate of cell proliferation on   with  distilled  water  at a  1:20  ratio.  Substrate  solutions
            the different scaffolds was assessed using the CCK-8 kit   A (chromogenic reagent A, hydrogen peroxide) and B
            assay, which was performed using an enzyme marker   (chromogenic reagent B, tetramethylbenzidine) were
            (Tecan Spark, Austria) to measure the absorbance (optical   mixed thoroughly in a 1:1 volume ratio and used within
            density [OD]) at 450 nm.                           15 min after mixing. All reagents, including standards,

            Volume 11 Issue 4 (2025)                       354                            doi: 10.36922/IJB025210211
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