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International Journal of Bioprinting                          Tunable GelMA-based bioinks for keloid modeling




            to the GelMA solution. To induce photocrosslinking of   of bioink solution was added to the cartridge. Printing was
            the bioink after printing, 0.5% (w/v) Irgacure 2959 (cat#   performed using 22G blunt conical bioprinting nozzles
            55047962; BASF, Germany) was added to the bioink blend.   (ID:  410 μm).  The applied  pressure ranged from  3 to
            The final mixture  was stirred at 25°C  using a magnetic   6 kPa, depending on the bioink formulation, as described
            stirrer for 4 h at 120 rpm. This process yielded a composite   in Table S2. The printing process was performed at a feed
            bioink composed of GelMA (G), alginate (A), MC (M),   rate of 1500 mm/min and a layer height of 0.8 mm. After
            and laponite-RDS (R), referred to as GxAxMxRx. The   printing, the hydrogels were polymerized under ultraviolet
            “x” determines the concentration (w/v) as described in   (UV) light (365 nm; Blak-Ray XX-15L; UVP, Upland,
            Table S1.                                          USA) for 5 min. The hydrogels were then equilibrated in
                                                               PBS for 24 h. Shape fidelity was assessed by comparing the
            2.2. Rheology testing of uncrosslinked hydrogel    measured pore size with the designed pore size using the
            The  viscosity  and viscoelasticity of  the  uncrosslinked   following formula :
                                                                             22
            bioinks were determined using a Kinexus rheometer
            (Kinexus Ultra+, Malvern Panalytical, England). First,
            the pre-gel of the bioink was loaded onto the rheometer             ab
            plate, and the gap between the upper geometry and the   Shape fidelity =    a’  b’   100%      (I)
            plate was set to 0.5 mm. The sample was equilibrated
            to 37°C before testing. Viscosity was measured using
            a cone-plate geometry, with shear rates ranged from   where a and b are the designed dimensions of the pore
            0.1 to 2 s  across a logarithmic scale with 20 intervals.   base, and aʹ and bʹ are the corresponding dimensions of
                    −1
            Viscoelasticity was determined by amplitude and    the actually printed pore base.
            frequency  sweeps  using  a  parallel-plate  cone.  For  the   Detailed information on the calculation of shape
            amplitude sweep, the applied shear strain ranged from   fidelity is provided in Figure S2 and Table S6.
            0.01 to 5%, at a constant oscillation frequency of 1 Hz,
            with a sampling density of 20 points per logarithmic   2.5. In situ hydrogel
            decade. The frequency sweep was measured from 0.01 to   Patient-derived keloid tissue was obtained from the
            50 Hz at a constant strain of 2%.                  Soonchunhyang University of Bucheon Hospital, according
                                                               to the protocols approved by the Institutional Review Board
            2.3. Mechanical testing of crosslinked hydrogel    of Soonchunhang University Bucheon Hospital (SCHBC_
            Mechanical properties were measured using an Instron   IRB_2017-08-010). This study was conducted in accordance
            device (EZ-SX; SHIMADZU, Japan) in compressive     with the 1964 Declaration of Helsinki and its subsequent
            mode. Digital calipers were used to measure the diameters   amendments. The dermal layer was separated, and keloid
            and heights of the hydrogels. Compression was applied   dermal fibroblasts were isolated following a previous
            from 0 to 70% strain at a rate of 1 mm/min  at room   protocol.  The cells were cultured in Dulbecco’s modified
                                                                      18
            temperature. Data were recorded when the ramp head   Eagle’s medium (10-013-CV, Corning, USA) supplemented
            contacted the hydrogel and registered a force of 0.01 N.   with 10% fetal bovine serum (cat# 35-015-CV, Corning,
            Testing was terminated when the hydrogel broke. To   USA),  1%  l-glutamine  (200  mM;  cat#  25030081,  Gibco-
            calculate the Young’s modulus (E), we used the linear   BRL, USA), and 1% penicillin–streptomycin (15140122,
            region of the stress–strain curve with 10% strain. For each   Life Technologies, USA). The bioinks were prepared in
            formulation, the average Young’s modulus was calculated   PBS at 80% of the total volume. Next, the cell pellet was
            from three replicates. Data analysis was performed using   resuspended in PBS at 10% of the total hydrogel volume
            MATLAB (MathWorks, USA). A two-degree polynomial   and added to the bioink blend. For hydrogel encapsulation,
            interpolation was used to determine the Young’s moduli   cells were suspended at a density of 1 × 10  cells/mL for
                                                                                                  6
            at intermediate concentrations.  Table S1 lists Young’s   real-time polymerase chain reaction (qPCR) analysis
            moduli measured at different concentrations. The Young’s   and at 2 × 10  cells/mL for immunofluorescence staining
                                                                          6
            moduli for each group are summarized in  Figure S1.    and live/dead assays to enhance signal detection and cell
            Table S4 summarizes the mechanical properties of each
            group, including toughness, stress, and strain at break.  representation. The solution was stirred for 15 min. This
                                                               formed a cell-laden hydrogel with a total dissolved volume
            2.4. Shape fidelity                                of 90%. Considering the 10% volume loss during hydrogel
            The hydrogels were printed using the Inkredible+   blending, we dissolved the in situ hydrogel in 90% of the
            Bioprinter  (CellInk,  Göteborg,  Sweden)  at  room   total volume of PBS to prevent further dilution upon cell
            temperature. A square grid pattern (13.5 × 13.5 mm with 3   addition. The hydrogel was printed as a grid-like structure
            × 3 = 9 pores) was printed on Petri dish. For printing, 2 mL   and subsequently exposed to UV light (365 nm; Blak-

            Volume 11 Issue 4 (2025)                       448                            doi: 10.36922/IJB025160154
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