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




            Ray XX-15L; UVP, USA) for 5 min for crosslinking.  The   2.9. Statistical analysis
            hydrogel was kept in the growth medium for 3 days before   Data were analyzed using GraphPad Prism version 10.3
            further experiments.                               (GraphPad Software, Inc., USA). Bar graphs represent mean
                                                               values, with error bars indicating standard deviations. The
            2.6. Live/dead cell viability assay                statistical significance between two groups was assessed
            Cell viability was assessed three days after the printing   using Student’s t-test, while comparisons among multiple
            process using the Live/Dead Viability/Cytotoxicity   groups were conducted using one-way analysis of variance
            Kit (cat# 3  L-3224, Invitrogen,  USA), following the   followed by Tukey’s post hoc test. Statistical significance
            manufacturer’s  instructions.  After  staining,  the  hydrogel   was set at *p < 0.05, **p < 0.01, and ***p < 0.001.
            was washed with PBS and imaged using a THUNDER
            Imager (Leica Microsystem, Germany) with 5× objective   3. Results and discussion
            lens (N Plan; NA, 0.12; Cat# 11506303, Leica Microsystem,   3.1. GelMA concentration as a
            Germany) and an EVOS M700 imaging system (Thermo   biocompatible crosslinker
            Fisher Scientific, Waltham, USA) equipped with a 10×   The GxAxMxRx bioink system was formulated through
            water immersion objective lens (Fluorite; NA, 0.30),   polyelectrolyte complexation and  covalent crosslinking
            utilizing a stitching function to generate complete images   among GelMA (G), alginate (A), MC (M), and laponite-
            of the hydrogel.                                   RDS  (R),  as  illustrated  in  Figure  1.  The  variable  “x”
            2.7. Real-time polymerase chain reaction           denotes the respective concentrations used (Table S1).
            Total RNA was isolated from the hydrogel using TRIzol   Each component serves a distinct role: GelMA acts as a
            reagent (Cat# 15596018, Ambion, USA), and cDNA synthesis   biocompatible crosslinker offering structural integrity and
            was performed using ReverTra Ace qPCR RT Master Mix   cell-adhesive moieties, while alginate, MC, and laponite-
            with gDNA Remover (Cat# KMM-101, TOYOBO, Japan),   RDS modulate viscoelasticity and printability.
            following the manufacturer’s instructions. Subsequently,   GelMA is an ampholytic polymer carrying both
            qPCR was performed using a QuantStudio 1 Real-Time   negative and positive charges. At acidic pH values below its
            PCR System (Applied Biosystems, Foster City, USA) and   isoelectric point, its amine groups are protonated, rendering
            SYBR Green Real-time PCR Master Mix (Cat# 4472918,   it positively charged and enabling electrostatic interactions
            TOYOBO, Japan). Table S3 lists the primers used for the   with the negatively charged MC to form polyelectrolyte
                                                                        24
            qPCR. All experiments were performed in triplicate for   complexes.  Concurrently, alginate contributes to the
            each group. Glyceraldehyde 3-phosphate dehydrogenase   polymer network through nucleophilic attack by its
            (GAPDH) served as a housekeeping gene. The ΔC  values   carboxylic acid  groups  on  the hydroxyl  functionalities
                                                    t
            were determined as Ct target  − Ct GAPDH , and relative fold   of  MC,  leading  to  ring-opening  of  the  pyranose
                                                                                                            25
            changes were calculated using the 2 −ΔΔCt  method. 23  structure and formation of aldehyde intermediates.
                                                               These intermediates react with GelMA’s amine groups,
            2.8. Immunofluorescence                            generating nitrogen-containing intermediate rings.
            In situ hydrogels were fixed in 4% paraformaldehyde (PFA,   Additionally, primary amines on GelMA can form stable
            Cat# CNP015-0500, CellNest,  Korea) for 30 min and   amide bonds with carboxylic or ester groups on alginate,
            permeabilized with 0.3% Triton X-100 (Cat# TRX777.500,   enhancing both intra- and inter-molecular crosslinking
            Bioshop, Canada) solution for 30 min at room temperature.   and improving hydrogel stability.  Furthermore, alginate
                                                                                          26
            Subsequently, hydrogels were blocked in a solution of 5%   and MC primarily interact with GelMA through physical
            BSA for 30 min at room temperature. Hydrogels were then   entanglement  and  hydrogen  bonding,  which  increase
            incubated in primary antibodies for 48 h at 4°C, followed   viscosity and enhance viscoelasticity. These interactions
            by secondary antibodies for 24h at 4°C. Antibodies are   also promote shear-thinning behavior, thereby improving
            listed in  Table S4. Confocal imaging was performed   the printability of the hydrogel system. 27
            using an LSM 710 microscope (Carl Zeiss, Germany) at   Laponite-RDS, a synthetic nanoclay composed of disc-
            the  Soonchunhyang  Biomedical  Research  Core  Facility   like platelets (~15 nm diameter, ~1 nm thickness), features
            of Korea Basic Science Institute with a 10× objective lens   alternating trioctahedral and tetrahedral layers with
            (Plan-Apochromat;  NA,  0.45;  Cat# 420640-9900-000,   interspersed magnesium and lithium ions surrounded
            Carl Zeiss, Germany). Tiled images were acquired using a   by negatively charged silicate surfaces. This high charge
            THUNDER Imager (Leica Microsystem, Germany) with a   density and surface area render it suitable for biomedical
            5× objective lens (N Plan; NA, 0.12; Cat# 11506303, Leica   applications. In bioink formulations, laponite-RDS
            Microsystem, Germany).                             enhances  mechanical  stiffness,  shear-thinning behavior,


            Volume 11 Issue 4 (2025)                       449                            doi: 10.36922/IJB025160154
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