Fabrication of GelMA–MWCNTs/Co hydrogel
The MWCNTs/Co was synthesized following the process in a earlier research [16]. Briefly, 15 mg of pretreated MWCNTs and 175 mg of polyvinylpyrrolidone have been dispersed in 25 mL of methanol. Then, 498 mg of cobalt nitrate hexahydrate (Co(NO3)2·6H2O; J&Ok Scientific Ltd., Beijing, China) was added to the answer, adopted by stirring for 1 h. Subsequently, 2-methylimidazole (Sigma-Aldrich, St. Louis, MO, USA) and methanol have been launched to the combination. After 24 h, MWCNTs/ZIF-67 have been generated by means of centrifugation, adopted by washing with methanol. The nanocomposites have been additional heated to 300 °C in a muffle furnace for 1 h, forming MWCNTs/Co nanocomposites.
GelMA hydrogel was synthesized with slight modifications based mostly on a beforehand reported technique [18]. Kind A porcine pores and skin gelatin (10% w/v; Sigma-Aldrich, ) was dissolved in Dulbecco’s phosphate-buffered saline (DPBS) at 50 °C, and methacrylic anhydride (0.8 mL/g; Sigma-Aldrich) was added to the gelatin resolution with 2 h stirring. Then, preheated DPBS was used to terminate the response, and the combination was dialyzed in opposition to distilled water utilizing a dialysis membrane (Spectrum Labs, Piscataway, NJ, USA) for 7 days at 40 °C, adopted by lyophilization for five days to acquire GelMA hydrogel.
GelMA–MWCNTs/Co hydrogel was ready as follows. The 5% w/v of GelMA was dissolved in PBS containing 0.25% w/v lithium phenyl (2,4,6-trimethylbenzoyl) phosphinate (LAP; Suzhou Clever Manufacturing Analysis Institute, Suzhou, China) photoinitiator. Then, MWCNTs/Co nanocomposites have been dispersed to the GelMA resolution and photocrosslinked utilizing ultraviolet (UV) gentle (405 nm) for 30 s to induce gelation.
Characterization of GelMA–MWCNTs/Co hydrogel
The morphologies of GelMA and GelMA–MWCNTs/Co hydrogels have been evaluated utilizing a Hitachi S4800 FEG SEM (Hitachi, Tokyo, Japan). Elemental evaluation was carried out utilizing Power-dispersive X-ray spectroscopy (EDX) on the SEM. To research the Co ion launch profile, the naked MWCNTs/Co and GelMA–MWCNTs/Co hydrogel have been individually immersed in α-minimal important medium (α-MEM; Gibco-Invitrogen, Carlsbad, CA, USA) for 1, 3, 7, 10, 14, and 21 days at 37 °C. The supernatant was collected and detected utilizing inductively coupled plasma-optical emission spectrometry (ICP-OES; SPECTRO Analytical Devices, Kleve, Germany). The rheology experiment was carried out on the Anton Paar MCR302 rheometer (Anton Paar, Graz, Austria).
For the mechanical testing, GelMA and GelMA–MWCNTs/Co hydrogels have been formed into disks (13 mm in diameter and seven mm in thickness). Measurements have been then carried out utilizing an Instron 5942 testing machine (Instron, Norwood, MA, USA) at a velocity of 1 mm/min till the samples fractured.
To judge the degradation charge of hydrogels, GelMA and GelMA–MWCNTs/Co hydrogels have been ready into disk shapes (13 mm in diameter and seven mm in thickness) and immersed in PBS at 37 °C for twenty-four h to realize equilibrium swelling. Subsequently, the hydrogels have been transferred to PBS containing 2 U/mL of Collagenase II (EFL-Col II-DE-001, EFL) and incubated at 37 °C. At designated time factors (0, 1, 2, 4, and 6 h), samples have been eliminated and freeze-dried. The preliminary dry weight was recorded as W0. The ultimate dry weight was recorded as Wn (n = predetermined time level). The mass loss was calculated utilizing the next equation:
$$:textual content{Degradation}:textual content{ratio}left({100%}proper)=frac{textual content{W}_{0}-text{W}_text{n}}{textual content{W}_{0}}times100%$$
Co-culture of HUVECs with SCAP within the hydrogels
SCAP have been remoted and grown following a beforehand printed technique [16]. Briefly, the apical papilla of extracted human third molars was excised and digested with 3 mg/mL collagenase sort I and 4 mg/mL dispase (Gibco-Invitrogen). The cells have been collected after centrifugation and cultured in α-MEM, supplemented with 15% fetal bovine serum, 0.292 mg/mL glutamine, and 1% penicillin and streptomycin at 37 °C in a humidified ambiance with 5% CO2. Human umbilical vein endothelial cells have been obtained from ScienCell Analysis Laboratories (San Diego, CA, USA) and cultured in endothelial cell medium (ECM, ScienCell) at 37 ℃ with 5% CO2 in an incubator.
To arrange the 3D hydrogel scaffold, each HUVECs and SCAP have been co-cultured. First, every cell sort was individually harvested after they reached roughly 80% confluence. Then, the harvested cells have been blended within the 5% GelMA or GelMA–MWCNTs/Co prepolymer resolution at a ratio of HUVECs: SCAP = 1:1, with a complete cell density of 5 × 106 cells/mL. The hydrogel options have been then photocrosslinked utilizing UV publicity for 30 s to type 3D hydrogel scaffolds.
In vitro biocompatibility of GelMA–MWCNTs/Co hydrogel
The biocompatibility of HUVECs and SCAP cocultured within the GelMA and GelMA–MWCNTs/Co hydrogels was evaluated by dwell/useless/viability/cytotoxicity package (Molecular Probes, Inc., Eugene, OR, USA) in accordance with the manufacturerʼs directions. After being encapsulated within the hydrogels and cocultured for 1, 3, and seven days, the cells have been stained with ethidium homodimer-1 (2 mM) and calcein acetoxymethyl (4 mM) in PBS. The fluorescently labeled cells have been subsequently noticed with ZEISS Confocal Microscope (LSM 900, Germany). The variety of residing and useless cells was counted by Fiji software program [19], and the cell viability was calculated utilizing the next equation:
$$:textual content{Cell}:textual content{viability}left(100percentright)=frac{textual content{residing}:textual content{cell}:textual content{numbers}}{textual content{complete}:textual content{cell}:textual content{numbers}}times100%$$
The impact of the GelMA–MWCNTs/Co hydrogel on the proliferation of cocultured cells was assessed by CCK-8 assays (Dojindo, Kumamoto, Japan) in accordance with the producer’s directions. Briefly, HUVECs and SCAP have been encapsulated within the hydrogels and seeded within the 12-well plate at a complete density of 5 × 106 cells/mL. After coculturing for 1, 3, 5, and seven days, the CCK-8 reagent was added to the medium. The supernatant was transferred to a 96-well plate, and the absorbance was measured at 450 nm utilizing a SpectraMax M2 microplate reader (Molecular Units, Sunnyvale, CA, USA).
Exterior electrical stimulation
The SCAP encapsulated inside the GelMA or GelMA–MWCNTs/Co hydrogels have been cultured in 6-well dishes with neural induction medium. The cells have been then subjected to electrical pulse stimulation utilizing a C-Dish (IonOptix, Milton, MA, USA) together with a pulse generator (C-Tempo 100; IonOptix). The C-Dish options carbon electrodes immersed within the cell tradition medium, which obtain bipolar electrical stimuli from the heartbeat generator. A direct present electrical area of 1 V/cm was utilized throughout the carbon electrodes for a length of 1 h every day to advertise neural differentiation.
3D electrical stimulation-induced SCAP (iSCAP) spheres
After 7 days {of electrical} stimulation, iSCAP have been collected by lysing the hydrogels utilizing GelMA Lysis Buffer (EFL-GM-LS-001, Suzhou Clever Manufacturing Analysis Institute, Suzhou, China). To manufacture microtissue spheres of iSCAP, 256-well agarose micro-molds (MicroTissues, Inc, Sharon, MA, USA) have been utilized following the producer’s directions. Briefly, 500 µL of molten agarose was pipetted into every effectively of the micro-mold. After the agarose was gelled, the micro-mold was rigorously flexed to take away the 3D Petri Dish, which was then transferred to a 12-well plate. Subsequently, 2.5 mL of cell tradition medium was added to the 12-well plate and allowed to equilibrate for no less than 1 h. The tradition medium was then eliminated, and iSCAP cell suspensions (2.56 × 105 cells/190 µL) have been transferred to the 3D Petri Dish and cultured for 3 days at 37 °C in a 5% CO2 ambiance. Afterward, the iSCAP spheres have been collected and utilized for additional coculture experiments.
Enzyme-linked immunosorbent assay (ELISA)
To quantify VEGF protein secretion from SCAP, the cell tradition supernatants have been collected, and the secreted VEGF was quantified utilizing the Human VEGF DuoSet ELISA Equipment (R&D Techniques, Minnesota, USA) in accordance with the producer’s directions.
Quantitative real-time PCR (qRT-PCR)
To judge the extent of VEGF mRNA within the SCAP and HUVECs co-culture system, in addition to the expression of neural-specific markers, together with βΙΙΙ-tubulin (Tuj1), microtubule related protein (MAP2), neuronal nuclear protein (NeuN), nerve progress issue (NGF), brain-derived neurotrophic issue (BDNF) in iSCAP following progress with HUVECs, qRT-PCR was carried out. Whole RNA was extracted with the RNeasy Mini package (Qiagen, Hilden, Germany) after which reverse-transcribed to cDNA utilizing the PrimeScriptTM (RR036A, Takara, Shiga, Japan). qRT-PCR was carried out utilizing a TB Inexperienced Premix Ex Taq (RR420A, Takara) on a QuantStudio 6 Flex (Utilized Biosystems, Grand Island, NY, USA). Relative gene expression was standardized by β-actin. The primers for VEGF, Tuj1, MAP2, NeuN, and β-actin have been obtained from Beijing Liuhe Huada Gene Know-how Co., Ltd (Beijing, China), and the sequences are proven in Desk 1.
Western blot evaluation
HUVECs and SCAP have been cocultured in GelMA and GelMA–MWCNTs/Co hydrogel with a complete cell density of 5 × 106 cells/mL. After 24, 48, and 72 h, the hydrogel with cells was collected and soaked in lysis buffer, which included the RIPA and protease inhibitor cocktail (Thermo Fisher Scientific, Waltham, MA, USA), at 4 °C for 1 h. The BCA protein assay package (Thermo Fisher Scientific) was then used to calculate the protein focus. Equal quantities of protein from every lysate have been separated by SDS-PAGE gels and transferred onto PVDF membranes (Millipore, Billerica, MA, USA). Then, membranes have been blocked with 5% skim milk, adopted by incubation with major antibodies anti-HIF-1α (BD Biosciences, New Jersey, USA) and anti-β-actin (Santa Cruz Biotechnology) at 4 °C in a single day. The membranes have been incubated with HRP-conjugated anti-mouse (Cell Signaling Know-how) second antibody for 1 h. The immunoreactive bands have been detected following incubation with ECL (Thermo Fisher Scientific) and visualized by an iBright FL 1500 Imaging System (Thermo Fisher Scientific).
Immunofluorescence (IF)
To watch the vasculogenesis course of through the coculture of HUVECs and SCAP, the cells have been cultured in GelMA and GelMA–MWCNTs/Co hydrogels for 7 and 14 days. To visualise the method of vascularization and neural differentiation, in addition to their integration through the coculture of iSCAP and HUVECs inside the hydrogels, the cells have been cultured for 7 days. Afterward, the cells have been fastened in 4% paraformaldehyde for 30 min at room temperature after which blocked in a serum-blocking buffer containing 5% serum and 0.3% Triton™ X-100 for 1 h. Subsequently, the samples have been incubated in a single day at 4 °C with the next major antibodies: anti-CD31 (#3528, 1:400, Cell Signaling Know-how, Danvers, MA, USA), anti-SM22α (ab14106, 1:400, Abcam, Cambridge, MA, USA), anti-beta III Tubulin (Tuj1) antibody (NB100-1612, 1:300, Novus Biologicals, Littleton, CO, USA). After major antibody incubation, the cells have been incubated with secondary antibodies: Alexa Fluor 488 goat anti-mouse IgG (#4408, 1:500, Cell Signaling Know-how), Alexa Fluor 594 anti-rabbit IgG (#8889, 1:500, Cell Signaling Know-how), Alexa Fluor 488 goat anti-chicken IgY (ab150173, 1:500, Abcam), or Alexa Fluor 594 goat anti-mouse IgG (#8890, 1:500, Cell Signaling Know-how) at room temperature for 1 h, adopted by DAPI (Thermo Fisher Scientific) staining. The fluorescent pictures have been acquired utilizing the ZEISS Confocal Microscope (LSM 900, Carl Zeiss, Germany). The typical vessel size and complete variety of vessel junctions have been measured utilizing AngioTool [20]. The neurite size was measured utilizing the Fiji software program.
In vivo implantation of cell-loaded GelMA–MWCNTs/Co hydrogel
All experimental animal procedures have been permitted by the Committee on the Use of Dwell Animals in Educating and Analysis of the College of Hong Kong (CULATR quantity: #5303-20). A complete of twelve 6-week-old feminine CB-17 SCID mice have been used on this research, and all surgical procedures have been carried out following the related pointers and rules. The mice have been divided into the next 4 teams: GelMA-ES: HUVECs + SCAP + iSCAP (with out ES) sphere in GelMA; GelMA + ES: HUVECs + SCAP + iSCAP (with ES) sphere in GelMA; GelMA/Co-ES: HUVECs + SCAP + iSCAP (with out ES) sphere in GelMA–MWCNTs/Co; GelMA/Co + ES: HUVECs + SCAP + iSCAP (with ES) sphere in GelMA–MWCNTs/Co. 3 × 6 mm cylindrical hydrogel samples loaded with totally different cell mixtures have been cultured in media for 7 days earlier than implantation. Surgical procedures have been carried out below anesthesia utilizing ketamine (90 mg/kg) and xylazine (10 mg/kg) administered through intraperitoneal injection. Small subcutaneous pockets have been created by means of a dorsal pores and skin incision, and 4 hydrogel samples have been implanted into the pockets on the bilateral sides of the wound. Meloxicam (1–2 mg/kg) was injected for 3 days after surgical procedure to alleviate post-surgery ache. The mice have been housed collectively. No indicators of ache have been noticed all through the monitoring interval. At 4 weeks post-implantation, the animals have been euthanized. The entire regenerated tissue specimens containing the cell-loaded hydrogels and surrounding tissue have been harvested. The excised samples have been fastened in 4% paraformaldehyde for twenty-four h at room temperature after which embedded in paraffin for histology and immunohistochemistry evaluation.
Hematoxylin and eosin (H&E) and immunohistochemical (IHC) staining
H&E and immunohistochemical staining have been carried out on 5 μm thick tissue sections. For H&E staining, the paraffin slides have been deparaffinized in xylene (twice, 3 min every time) and rehydrated in ethanol (twice in 100% ethanol, 3 min every time; as soon as in 95% and 70% ethanol, 3 min every time). The sections have been then incubated in hematoxylin for 3 min after which rinsed with operating faucet water for 3 min. Subsequently, the sections have been immersed in 1% acid alcohol (1% hydrochloric acid in 70% alcohol) for 1 s and washed with faucet water for 3 min. Slides have been then immersed in a bluing reagent (1% ammonia resolution) for 1 min, adopted by washing with operating faucet water for 3 min. After that, slides have been rinsed in eosin resolution for 1 min. The sections underwent dehydration earlier than mounting with Permount mounting resolution (Thermo Fisher Scientific) and have been noticed by a microscope (Nikon, Tokyo, Japan). The lumens containing intraluminal purple blood cells have been quantified as perfused blood vessels, whereas lumens with out purple blood cells have been thought of non-perfused blood vessels. The quantitative evaluation of each complete blood vessels and perfused blood vessels was carried out by counting 5 noticed areas utilizing Fiji software program [19].
For immunohistochemical staining, the paraffin slides have been deparaffinized and rehydrated, adopted by antigen retrieval utilizing Goal Retrieval Resolution (Citrate pH 6.0, DAKO, Santa Clara, CA, USA) at 95 °C for 40 min. Then, the staining was carried out utilizing Rabbit Particular HRP/DAB Detection IHC Equipment (Abcam, Cambridge, MA, USA) in accordance with the producer’s directions. After blocking with Protein Block Resolution at room temperature for 10 min, the slices have been incubated with the first antibody of human-specific anti-CD31 antibody (ab32457, 1:200, Abcam) and anti-Tuj1 antibody (NB100-1612, 1:200, Novus Biologicals) in a single day at 4 °C. The secondary antibody used was Biotinylated Goat Anti-Polyvalent, which was offered by the Dako HRP/DAB Detection IHC Equipment. Then, the streptavidin peroxidase was utilized and incubated for 10 min at room temperature. After that, the certain advanced was visualized utilizing DAB and counterstained with hematoxylin. Pictures have been captured utilizing a light-weight microscope, and quantitative evaluation was carried out by counting the variety of optimistic cells in 5 noticed areas with Fiji software program.
Immunofluorescent evaluation of the tissue sections
Paraffin-embedded sections have been subjected to immunofluorescence evaluation, following the identical procedures because the IHC staining. Briefly, the sections have been deparaffinization, rehydration, and antigen retrieval. Subsequently, the sections have been incubated with a 5% serum-blocking buffer for 1 h at room temperature, adopted by in a single day incubation at 4 °C with the first antibodies: human-specific anti-CD31 antibody (ab32457, 1:200, Abcam) and anti-Tuj1 antibody (NB100-1612, 1:200, Novus Biologicals). Afterward, the sections have been incubated with the secondary antibodies: Alexa Fluor 488 anti-rabbit IgG (#4412, 1:200, Cell Signaling Know-how) and Alexa Fluor 488 goat anti-chicken IgY (ab150173, 1:200, Abcam) for 1 h at room temperature. Actin was stained utilizing Actin-Tracker Crimson-Rhodamine (1:500, Biyuntian, Shanghai, China), whereas nuclei have been stained and mounted utilizing Mounting Medium with DAPI (ab104139, Abcam). Fluorescence was noticed utilizing the ZEISS Confocal Microscope (LSM 900).
Statistical evaluation
All quantitative knowledge have been offered as imply ± commonplace deviation (SD) for n ≥ 3. Statistical significance was carried out utilizing one-way or two-way evaluation of variance (ANOVA). (*p < 0.05; **p < 0.01, ***p < 0.001, ****p < 0.001).