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Global Translational Medicine                                Gelatin-based cell carriers for tooth-germ organoids



            the various stem cells used in tooth regeneration research,   indicate the ability of GelMA MS as a scaffolding material
            dental pulp stem cells (DPSCs) are considered an optimal   for the formation of tooth organoids.
            choice due to their self-renewal capabilities and potential   While GelMA MS is promising for tooth organoid
                                      2,3
            for multilineage differentiation.  DPSCs, derived from   development, larger-scale studies, and pre-clinical animal
            the pulp within the pulp chamber, play a crucial role in   models are needed to validate their efficacy. Producing
            replenishing odontoblasts, contributing to dentin repair,   GelMA MS in high quantities requires a scalable and
            and maintaining postnatal tooth homeostasis and repair. 2,4,5  reproducible method.  The current production process is
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              Recent advancements have highlighted tooth organoids   labor-intensive, involving high-speed mixing, temperature
            – three-dimensional constructs containing multiple cell   control, nitrogen purging, heat crosslinking, and extensive
            types, including DPSCs and dental epithelial cells – as   washing steps, resulting in microspheres of variable sizes
            a promising approach for tooth regeneration.  Unlike   and shapes that hinder reproducibility and scalability.
                                                  6-8
            traditional two-dimensional cell cultures, organoids mimic   Therefore, a simpler and more consistent production
            the in vivo environment by providing a three-dimensional   method is desired.
            structure that supports complex cellular and structural   Given the photo-crosslinkable nature of GelMA,
            interactions essential for growth and differentiation.  The   encapsulating single or multiple cell types within a three-
                                                      9
            three-dimensional nature of organoids allows the presence   dimensional HG is achievable. However, while encapsulated
            of structural properties and chemical signals that promote   cells in GelMA HG remain viable, limited nutrient and
            accurate cell  differentiation, making  them  a powerful   waste diffusion can reduce cell viability and functionality
            model for studying cellular behaviors outside of animal   compared to cells cultured on HG surfaces. 17,18  To increase
            models.  Through cell-cell interactions, organoids support   surface  area,  photo-crosslinked  GelMA  HG can  be
                  9
            self-assembly, wherein cells drive scaffold aggregation to   micronized  into  GelMA  microparticles  (GelMA  MP),
            form organoids, and self-organization, in which cellular   which are easier to produce than GelMA MS. However, to
            interactions organize different cell types to mimic natural   evaluate the effectiveness of GelMA MP as a cell carrier, its
            tissue structure, providing a functional representation of   ability to support cell growth and differentiation must be
            in vivo tissues (Figure 1E). 10-12  Fine-tuning the scaffolding   directly compared to that of GelMA MS.
            material is critical to successfully cultivating organoids that
            accurately replicate the structure and function of natural   Gelatin can also form microspheres (Gel MS), which
            dental tissues.                                    have been shown to support human mesenchymal stem
                                                               cell growth and functionality. 18,19  The production process
              Hydrogels (HG), biomaterials that mimic the natural   of Gel MS is simpler and more reproducible, allowing easy
            cellular environment, are widely used in biomedical   sorting by size. 18
            applications due to their crosslinked hydrophilic polymer
            networks, which allow them to retain large amounts   In this study, we generated three types of gelatin-based
            of water within their three-dimensional networks. 13-15    HG microparticles and compared hDPSCs cultured on
            Gelatin, derived from collagen (the most abundant   these carriers to cells encapsulated in GelMA HG. We
                                                               evaluated hDPSC growth and osteogenic differentiation
            protein in the extracellular matrix), interacts with   across the different carriers. Similar to GelMA MS, both
            cells and forms HG upon crosslinking. Methacrylate   GelMA  MP  and  Gel  MS supported  the  formation  of
            gelatin (GelMA), a derivative of gelatin modified with   organoid-like structures. Among the four carriers, Gel
            methacrylate anhydride, is photo-crosslinkable, allowing   MS  was most effective  at  supporting  cell  growth  and
            live cell encapsulation and crosslinking within GelMA   differentiation, highlighting its potential as a superior
            HG.  Due to their biocompatibility and tunability, gelatin-  scaffold for tooth organoid formation.
               16
            based HG is frequently used in regenerative medicine,
            including tooth regeneration. Studies have shown that   2. Materials and methods
            GelMA microspheres (GelMA MS) can be loaded with
            human DPSCs (hDPSCs) and injected into diseased dental   2.1. Synthesis of methacrylated gelatin
            pulp to support regeneration.  In addition, GelMA MS   The  synthesis  and characterization  of  GelMA  were
                                    5
            have been shown to support the growth of hDPSCs and   previously  described.   The  one-pot  GelMA  synthesis
                                                                                 7
            human dental epithelial cells (hDECs) into organoid-like   approach  provides several notable benefits over
                                                                      20
            structures. Co-culturing organoids formed from hDECs   conventional methods, such as reduced reaction and
            and hDPSCs resulted in fused organoids with cell-cell   purification times, improved batch-to-batch uniformity,
            interactions occurring between different cell types, closely   and increased process control. Briefly, type A gelatin from
            resembling the natural tissue environment.  These results   porcine skin (300 bloom, Sigma Aldrich, United States) was
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            Volume 4 Issue 1 (2025)                         68                              doi: 10.36922/gtm.5897
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