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



              GelMA HG possesses a crosslinked structure that forms   metabolic rates,  which may contribute to the higher
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            a bulk HG, which may hinder effective nutrient and waste   metabolic activity on GelMA MS. Factors such as size
            exchange between embedded cells and their surrounding   distribution, porosity, and surface topography likely
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            environment.  In  contrast,  cells in  GelMA  MS and Gel   influence the rate and effectiveness of nutrient exchange
            MS exhibited an elongated morphology and spanned   within the constructs, as well as the available surface area
            between microparticles (Figure 3A[i, iii, v, vii]), whereas   for cell adhesion and growth. 32,33  These characteristics may
            cells in GelMA HG and maintained a non-elongated   differ between carriers due to their respective fabrication
            morphology (Figure  3A[iv and viii]). This cellular   methods and crosslinking agents. 34
            arrangement promotes aggregation, suggesting enhanced   Cell viability in GelMA HG may be underestimated due
            cell-cell contact and communication compared to GelMA   to limited reagent permeability in and out of the HG in the
            HG, where cells were only elongated on the HG surface   metabolic assay (Figure 3B). Conversely, DNA measured
            and remained rounded within the bulk HG. Studies have   from dissolved GelMA HG might include DNA from
            shown that cell-cell communication is important for the   dead cells trapped in the HG, potentially overestimating
            viability and functionality of hDPSCs in tooth organoid   cell numbers. Although neither assay provides a definitive
            formation.  Furthermore, the observed 3D structure   measure of cell growth on GelMA-based carriers, both
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            and cell spreading likely enhance both cell-cell and cell-  consistently showed that Gel MS supported the highest
            scaffold  mechanical  interactions, which  are essential  for   hDPSC growth, which was consistent with phase image
            maintaining stem cell viability. 30                observations (Figure 3A[v-viii]).

              Cell viability was further quantified using the
            alamarBlue assay to assess metabolic activity (Figure 3B).   3.3. Osteogenic differentiation of hDPSCs on/within
            Notably,  cells  on  Gel  MS  exhibited  significantly  higher   different cell carriers
            metabolic activity than those on GelMA MS or GelMA   To support tooth regeneration, hDPSCs in organoid
            MP. Between GelMA MS and GelMA MP, which share     cultures undergo lineage-specific differentiation.
                                                                                                           7,35
            the  same material composition,  GelMA  MS supported   Osteogenic and odontogenic differentiation are commonly
            significantly higher viability. Although GelMA MP is   used to assess the differentiation potential of hDPSCs
            expected to provide more surface area than spherical   in tooth tissue applications, as these cell types share
            GelMA MS, the lower metabolic activity observed suggests   similarities, and hDPSCs have been shown to be capable of
            that factors such as surface curvature may influence cell   differentiating into both lineages.  To assess the osteogenic
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            adhesion, proliferation, or metabolism beyond surface   differentiation potential of hDPSCs on/in various carriers,
            area alone. Among all four carriers, GelMA HG showed   cell aggregates were cultured in osteogenic medium
            the lowest cell viability.                         for 10  days. These organoid-like aggregates, both with
              Since the alamarBlue assay may not accurately reflect   and without osteogenic induction, were then stained
            cell counts due to reagent permeability limitations in   with alizarin red solution (Figure  4). Alizarin red stains
            aggregates or HG,  DNA quantification was conducted   calcium deposited by osteogenically differentiated cells.
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            as an additional measure.  After treating the samples   Osteogenically-induced samples (Figure 4A, upper panel)
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            with type I collagenase to dissolve aggregates or the HG,   displayed significantly stronger red staining compared
            released DNA was measured using the Helixyte DNA assay   to uninduced samples (Figure 4A, lower panel), with the
            (Figure 3C). Consistent with the metabolic activity results,   exception of GelMA HG. Interestingly, GelMA HG without
            Gel MS supported the highest cell growth based on DNA   cells also showed strong staining (Figure 4A), indicating
            content. Interestingly, DNA quantities on GelMA MS,   possible non-specific dye binding or inefficient dye elution
            GelMA MP, and in GelMA HG were similar. The similar   from GelMA HG despite extensive washing steps.
            DNA levels between GelMA MS and GelMA MP indicated   In aggregates, intense red staining was localized to areas
            comparable cell numbers on these two carriers. This result   where cells aggregated between particles (Figure 4A[i–iii]),
            may highlight the differential effects that size, crosslinking   while in GelMA HG, staining was more pronounced on the
            methods, and geometries have in promoting cell viability.   surface where elongated cells were located (Figure 4A[iv]).
            Although the reason for the higher metabolic activity of   This pattern aligns with viability assays, which indicated
            cells in GelMA MS compared to GelMA MP (Figure 3B)   higher viability of cells grown on GelMS MS, GelMS MP,
            remains unclear, Calcein AM staining revealed elongated   and Gel MS throughout organoid-like structures, compared
            cells on the surfaces of GelMA MS (Figure 3A[i]), whereas   to the lower viability of hDPSCs encapsulated in GelMA
            staining on GelMA MP appeared punctuated and discrete   HG. These findings suggest that cell-cell interactions and
            (Figure 3A[ii]). Increased cell spreading is known to raise   elongation facilitated differentiation, as these phenomena


            Volume 4 Issue 1 (2025)                         75                              doi: 10.36922/gtm.5897
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