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International Journal of Bioprinting                             Endothelial monolayer formation on scaffolds




            shear stress is a factor to develop an anti-thrombogenic   templates were created using the software SHAPER 1.0
            phenotype to counteract the later thrombotic events on   (regenHU Ltd.).
            the endothelial monolayer.  Consequently, the fabricated   PCL grids with thin fibers were prepared with MEW. The
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            scaffolds were tested under static and dynamic conditions   following parameters were used: the acceleration was set to
            with shear stress levels reaching up to 10  dyn  cm ,   40 mm s , the temperature to 85°C, the voltage to 3.8 kV,
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                                                                      -1
            simulating the wall-near shear stress in common coronary
            arteries  in vivo,  and the anti-thrombotic properties of   and the distance between the nozzle and the collector was
                         17
            the resulting endothelium were evaluated by analyzing the   fixed at 1.3 mm. A pneumatic pressure of 10 to 15 kPa was
            KLF2 expression using immunohistochemistry. Dynamic   used to extrude the PCL through a 24G nozzle (0.311 mm).
            cultivation was also performed to evaluate the sustained   For each scaffold, 10 alternating layers were printed with 0°
            adhesion of seeded cells on the scaffolds. Mechanical   and 90° orientations, and the interfiber distance was varied
            characteristics are another crucial property for the long-  between 40 and 120 µm. The fibers were arranged in a way
            term persistence of scaffolds and play an important role in   that every horizontal interfiber spacing came into contact
            directing mechanical cues to the seeded cells.  Therefore,   with every vertical interfiber spacing.
                                                18
            when mechanical properties need to be tuned to the target    This also generated non-square pores, e.g., with a
            tissue, the impact of scaffold coating and cell seeding was   dimension of 40 × 120 µm. Due to the jet lag, resulting from
            evaluated using tensile testing.                   the set parameters, only the inner parts of created MEW
               This study aims to find a suitable protocol for   structures were used as scaffolds, due to irregularities at
            cultivating FDM- and MEW-generated, microstructured   the turning points of the deposited fibers. The detailed
            polymer scaffolds with endothelial cells, and exposing   process of the scaffold fabrication is depicted in Figure S1
            those seeded scaffolds to in vivo shear stress conditions.   (Supplementary File). As a comparison to MEW-produced
            Such 3D-printed scaffolds could be further developed as   scaffolds, scaffolds were also fabricated using MES. These
            tubular scaffolds and used as vascular wall elements, with   MES scaffolds were created based on the same CAD design
            an endothelial monolayer, and used as tissue-engineered   that  was  used  for  MEW, and  using  comparable  printing
            vascular grafts.                                   parameters, only marginally adjusted to MES. In detail,
                                                               a printing speed of 45 mm s , a temperature of 100°C, a
                                                                                      1
            2. Materials and methods                           nozzle spacing of 10 mm, a voltage of 7 kV, and a pressure
                                                               of 10 kPa were used.
            2.1. Materials
            PCL with an average molecular weight of 45,000 g mol was   In the  second step, FDM was  used to  print thicker
                                                      -1
            purchased from Sigma-Aldrich (USA), for MEW and FDM.   supporting structures on top of the MEW or MES structures.
            Human-derived fibrinogen and thrombin for generation   Without these supporting structures, the printed MEW
            of fibrin as scaffold coating were purchased from Sigma-  fibers could not be separated from the substrate without
            Aldrich (USA). For cell culture experiments, HUVECs   damaging the MEW structures. The parameters used in
            were purchased from PromoCell GmbH (Heidelberg,    the FDM process are as follows: a temperature of 100°C
            Germany), Endothelial Cell Growth Medium 2 (EGM2)   for fusing FDM and MEW/MES strands, a printing speed
            was purchased from PromoCell GmbH (Heidelberg,     of 5 mm s , a pressure of 300 kPa, a 0.2 mm nozzle, and a
                                                                       -1
            Germany), and was supplemented with additional 8%   layer height of 0.15 mm. In the case of static cell culture
            fetal bovine serum (Sigma-Aldrich, St. Louis, USA) and   experiments, supporting structures were printed in the size
            0.5% gentamicin (Sigma-Aldrich, St. Louis, USA). For cell   of 24- or 48-well plates. Supporting structures for dynamic
            fixation  and  staining,  paraformaldehyde  was  purchased   scaffold cultivations were printed in the shape of the wells
            from Carl Roth GmbH + Co. KG (Karlsruhe, Germany);   of µ-slides I Luer 3D (5.4 x 4 mm, ibidi GmbH, Gräfelfing,
            Triton-X from Sigma-Aldrich (USA); DAPI solution from   Germany). For mechanical testing, test specimens of type
            Sigma-Aldrich (USA); and Phalloidin-iFluor  555 from   1BA according to DIN EN ISO 527-2 were printed with a
                                                TM
            Abcam PLC (UK). For antibody staining, anti-fibrinogen   length of 75 mm and a width of 10 mm.
            antibody, anti-VE cadherin antibody, anti-KLF2 antibody,   Superfluous MEW structures were removed by manual
            and conjugated antibody to the first were purchased from
            Abcam PLC (UK).                                    cutting after printing. Detachment of MEW or MES fibers
                                                               from the glass slides was aided by cooling the structures
            2.2. 3D printing                                   in ice-cold water. Before use, scaffolds were sterilized in
            A commercially available R-GEN 200 3D printer (regenHU   70% isopropanol for 24 h, UV-irradiated for 30 min, and
            Ltd., Villaz-St-Pierre, Switzerland) was used to deposit the   then washed with phosphate-buffered saline (PBS; Life
            biodegradable polymer PCL in microscale fibers. Digital   Technologies Limited, USA).


            Volume 10 Issue 1 (2024)                       479                          https://doi.org/10.36922/ijb.1111
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