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Elizabeth  V. Koudan,  Elena A. Bulanova, Frederico  DAS Pereira,  et al
























                                                               Figure 8. Patterned (regularly placed by 3D bioprinter) tissue
                                                               spheroids on the surface of electrospun polyurethane matrices.
                                                               Scanning electron microscopy.

                                                               resulted  thickness  of  bioprinted  3D  tissue construct
                                                               including several layers of tissue spheroids could be
                                                                                [31]
                                                               precisely  predicted  . The demonstrated rapid at-
            Figure 6. Dispensing of tissue spheroids using 3D bioprinter:   tachment and spreading of patterned tissue spheroids
            (A)  Beginning of  bioprinting,  (B)  Linear pattern  of tissue   on electrospun polyurethane matrix also prove its op-
            spheroids.
                                                               timal in vitro biocompatibility. In this context quantit-
                                                               ative  analysis  of tissue spheroids attachment  and
                                                               spreading could be used as a novel high throughput in
                                                               vitro assay to test tissue biocompatibility of different
                                                               electrospun  biomaterials. Estimated  material proper-
                                                               ties of electrospun polyurethane could serve as control
                                                               for future studies of tissue engineered constructs bio-
                                                               fabricated on the surface polyurethane matrices. Com-
                                                               pared to testing of attachment and spreading of single
                                                               cells  on  electrospun matrices, the application  of 3D
                                                               tissue spheroids provides more authentic information
                                                               about  biocompatibility  at tissue level  because im-
                                                               planted in vivo electorspun biomaterials interact with
                                                               complex  3D  connective  tissue,  not  just  with  single
                                                               cells. Theoretically, there are three potential outcomes

            Figure 7. Tissue spheroid on the surface of electrospun polyu-  of direct interaction of tissue spheroids with electros-
            rethane matrices. Scanning electron microscopy.    pun biomaterials: (i) tissue spheroids  can attach and
                                                               sequentially completely spread as we reported here; (ii)
            previous published reports about attachment, spreading   tissue spheroids can only attach but not spread and
            and  fusion  of  tissue  spheroids  placed  manually  on   form  so-called  tethered  spheroids,  which  already  is
            electrospun matrices [21,22] . The main advantage in us-  used in microfluidics toxicity assays [32] ; finally, (iii) if
            ing  3D bioprinter  for automated placing of tissue   electrospun biomaterials are toxic, then spheroids will
            spheroids is a possibility to create regular pattern of   not attach and  will not spread. The cells composing
            their redistribution and, thus, to control the resulted   spheroids in case of third theoretical outcome will die
            thickness  of  bioprinted  tissue  construct.  Using  this   as a result of necrosis. Thus, patterned tissue sphero-
            approach the tissue constructs could be rationally de-  ids on novel electrospun biomaterials could be used in
            signed with desirable thickness (Figure 11). Moreover,   toxicology  studies. Repeatable patterning of tissue
            in our previous publication we have demonstrated that     spheroids with 3D bioprinter will enable standardization
                                        International Journal of Bioprinting (2016)–Volume 2, Issue 1      49
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