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International Journal of Bioprinting                                 Bioprinting organoids for toxicity testing




            set enrichment analysis (GSEA) was conducted using the   embedding conditions (Figure S1I in Supplementary File).
            local version of the GSEA tool (http://www.broadinstitute.  Beyond four passages, the doubling time became prolonged
            org/gsea/index.jsp). A protein–protein interactions (PPI)   (Figure S1K in Supplementary File); thus, EPC-P4 cells
            network of representative GSEA GO terms from the whole   were used for subsequent organoid biofabrication.
            clusters was constructed with Cytoscape EnrichmentMap.
            The Pearson correlation heatmap, volcanic map, and gene   3.1.2. Electro-assisted bioprinting of hiPSC-derived DOs
            heatmap were calculated and graphed using R (version   While 3D bioprinting has been integrated with iPSCs
            3.0.3) ggplot2 and pheatmap packages. The chord plot   to 3D-print biomimetic tissues, it is crucial to select
            was graphed with R GOplot v1.0.2. R (version 3.0.3). The   an appropriate printing method based on the research
            parallel set was graphed using the Origin 2021 software.   objectives due to the distinct features associated with
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            All original sequence datasets were submitted to the GEO   each technique.  Extrusion-based bioprinting enables
            database under the accession number GSE212099.     the fabrication of hierarchical biomimetic models by
                                                               controlling  spatial  positioning  of  cell-laden  bioinks.
            2.11. Statistical analysis                         However, the high shear stresses involved in the printing
            All values are expressed as the means ± standard deviations   process can impair the cellular viability of iPSCs, which
            (SD) and were analyzed using Prism software (GraphPad   are sensitive to mechanical damage. 21,22  While the current
            Inc.). Statistical analysis was performed using Student’s   vat polymerization-based bioprinting technologies have
            t-test or one-way analysis of variance (ANOVA).    achieved superior bioprinting resolution and accuracy,
                                                               there is still a shortage of cell-compatible materials that
            3. Results and discussion                          can be used with these technologies.The thermal inkjet
                                                               bioprinting technology is only applicable to a narrower
            3.1. Fabrication of hiPSC-derived multicellular DOs  range of biomaterials characterized by low viscosity.  The
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            We  sought  to  tackle  the  challenges  of  large-scale   electro-assisted inkjet printing of hydrogel microspheres
            biofabrication of biomimetic DOs from two main aspects:   demonstrates compatibility with a wide range of
            (i) obtaining sufficient hiPSC-derived progenitor cells that   biomaterials, high printing throughput, and exceptional
            facilitate the assembly of 3D structures and co-culturing   structural stability. 24,25  Our previous study demonstrated
            them with multiple cell types; and (ii) developing bioink   that alginate-based microspheres generated by electro-
            and biofabrication methods considering the survival and   assisted inkjet printing maintained high cell viability of
            subsequent multilineage maturation of hiPSC-derived cells.  mesenchymal stem cells and hepatic stem cells in the

            3.1.1. Specification of hiPSCs into progenitor cells  printing process, and facilitated uniform cell aggregation
            We differentiated hiPSCs derived from healthy donors   and differentiation. 18,26  Thus, utilizing electro-assisted inkjet
            (hiPSC-N) into HEs and EPCs, which retained the    printing technology and a blend of alginate and laminin,
            ability  to  self-assemble  into  liver  organoids  and  showed   we were able to generate a large amount of reproducible
            synergistic development toward maturation.  To obtain   cell-laden microspheres measuring approximately 500
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            sufficient cells for biofabrication, HEs were sub-cultured   μm in diameter (Figure 2A; Figure S2A in Supplementary
            after differentiation into FOXA2+/HNF4A+ HEs (counted   File). After 5 days of culture, the cell viability was almost
            as passage 0; HE-P0) (Figure S1A in Supplementary File).   fully recovered (Figure 2A). The three types of cells (HE/
            Within the first three passages, HE-P3 positively expressed   EPC/human HSC cell line LX-2) self-organized into
            cell identity markers (Figure S1B and S1D in Supplementary   multicellular organoids (DOs) with averaged diameters
            File) and maintained their capacity for differentiating into   of 35  ± 13 μm, the diameter of 90% of the organoids
            hepatoblasts (HBs) and hepatocyte-like cells (HCs) with   is  within  the  range  of 25–45  μm,  and no necrosis  was
            the positive expression of ALB/AFP expression (Figure S1C   observed within the center of the core (Figure 2A;
            and S1F in Supplementary File). Beyond three passages,   Figure S2B in Supplementary File). These results suggested
            above markers exhibited decreased expression (Figure S1D   that electro-assisted inkjet printing was suitable for printing
            in Supplementary File); therefore, HE-P3 was used for   monodispersed hiPSC-derived cells that were sensitive to
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            organoid biofabrication. Besides, hiPSCs-N differentiated   mechanical disturbance.
            EPCs (EPC-P0) (Figure S1G  in Supplementary File)     These DOs positively expressed hepatocyte typical
            underwent planar expansion and further matured into   markers  (ALB+/CYP3A4+),  endothelial  markers
            endothelial-like cells with upregulated expression of   (CD31), and HSC markers (vimentin, VIM) (Figure 2B).
            endothelial  markers  (Figure  S1J  in  Supplementary  File).   We fabricated DOs-laden microspheres labeled with
            A tube formation assay demonstrated EPC-P4 cells’   EPC-RFP, LX-2-EGFP, and nuclear staining. The results
            capacity for in vitro angiogenesis on the Matrigel layer and   indicated that the three types of cells closely interacted


            Volume 10 Issue 3 (2024)                       250                                doi: 10.36922/ijb.1403
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