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International Journal of Bioprinting                         Expanding 3D cell proliferation with DLP bioprinting




            behavior of the cells at 60 rpm and 90 rpm for 14 days, we   statistically significant difference between day 35 and day
            observed a significant increase in cell proliferation with the   1 was observed (p < 0.001; Figure 7C).
            rising rpm (Figure S2 in Supplementary File).
                                                                  Based on DAPI analysis, the number of cells increased
               To observe the differences in cell proliferation over each   during the entire time course to 286 ± 25.71, 290 ± 58.13,
            time course of the three sizes of microchannel hydrogels   366 ± 38.55, 376 ± 35.73, 401 ± 50.57, and 464 ± 60.10, with
            and the effect of the microchannels, we performed cell   a statistically significant difference between day 1 and day
            luminescence-based  quantification. The volume was   35 (p < 0.01; Figure 7D). The side view of the microchannel
            fixed at 128 mm  to equalize the number of cells in each   cross-section shows that the cells adhered to a circular
                         3
            hydrogel (Figure 6H). Statistical analysis of the differences   shape and formed a network (Figure 7E). The analysis was
            between each time course showed no significant difference   performed based on the ratio of the remaining area to the
            in all groups compared to the control group on day 1   initial microchannel space, showing 91.31 ± 0.06% of the
            (ns). There was a statistically significant difference in the   inner space area of the channel on day 1 and 64.10 ± 0.06%
            luminescence levels between the MMH and LMH groups   on day 7, a sharp decrease with statistical significance (p <
            compared to the control group on day 7 (*b  < 0.05). A   0.001). Then, the remaining space area decreased by around
            significant increase was observed in the LMH group   40%, showing 64.10 ± 0.06% and 60.21 ± 0.04% of the space
            compared to the control group on day 14 (*c < 0.05). All   area on day 14 and day 21, respectively, with no significant
            three  groups  showed  a  significant  difference  from  the   difference between them (ns). As time progressed to day
            control group on day 21 (*d < 0.05, **d < 0.01, and *ddd <   21 and day 28, cells filled the unoccupied space inside the
            0.001). Additionally, all three groups showed a significant   channel, and the area of the remaining space decreased
            increase on day 28 compared to the control group (***e   sharply again from 59.07 ± 0.03% to 33.76 ± 0.10% (p <
            < 0.001). Throughout the time course, LMH exhibited   0.01). Finally, on day 35, 28.80 ± 0.05% of the inner space
            the highest luminescence levels. Despite having a small   area of the channel was filled, leaving approximately 30%
            surface area, LMH showed the highest luminescence level,   of the printed microchannel shape unoccupied due to cell
            indicating high cell viability and proliferation due to the   proliferation from long-term culture (Figure 7F).
            presence of media supply within the channel (Figure 6I).   It is well known that a high-flow culture environment
            Our results suggest that microchannels not only increase   is more effective than a non-shaking culture in promoting
            surface area but also function as a conduit to supply oxygen   cell proliferation and maturation in vitro.  In addition, it
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            and nutrients to encapsulated cells and facilitate media   has been reported that aligned microchannels in printed
            flow. Thus, the introduction of microchannels into DLP-  3D  hydrogel  scaffolds  affect  the  spatial  migration  and
            printed 3D hydrogel scaffolds, along with the introduction   survival of neural stem cell spheroids. 69
            of media flow, enhances cell proliferation compared to   Here, we observed that cell proliferation resulted in the
            the same volume of scaffold cultured under non-shaking   formation of a single layer of cells in the microchannel space
            culture conditions during long-term culture.
                                                               during the early-time cultivation (until day 7), whereas
            3.7. Analysis of cell morphology and proliferation   two or more layers of cells were formed during the mid-
            enhancement by geographic location of DLP-printed   and late-time cultivation (until day 21 and day 35; Videos
            3D hydrogel scaffolds with multichannel (LMH)      S1–S3 in Supplementary File). However, contrary to our
            during long-term culture                           expectation that cells would completely fill the empty space
            The purpose of this study was to introduce LMH, which   inside the microchannel, we found that the flow of media
            has been proven to be effective in cell proliferation, and   provided a continuous supply of nutrients and oxygen to
            to  observe  and  analyze  cell  morphology,  viability,  and   the cells without blocking the channel. This ensured the
            proliferation following the geographic location (top   effectiveness  of  introducing  vertical  multichannel  arrays
            and side views) of scaffolds (Figure 7A). We conducted   into the DLP-printed 3D hydrogel scaffolds and changing
            immunocytochemistry staining using α-tubulin/DAPI   the culture environment to enhance cell proliferation.
            and observed the top view of the cells to assess their   Ultimately, this method provides a fast, simple, and efficient
            morphology and proliferation. Over time, the cells   means of significantly improving cell seeding, distribution,
            elongated and proliferated, forming multiple layers,   and proliferation in various geographical aspects (top and
            which led to an increase in α-tubulin/DAPI (Figure 7B).   side) during long-term culture.
            The percentage of cells exhibiting  α-tubulin confluency
            consistently increased throughout the experiment, with   4. Conclusion
            values of 14.89 ± 2.45%, 22.28 ± 3.14%, 24.42 ± 2.83%,   In this study, we aimed to enhance the survival and
            32.35 ± 2.53%, 37.29 ± 2.54%, and 43.46 ± 10.46%. A   proliferation of cells encapsulated within DLP-printed

            Volume 10 Issue 3 (2024)                       420                                doi: 10.36922/ijb.2219
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