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International Journal of Bioprinting                                         Bioprint micro breast cancer




            2.6. Detection of hypoxic regions in bioprinted    in a collagen I hydrogel at 2 mg/mL concentration, and
            micro-cancer tissues                               subsequently cultured in a complete medium. For drug
            Hypoxia in  PMCaTs  was  evaluated  using  the     efficacy  studies,  we  exposed  the  embedded  PMCaTs  to
            Hypoxyprobe™-1 Omni Kit (Hypoxyprobe, Inc., USA).   0, 2, 20, 100, and 200 μM (n = 3 per concentration) of a
            Pimonidazole in the kit binds to thiol groups in hypoxic   5-fluorouracil (5-FU) and then imaged them daily for 3
            cells (oxygen levels <10 mm Hg) for subsequent     days using a phase contrast microscopy (Nikon, Japan).
            immunohistochemical detection. PMCaTs (n = 3) were   The  invasion  dynamics  under drug  treatments  were
            treated with 200 μM pimonidazole hydrochloride for 3   benchmarked against untreated controls. Images of the
            h (omitted for the negative control), then fixed with 4%   invasion  of  cancer  cells  into  the  surrounding  collagen
            paraformaldehyde, permeabilized, and blocked with   matrix were binarized, and the ratios of the invaded area
            bovine  serum  albumin  (BSA).  Subsequent  incubation   to the original microtissue area were computed as the
            with  fluorescein isothiocyanate  (FITC)-conjugated anti-  primary metric. This analysis was conducted using ImageJ
            pimonidazole  antibody  enabled  visualization  under  a   (https://imagej.nih.gov/ij/; National Institutes of Health,
            confocal microscope at excitation/emission wavelengths of   USA). For this assay, a 3-day endpoint was established
            495/519 nm.                                        based  on  preliminary  empirical  evidence  that  such  a
                                                               timeframe was adequate to observe the differential effects
            2.7. Hematoxylin and eosin staining of             of the drug concentrations tested. The assay duration was
            bioprinted tissues                                 limited to 3 days to prevent cell invasion from extending
            PMCaTs were subjected to hematoxylin and eosin (H&E)   beyond the visual field of the microscope, which would
            staining  for  histological  analysis.  Following fixation in   impede accurate assessment and measurement.
            10% neutral buffered formalin, the tissues underwent
            dehydration, xylene clearing, and paraffin embedding.   2.10. Drug penetration modeling
            Sections of 5 µm were prepared using a microtome and   The penetration of drug compounds into the PMCaTs (n =
            subsequently stained with hematoxylin for nuclei and   3) was studied using a model drug, Alexa Fluor 488-labeled
            eosin for cytoplasm and extracellular matrix.      dextran (70,000 MW, Invitrogen, USA). The bioprinted
                                                               PMCaTs were submerged in PBS containing Alexa Fluor
            2.8. Confocal analysis of microvascular development   488-labeled dextran. The penetration and distribution of
            in bioprinted tissues                              the Alexa Fluor 488-labeled dextran within the bioprinted
            PMCaTs were composed of cancer cells labeled with   PMCaTs were visualized using multiphoton microscopy
            CellBrite Red, NHLFs with CellBrite Blue, and HUVECs.   (Olympus, Japan).
            These tissues were embedded in a collagen I hydrogel
            (Corning, USA) prepared at a concentration of 2 mg/mL,   2.11. Modeling T cell-based immunotherapy
            in line with the manufacturer’s guidance. After a vascular   Before bioprinting, all cells designated for the micro-cancer
            development duration of 3 days, the tissues were fixed with   tissue, including SUM149 cells, NHLF, and HUVECs,
            4% paraformaldehyde for 15 min at room temperature.   were labeled with PKH26 to ensure their traceability and
            Thereafter, they were permeabilized with 0.1% Triton   visualization. These cells were subsequently 3D bioprinted
            X-100 for 10 min and blocked using 1% BSA in PBS for 1 h.  to create PMCaTs. After a 5-day culture period, Jurkat cells,
                                                               an immortalized line of human T lymphocyte cells, were
               For the identification of endothelial cell markers,
            tissues were incubated overnight at 4°C with fluorescently   labeled with CellBrite Green. These labeled Jurkat cells
            conjugated antibodies targeting CD31 (at a 1:200 dilution   were then thoroughly mixed with collagen hydrogel, and
            in 1% BSA/PBS). Following three washes with PBS, these   the PMCaTs were delicately embedded within this mixture.
            tissues were set up with a mounting medium optimized for   Once embedded, the collagen was allowed to polymerize,
            fluorescence microscopy. Confocal imaging was executed   securing the encapsulation of both the PMCaTs and Jurkat
            using a Nikon confocal system, maintaining consistent   cells. After the collagen polymerization, the entire system,
            image acquisition settings across samples. To visualize the   which comprised the PMCaTs surrounded by Jurkat
            intricate 3D structure of the newly formed microvascular   T cells, was visualized and imaged using a fluorescent
            networks  inside the  tissues,  Z-stacks  were captured   microscope to study the distribution and interaction of the
            and then 3D reconstructed, adhering to our previously   labeled cells.
            documented protocol. 17                            2.12. Modeling printed micro-cancer
                                                               tissue metastasis
            2.9. Invasion assay
            To examine the invasive properties of our PMCaTs, we   SUM149 cells, NHLFs, and HUVECs were labeled with
            utilized an invasion assay. The PMCaTs were embedded   PKH26  and  bioprinted  into  PMCaTs  (as  detailed  in
                                                               section  2.5. Bioprinting process). Given that the half-

            Volume 10 Issue 3 (2024)                       561                                doi: 10.36922/ijb.2911
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