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Sriphutkiat Y, et al

            cell  spheroid  may  also  be  possible  using  SSAW  at  the   from the culture medium [62–64] , which may slow down cell
            excitation  frequency  of  7.4  MHz  at  the  cell  density  of   growth and lead to necrotic death [65] . After being transferred
            clogging at the outlet of cavity when collecting them. Some   out of the PDMS cavity and collected in a culture dish,
            cell spheroids generated are about 200 µm. Such a large   the fresh cell spheroids have clear outlines of individual
                 6
            30×10  cells/mL.                                   cells. After 4 h, the cells in the formed spheroids start to
                                                               merge with the adjacent cells. Within a day, the cell outlines
            3.3 Growth of Cell Spheroids                       in the spheroid become blurred, showing the significant

            After the acoustic excitation, cell spheroids were collected   cell mergence. On day 3, all cells inside the spheroid merge
            and cultured in the incubator for up to 7 days to monitor   almost completely with the disappearance of cell outlines,
            their growth. All formed cell spheroids grow quite well   especially those at the center. After that, there are no more
            (see Figure 4). After 7 days of culture, the cell spheroids   significant changes in the morphology of the formed cell
            prepared by the low-frequency excitation increase from   spheroids.
            32.8±4.3  μm  to  58.7±9.2  μm  (1.79  fold)  while  those   3.4 Cell Vability
            prepared by the high-frequency excitation increase from
            18.8±3.0  μm  to  38.5±7.9  μm  (2.05  fold)  as  shown  in   Cell viability of HepG2  was measured on day 1, 3, 5,
            Figure 4A. In addition, the collected cell spheroids in the   and 7 to investigate the influence of acoustic excitation
            petri dish were not found to merge with each other during   on  the  formed cell spheroids. The cells undergone SSAW
            the 7-day culturing.                               excitation showed a clear accumulation with adjacent cells
               Overall, growth trends of cell spheroids generated by both   comparing  with  those  wihtout  acosutic  excitation,  but
            low-frequency  and  high-frequencyexcitations  are  similar.   without significant difference on the cell viabilities (see red
            The slope of growth seems slightly steeper after 5 days   fluorescent intensity in Figure 5). On day 0, the cell outlines
            of cell culture. The cell spheroids generated by the high-  in the cell spheroids were still clear.  After 7 days of cell
            frequency excitation have a slightly faster growth rate (2.05   culture, cell  spheroids became  more compact and round
            fold  in  7  days)  than  that  by  the  low-frequency  excitation   with cell  viability  of 94% (see  Figure 5C).  Although  the
            (1.79 fold in 7 days). For large cell spheroids, the cells at   cell viability decreased slightly over such a period, there
            the center may be less exposed to the nutrient and oxygen   are always no significant differences between the cells in

                                               80  (A)
                                               70      10.4 MHz
                                                       24.9 MHz
                                               60
                                               50

                                               40
                                               30
                                               20
                                               10
                                                   0       2       4        6
                                                         Cell culture duration (Days)
              (B)                     (C)  Diam eter of cell spheriods (  (D)          (E)




                                           祄
                                           )






            Figure  4.  Progressive growth of the cell spheroids after the formation by SSAW  (A)  at  10.4 MHz (solid circle) and 23.8 MHz
            (hollow circle) over seven days of culture, and representative photo of cell spheroid of 10.4 MHz at (B) hour 0 (immediately after
            the formation), (C) hour 4, on (D) day 1, and (E) day 3 with a scale bar of 20 μm.

                                       International Journal of Bioprinting (2018)–Volume 4, Issue 1        7
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