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International Journal of Bioprinting                                    Printing collagen type IV membrane




            matrix protein in basement membranes, the use of Col-  There is a challenge in developing printable collagen
            IV in tissue bioengineering is imperative.  In ocular   ink due to its variable fibrillogenesis/self-assembly process
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            tissue bioengineering, Col-IV could significantly generate   in vitro  at  neutral  pH.  This  process  leads  to  collagen
            clinically viable ocular tissue, such as a bioengineered   precipitation  and  has  inconsistent  speed  that  can  take
            corneal endothelium, for use in corneal endothelial   up to 30 min.  This property prevents the development
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            transplants.                                       of high-concentration collagen-only bioinks because the
                     2
               Corneal endothelial diseases and dystrophies are   ability to have consistent gel-sol time is critical in the
            associated with dysfunctional endothelium, resulting in   printing process. Previously, a printable Col-I of  high
            visual loss and pain. In severe cases, they may even lead   concentrations (up to 18 mg/mL) at neutral pH without
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            to blindness. They affect all ethnic groups, with a higher   fibrillogenesis was developed.  In this study, we employed
            prevalence rate in  Caucasians at 7–21.6%.  Corneal   a similar methodology to create printable Col-IV ink that
                                                  5
            endothelial transplantation using donor corneal tissue is   can be kept at room temperature (RT) without gelation
            the gold standard for restoring vision in patients suffering   for bioengineering a corneal endothelium and evaluated
            from corneal endothelial diseases. There is an increasing   its mechanical suitability and cellular biocompatibility.
            number of corneal endothelial transplantations being   Additionally, we compared the wound healing ability
            reported, a trend likely associated with the significantly   of corneal endothelial cells cultured on Col-I and Col-
            higher risk of corneal endothelial diseases in our aging   IV membranes and conducted mock surgical tests to
            population.  As a result, there is subsequently an increased   examine the compatibility of the bioengineered Col-IV
                     6
            need for donor tissue. Globally, a donor cornea is available   endothelium in donor corneas.
            for only 1 in 70 patients.  Bioengineering a corneal   2. Materials and methods
                                   7
            endothelium can help tissue supply catch up with demand.
            One of the key challenges is to develop a suitable material   2.1. Materials
            carrier that is similar to Descemet’s membrane, where   Unless noted otherwise, all chemical reagents and collagen
            endothelial cells are located.                     were  purchased  from  Sigma-Aldrich (United States  of
                                  8
                                                               America [USA]). Cell culture-related reagents and tissue
               Descemet’s membrane is an acellular and lamellar
            structure consisting of four key extracellular matrix   culture vessels were sourced from Gibco (USA).
            (ECM)  proteins:  Col-IV,  laminins,  nidogens,  and   2.2. Developing a photo-crosslinkable collagen
            perlecan.  To date, the primary materials used to replicate   type IV ink
                   9
            Descemet’s  membrane include decellularized corneal   Based on the previously published protocol on Col-I
            stroma lamellae where Col-I was the main protein, fish   ink,  Col-IV  solution was made by mixing  acidic
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            scale, decellularized Descemet’s membrane, crystalline   human Col-IV solution (12 mg/mL) with 5 M NaOH,
            lens, silk fibroin, Col-I, gelatin, and polycaprolactone.    CaCl , and riboflavin (Table 1) to generate a stable and
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                                                                   2
            Despite Col-IV being the key collagen type in Descemet’s   neutral  solution. The  final  pH  was  between  6.7  and
            membrane, its use as a biomaterial has been limited,   7.4. The solution can be kept in the dark at RT without
            and few fabrication methods for generating Col-    precipitation or fibrillogenesis for at least one month
            IV membranes have been reported. For instance,     and can be crosslinked when brought under ultraviolet
            Palchesko  et al. engineered a basement membrane   (UV) light.
            for  corneal endothelial cells by  coating  Col-IV  onto  a
            polydimethylsiloxane  (PDMS) stamp, then transferring
            the Col-IV layer onto a compressed Col-I gel using the   Table 1. Composition of collagen type IV (Col-IV) solutions
                                                               for photo-crosslinking
            surface-initiated assembly (SIA) technique.  Similarly,
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            Sorkio  et al. used the Langmuir-Schefer technique to   Composition         Quantity  Concentration
            construct a Col-I/IV double layer to mimic the native
            Bruch’s membrane for retinal pigmented epithelial cells.    Acidic Col-IV solution (Cat#   90 μL  12 mg/mL
                                                         12
                                                                C7521; Sigma-Aldrich, United
            Both methods used Col-I in their membrane construction.   States of America [USA])
            However, it is important to note that Col-I, typically   CaCl (Cat# C5670; Sigma-  7.3 μL  27.4 mg/mL
            found in the interstitial matrix, is not present in basement   Aldrich, USA)
                                                                   2
            membranes,   including  Descemet’s  membrane.
                                                        4,13
            Therefore, developing a printable Col-IV biomaterial   NaOH (Cat# 567530; Sigma-  1.9 μL  5 M
                                                                Aldrich, USA)
            without the support of Col-I could greatly advance the
            biofabrication of structures that more closely resemble   Riboflavin (Cat# PHR1054;   0.1 mg  0.1% (w/v)
            the native matrix composition of basement membranes.  Sigma-Aldrich, USA)

            Volume 10 Issue 4 (2024)                       158                                doi: 10.36922/ijb.3258
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