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International Journal of Bioprinting                                    Printing collagen type IV membrane




            3.3. Comparison of adhesion and wound healing of   3–5 days of culturing in 5% hPL, with a 100% detachment
            human endothelial cells between collagen type IV   rate observed among the 26 Col-IV membranes tested.
            and type I                                         Approximately 11.5% of membranes detached on day 3,
            The adhesion test results displayed no significant differences   46.2% detached on day 4, and 42.3% detaching on day 5.
            between the fabrication methods used to produce the Col-  Notably, the Col-IV membranes cultured in 5% fetal calf
            IV membrane (Figure 3A). This is likely because both   serum (FCS) media remained adhered to the coverslips
            membranes have a similar topography to Descemet’s   (data not disclosed). A key difference between hPL and
            membrane. Col-IV membranes exhibited significantly   FCS is the presence of fibrinogen. Fibrinogen could lead to
            higher cell attachment than Col-I, chondroitin/laminin,   coagulation of cell culture if heparin is not added and could
            and the control (tissue culture vessels without coating).   affect the cell and matrix protein interaction. 30,31  Although
            Both collagen types demonstrated at least sevenfold higher   no gelling of media was observed, this may be a reason for
            cell attachment than chondroitin/laminin-coated wells or at   the self-attachment. Further investigation is warranted to
            least 22-fold higher than controls (p < 0.01). No significant   determine the exact mechanism of the self-attachment.
            difference was found between chondroitin/laminin-     The culturing system of the Col-IV membrane with
            coated wells and controls. This finding is consistent with   hPL addition enabled the self-detachment of confluent
            a published study, which reported that Col-IV is essential   cell membranes, eliminating the need for manual removal
            for human corneal endothelial cell attachment compared   and minimizing potential mechanical damage to the cells.
            to Matrigel, laminin, or fibronection.  Unlike the previous   Other studies have used thermo-responsive materials
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            study, which conducted the test by coating Col-IV onto   to detach cell sheets from culturing vessels without
            an atelocollagen sheet (Col-I sheet),  we fabricated a   requiring  mechanical  handling.  These  materials  include
                                           27
            pure Col-IV sheet without Col-I. Therefore, our results   N-isopropylacrylamide-co-glycidylmethacrylate  and
                                                                                                        32
            confirmed that Col-IV is superior to other substrates,   elastin-like polypeptides functionalized with arginine-
            including Col-I, for endothelial cell attachment.   glycine-aspartic acid (RGD),  demonstrating the benefits
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               The scratch assay results demonstrated that Col-IV can   of easy handling. However, these materials were not tested
            facilitate endothelial cell wound healing (Figure 3B). Full   with primary human endothelial cells; instead, they were
            recovery was observed on Col-IV membranes by day 3,   examined with rabbit corneal endothelial cells and human
            whereas only partial wound recovery was observed on Col-I   adipose stem cell-derived corneal endothelial-like cells,
            membranes and controls. The role of extracellular Col-IV   both of which inherently exhibit higher proliferation rates.
            in wound healing remains unknown. However, studies   Therefore, it remains unclear whether these materials have
            have been conducted to evaluate the effect of Descemet’s   the same cell compatibility as Col-IV. Nevertheless, our
            membrane, with Col-IV being the key matrix protein, on   findings present an alternative that requires no additional
            corneal endothelium repair. In vitro and in vivo studies on   mechanical or chemical means for membrane removal and
            rabbit corneal endothelial cells have reported that intact   has been tested on primary human endothelial cells.
            Descemet’s membrane supported corneal endothelial cell   The  average  B4G12  cell  density  on  the  Col-IV
            regeneration compared to stripped Descemet’s membrane,   membrane was found to be 3710 ± 791.3 cells/mm 2
            and transplanting decellularized Descemet’s membrane   on day  5 (Figure 4). Conversely, the average density
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            facilitated recovery of the endothelium.  In contrast, the   of  P-HCECs  was 1193  ±  120.2  cells/mm on  day  10
                                                                                                   2
            transplantation of decellularized Descemet’s membrane   (Figure 4). This difference was likely due to the initially
            to treat human corneal endothelial diseases has yielded   low seeding number and a slower rate of proliferation for
            mixed results, warranting further studies on the biological   P-HCECs compared to B4G12. In addition, the B4G12
            role of Descemet’s membrane and Col-IV in regulating the   cell line could be stratified in a crowded area, resulting
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            cellular activities of corneal endothelial cells.
                                                               in high cell counts. The average light transmittance of
            3.4. Characterization of bioengineered             the generated Col-IV membrane seeded with B4G12 and
            corneal endothelium — morphology and               P-HCECs cells was > 90% (Figure 2B), which exceeded the
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            immunostaining results                             reported 80% of the native cornea.
            Both B4G12 and P-HCECs could reach confluence on      The immunostaining results of B4G12 cells revealed
            Col-IV membranes (Figure 4A  and  B). Additionally,   strong expressions of ZO-1 and Na /K -ATPase, the two
                                                                                            +
                                                                                               +
            when the seeded Col-IV membrane (with either B4G12   typical corneal endothelial cell markers, as well as laminin
            or P-HCECs) was cultured in 5% hPL, it started to self-  and Ki67 in all culturing conditions (Figure 5). Since no
            detach from the coverslip it was printed or molded on   laminin was added to the Col-I and Col-IV membranes, the
            (Figure 4C). This self-detachment typically occurred within   detection of laminin expression indicated that B4G12 cells



            Volume 10 Issue 4 (2024)                       164                                doi: 10.36922/ijb.3258
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