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International Journal of Bioprinting                            Bioprinting for large-sized tissue delivery




                                 S                             function remodeling. Therefore, providing a comprehensive
               Injection capacity =   inject   × 100%   (IV)   and scientific description of cell-bioprinting suitability is
                               S architecture                  indispensable.

               Interestingly, all  large-sized architectures  exhibited   In this study, we evaluated the cell-bioprinting
            similar injection capacity, regardless of geometrical features   suitability of GP hydrogel using two cell types: HepaRG cell
            and Poisson’s ratios (Table S4, Supporting Information;   lines and genome-edited hepatocytes based on HepaRG.
            Video S3, Supporting Information). These architectures   HepaRG is a human hepatoma cell line with bipotent
            could be consistently compressed to 0.79% of the original   hepatic progenitor-like characteristics and is readily used in
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            size, injected through needles with a minimum inner   artificial liver construction and drug testing applications.
            diameter  of 1.5  mm (comparable to a  14G needle), and   The influence of light exposure time on HepaRG viability
            subsequently unfolded and restored to the original shape   was tested to determine the optimal window for cell-laden
            while maintaining structural integrity (Figure 4C; Video   bioprinting. Our findings indicate that 5 and 10 min of
            S4, Supporting Information). When the needle diameter   exposure did not significantly influence cell viability in the
            decreased to 1 mm, all the samples were damaged, with   absence of added culture medium. However, long-term
            fractured filaments (Figure S9, Supporting Information).   exposure (15 and 20 min) induced massive cell death,
            These results revealed that the deformation and shape   likely due to liquid evaporation and heat radiation from
            recovery behavior of large-scale architectures was versatile,   white light exposure (Figure 5A). A compressive test was
            depending on the inherent mechanical properties of GP,   then conducted on GP that was crosslinked for 10 min.
            and compatible  with different structural  designs  for   The elastic modulus was determined to be 23.2 ± 1.6 kPa
            injection procedures.                              (Figure S11, Supporting Information), i.e., within the
                                                               scope of human tissues and comparable to the natural
               After  assessing  the injection  capacity of  large-sized   38,39
            architectures,  a  simulation  experiment  was  conducted   liver.   Therefore, 10 min light exposure time was optimal
                                                               for subsequent cell-laden bioprinting studies.
            for in vivo injection. The sinusoidal mesh samples were
            injected via a dispensable syringe with an inner diameter   While cell viability is commonly used to assess the
                                                                                             35
            of 2 mm onto the surface of a pork liver (Figure S10,   influence of the printing procedure,  we consider it a
            Supporting Information). The printed architecture   rough analysis because cell injury may alter cell phenotype,
            could be continuously injected and effectively spread on   leading to unwanted variations in subsequent cell self-
            the surface of liver tissue, suggesting the potential for   organization and  morphogenesis.   Thus,  we  proposed
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            minimally invasive tissue delivery applications (Video   a paradigm for assessing cell-bioprinting suitability by
            S5, Supporting Information). Furthermore, biomimetic   combining cell viability and transcriptome sequencing
            models of analogous liver lobules (radiation sinusoid   (RNA-sequencing analysis) to provide a full-scale
            model and hexagonal lobule model) were designed. The   evaluation of cellular alternations after printing.
            corresponding architectures were successfully printed   We established a new genome-edited hepatic cell line
            using a multi-nozzle extrusion printer with temperature-  based on HepaRG to assess the cell-bioprinting suitability
            control modules (Figure 4D). Taken together, we present   of GP-bioprinted hydrogel. By transfecting two genes
            a versatile bioprinting strategy for fabricating injectable   (FoxM1  and HNF4A) using Sleeping Beauty transposon
            large-sized architectures using GP hydrogel. Our findings   into HepaRG (Figure 5B), we obtained fluorescent-
            highlight that the excellent injection capacity was
            dependent on the mechanical behavior of GP hydrogel   labeled HepaRG-M14A cells (henceforth referred to as
            and was compatible with various model designs featuring   M14A) that exhibit the typical polygonal morphology of
            tunable Poisson’s ratios. After injection, the samples were   hepatocytes (Figure 5C). Additionally, these cells could
            able  to  recover  their  original  geometries.  Hence,  the   spontaneously differentiate into hepatocytes without
            versatility of GP hydrogel for bioprinting applications can   a HepaRG induction medium. Immunofluorescence
            be exploited to create intricate architectures with multiple   staining  revealed  that  M14A  expressed  high  levels  of
            materials and biomimetic designs.                  hepatic marker proteins, i.e., HNF4A and ALB (Figure
                                                               5D). Moreover, M14A expressed more glycogen storage
            3.4. Cell-laden GP hydrogel supports high          and better ICG uptake capacity compared to HepaRG
            cell-bioprinting suitability                       (Figure S12A, Supporting Information). RNA-sequencing
            Cells are living components in the bioink and are critically   analysis displayed a significantly different transcriptome
            important for  in vitro tissue/organ reconstruction. After   for M14A compared to HepaRG (Figure S12B, Supporting
            printing, a high cell survival rate and unaffected phenotype   Information). Multiple gene sets related to biosynthesis,
            are  the  prerequisites  for  subsequent  cell  assembly  and   metabolism, viral genome replication, and virus receptor


            Volume 10 Issue 5 (2024)                       436                                doi: 10.36922/ijb.3898
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