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International Journal of Bioprinting                            Bioprinting for large-sized tissue delivery




            the M14A transcriptome before and after bioprinting.   and hepatic function maintenance with the potential for
            Surprisingly, GSEA indicated no significantly altered gene   minimally invasive applications.
            terms after printing (Figure 5F). The cluster heatmap of
            the whole transcriptome was minimally altered, suggesting   4. Conclusion
            that the gene expression profile was maintained after the   This  study proposed  a decoupled bioprinting  strategy
            bioprinting procedure (Figure  5G).  Taken together, the   to  fabricate  large-sized  architectures  with  outstanding
            cell viability test and RNA-seq analysis revealed the high   deformation and shape recovery behavior using a novel
            cell-bioprinting suitability of the decoupled bioprinting   bioink featuring superelasticity and fatigue resistance. The
            strategy using GP bioink and white light-induced   printed architectures presented geometry-independent
            photocrosslinking, even for sensitive gene-edited cells.
                                                               injection capacity and potential applications for minimally
            3.5. Long-term culture and injection experiment of   invasive tissue delivery. The development of GP represents
            cell-laden bioprinted architectures                a paradigm shift from mechanically reinforced material
            The M14A-laden bioprinted architectures were cultured for   development to biological performance. GelMA and
            16 days. During culture, the architectures maintained good   PEGDA  of large M   formed a  reinforced  crosslinking
                                                                                w
            structural stability with slight degradation and shrinkage   network  with  improved  mechanical  properties,
            of hydrogel filaments, suggesting the suitability for long-  particularly superelasticity and fatigue resistance. We
            term  cell  culture  with degradation  time  comparable   assume the unique mechanical properties were attributed
            to tissue regeneration (Figure 6A). More importantly,   to the incorporation of flexible chains during white
            M14A cells embedded within GP hydrogel architectures   light-induced  photocrosslinking  and  the  formation  of
            maintained high cell viability and proliferation. We   macroporous  structures.  The  superelastic  GP  hydrogel
            observed the formation of cellular aggregates around   expressed remarkable printability for 3D printing to
            day  9, suggesting  cell  survival  and growth  (Figure  6B).   obtain customized off-the-shelf architectures with distinct
            Immunofluorescence staining on day 16 displayed positive   features and tunable Poisson’s ratios. The large-sized
            expression of hepatic specific marker MRP2, suggesting   architectures can be compressed to less than 1% of their
            that cells form tight junctions in aggregates (Figure 6C).   original sizes and injected through nozzles comparable
            Chemical staining was also performed to evaluate hepatic   to 14G syringe needles. This injection capacity is bioink-
            metabolic function. Glycogen PAS staining revealed that   dependent and geometry-independent, offering greater
            the  cellular  aggregates expressed  high  glycogen  storage   freedom for structural design and architecture scale.
            capacity (Figure 6D). ICG uptake and release experiments   The bioprinting of GP is compatible with cell-laden
            reported good endocytosis and exocytosis behavior of   hydrogel. Additionally, a genome-edited hepatic cell
            M14A within the GP hydrogel, with successful ICG   line M14A was bioprinted and long-term cultured as a
            uptake  within  30  min  and  complete  release  after  8  h    paradigm. A cell-bioprinting suitability test was proposed
            (Figure 6E). GP hydrogel proved to be a versatile candidate   by combining live/dead staining with RNA-sequencing
            for bioprinting and long-term culture with mechanically   analysis to provide a full-scale visualization of the cellular
            reinforced behavior and acceptable biocompatibility.   alternations after printing. The decoupled bioprinting
            However, we found that the cell proliferation in GP-  strategy using GP hydrogel demonstrated high cell-
            bioprinted architectures was significantly slower than   bioprinting suitability, high cell viability, and no significant
            the cells cultured in other biocompatible matrices (e.g.,   alterations in the transcriptomic profile. During the 16-day
            alginate and collagen), highlighting the need for improving   culture, GP hydrogel expressed good structural stability
            material biofunctionality.                         and biocompatibility to support M14A  cell survival and
                                                               function maintenance. The cell-laden architectures could
               An injection test was performed on day 16. After injection
            via 1.5 mm dispensing needles, the samples did not exhibit   be successfully injected without structural fracture and
                                                               with minimal impact on the cells. This proof-of-concept
            any filament fracture and maintained the integrity of their   study provides an alternative approach for efficient tissue
            geometric features (Figure S13, Supporting Information;   delivery in minimally invasive treatments.
            Video S6, Supporting Information). Additionally, M14A
            cells displayed high viability compared to samples before   Acknowledgments
            injection, suggesting the little influence of the injection
            procedure  on  cell  viability  (Figure  6F).  Taken  together,   The authors acknowledge Qiaobing Xu from Tufts
            cell-laden GP-bioprinted architectures could support long-  University and Liqun Wang from Zhejiang University for
            term cell culture with good structural stability, providing   their advice on the reinforcement mechanism investigation
            a biocompatible microenvironment for cell aggregation   and assistance with manuscript writing.



            Volume 10 Issue 5 (2024)                       439                                doi: 10.36922/ijb.3898
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