Page 370 - IJB-10-6
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International Journal of Bioprinting                                           3D-printed NAFLD model




            hemisuccinate, Nile  red, and  calcein-AM  were  obtained   three times. After complete dissolution and cooling to
            from Shanghai Aladdin Biochemical Technology Co., Ltd.   approximately 37°C, the solution was mixed with the cell
            (China).  Fetal  bovine  serum  was  sourced  from  Lonsera   suspension to prepare cell-laden bioinks with varying
            (Uruguay). Trypsin-EDTA, PAS staining solution, and   concentrations. The gelatin concentrations were set at
            FAA  fixative  were  obtained  from  Wuhan  Servicebio   3, 5, and 7%, and the alginate concentrations were set
            Technology Co., Ltd. (China). Anhydrous calcium    at 0.5, 1, 1.5, and 2% (w/v) for subsequent experiments.
            chloride, DAPI staining solution, propidium iodide (PI),   Next, the fibrinogen and laminin powders were weighed
            Triton X-100, xylene, absolute ethanol, palmitic acid, oleic   and  dissolved  in phosphate-buffered  saline  (PBS)  to
            acid, and bovine serum albumin  (BSA) were obtained   prepare stock solutions with concentrations of 10 mg/
            from Sangon Biotech (Shanghai) Co., Ltd. (China).   mL for fibrinogen and 100 μg/mL for laminin. Different
            Albumin and CYP3A4 primary antibodies were purchased   concentrations of fibrinogen (0.5, 1, 3, and 5 mg/mL) and
            from Proteintech Co., Ltd. (China). Secondary antibodies   laminin (10, 30, 50, and 70 μg/mL) were then added to
            Alexa Fluor 488 and 594 were from Invitrogen (USA).   the optimized gelatin/alginate bioinks to create optimized
            Commercial Tissue/Cell RNA Rapid Extraction Kits,   bioinks suitable for liver tissue culture.
            cDNA Synthesis Kits, and SYBR Green were obtained from
            Mei5 Biotechnology, Co., Ltd. (China).             2.5. Printing and culturing of liver tissue
                                                               A HepaRG cell suspension with a density of 4 × 10  cells/
                                                                                                        6
            2.2. Cell culture                                  mL was prepared and thoroughly mixed with bioink at a
            HepaRG cells were cultured in DMEM supplemented    1:1 ratio to produce the cell-laden bioink. The cell-laden
            with 1% penicillin-streptomycin, 5 μg/mL insulin, 2 mM   bioink was injected into a sterile printing syringe and
            glutamine, 50 μM hydrocortisone hemisuccinate, and 10%   loaded into the temperature-controlled printhead of the
            fetal bovine serum. The cultures were maintained at 37°C   3D bioprinter. The syringe temperature was set to 5°C,
            in a humidified incubator with 5% CO₂. When the cells   and the ambient temperature was maintained at 25°C. The
            reached 90% confluence, they were passaged with 0.25%   liver tissue was printed in a layered square grid structure
            trypsin-EDTA. The culture medium was changed every   at  an  extrusion  pressure  of  0.178  kPa  and  a  speed  of  5
            2–3 days.                                          mm/s. Upon completion of printing, the liver tissue was
                                                               immediately transferred to a 2% CaCl  solution for 5 min
                                                                                             2
            2.3. Design of the printing model                  to induce crosslinking. After crosslinking, the tissue was
            The design of the liver tissue printing model was   rinsed with PBS and then cultured. HepaRG is a human
            developed via BIOCAD software (provided with the   hepatic progenitor cell line that requires induction to
            REGENHU/R-GEN 200). To ensure adequate nutrient    differentiate  into  functional  hepatocytes  and  biliary
            supply  and  timely removal of metabolic waste,  the   epithelial cells. In this study, we used the conventional
            printing model was designed in a grid pattern. The   method of adding 2% dimethyl sulfoxide (DMSO) to the
            overall structure is a 10 × 10 mm square, printed with   culture medium for differentiation. 19
            a 0.33 mm inner diameter needle and divided into four
            layers. The printing method is extrusion-based, with a   2.6. Cell viability
            line spacing of 1 mm (Figures 1A and S1A, Supporting   Calcein-AM can permeate the cell membrane, where
            Information). The printing direction of the first and   intracellular  esterases  hydrolyze it to  calcein,  which
            third layers is horizontal, whereas the second and fourth   remains inside the cells and emits green fluorescence,
            layers are printed vertically. This alternating printing   thereby labeling live cells. PI is an ethidium bromide
            direction forms a grid-like structure.             analog that binds to double-stranded DNA, producing
                                                               red fluorescence under UV excitation. PI can only enter
            2.4. Preparation of the bioink                     cells and stain the nucleus when the cells are dead and
            Based on our previous experience,  we further optimized   their membranes are compromised. In the experiment,
                                       29
            the bioink formulation to enhance its printability,   the working concentration of PI was 10 μg/mL, and the
            mechanical  properties,  and  biocompatibility,  making  it   working concentration of calcein-AM was 5 μM. After
            more suitable for liver tissue printing. A precise amount   the cultured liver tissue was harvested, it was incubated
            of gelatin and alginate powder was weighed and sterilized   with the calcein-AM/PI working solution at 37°C for 30
            by ultraviolet (UV) lamp irradiation for 1 h before use.   min. Imaging was then performed via a laser light source
            The powders were then dissolved in the culture medium   dual spinning disk confocal high-content analysis system
            and incubated in a water bath at 60°C for 1 h. To ensure   (CQ1; YOKOGAWA, Japan). To ensure the accuracy and
            thorough pasteurization, the solution was removed every   reliability of calcein-AM/PI staining, we conducted three
            hour and cooled for 30 min, and this process was repeated   replicate stains for each experimental condition.


            Volume 10 Issue 6 (2024)                       362                                doi: 10.36922/ijb.4312
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