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International Journal of Bioprinting                                 3D-bioprinted respiratory disease model




            for engineering lung tissues that exhibit a greater degree   2. Materials and methods
            of physiological relevance in comparison to 2D systems   2.1. Cells and virus
            through the utilization of co-cultures consisting of
            epithelial  cells,  pulmonary  fibroblasts,  endothelial  cells,   Primary  human  pulmonary  fibroblasts  (HPFs;
                                                               cryopreserved, C12360, LOT #446Z031; PromoCell,
            and in some instances, immune cells. However, these   Germany) were cultured in Human Fibroblast Growth
            studies lack the inclusion of one important factor in the   Medium 2 (C-21020; PromoCell, Germany) supplemented
            behavior of lung tissues, the biomechanical stimulus of   with Growth Medium 2 Supplemental Mix (C-39325;
            breathing. As biomechanical stimulus has previously been   PromoCell, Germany) and 1× Anti-Anti (antibiotic-
            identified to have a drastic impact on cellular behavior in   antimycotic, 15240-062; Gibco, United States of America
            various tissues, the inclusion of this stimulus is considered   [USA]). Primary bronchial epithelial cells (HBEpCs;
            an important addition to respiratory models, especially   cryopreserved, C12640, LOT#468Z003; PromoCell,
            when studying host-pathogen interactions and responses to   Germany) were cultured in Airway Epithelial Cell Growth
            viral infections. 34,37,38  Further, these bioprinted respiratory   Medium (C-21060; PromoCell, Germany) supplemented
            construct  infection  studies,  to  date,  have  not  included   with Growth Medium Supplement Mix (C-39165;
            growth factors or other chemical signaling molecules   PromoCell, Germany) and 1× Anti-Anti. Undifferentiated
            commonly present in the respiratory system.        THP-1 cells were cultured in RPMI 1640 media (Lot
               This paper presents a study on incorporating    1967664; Gibco, USA) supplemented with 5% fetal bovine
            both  biomechanical  and  biochemical  stimuli  within   serum (FBS; Cat: 12103C, Lot 21G129, SAFC; St. Louis,
            bioprinted constructs to explore the importance and   USA), 0.2 mg/mL GlutaMAX (35050-061, Lot 1897177;
            effects of including these stimuli on the constructs   Gibco,  USA),  50  mM  2-mercapotoethanol  (21985-023;
            in disease modeling applications. Alginate/gelatin/  Gibco, USA),  20 mM HEPES  (15630-080; Gibco, USA),
            collagen constructs were bioprinted, incorporating   and 1× Anti-Anti. All cells were incubated in a standard
            primary human pulmonary fibroblasts (HPFs) and     incubator at 37°C with 5% CO  until the required number
                                                                                       2
            THP-1 cells, and further seeded with primary human   of cells was reached.
            bronchial epithelial cells (HBEpCs). These constructs   Influenza A/Puerto Rico/8/34 (H1N1) (PR8) was
            were then used as a respiratory disease model through   propagated in 11-day-old embryonated chicken eggs, and
            infection with IAV A/Puerto Rico/8/34 (PR8) H1N1.   titrated in MDCK cells, as described previously. 43
            The immune response, measured through chemokine/
            cytokine mRNA expression, was used to determine the   2.2. Nanoparticle preparation
            effects of biomechanical stimuli (via a specialized breath-  Hepatocyte growth factor (HGF)-loaded chitosan-coated
                                                               alginate nanoparticles were produced using an emulsion
            mimicking bioreactor) and biochemical stimuli (through   synthesis technique, as previously described.  HGF was
                                                                                                    33
            a growth factor-containing nanoparticle system) on the   selected as it is documented to play a role in lung healing,
            response of the engineered construct to infection. It was   aiding  in the formation of an epithelial  barrier  layer by
            found that incorporating biomechanical stimuli resulted   promoting cell proliferation and differentiation toward
            in an increase in cellular metabolism, which was further   epithelial cell lineages.  Briefly, a 5% low-viscosity alginate
                                                                                 44
            increased with growth factor-loaded nanoparticles, in   (A1112;  Sigma  Aldrich, USA)  solution  was  created
            agreement with previous studies. 33,34  It was hypothesized   through the dissolution of alginate in ultrapure water via
            that the greater cellular proliferation and activity caused   magnetic stirring. 0.18% (wt.) HGF (recombinant human
            by the biomechanical stimulus may enhance the overall   HGF protein, ab259401, Lot GR3453764-1; Abcam, United
            immune response, while the increased epithelialization   Kingdom [UK]) was added to this solution and stirred for
            resulting from the inclusion of hepatocyte growth factor   2 h before 300 µL of solution was added dropwise to an
            (HGF) may lead to a stronger epithelial response. While   oil phase consisting of 1 mL paraffin oil (18512; Sigma-
            the system containing both nanoparticles and dynamic   Aldrich, USA) and 100 µL Span 80 (viscosity 1000–2000
            stimulus displayed the greatest immune response 6 h   mPa·s, 85548; Sigma-Aldrich, USA) with magnetic stirring
            post-infection, constructs without nanoparticles cultured   at 1200 rpm. After 1 h, 150 µL 0.68 M CaCl  (223506,
                                                                                                     2
            in  the bioreactor  demonstrated  the least  immune   Lot  MKCG9612;  Sigma-Aldrich,  USA)  was added to
            response at this timepoint. However, at later timepoints,   the solution to crosslink the formed alginate particles.
            the inclusion of biomechanical stimulus with or without   The solution was stirred for another hour before 200 µL
            the further addition of nanoparticles demonstrated a   isopropanol was added to harden the alginate spheres. The
            more moderate immune response in comparison to the   solution was then centrifuged and washed with isopropanol
            control condition.                                 three times, followed by a wash with ultrapure water. The


            Volume 10 Issue 6 (2024)                       409                                doi: 10.36922/ijb.3895
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