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International Journal of Bioprinting                              Redefined collagen inks in cartilage printing




               Thus, this is the first report suggesting that 2% collagen   “cartilage development” and above 1.8 for “chondrocyte
            type  I  bioinks provide an  excellent microenvironment   development,” and with very significant FDR-adjusted
            for human chondrocytes (CHON-001 cells) in terms of   p-values, while growing SVF cells in micromasses could
            motility, proliferation, long-term growth, and retention   activate  the  same transcriptional  programs much  more
            of morphology. Thus far, there have been only two studies   poorly (both in  terms  of  NES  of  around  1.5  and  FDR-
            using collagen type I (both at 4% concentration) by Beketov   adjusted p-values of 0.297 and 0.67, respectively).
            et al. and Isaeva et al. – one with rat chondrocytes, while   Thus, we confirmed the chondrogenic potential of
            the second mixing the collagen with ECM and another one   both collagen-based bioinks. However, to elucidate the
            where ECM granules from rat costal cartilage were mixed   effect of the entrapped TGF-β (besides the larger number
            into the hydrogel and bioprinted with primary adipose-  of DEGs), we conducted GO analysis of the upregulated
            derived MSCs (similar to the SVF cells). 48,49  Therefore,   genes in the two bioinks (Figure  12a). Under both
            strategies, where primary human chondrocytes are used   conditions, the cells activated transcription programs for
            for cartilage biofabrication, as previously demonstrated   ECM remodeling, typical of cartilage, and the top hit in
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            with synthetic materials (PEGDA  and PCL-alginate ),   both cases was for the upregulation of glycosaminoglycans
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            may exploit the implementation of collagen I bioinks.  and chondroitin sulfate genes (Figures 12a; Figures S5
               Furthermore, we demonstrate that collagen type I   and S6, Supporting Information). Importantly, one of the
            possesses good biocompatibility properties with respect   top 10 enriched processes, when cells were bioprinted
            to human SVF cells (Figure  10a) and is sufficient to   with the functionalized bioink, was for TGF-β activation
            induce differentiation at least in part of the cells in vitro   (Figure 12b), suggesting that the entrapped transcription
            (Figure  10b), as we observed both morphologies of   factor  was  indeed  taken  up  by  the  cells  and  induced
            chondrocytes in lacunae and fibroblast-like cells. It is   measurable and significant changes (at two weeks).
            important to note that SVF cells comprise a heterogeneous   To assess the specific effects that functionalization
            mixture  of several  cell  types, including pre-adipocytes,   with TGF-β1 has, we analyzed the genes that are uniquely
            MSCs,  fibroblasts,  pericytes,  and  others.   Therefore,   upregulated in the cells bioprinted with this bioink
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            differentiation of all cells may be difficult to achieve, even   compared to collagen only (1057 DEGs). The results
            more so by simply adding one component of the ECM   revealed enrichment for activation of TGF-β signaling
            (collagen I) or transcription factor (TGF-β).      (17 of the 29 total genes previously found upregulated in
                                                               Figure 12b). Of note, the findings were also confirmed by
            3.8. Transcriptomic assessment of the              another GO analysis with STRING DB, which indicated
            biofunctionalization of collagen type I with TGF-β1  that these 1057 uniquely upregulated by TGF-β1 genes are
            To assess the molecular changes that growing SVF cells in   strongly implicated in cartilage development, proteoglycan,
            3D-bioprinted structures induce and make an unbiased   and glycosaminoglycan biogenesis, among other pathways
            comparison between the effects of the two hydrogels   and processes (Figures 13 and S7, Supporting Information).
            (collagen alone and collagen functionalized with TGF-β1),
            we  carried  out  transcriptomic  analysis  two  weeks  post-  Thus, by transcriptomic analysis, we confirmed that
            printing. We used SVF cells grown under the gold standard   bioprinting SVF cells with either pure or biofunctionalized
            for chondrogenic induction (3D culture micromasses   collagen can induce chondrogenesis (Figures 11  and
            or spheroids) as controls for data comparison. After   12a). This serves as a crucial independent and objective
            filtering for ≥1.5-fold change in gene expression (and   validation of the histomorphological results (Figure 10b),
            adjusted  p-value ≤0.05), we observed a total of 3364   highlighting the presence of lacunae typical of cartilage
            (1893 upregulated and 1471 downregulated) differentially   formation and the specific ECM composition. To our
            expressed genes (DEGs) in SVF cells bioprinted in collagen   knowledge, this is  one of the  few examples  using such
            and 4138 (2240 upregulated and 1898 downregulated)   an evaluation approach in 3D-bioprinted cartilage, as we
            DEGs with functionalized hydrogel compared to 2D cells.   could find only one other study where the biological effects
            With  regards  to 3D-cultured cells, the  DEGs  were  4271   of biofunctionalized GelMA (also with TGF-β1) were also
            (2197 upregulated and 2074 downregulated). To obtain an   investigated through sequencing. 54
            objective overview of whether these conditions can affect   The key finding of this work is the biological effectiveness
            chondrogenesis, we performed GSEA using curated datasets   of biofunctionalizing a collagen hydrogel with TGF-β1.
            from MsigDB related to cartilage and chondrocytes. Of   The  successful  retention  of  the  GF  through  thermal
            note, both collagen and collagen/TGF-β could successfully   crosslinking and its subsequent utilization by the cells
            induce chondrogenesis to a similar extent (Figure  11),   was demonstrated unequivocally through transcriptomic
            with normalized enrichment scores (NES) of above 2 for   analysis. The enrichment of genes involved in the TGF-β

            Volume 10 Issue 6 (2024)                       509                                doi: 10.36922/ijb.4566
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