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Multiresponsive Graphene-Oxide Embedded ECM Hydrogel for 3D Bioprinting
           200 1/s at 1% strain and room temperature. The thermal   negative marker cocktail. Quadrants have been set based
           response of these hydrogels was evaluated between   on isotype controls (Figure S2).
           15°C and 37°C with a temperature ramp of 20°C/min,
           at 1% strain and 10 rad/s frequency. Finally, to compare   2.12. Biofabrication of cell-laden SISMA-GO
           the change in storage modulus upon photocrosslinking,   constructs
           time sweep assays were carried out before and after blue   After  sterile  SISMA  and  SISMA-GO  hydrogels  were
           light irradiation (5 min at 62 mW/cm  constant intensity)   successfully prepared, hAD-MSC in low glucose DMEM
                                          2
           under oscillatory mode, and constant strain of 1% and
           10 rad/s.                                           supplemented  with  10%  (v/v)  FBS  and  1%  (v/v)  P/S
                                                               was homogeneously mixed at a 1:10 volume ratio with
               Shear-thinning  properties  of  the  hydrogels  were
           estimated  by  fitting  the  viscosity  (η)  versus  shear  rate   each hydrogel formulation to a final cell density of 4.5
                                                               × 10  cells/mL. The prepared bioink (i.e., hydrogel with
                                                                  6
           (γ) plot to the power law regression model described by
           Equation 2.9.1.                                     embedded cells) was then loaded into a sterile printing
                                                               cartridge. Bioprinting experiments were performed on an
                         η = K γ  n −1               (2.9.1)   INKREDIBLE+ bioprinter (CELLINK AB, Gothenburg,
                                                               Sweden). Printing parameters were manually optimized
               K and n were recovered for all samples to assess   to achieve appropriate printing velocity and extrusion
           shear thinning behavior .                           pressure  according  to  the  bioink’s  characteristics  (i.e.,
                              [24]
                                                               viscosity,  printability,  and  shape  fidelity),  as  well  as
           2.10. Scanning electron microscopy (SEM)            nozzle diameter for the intended construct geometry. In
           imaging of crosslinked structures                   this regard, SISMA and SISMA-GO hydrogels achieved
           To evaluate the resulting hydrogel microstructure upon   proper filament formation through a 25 G blunt needle
           thermal-  or  photo-crosslinking,  SISMA-GO  samples   nozzle at a constant pneumatic pressure of 10 kPa and
                                                                                              2
           were  imaged  through  SEM.  Gelation  temperature  was   5 mm/s printing velocity. A 100 mm  squared construct
           achieved after incubation of the samples for 15 min at   with a 0.4 mm height was bioprinted with 10% infill density
           37°C.  Photocrosslinking  was  achieved  upon  blue-light   in a 6-well culture plate and was immediately crosslinked
                                                                                                        2
           irradiation for 5 min at a constant intensity of 62 mW/  with  405  nm  blue-light  irradiation  (62  mW/cm ) for 1
           cm .  Samples  were  freeze  dried  and  observed  under   min (Figure S3). After photocrosslinking, 4 mL of cell
             2
           vacuum conditions at 200× magnification with a 20 kV   medium were added to each well and the constructs were
           accelerating voltage (JSM 6490-LV, JEOL, Tokyo, Japan).  incubated for up to 7 days. The cell medium was refreshed
                                                               every other day.
           2.11. Isolation and in vitro culture of human
           adipose tissue-derived mesenchymal stem cells       2.13. Cell viability, morphology and proliferation
           (hAD-MSCs)                                          assessment
           For  bioprinting  experiments,  hAD-MSCs  were  isolated   To  assess  the  viability  of  hAD-MSCs  embedded  in
           following  the  protocol  reported  by Linero  et  al.    SISMA  and  SISMA-GO  constructs,  nuclei  and  dead
                                                         [47]
           according to which residual adipose tissue (obtained from   cell  staining  was  performed  with  Hoechst  3342  and
           abdominoplasty  procedures  with  the  previous  approval   Propidium  Iodide  stains,  respectively,  at  2  h,  3  days,
           from the research ethics committee at the Universidad de   and  7  days  after  bioprinting.  Accordingly,  a  working
           Los Andes Act No. 942, 2018 and subsequent signing of   solution  of  the  fluorophores  was  prepared  at  a  1:1000
           patient informed consent) was subjected to mechanical   ratio  with  1×  PBS  each,  and  subsequently  added  to
           distortion  combined  with  enzymatic  digestion.  The   the culture medium at a 1:4 ratio.  After 45 min, the
           isolated cells were subcultured until passage four using   medium  was  removed;  the  constructs  were  fixed  with
           low  glucose  DMEM,  supplemented  with  10%  (v/v)   4% (v/v) paraformaldehyde for 5 min and stored in PBS
           FBS and 1% (v/v) P/S. Their stem cell status was then   until microscopic observation. Confocal microscopy
           characterized through flow cytometry (BD FACSCanto™   (Olympus FV1000, Tokyo, Japan) was used to visualize
           Flow  Cytometer,  BD  Biosciences,  San  Jose,  CA,   nuclei and dead cell locations with a 358 nm and 559 nm
           USA) with the aid of a human mesenchymal stem cell   laser excitation, respectively. Emission channels were
           validation  kit  (Human  Mesenchymal  Stem  Cell  Multi-  overlapped to identify live and dead cells, where live
           Color Flow Kit, R&D Systems, Minneapolis, MN, USA)   cells comprised locations with only nuclei being stained
           and data acquisition and analysis was done with the BD   and dead cell locations with both nuclei and propidium
           FACSDiva™ software version 6.1.3. Cells demonstrated   iodide stained. Cell viability was assessed by stacking
           positive expression of CD73, CD105, and CD90 as well   25  images,  captured  from  adjacent  Z-planes  separated
           as  negative  expression  of  all  markers  included  in  the   by 2 µm each, and counting the live cells from the total

           128                         International Journal of Bioprinting (2021)–Volume 7, Issue 3
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