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Ultrathin Scaffolds for Monolayer RPE Cell Culture
           Table 2. Mechanical properties of the EHDJ-printed ultrathin scaffolds
                Young’s modulus (MPa) Ultimate stress (MPa)  Ultimate strain (%)  Yield stress (MPa)  Yield strain (%)
           S20        45.70±5.50            5.46±0.31         871.41±19.03       2.13±0.32        3.63±0.55
           S50       8.94±1.88***          3.97±0.25**       934.88±31.82*      0.57±0.20**       5.01±0.28*
           n=3, *P<0.05, **P<0.001, ***P<0.0001.

           A                        B                          Notably, most of the cell shape was round on the S50,
                                                               possibly due to the inadequate support provided by the
                                                               scaffolds for cell adherence. After 7 days of culture, RPE
                                                               cells formed a complete monolayer tissue-like structure
                                                               with even cellular distribution on PET membranes and
                                                               S20  scaffolds,  and  the  cell  boundaries  were  hard  to
                                                               observe.  Exceptionally,  the  RPE  cells  did  not  form  a
                                                               complete cell monolayer on the S50 scaffolds after 7 days
                                                               of culturing (Figure 5C).
           C
                                   D                               The proliferation of RPE cells on the substrates was
                                                               analyzed with a sensitive colorimetric assay (Figure 5B).
                                                               From day 1 to day 15, the cell amounts were similar on
                                                               the PET membrane and the S20. As for the S50, the cell
                                                               number was significantly lower than that of the S20 and
                                                               PET membrane. On day 15, the cell numbers on different
                                                               substrates  were  comparable  because  they  reached
                                                               confluence on day 7 and only had around 20% increase
           Figure 4. Comparison of physical properties of EHDJ-printed PCL   after  day  7.  Cell  proliferation  was  similar  on  the  PET
           scaffolds and PET membrane. Stress-strain curves of S20 and S50,   membrane and S20 PCL scaffold from day 1 to 15.
           including (A) the initial part tested by DMA machine and (B) the
           overall view tested by universal tensile test machine at 25 ± 2°C,   3.4. Characterization of RPE maturation on
           and  relative  humidity  at  50  ±  5%.  (C)  Biodegradability  of  PCL   substrates
           scaffolds  in  lipase  solution  and  (D)  hydrophilicity  comparison
                                                                                                             +
                                                                                                          +
           between PCL scaffolds and PET membranes. n = 3, *P < 0.05, **   The  immunostaining  results  for  actin,  ZO-1,  Na /K -
           P < 0.001, *** P < 0.0001, **** P < 0.00001.        ATPase,  and  the  nuclei  not  only  provide  details  about
                                                               the  maturation  of  RPE  cells  on  the  culturing  substrate
           sizes of 14 μm (Figure S1A), comparable to RPE cells   but also indicate whether in vitro RPE monolayer attains
           in the human macula (14 μm in average diameter and 12   polarization  (Figure  6A).  On  day  7,  the  F-actin  in  the
           μm in height ). Around 1.0 × 10  RPE cells were seeded   cells cultured on PET membrane and S20 PCL scaffold
                     [28]
                                       4
           onto each culturing substrate giving a cell density of 3.0   was relatively high. The distinct F-actin filaments were
           × 10  cells/cm . The PET membrane reached a 100% cell   peripherally organized around the cells and appeared near
              4
                       2
           seeding efficiency (Figure 5A) because RPE cells could   the edges of the cells. However, the quantities of actin
           not pass through the pores of the membrane (0.4 μm). The   appeared lower on the cells cultured in S50, and F-actin
           cell seeding efficiency on S20 could reach 92.87 ± 1.96%   was  not  observed  on  several  nuclei.  The  formation  of
           much higher than that on S50 (80.77 ± 5.82%), which is   tight  junctions  is  essential  to  the  proper  function  of
           still satisfactory. We found that although the pore sizes   the RPE and its contribution to the maintenance of the
           of both scaffolds were much larger than the diameters of   outer  blood-retinal  barrier.  ZO-1  is  a  well-recognized
           RPE cells, the cell suspension did not traverse the pores.   marker  that  indicates  the  presence  of  a  tight  junction
           This  counterintuitive  phenomenon  may  be  due  to  the   complex in monolayered RPE cells (Figure 6B) . The
                                                                                                        [6]
           hydrophobicity of the scaffolds and the surface tension   immunofluorescence  analysis  of  the  RPE  monolayer
           of cell suspension preventing the cells from leaking to   on  day  7  displayed  cell  junctional  staining  of  ZO-1,
           the bottom of the culture plate. Thus, after 3 h of seeding,   supporting the presence of tight junctions. However, the
           some  cells  can  attach  to  the  scaffolds  and  adhere  to   S50 scaffold did not form proper junctional boundaries.
           the  fibers.  Most  cells  did  not  traverse  through  scaffold   Cell  polarity  is  a  crucial  characteristic  of  mature
           pores  to  the  basal  wells  of  culture  plate,  despite  being   RPE  cells  related  to  the  retina’s  unique  basal  and
           filled with culture media in the bottom well. After 3 h   apical  structures,  which  affect  phagocytosis  and
           of cell attachment, several cells showed spindle-like and   material  exchange [5,10] .  Na /K -ATPase  localization  was
                                                                                        +
                                                                                     +
           elongated morphologies on all the substrates (Figure 5C).   investigated to determine the RPE cell polarity. Z-stack
           8                           International Journal of Bioprinting (2022)–Volume 8, Issue 3
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