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Ultrathin Scaffolds for Monolayer RPE Cell Culture
           Bruch’s  membrane  structure  plays  an  essential  role  in   were quantified on the S20 scaffold (Figure 7E). Studies
           the selectivity of nutrients and wastes in the outer blood-  have shown that Na /K -ATPase is significantly reduced
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           retinal  barrier,  thus  it  is  important  to  mimic  the  actual   in aged mice and that TEP plays a functional role in cell
           permeability  of  the  native  membrane.  The  difference   migration,  division,  polarization,  and  development .
                                                                                                            [33]
           of  cells  and  the  stage  of  maturity  of  the  monolayer  of   These  data  are  consistent  with  a  conclusion  that  S20
           RPE  may  account  for  the  large  P .  Nonetheless,  it  is   scaffold may have the ability to provide a better growing
                                        app
           remarkable that all the culturing substrates had decreased   environment  for  the  RPE  cells  that  manifest  higher
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           permeability over time after RPE cell seeding, suggesting   expression of Na /K -ATPase and increased TEP.
           a steady gain of barrier function conferred by RPE cells
           on the scaffolds. Particularly, probe molecules pass freely   4. Conclusions
           through the pores of blank S50 scaffolds. After culturing,   The  first  EHDJ-printed  Bruch’s  membrane  mimic
           the monolayer cell formation is likely responsible for the   was  designed  and  made  for  integration  into  the
           drop of permeability.                               current  commercial  freestanding  structures.  The  PCL
               The TEER level is another important indicator for the   scaffolds  showed  similar  biomimetic  properties  to
           barrier function of cultured RPE monolayer  (Figure 7C).   Bruch’s  membrane,  including  native-like  thicknesses,
                                              [30]
           Before  culturing,  all  substrates  were  measured  with  a   biomechanical  properties,  and  permeability.  It  was
           culture  medium  for  calculating  background  resistance   determined  that  the  S20  PCL  scaffold  had  better
           (Table  2).  PET  membrane  has  the  most  negligible   performances in culturing a monolayer of ARPE-19 cells.
           porosity,  which  leads  to  the  highest  background  TEER   Moreover, PCL scaffolds have good biodegradability and
           reading of 73.7 Ω·cm . The TEERs of S20 and S50 were   can  mimic  extracellular  matrix  environments  in  vivo;
                             2
           around  63.1  Ω·cm and  50.2  Ω·cm ,  respectively.  The   therefore, they are conducive to RPE maturation. Taken
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           resistances  measured  of  S20  and  PET  membrane  were   together, our results demonstrated that the EHDJ printing
           comparable  throughout  the  entire  duration  and  reached   technique  can  fabricate  scaffolds  mimicking  Bruch’s
           a plateau on day 14 with a TEER at around 47 Ω·cm .   membrane  with  high  resolution  and  precision,  and  the
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           Similar readings have been reported using immortalized   printed scaffolds have great potential to help RPE cells
           RPE cells grown on Transwell membrane and electrospun   form mature tissue with the desired functionality. Future
           scaffolds [11,31] . For RPE cultured on S50, the TEER reached   work can explore the design and fabrication of scaffolds
           the same level as the PET membrane and S20 at the end   suitable for culturing embryonic stem cell-derived RPE
           of  the  third  culture  week.  This  phenomenon  suggested   for transplantation.
           that cell sinking or collapsing in the pore could affect its
           formation of barrier function as proper monolayer was not   Funding
           developed. Nevertheless, it also could reach the same level   This  work  was  financially  supported  by  Key  Program
           of TEER after 3 weeks of culturing. In the human body,   Special  Fund  in  Xi’an  JiaoTong-Liverpool  University
           RPE  together  with  retinal  vascular  endothelium  forms   (XJTLU)  under  Grant  KSF-E-37.  This  work  was  also
           the  blood-retinal  barrier,  which  is  closely  associated   supported  by  the  National  University  of  Singapore
           with photoreceptor outer segments. Thus, EHDJ-printed   (Suzhou) Research Institute under an internal grant to the
           scaffolds are promising for in vitro culture of RPE to build   Center for Peak of Excellence on Biological Science and
           tight junctions and finally present barrier function.  Food Engineering.
               The barrier function and selectivity of RPE benefited
           from  the  cooperation  of  different  proteins  and  their   Conflict of interest
           physiological  functions,  including  Na /K -ATPase  and
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           tubulins.  Na /K -ATPase  can  regulate  sodium  gradient   The authors have no conflicts of interest to declare.
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           formation for osmotic gradient and water diffusion [32,33] .   Author contributions
           Then, the tight junction complex proteins (such as ZO-1)
           at the boundaries of neighboring RPE cells will increase   Conceptualization,  J.S.,  D.H.,  and  H.L.;  data  curation:
           the resistance between the apical and the basal sides of the   H.L.,  F.W.,  K.Y.;  investigation:  H.L.,  F.W.,  R.C.,  and
           cells. Therefore, a high concentration of Na  will usually   Y.C.; methodology: H.L., L.J., J.S., and D.H.; software:
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           accumulate  at  the  apical  side  of  RPE  and  form  a TEP   H.L.  and  K.Y.;  validation:  H.L.,  F.W.,  R.C.,  Y.C.,  and
           difference. In our case, the TEP difference in S20 scaffold   T.L.;  writing  –  original  draft:  H.L.;  writing  –  review
           is significantly higher than that grown on PET membrane   and  editing:  D.H.,  X.S.,  B.V.S.,  Z.L,  J.S.,  F.W.,  Y.C.,
           and S50 scaffolds (Figure 7D). Thus, the expression of   R.C.,  K.Y.,  L.J,  T.L.,  and  H.L;  funding  acquisition:
           Na /K -ATPase in RPE cells cultured on S20 should be   D.H.  and  J.S.;  project  administration:  D.H.  and  J.S.;
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           higher  than  RPE  cultured on  PET  membrane and  S50.   and supervision: D.H. and J.S. All authors reviewed and
           As predicted, increased protein levels of Na /K -ATPase   commented on the manuscript.
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           12                          International Journal of Bioprinting (2022)–Volume 8, Issue 3
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