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     Effect of Bioprinting-Associated Shear Stress and Hydrostatic Pressure
           Figure 4. Expression of vascular endothelial cadherin (VE cadherin, red) and von Willebrand factor (VWF, green) by HUVEC in non-
           printed and printed samples visualized by fluorescence microscopy. The cell nuclei were stained with DAPI.
           Figure 5. Endothelial CD31 adhesion protein (red) visualized by TPLSM on non-printed and printed cells mixed with non-printed hMSCs
           and encapsulated in a 3D mixture of agarose and collagen (Agr0.2Koll0.5). The nuclei of all cell types were visualized by DAPI staining
           (blue). Collagen within the hydrogel blend was made visible by second harmonic generation (SHG, blue). HUVEC were co-cultured with
           hMSCs for 14 days.
           to de-differentiation of cells under certain conditions .   as the mechanical properties of the surrounding matrix
                                                        [23]
           However,  the  results  of  the  present  study  do  not   will affect the diffusion of relevant cytokines and limit
           suggest that printing-associated shear stress induces de-  cell motility [32-36] . Taking further into account the strong
           differentiation; no differences could be seen in the cellular   drop  in  viability  when  printing  the  cells  at  3  bar,  we
           phenotype after qualitatively assessing the expression of   assume  that  the  remaining  number  of  viable  and/or
           endothelial cell-specific markers such as CD31, vWF, and   functional  cells  is  too  low  for  capillary-like  network
           VE-cadherin. The  quantification  of  network-like  multi-  formation  as  it  still  can  be  observed  at  a  low  printing
           cell structures obtained from the 2D pre-vascularization   pressure  (Figure  2).  Established  protocols  for  3D  pre-
           study did not lead to any significant differences between   vascularization studies demand comparatively high initial
           printed and pipetted samples. However, when comparing   cell concentrations in the range of several million cells/ml
           the initial cell numbers in printed and pipetted samples,   hydrogel or scaffold. These optimal cell concentrations
           significantly  more  dead  cells  were  found  in  those  that   were usually identified when the assay was developed.
           were  printed  at  3  bar  and  thus  exposed  to  the  highest   As confirmed by the present study, dispensing endothelial
           shear stress. The comparable outcomes in all samples in   cells at 3 bar, the highest shear stress investigated in this
           terms  of  2D  pre-vascularization  could  be  explained  by   study, immediately reduces cell viability by about 20%.
           taking into account the ability of HUVECs to proliferate   The initial cell number at the beginning of the cultivation
           comparatively quickly in a 2D environment . However,   period  was  therefore  significantly  different  from  what
                                               [29]
           in a 3D environment, we expect that cell proliferation and   the  established  protocol  for  3D  pre-vascularization
           migration will be significantly reduced during cultivation,   demands. Therefore, the viability and metabolic activity
           104                         International Journal of Bioprinting (2022)–Volume 8, Issue 4





