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International Journal of Bioprinting                Engineered EVs increase viability of 3D printed cardiomyocytes



            2.5. Electroporation of EVs                        of miRNA molecules or mole. The Pearson’s correlation
            EVs were directly enriched using electroporation   coefficient calculated for the calibration curve was above
            performed on a Neon Transfection System (Thermo Fisher   0.99. The loading efficiency into EVs was calculated as
            Scientific) following the manufacturer’s protocol. Briefly, 1   follows: (miR-199a-3p mol/EV in sample) / (miR-199a-3p
            × 10 EVs and 240 pmol miRNA were mixed, and the final   mol/EV used to engineer EVs).
               10
            volume was adjusted to 100 µL using the electroporation
            buffer. EVs were loaded with two miRNAs in selected   2.7. EV labeling and cellular uptake
            experiments: cel-miR-39 spike-in (ArrayControl™ RNA   Isolated  EVs  were  fluorescently  stained  using  CFSE  cell
            Spikes, Invitrogen) and hsa-miR-199a-3p (Syntezza   division Tracker kit (BioLegend). Equal volumes of EVs
            Bioscience, Jerusalem, Israel). Electroporation of the EV-  resuspended  in  PBS  were  mixed  with  40  µM  of  CFSE
            miRNA mixture was carried using a pulse width of 20 ms   solution in PBS, then incubated for 1 h at 37°C. Excess dye
            and different voltages (500, 750, 850 V) and numbers of   was removed using 100-kDa MWCO Amicon™ centrifugal
            pulses (5 and 10), according to the manufacturer’s protocol.   filters, according to manufacturer’s protocol. The same
            The mixture was then incubated for 30 min at 37°C and   protocol was applied on PBS samples without EVs as a
            overnight at 4°C. Naïve EVs (nEVs) and simple incubation   control.
            of EVs with miRNAs (iEVs) were used as controls in selected   EV  internalization  by  neonatal  rat  cardiomyocytes
            experiments. To remove unbound miRNA residues,     (NRCM) and HUVECs was visualized by laser scanning
            samples  were  filtered  using  100  kDa  MWCO  Amicon™   confocal microscopy (Nikon C1si). Cells were seeded
            centrifugal filters, according to manufacturer’s protocol.   onto eight-well µ-slides (ibidi®, 80826) coated with 0.1%
            The concentration and size distribution of engineered EVs   Gelatin (w/v). After 24 h post-seeding, cells were washed
            was determined by NTA as described above. The yield of   once with PBS, then incubated with stained EVs (6 × 10
                                                                                                             9
            engineered EVs following electroporation was calculated   EVs/mL, in culture medium without serum addition) for
            as follows: (amount of EVs in electroporated sample) /   24 h. Cells were then washed twice with PBS, fixed, and
            (amount of EVs in simple incubation sample), based on   stained as outlined below. For EC culture, the percentage
            the area under the curves (AUC) of the size distribution   of cells containing EVs was quantified by flow cytometry,
            plots.                                             compared with controls of non-treated cells and cells
                                                               treated with filtered CFSE dye. A population of single cells
            2.6. RNA isolation and RT-PCR                      was gated, and a minimum threshold of fluorescence was set
            Total RNA was extracted and isolated from EVs samples   according to negative control samples in each experiment.
            using the miRNeasy Mini Kit (QIAGEN) according to the   All results above the minimum threshold were considered
            manufacturer’s  protocol.  RNA  concentration  of  samples   positive. For NRCM culture, EV internalization rate was
            was quantified using a spectrophotometer (Nanodrop).  determined by the number CM (cTNT  cells) containing
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               For miRNA analysis, Taqman PCR Kit (Invitrogen)   EVs normalized to the total number of cTNT  cells per
            was used. Briefly, RNA samples were reverse-transcribed   field. Multiple fields were analyzed in each sample.
            using the high-capacity cDNA Reverse Transcription Kit   2.8. Proliferation and cytokinesis assays
            (Applied Biosystems, Foster City, California, USA) and   For the proliferation assay,  miR-199a-3p-engineered
            obtained cDNA samples were used to quantify miRNAs   EVs or controls (cel-miR-39-engineered EVs or PBS)
            levels. Experiments were performed using 10 ng of   were added to NRCM monolayers and  incubated  for
            cDNA for each reaction according to the manufacturer’s   24 h. After an additional 24 or 48 h, cells were fixed,
            protocol (Applied Biosystems). Reactions were run   permeabilized, and blocked as detailed below. Cells were
            on a StepOnePlus‐applied detection system (Applied   then  stained  overnight  at 4°C  with cardiac  troponin  T
            Biosystems).  Relative  miRNA  expression  levels  were   (ab8295, Abcam) and Ki67 (ab16667, Abcam) or Aurora B
            calculated by the ΔΔCt method using U6 small nucleolar   (ab2254, Abcam) primary antibodies and then secondary
            RNA as control.
                                                               antibodies conjugated to Alexa Fluor488 and 647. Images
               To generate of a calibration curve for absolute   were  acquired  with  Nikon  C1si laser-scanning  confocal
            quantification of miRNA, synthetic hsa-miR-199a-   microscope. To calculate the ratio of proliferating CMs,
            3p (Syntezza) was quantified spectrophotometrically   the amount of Ki67  nuclei in the CMs (cTNT  cells) was
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            (NanoDrop One, Thermo Fisher Scientific), and 240 pmol   quantified using ImageJ thresholding and normalized to
            were reverse-transcribed. The obtained cDNA was serially   the total number of cTNT  cells per field. To quantify the
                                                                                    +
            diluted 1:5 to have 10 dilutions. Serial dilutions were run in   ratio of mitotic CMs, midbodies  CMs were counted and
                                                                                         +
            three replicates. The calibration curve was used to convert   normalized to the total number of cTNT  cells per field.
                                                                                                 +
            the Ct values of each sample into the corresponding amount   Multiple fields were analyzed in each sample.
            Volume 9 Issue 2 (2023)                        319                     https://doi.org/10.18063/ijb.v9i2.670
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