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






























            Figure 2. Electroporation optimization for EV loading with miRNA. (A and B) Relative expression levels of cel-miR-39 (A) and miR-199a-3p (B) in EVs
            following application of different electroporation settings, compared with naïve EVs (nEVs) and EVs incubated with free miRNA (iEVs), determined by
            RT-PCR. Data represent mean ± SEM (n = 3) *P < 0.05, **P < 0.01, ***P < 0.001, **** P < 0.0001; Tukey’s test, one-way ANOVA. (C–F) Electroporation
            effect on EVs. (C) Representative particle concentration (left) and normalized concentration (right) size distributions for iEVs and EVs after electropora-
            tion in 850 V and 5 pulses, measured by NTA. (D) Representative cryo-transmission electron micrographs of EVs after electroporation at 850V (left) and
            incubation with miRNA (right); scale bar: 200 nm. (E) Size distribution of electroporated EVs (EP-EVs, blue), iEVs (orange) and nEVs (green), measured
            according to cryo-transmission electron microscopy.
            EVs following isolation was used. Even though electroporation   Loading efficiency was also determined, calculated to be
            is a widely used methodology for cargo loading into EVs, it   21.0 ± 1.3% (mean ± SEM, n = 4).
            also presents major disadvantages, including reduction in   EV concentration (yield) and morphology were also
            EV concentration and damaged membrane integrity [44,45] .   examined by NTA (Figure 2C–E). The 850 V, 5 pulses
            Hence, electroporation settings should be evaluated not only   settings presented a slight decrease in EV yield (Figure 2C,
            in means of loading efficiency, but also in terms of yield and   left) when compared with simply incubated EVs, evaluated
            quality of obtained engineered EVs.
                                                               by the relative AUC (0.95 ± 0.10, mean ± SEM, n = 8). The
               To identify which electroporation setting presents the   size distribution was barely altered, except possible EVs
            best efficacy in means of miRNA loading, different voltages   fusion, evident by the shift in EV mode size (Figure 2C,
            and pulses were examined using cel-miR-39 model .   right). Since electroporation also resulted in a high loading
                                                        [46]
            miR-39 expression level was quantified using RT-PCR   efficacy, EVs obtained by these settings were further
            (Figure 2A). Naïve EVs (nEVs) and EVs simply incubated   evaluated by electron microscopy (Figure 2D). Cryo-
            with miRNA (iEVs) were examined to determine basal   TEM imaging of EVs post-electroporation also verified
            levels of inserted miRNA without electroporation. In   the  findings  obtained  by  NTA,  as  size  distribution  and
            general, inserted miRNA levels increased with elevated   mode size of EVs were barely altered compared to iEVs
            voltage,  setting the number  of  pulses  at  5.  However,   (Figure 2E). Regarding particle morphology, it appears
            increasing the number of pulses to 10 negatively affected   that electroporation did not change the shape of EVs or
            inserted miRNA levels compared with the 5 pulses setup;   affect their membrane integrity (Figure 2D), meaning that
            inserted miRNA levels were comparable to iEVs. The 850V,   engineered EVs maintain their stability.
            5 pulses setup presented the best results compared to both   Overall, the optimal setting for loading selective miRNA
            simple incubation and other setups, so we decided to   into MΦs-derived EVs of 850V, 5 pulses was selected for
            continue with this setting. This protocol was implemented   the rest of the experiments, considering its high efficacy
            for EV enrichment with miR-199a-3p mimic, a known   with minor compensation in EV yield.
            inducer of CM proliferation, which was meant to be
            delivered by the EVs to increase its levels by 5 order of   3.3. EVs uptake by neonatal rat cardiomyocytes
            magnitudes relative to its basal levels and achieve a fivefold   Macrophage-derived EVs were selected for miRNA delivery
            increase compared with simple incubation (Figure 2B).   due to the assumption that this type of cell communicates


            Volume 9 Issue 2 (2023)                        323                     https://doi.org/10.18063/ijb.v9i2.670
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