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International Journal of Bioprinting               Laser bioprinting of hiPSC-derived neural stem cells and neurons



                                                               appropriate for the cells to be printed at a ratio of 15%–
                                                               85% (v/v) was applied as bioink.
                                                                  For printing, 1 or 2 million cells were suspended in
                                                               50 µl of bioink. 26 × 26 mm² donor glass slides were blade-
                                                               coated with 50 µl bioink (74 µm layer thickness) and 23 ×
                                                               23 mm² collector glass slides  were coated with 60 µl of
                                                               substrate hydrogel (113 µm layer thickness). Subsequently,
                                                               droplets of bioink were printed onto the substrate layer
                                                               on the  collector  slide in  x/y-arrays of  distinct dots  (see
                                                               Figure 1B) with 1 mm dot distance.
                                                               2.3.4. Cell handling after printing
                                                               After printing, the collector slide with hydrogel
                                                               substrate and printed cells was stored submerged in cell
                                                               culture medium in an incubator at 37°C in a 5% CO
                                                                                                             2
                                                               environment. Culture medium was expansion  medium
                                                               with RevitaCell  for printed NSCs and neuronal
                                                                            TM
                                                               differentiation medium with RevitaCell  for pre-
                                                                                                  TM
                                                               differentiated neurons. The culture medium of printed
                                                               NSCs was changed after 2 days to neuronal differentiation
                                                               medium (without RevitaCell™).
                                                                  For cell viability assay (Figure 1C and 1D), cells were
                                                               printed with hyaluronic acid and culture media as bioink
                                                               on Matrigel  substrate. Non-printed cells residing on
                                                                         TM
                                                               the donor glass slides (referred to as donor cells) were
                                                               rinsed after printing, collected, centrifuged, resuspended
                                                               in expansion or differentiation medium with RevitaCell™,
                                                               and 50,000 of them (similar to the number of printed
                                                               cells) were seeded on a glass slides coated with Matrigel .
                                                                                                           TM
            Figure 1. Printing process and cell culture homogeneity. (A) Schemat-
            ic sketch of the laser-assisted bioprinting technique. (B) Example of bi-  Control cells were stored with culture medium in vials
            oprinted neuronal stem cells (NSCs): Fluorescence microscopic image   (while other cells were printed) and were seeded like donor
            of NSCs printed in a dot-pattern with a dot-to-dot distance of 600 µm,   cells when printing was finished.
            immunostained with nestin antibody (green fluorescence) for neuronal
            stem cells 2 days after printing. (C) Quantitative investigation of NSC’s   2.4. Cell evaluation
            differentiation toward neurons and astrocytes (without printing); count-  2.4.1. Analysis of cell viability
            ing of positive cells for mature neuronal (MAP2), proliferation (Ki67) and
            astrocyte (GFAP) markers among NSCs, d5, d10, d20 neurons and as-  Cell viability of printed, donor, and control cells was
            trocytes from fluorescent microscopic images; representative images are   determined via calcein  AM (2  µM,  green-live cells)  and
            depicted in Figure S2 (in Supplementary File). (D) Western blot (left)   ethidium-homodimer-1 (4  µM, red-dead cells) staining
            analysis of neuronal proteins and its quantitative representation (right) of   24 hours after printing. The samples were analyzed by
            the expression level of β3-tubulin, doublecortin (DCX), MAP2, synapto-  fluorescence microscopy using an AxioImager A1.m
            physin (SYN), synapsin-1 (SYP1), PSD95, and GFAP of cells in NSC, d5,
            d10, d20 neuron and astrocyte culture. Data are normalized relative to   microscope (Carl Zeiss, Oberkochen, Germany) equipped
            internal standard β-actin band density.            with AxioCam ICc1 camera and AxioVision Rel. 4.8
                                                               software. Live/dead cells were counted from 10 fields
                                                               of 3 independent experiments of printed, donor, and
            2.3.3. Bioink preparation for printing             control cells. Percentage of viability is reported as mean
            The preparation for printing followed the method used in   with standard error of mean. Significance of differences
            our previous study with hiPSCs . The following materials   is calculated by applying Student’s unpaired two-sample
                                     [45]
            were used as bioinks and culture substrates: 66.67% (v/v)   t-test.
            Corning™ Matrigel , mixed with 33.33% (v/v) EBM-2
                           TM
            medium (Lonza, Basel, Switzerland), was applied as culture   2.4.2. Immunostaining
            substrate;  1%  (w/w)  hyaluronic  acid  from  Streptococcus   For immunofluorescence analysis, cells printed in patterns
            equi (mol wt ∼1.5–1.8 × 10  Da) in 0.1 M Tris-buffered   as well as those prepared as described in section 2.4.1.,
                                   6
            saline (TBS), pH 7.4, mixed with the culture medium   were fixed in 4% paraformaldehyde for 30  minutes and

            Volume 9 Issue 2 (2023)                        348                     https://doi.org/10.18063/ijb.v9i2.672
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