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



            tubulin (green, Figure 3A), which already stains neurons in   most common ones among these lineages. Figure 3G shows
            their earliest phases of differentiation, and mature neuronal   vGLUT1 staining (green) for glutamatergic neurons and
            marker MAP2 (green, Figure 3B and 3C). The left images of   GABA-antibody staining (red) for GABAergic neurons
            Figure 3A–C depict larger overviews of the printed pattern.   of printed NSCs (same sample and image section for both
            In all cases, there was a large proportion of proliferating   staining) at day 30 post-differentiation (d32 pp, diff 0/30).
            cells. However, many post-differentiated NSCs migrated   The comparison of the panels indicates that most of the
            and proliferated during neuronal differentiation until   NSCs differentiated to glutamatergic neurons and a smaller
            day 12. At day 12, post-differentiated NSCs proliferated   proportion became GABAergic neurons, which is a common
            everywhere. There is also strong migration of d20 neurons   proportion in the cerebral cortex; ratios of approximately
            but less proliferation until day 12. However, at day 12, these   70%–80% glutamatergic and 20%–30% GABAergic neurons
            neurons proliferated almost exclusively at the position of   have been reported by other groups [60,61] .
            the printed droplets.
                                                               3.7. Differentiation of NSCs to glial cells under
            3.5. Maintenance of multipotency                   neuronal differentiation conditions
            The maintenance of  multipotency of printed  NSCs is   Besides  differentiation  to  neurons,  NSCs  are  also
            demonstrated in the panels of Figure S2 (in Supplementary   capable to differentiate to glial cells, such as astrocytes
            File). Stem cell marker nestin (green), PAX6 (red), SOX2   and  oligodendrocytes.  Such  differentiation  also  occurs
            (red) and β3-tubulin (green) are depicted together with   spontaneously, even under culture conditions supporting
            Hoechst 33342 cell nuclei staining (blue) and phase contrast   neuronal differentiation. Hence, differentiation of printed
            imaging at day 2 post-printing with different microscope   NSCs  to  astrocytes  (Figure  3E)  and oligodendrocytes
            magnifications. Obviously, all cells still expressed these   (Figure 3F) under neuronal differentiation conditions was
            stem cell markers at day 2.                        investigated.

            3.6. Neuronal differentiation of NSCs and neurons     The differentiation to astrocytes in neuronal
            after printing                                     differentiation medium is shown in  Figure 3E with the
            The composition of cell types and the ratio of neurons to   markers GFAP (red), MAP2 (green), S100B (green, for
            NSCs changes during culture under neuronal differentiation   mature astrocytes), and Hoechst 33342 (blue) at day 2 (day
            conditions.  Figure 3D shows early-born cortical neuron   2 pp, diff 0/0), day 23 (day 23 pp, diff 0/21), and day 37
            nuclei marker TBR1 staining (red) and MAP2 staining   (day 37 pp, diff 0/35) post-printing. These staining reveal
            (red) together with Hoechst 33342 cell nuclei staining   that there are no GFAP-positive astrocytes at day 2 before
            (blue) of printed NSCs and d5 neurons, respectively,   starting neuronal differentiation. In contrast, there are
            22 days after printing (day 22 pp, diff 0/20 for NSCs; day   already many GFAP-positive astrocytes at day 23. However,
            22 pp, diff 5/22 for d5 neurons). In the TBR1 images, the   these cells did not increasingly appear at the position of the
            position of four printed droplets can still be seen due to   printed droplets but often in the interspace and mixed with
            the blue Hoechst staining, while there is only one droplet   neurons (MAP2-positive). At day 37, most astrocytes are
            position depicted in MAP2 images due to higher resolution   mature (S100B-positive).
            microscopy. It can be seen that printed NSCs, which were   Figure 3F shows staining with oligodendrocyte marker
            under differentiation culture conditions, migrated and   O4 and Hoechst 33342 at day 2 (day 2 pp, diff 0/0), day
            populated the whole depicted region, although the highest   35 (day 35 pp, diff 0/33), and day 67 (day 67 pp, diff 0/65)
            cell density remained at the droplet positions. Most of the   post-printing. While we observed no O4-positive cells at
            NSCs, post-differentiated for 20 days, were TBR1-positive   day 2 before starting neuronal differentiation, there was
            and  about  half  of  them  were  MAP2-positive,  indicating   already an abundance of O4-positive cells at day 35, most
            an abundant presence of early-born cortical neurons. D5   of them were pre-oligodendrocytes (with simple dendritic
            neurons showed less migration and proliferation. They   extensions without bifurcations) with a few immature
            were much more concentrated in the printed positions   oligodendrocytes (with a few bifurcations only). At day
            and arranged in ring-like formations. Less than 50% of d5   67,  mature  oligodendrocytes  (with  long  extensions  and
            neurons were TBR1-positive 22 days after printing, but the   complex bifurcations) could also be observed.
            proportion was higher among migrated cells and lower
            in the printed positions. This difference did not exist in   3.8. Impact of astrocytes on NSCs and neurons
            MAP2 expression, which is generally much higher.
                                                               under neuronal differentiation
               Further culturing under neuronal differentiation   The effect of astrocytes, added to or spontaneously
            conditions led to specific differentiation in different neuronal   differentiated from NSCs, on NSCs and d20 neurons under
            lineages; glutamatergic and GABAergic neurons  are  the   neuronal culture conditions for 23 days was investigated and


            Volume 9 Issue 2 (2023)                        354                     https://doi.org/10.18063/ijb.v9i2.672
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