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



               There was only slight migration of d20 neurons   after 20 days of neuronal pre-differentiation in both NSCs
            (Figure 4E) compared to NSCs (Figure 4A); however,   as well as d20 neurons, and synaptic compartments can be
            d20  neurons  (which  also  contained  NSCs  and  a few   seen on the right panels of (B) and (D) in juxtaposition
            spontaneously differentiated astrocytes) still proliferated.   and in colocalization. This abundance demonstrated
            Several connections between printed droplets developed.   neuronal maturation, extensive formation of synapses,
            Nevertheless, the printed pattern was clearly visible 23   and connection of neurons via synapses to form neuronal
            days after printing. When 20%  astrocytes were  added   networks.
            to neurons before printing, the pattern (Figure 4F) was
            compact 23 days after printing compared to neurons alone   3.10. Dependence of neuronal activity on printed
            (Figure 4E), although there were more MAP2-positive   cell type
            neurons in the space between these droplets. Similar to   Collective neuronal activity always involves an increase of
                                                                                      2+
            neurons alone, several connections had formed between   the level of calcium ions (Ca ). The intracellular calcium
            printed droplets. Furthermore, addition of 20% of NSCs   concentration of neurons at rest is about 50–100 nM, but
            to neurons before printing was investigated. In this case,   transiently  rises  to  ten-  or  hundred-times  higher  levels
            much more cells were observed after 23 days (Figure 4G),   during electrical activity [62,63] . Therefore, electrical activity
            with higher proliferation and migration. There were also   of neuronal circuits was monitored by imaging of calcium
            several connections between the printed droplets; however,   levels using the calcium-binding fluorochrome Fluo-8 AM
            the space between these droplets was filled with so many   in combination with a wide-field fluorescence microscope
            migrated cells that the printing pattern was barely visible   with video camera.
            in some places.                                       The neuronal activity of cells depended on cell type and
               Remarkably, the percentage of astrocytes 23 days after   duration of pre-differentiation. However, there were strong
            printing does not seem to considerably depend on the   variations in activity between samples handled equally
            percentage of astrocytes at the time of printing, except,   with the same printing parameters and biomaterials.
            of course, for the case of printing of astrocytes alone   The cells’ activity was visualized by calcium imaging and
            (Figure 4D). Furthermore, the percentage of astrocytes in   roughly rated by applying a grading system ranging from
            NSCs cultured for 23 days under neuronal differentiation   0 (no activity) to 24 (abundant and intensive activity
            condition  post-printing  was much higher than  the   with bursting events).  Figure 6A depicts the mean of
            percentage of astrocytes in d20 neurons (pre-differentiated   these ratings for different cell types (NSCs, d20 neurons,
            in 2D culture) at the day of printing (≈ 0.4%).    astrocytes, and mixtures of these). Data were averaged
                                                               over different durations of post-differentiation. Figure 6B
            3.9. Formation of synapses during differentiation of   lists the statistical P values, which are highlighted in red
            printed NSCs and neurons                           whenever they are below the significance level of 0.05.
            Neurons develop their full functionality with the
            establishment of spontaneously active neuronal networks.   Noticeably, NSCs show higher levels of activity than
            For communication within these networks, the formation   pre-differentiated neurons. The activity of mixtures of
            of synapses (synaptogenesis) is crucial. Synapses consist of   NSCs with 20% (activity 8.6 ± 0.5) or 50% (9.3 ± 1.0)
            pre- and post-synaptic compartments of two connecting   astrocytes was similar to the activity of NSCs only (8.9 ±
            neurons, at which neurotransmitters are transmitted   0.3; no significance), while the activity of mixtures of
            from the pre-synaptic cell to the post-synaptic one. The   neurons with 20% astrocytes (6.2 ± 0.6) or 20% NSCs
            pre- and post-synaptic compartments consist of different   (6.4 ± 0.8) was lower than that of neurons only (7.7 ±
            proteins and are positioned with a small gap (synaptic   0.5; no significance). The activities of these neuron-based
            cleft) in between. These compartments can be observed in   mixtures were also significantly lower than those of NSCs
            juxtaposition or as colocalization (overlapping).  or NSC-based mixtures, while there was no significant
                                                               difference between neurons only and NSCs. Additionally,
               In Figure 5, synaptic compartments of printed NSCs   the activity of astrocytes only (4.2 ± 0.9), which is the
            (Figure  5A  and  5B)  and  d20  neurons  (Figure  5C  and   lowest, is depicted for comparison.
            5D), neuronal post-differentiated for 20 days (day 22 pp,
            diff 0/20 for NSCs; day 20 pp, diff 20/20 for neurons), are   3.11. Development of neuronal activity in long-term
            depicted by pre-synaptic synaptophysin staining (red)   cultivation
            and post-synaptic PSD95 staining (green) together with   Samples of NSCs printed with bioink on Matrigel  started
                                                                                                      TM
            Hoechst 33342 cell nuclei staining (blue). The yellow color   to show spontaneous activity at day 10 of differentiation
            in the right column panels is an overlap of red and green   (day 12 pp, diff 0/10;  Videoclip S1). Activity became
            staining. Both synaptic markers were found in abundance   widespread from day 25 onward (day 27 pp, diff 0/25;


            Volume 9 Issue 2 (2023)                        356                     https://doi.org/10.18063/ijb.v9i2.672
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