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



            pre-differentiated neurons. In the latter case, it is also   of eight cases, than the viability of donor and control cells.
            important to ascertain which stage of differentiation is   We hypothesize that cell viability is cell density-dependent,
            optimal. Essential aspects were viability, maintenance of   and that the higher viability of printed cells is caused by
            stemness and differentiation potential, as well as ability to   the high density of cells concentrated in printed droplets
            form functional neuronal networks.                 compared to the density of donor and control cells seeded
               An aspect for future research will be the identification   homogeneously by pipetting with the same total amount of
            of other biomaterials for printing, bioinks and culture   cells per area. In contrast to neurons, the viability of NSCs
            substrates,  which probably could  even  better  support   is much higher and about 91.1 ± 0.5% for control cells and
            formation of functional neuronal networks; however, we   94.5 ± 0.6% for printed cells, which is in good accordance to
                                                                                          [32]
            applied Matrigel  as substrate, and hyaluronic acid and   92 ± 3% reported by Sharma et al.  for printing of hiPSC-
                         TM
            cell culture media as bioink in the present study, since one   derived NSCs, while other groups reported lower viability
                                                                         [28,35]
                                                                                                           [30]
            of our previous studies found that these materials are the   of 75%–80%   for printing of NSCs. Salaris et al.
            best for printing hiPSCs , from which all cells applied in   reported viability of 78 ± 4% for hiPSC-derived neurons.
                               [45]
            the present study were generated.                  However, in these studies a different extrusion-based
                                                               bioprinting technique was applied; therefore, the results
               These  generated  cell  types  were  not  present  as   were not directly comparable. By applying a similar laser-
            homogeneous cultures. NSCs at passage 3–5 that were   based bioprinting technique and rat dorsal root ganglion
            printed already contained some TBR1- and MAP2-positive   neurons, Curley et al.  demonstrated a viability of 84.9
                                                                                 [23]
            cortical neurons due to spontaneous differentiation, and   ± 4.7% for printed cells, 86.4 ± 3.3% for donor cells, and
            a few cells (≈ 0.1%) differentiated toward astrocytes at   89.3 ± 2.0% for control cells. Compared with these results,
            passage 5. However, no astrocytes were observed in NSCs   we achieved higher viability for NSCs and d5 neurons,
            at passage 3, and no oligodendrocytes were observed at   but lower viability for d10 and d20 neurons. Furthermore,
            any of these passages. On the other hand, d20 neurons   Curley et al.  did not observe higher but lower viability
                                                                         [23]
            still contained undifferentiated NSCs and some astrocytes   for printed cells.
            (≈ 0.4%), but over 80% of cells were MAP2-positive. We   In our study on printing of hiPSCs with the same
            found that there were more than 90% GFAP-positive   biomaterials, we achieved generally lower viability of
            cells within astrocytes. Furthermore, it can be noted   printed (82 ± 1%), donor (84 ± 1%), and control cells (87 ±
            that very few astrocytes were generated under neuronal   1%); here the viability of printed cells was significantly
            differentiation and very few neurons developed under   lower than the control cell viability. However, pluripotent
            astrocytic differentiation conditions in conventional   hiPSCs are known to be sensitive to environmental
            2D cell culture; in contrast, many more astrocytes were   parameters, such as culture media components, paracrine
            generated under neuronal post-differentiation in printed   factors, and matrices. These factors have an impact on cell
            3D cell samples. Especially for long-term cultivation post-  viability and proliferation; when dissociated into single
            printing, the compositions of different cell types need to be   cells, programmed cell death (apoptosis) of hiPSCs is
            taken into consideration.
                                                               immediately induced. The present study confirmed that, in
               Initially, the viability post-printing was studied, which   comparison to hiPSCs, hiPSC-derived multipotent NSCs
            is affected not only by the printing process itself and the   are less delicate.
            applied biomaterials; harvesting neurons from culture
            plates  caused dissociation  of neuronal networks  that   Obviously, NSCs proliferate much more than pre-
            were spontaneously formed in cell culture and can reduce   differentiated neurons. Figure 3C suggests that proliferation
            viability. Figure 2C demonstrates this effect. Even control   of neurons, in opposite to NSCs, depends on cell density,
            neurons that were not printed and were not in contact with   which is in line with the fact discussed above that neurons,
            any of the biomaterials, bioink, or culture substrate showed   like NSCs, concentrated in printed droplets showed higher
            a reduced viability that decreased with the duration of   viability than cells homogeneously seeded by pipetting.
            pre-differentiation  to  68.4  ±  0.8%  for  d20  neurons.  We   Printed NSCs maintained their multipotency, if
            assume that neurons were harmed due to chemical and   cultivated under expansion culture conditions, as
            mechanical dissociation by pipetting required to dissolve   demonstrated by stem cell markers nestin, SOX2, and
            networks formed under differentiation culture conditions   PAX6 (Figure S2B and 2C). On the other hand, if NSCs
            (depicted in Figure S1). On the other hand, the printing   were cultivated under neuronal differentiation conditions
            process and the applied biomaterials, hyaluronic acid and   after printing for 20 days, many TBR1- and MAP2-positive
            Matrigel , did not reduce viability. On the contrary, the   cortical neurons could be observed (Figure 3D), while
                   TM
            viability of printed cells was higher, significantly in five out   among printed d5 neurons cultivated for further 22 days


            Volume 9 Issue 2 (2023)                        363                     https://doi.org/10.18063/ijb.v9i2.672
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