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



            under neuronal differentiation conditions, only a few were   addition of other cell types, i.e., astrocytes to NSCs and
            TBR1-positive but most of them were MAP2-positive   neurons or 20% NSCs to neurons, did not lead to stronger
            (Figure 3F). Printed neurons lost the early-born cortical   activity and even reduced activity in the case of neurons
            neuron marker TBR1 during further differentiation.   (not significant). The observed neuronal activity of printed
               Under neuronal differentiation conditions for 30   NSCs or NSC-based cell mixtures was always higher than
            days, printed NSCs already express glutamatergic and   the activity of printed neurons or neuron-based mixtures
            GABAminergic neuron lineage markers vGLUT1 and     (significant when compared with neuron-based mixtures).
            GABA; thus, within this period, printed NSCs undergo all   When focusing on collective neuronal activity,
            differentiation stages from stem cell to specific neuronal   statistical evaluation revealed a distinct difference between
            lineage. Aside from that, spontaneous differentiation toward   NSCs and neurons, even when d5 neurons (NSCs, pre-
            glial cells also occurred under neuronal differentiation   differentiated for 5 days) were used. When NSCs were
            conditions, and even mature oligodendrocytes (Figure 3F)   printed and cultivated under neuronal culture condition,
            and astrocytes (Figure 3E) were observed. Similar findings   the activity increased with time (Figure 8). Conversely, we
            were also reported by other groups [29,30,34,35] .   observed collective activity earlier in neurons, even in d5
                                                               neurons; however, this collective activity did not increase
               As shown in Figure 4, the spontaneous differentiation
            to astrocytes under neuronal differentiation conditions   any further with extended cultivation under neuronal
                                                               differentiation condition. Interestingly, we did not observe
            was much higher for printed NSCs and d20 neurons than   considerable differences in the synaptogenesis of NSCs and
            for normal cell culture (≈ 0.1% for passage-5 NSCs, ≈   d20 neurons (Figure 5); therefore, the distinct difference in
            0.4% for d20 neurons; Figure 1C). Also noticeable was the   collective activity was not expected.
            proportion of astrocytes after prolonged cultivation under
            neuronal culture conditions of printed samples with and   The addition of 50% astrocytes (Figure 10) increased
            without added astrocytes (Figure 4); this does not seem   burst size and global efficiency of collective neuronal
            to have been dependent on the proportion of astrocytes at   activity of printed NSCs significantly, while the modularity
            the time of printing. We assume that both might be due   (community statistic Q) decreased; 20% astrocytes did
            to the high cell concentration in the 3D-printed droplets   not have a significant effect. In opposite, the spontaneous
            compared to 2D cell culture [34,35] .              activity was not significantly affected by addition
               Figure 5 demonstrates synaptogenesis and formation   of astrocytes (Figure 6). Unexpectedly, neither the
            of neuronal networks by printed NSCs and d20 neurons   spontaneous (Figure 6) nor the collective (data not shown)
            cultivated  under  neuronal  differentiation  conditions  for   activity of d20 neurons was significantly affected by added
            20 days post-printing. We did not observe difference in   astrocytes; actually, we had expected that the astrocytes
                                                                                                          [64,65]
            synaptogenesis between NSCs and d20 neurons; however,   would help the neuronal network develop better  .
            the formation of dendrites and thus the neuronal networks   Therefore, in terms of maximal collective neuronal activity
            during differentiation of printed NSCs depended on cell   and functionality of neuronal networks, NSCs with 50%
            density. Better results were achieved in bigger droplets   added astrocytes were the best in our study. Moreover, the
            with more cells (Figure 2D and 2E). Formation of synapses   presence of astrocytes resulted in reduced migration (NSCs
            by printed hiPSCs, differentiated 30–37 days post-printing,   only) and the formation of more compact cell aggregates
            was also reported by Gu et al. [34,35] .           (NSCs and neurons) as well as supported printing pattern
                                                               maintenance (NSCs and neurons).
               An important part of the experiments within this study
                                                                  To the best of our knowledge, this is the first study
            was the calcium imaging analysis of printed NSCs, pre-  that directly compares printing of hiPSC-derived NSCs
            differentiated neurons, astrocytes and compositions of   and neurons generated from  these NSCs at different
            this cell. Calcium imaging demonstrates functionality of   differentiation stages as well as investigates the impact
            neuronal networks by visualizing spontaneous activity and   of co-printed astrocytes. Future studies will investigate
            collective activity of several neurons (bursting events).
                                                               the  effect of  other  biomaterials  applied  as  bioink  and
               Our study revealed that there was no clear relationship   substrate. In this study, Matrigel , a matrix extracted
                                                                                           TM
            between strength of spontaneous neuronal activity and   from  Engelbreth-Holm-Swarm mouse sarcoma,  was
            cell composition, except from the fact that the neuronal   used as a substrate only. We did not mix Matrigel  into
                                                                                                        TM
            activity of astrocytes alone was strongly reduced (Figure 6).   the bioink, but printed the bioink with cells onto the
            When comparing the neuronal activity of printed NSCs   Matrigel  substrate. For printing thick neural tissue, the
                                                                      TM
            and pre-differentiated neurons with succeeding neuronal   effect of such a substrate is rather limited to the bottom
            differentiation via calcium imaging, we found that the   layers. When printing thick neural tissue, results could



            Volume 9 Issue 2 (2023)                        364                     https://doi.org/10.18063/ijb.v9i2.672
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