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International Journal of Bioprinting


                                        RESEARCH ARTICLE
                                        Bioprinted Notch ligand to function as stem

                                        cell niche improves muscle regeneration in
                                        dystrophic muscle



                                        Zewei Sun , Xianlin Yue , Lei Liu , Ying Li , Jie Cui , Dong Li , Lee Weiss ,
                                                                                   1
                                                                                           2
                                                                                                     3
                                                                           1
                                                 1†
                                                            1†
                                                                    1
                                        Phil Campbell , Yanling Mu *, Johnny Huard *, Xiaodong Mu *
                                                               1
                                                    3
                                                                              4
                                                                                            1
                                        1 Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
                                        2 Cryomedicine Lab, Qilu Hospital of Shandong University, Jinan, Shandong, China
                                        3 The Robotics Institute, Carnegie Mellon University, Pittsburgh, PA, USA
                                        4 Center for Regenerative Sports Medicine, Steadman Philippon Research Institute, Vail, CO, USA
                                        (This article belongs to the Special issue: Advances in 3D bioprinting and biofabrication of biomaterials)
                                        Abstract
                                        In Duchenne muscular dystrophy, dystrophic muscle phenotypes are closely
                                        associated with the exhaustion of muscle stem cells.  Transplantation of muscle
                                        stem cells has been widely studied for improving muscle regeneration, but poor
                                        cell survival and self-renewal, rapid loss of stemness, and limited dispersion of
                                        grafted  cells  following  transplantation  have  collectively  hindered  the  overall
            † These authors contributed equally
            to this work.               success  of  this  strategy.  Optimized  mechanisms  for  maintaining  and  improving
                                        stem cell function are naturally present in the microenvironment of the stem cell
            *Corresponding authors:     niche in healthy muscles. Therefore, one logical strategy toward improving stem cell
            Xiaodong Mu
            (muxiaodong@sdfmu.edu.cn)   function and efficiency of stem cell transplantation in diseased muscles would be the
            Yanling Mu                  establishment of a microenvironment mimicking some key aspects of healthy native
            (muyanling@sdfmu.edu.cn)    stem cell niches. Here, we applied inkjet-based bioprinting technology to engineer a
            Johnny Huard                mimicked artificial stem cell niche in dystrophic muscle, comprising stem cell niche
            (jhuard@sprivail.org)       regulating factors (Notch activator DLL1) bioprinted onto 3D DermaMatrix construct.
            Citation: Sun Z, Yue X, Liu L, et al.,   The recombinant DLL1 protein, DLL1 (mouse): Fc (human) (rec), was applied here
            2023, Bioprinted Notch ligand to   as the Notch activator. Bioprinted DermaMatrix construct was seeded with muscle
            function as stem cell niche improves
            muscle regeneration in dystrophic   stem cells in vitro, and increased stem cell maintenance and repressed myogenic
            muscle. Int J Bioprint, 9(3): 711.  differentiation process was observed. DLL1 bioprinted DermaMatrix construct was
            https://doi.org/10.18063/ijb.711  then engrafted into dystrophic muscle of  mdx/scid mice, and the improved cell
            Received: November 28, 2022  engraftment and progression of muscle regeneration was observed 10 days after
            Accepted: January 18, 2023  engraftment. Our results demonstrated that bioprinting of Notch activator within 3D
            Published Online: March 16, 2023
                                        construct can be applied to serve as muscle stem cell niche and improve the efficacy
            Copyright: © 2023 Author(s).   of muscle stem cell transplantation in diseased muscle.
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: Muscle dystrophy, Stem cell niche, Muscle stem cell, Notch signaling
            License, permitting distribution
            and reproduction in any medium,
            provided the original work is
            properly cited.
                                        1. Introduction
            Publisher’s Note: Whioce
            Publishing remains neutral with   During  the  regeneration  of  injured  or  diseased  skeletal  muscle,  the  deposition  of
            regard to jurisdictional claims in   scar tissue (fibrosis) often dominates the healing process when stem cells become
            published maps and institutional
            affiliations.               dysregulated or depleted. Indeed, the depletion of functional muscle stem cells has been



            Volume 9 Issue 3 (2023)                        299                         https://doi.org/10.18063/ijb.711
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