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International Journal of Bioprinting                            Bioprinted stem cell niche regenerates muscles



            2.5. Myogenesis and proliferation assays           2.10. Statistical analysis
            For  myogenic differentiation  assay,  WT  MPCs  were   Image analysis was performed with ImageJ software
            seeded as ~90% confluence in the DMEM containing   (version 1.32j; National Institutes of Health, Bethesda, MD,
            2% horse serum (HS) and allowed for differentiation   USA). Data from at least six samples from each subject
            for 96 h before being fixed and imaged to compare the   were pooled for statistical analysis. Results are given as
            number of myotubes formed by WT MPCs in different   the mean ± standard deviation (SD). Statistical differences
            groups. For proliferation assay, WT MPCs were seeded   between groups in the functional assays were determined
            as 2000 cells/cm  in the DMEM containing 20% FBS and   by two-way repeated analysis of variance (ANOVA). For
                         2
            1% CEE and allowed for proliferation for 72 h before   other experiments, statistical differences were determined
            being observed to compare the number of WT MPCs in   by Student’s t-test (2 categories) or one-way ANOVA (>2
            different groups.                                  categories).

            2.6. In vitro migration assay
            DLL1(mouse):Fc (human)(rec) was bioprinted onto    3. Results
            DermaMatrix construct (4 × 4 × 1 mm in dimensions).   3.1. Skeletal muscle cells in mdx mice developed
            Cell seeding was performed by injecting of 0.2 × 10    lower Notch activity, and Notch reactivation in
                                                          5
            green fluorescent protein (GFP)-labeled MPCs into   dystrophic muscle promoted stem cell proliferation
            both  the  DLL1-bioprinted  DermaMatrix  constructs  and   Notch  activity  in  skeletal  muscle declines  with  age  in
            control DermaMatrix constructs (IgG Fc) and cultured   both mice and humans, and this decline is responsible for
            in medium. Three days after cell seeding, DermaMatrix   the depletion of functional muscle stem cells [11-13] . When
            constructs were placed in the Matrigel-coated upper   compared to WT mice (6-month-old), we observed a
            chamber of an electrode-impedance-based invasion assay   down-regulation in the expression of key Notch signaling
            system (xCELLigence) . The Matrigel layer was made of   factors (i.e., Notch1, Hes1, Jagged1 and DLL1/ Delta-like
                              [39]
            Matrigel dissolved in medium (1 mg/mL). The numbers   protein-1) in the skeletal muscle of mdx mice (Figure 1A).
            of cells migrating out of the DermaMatrix constructs and   To determine the effects of reactivating Notch signaling in
            through the 3D Matrigel layer were monitored.      dystrophic muscle, we then chose a recombinant protein
                                                               of Notch ligand DLL1 [DLL1 (mouse): Fc (human) (rec),
            2.7. Bioprinting of Notch ligand on coverslip      Adipogen] as a Notch activator to be tested in our system.
            DLL1(mouse): Fc(human) (rec.) was bioprinted onto   DLL1 (mouse): Fc (human) (rec) was injected into the limb
            fibrin/protein G-coated coverslips, as a circular dot   muscles (gastrocnemius) of mdx mice, and the number of
            with  a diameter of  1.5 mm.  WT  MPCs  (0.5 ×  10 /cm )   Pax7-positive cells was found to be obviously increased 3
                                                         2
                                                     4
            were then seeded on the slides and cultured for 4 days.   days after injection when compared to the control mice
            Immunostaining with Myosin Heavy Chain antibody    injected with inactive IgG (Figure 1B and C). Therefore,
            (MHC-MF20) were performed to track the myogenic    this result indicates that the reactivation of Notch signaling
            differentiation potential of MPC.
                                                               in dystrophic muscle is effective in promoting self-renewal
            2.8. Implantation of bioprinted constructs         of muscle stem cells. However, the effect of this local
            The DermaMatrix construct (4 × 4 × 1 mm in dimensions)   injection of soluble protein could be temporary, and we
            seeded with MPCs (4 × 10 ) was implanted into the   expect that the delivery of bioprinted Notch ligands on
                                    4
            gastrocnemius (GM) muscle of mdx/scid mice (6-month-  some type of biocompatible carrier could generate a much
            old). At 10 days after implantation, cell engraftment was   longer effect in promoting stem cell proliferation.
            compared between DermaMatrix constructs with or
            without bioprinted DLL1.                           3.2. Treatment of muscle progenitor cells with DLL1
                                                               recombinant protein in vitro effectively promoted
            2.9. Histology and immunohistochemistry            cell proliferation capacity and inhibited myogenic
            GM muscles of  mdx/scid mice implanted with MPC-   differentiation capacity.
            seeded DLL1-DermaMatrix constructs were harvested 10   We then tested the way of DLL1-Fc in affecting the function
            days after implantation. Snap-frozen skeletal muscles were   of  muscle  stem  cells.  MPCs  were  isolated  from  8-week-
            cryo-sectioned at a thickness of 10 microns and processed   old WT mice (C57BL/6J, Jackson Lab) using a modified
            for histological analysis. Muscle stem cells seeded in   preplate technique . MPCs were then treated with DLL1
                                                                              [29]
            DermaMatrix constructs were identified and tracked by   (mouse): Fc (human) (rec) (200 ng/mL) for 3 days for either
            the expression of GFP. Muscle regeneration involving the   the proliferation assay or the myogenic differentiation
            direct  fusion  of  implanted  WT-MPCs  was  tracked  and   assay. Results showed that the proliferation potential of
            confirmed by immunostaining of dystrophin.         the MPCs was increased and the myogenic potential was


            Volume 9 Issue 3 (2023)                        302                         https://doi.org/10.18063/ijb.711
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