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International Journal of Bioprinting                 3D acoustically assembled cell spheroids with high-throughput



            individual cells as building blocks, the high cell density   than 12,000 uniform cell aggregates per operation. One
            of spheroids coupled with self-synthesized extracellular   problem of this system is that the structure of the loosely
            matrix endow fabricated tissues with faster maturation and   assembled cell aggregates was easily damaged during
            better functionality [11-14] . With these merits, more advances   the process of transferring from the channel to the Petri
            based on spheroids have been  potentially developed in   dish, resulting in a low maturation efficiency of spheroids.
            several fields of high-throughput screening , precision   Besides, the ANs of SAW-based device was located near
                                                [15]
            medicine [16,17] , and complex large tissue fabrication ,   the substrate surface, limiting the capability to create
                                                        [18]
            however, which puts forward higher criteria on cell   more ANs to further improve the yield of aggregates [36,44] .
            spheroids with identical morphology and physiology as   In contrast, bulk acoustic waves (BAWs)-based devices
            well as in sufficient quantity [19,20] .           enabled the formation of standing wave fields throughout
                                                               the chamber [40,45,46] . Jeger-Madiot presented a multi-trap
               To date, many technologies have been developed to
            fabricate cell spheroids [21-23] . A hanging drop was frequently   acoustic levitation device to create a 1D (1 × 30) plane-
                                                               array  of  ANs,  where  cells  can  be  levitated  into  multiple
            used, due to easy handling and user-friendliness [24,25] .   paralleled layers vertically and self-organized from cell
            Based on gravity force, cells in small drops would settle and   sheets to cell spheroids . Cai  et  al. used two standing
                                                                                  [47]
            aggregate at the bottom of the drop, and eventually formed   BAWs to create a 2D (10 × 10) column-array of ANs so
            spheroids. This method generates spheroids in uniform   that 100 cell aggregates can be generated horizontally .
                                                                                                           [48]
            size,  but  it  is  labor-intensive,  time-consuming,  and  low-  Despite this, the number of ANs produced by existing
            throughput. Several commercially available methods,   BAW-based devices was still small for mass production of
            including spinner flask , rotary cell culture system , and   cell spheroids. Nevertheless, these above works inspired
                                                    [27]
                              [26]
            low-attachment microplate , enable mass production.   us to investigate whether the 2D column-array of ANs in
                                  [28]
            However, the shear stress may induce cell damage and   BAWs-based devices could be divided into 3D dot-array of
            poor size uniformity, and the microplate (e.g., AggreWell)   ANs, when applying an acoustic levitation field, to create
            is  not  cost-effective. Other engineering  methods,  such   10 × 10 × 30 dot-array of ANs so as to enable further
            as microfluidic [29-31] , electric , and magnetic-assisted    improvement of yield of cell aggregates or spheroids by
                                                        [33]
                                   [32]
            assembly of spheroids, are capable of size control, whereas   more than an order of magnitude.
            they have some shortcomings, such as complex device
            fabrication, medium modification, and/or cell labeling. For   Herein, we developed a 3D acoustic assembly device
            example, cells were labeled by magnetic nanoparticles or   based on BAWs capable of creating a 3D dot-array of
            suspended in a paramagnetic medium for robust assembly   levitated  acoustic  nodes  (LANs)  for  high-throughput
            by magnetic forces, which might adversely affect cell   fabrication of cell spheroids. Three orthogonal piezoelectric
            growth or physiology [34,35] . Therefore, taking into account   transducers (PZTs) were employed in this acoustic device
            the problems with the above methods, more advanced   to generate three orthogonal standing BAWs. We illustrated
            spheroid-formation  approaches  are  highly  desirable  to   that these standing BAWs can create 3D dot-array (25 ×
            fulfill the requirements, including simplicity, ease of   25 × 22) of LANs, through simulation and experiment
            operation, biocompatibility, uniformity in size, and large-  validation. In this case, more than 13,000 aggregates were
            scale production.                                  generated, and their number can be further increased by
                                                               raising  the  position  of  the  vertical  PZT.  To  improve  the
               As an alternative solution, acoustic assembly technique   maturation efficiency of cell aggregates into spheroids, we
            may generate better cell spheroids because it enables   adopted GelMA hydrogels that can be rapidly photocured
            excellent biocompatibility  and  provides label-free   as supporting scaffolds to maintain and preserve the
            manipulation of cells [36-38] . Commonly, this technique   structure of cell aggregates after the withdrawal of acoustic
            employs acoustic waves to create standing acoustic fields   fields or during the process of transferring them into Petri
            that have spatial distribution of periodic array of acoustic   dish. As a result, most of cell aggregates (>90%) matured
            nodes (ANs) [39-41] . In these fields, suspension cells in culture   into cell spheroids with uniform size and high viability
            medium are moved to the nearby ANs and assembled into   (>90%). Finally, we confirmed that these cell spheroids can
            cell aggregates under the action of acoustic radiation force,   be easily retrieved from the GelMA scaffold for subsequent
            thereby rapidly generating cell spheroids with uniform   drug testing.
            size . So far, several designs of acoustic assembly device
               [42]
            have been developed for the generation of spheroids. For   2. Materials and methods
            instance, standing surface acoustic waves (SAWs) were
            combined with a disposable capillary or multi-PDMS   2.1. Acoustic device fabrication
            channels to form a 1D (1 × 30) or 2D (200 × 60) dot-array   To generate levitated acoustic nodes in three dimensions,
            of  ANs,  respectively [38,43] .  The latter  can  assemble  more   three orthogonal acoustic standing waves are acquired, thus

            Volume 9 Issue 4 (2023)                        262                         https://doi.org/10.18063/ijb.733
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