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
























            Figure 3. High-throughput fabrication of aggregates. (a) The number of aggregates fabricated by the 3D acoustic device were controllable with the
            adjustment on the height (H) of the solution. Scale bar: 1 mm. (b) Both the number of aggregate layer (L) and the yield show an increasing relationship
            with the H. In this acoustic device, more than 13,000 aggregates were fabricated.
            linearly proportional to the H, having a good agreement   cells or cell aggregates [49,50] . In this experiment, once the
            with the simulation results. Accordingly, the total number   cell aggregates were acoustically assembled, blue light was
            of aggregates was also increased. At the H value of 5.5 mm,   turned on for 30 s to initiate the photopolymerization
            the number of aggregates was more than 13,000.     of GelMA to form a hydrogel scaffold. Consequently,
                                                               cell aggregates encapsulated in GelMA hydrogel can be
            3.4. Acoustic assembly of cell spheroids           easily and non-disruptively transferred into Petri dish
            Having demonstrated the 3D acoustic assembly device’s   supplemented with corresponding medium for a week
            ability to produce high-throughput particle aggregates in a   and cultured in a humidified incubator. To sustain the
            3D-dot array pattern, we then applied them to fabricate cell   supply of oxygen and nutrients for encapsulated cells, the
            spheroids. Hepatocellular carcinoma cell line, C3A cells,   GelMA hydrogel scaffold was divided into smaller pieces
            were evenly suspended in the 6% (w/v) GelMA solution   (2 × 2 × 3 mm). Figure 4c shows the dynamic growth of
            (2 × 10 /mL) containing 0.5% (w/v) LAP, and added into   the cell aggregates within the GelMA scaffold. At day 1,
                  6
            the acoustic chamber. The height of the solution was   these  loosely  assembled  aggregates  were  still  composed
            controlled at 3 mm. Once applying RF signals, a 3D-dot   of  individual  cells.  Interestingly,  at  day  3  they  formed
            array of cell aggregates was generated, as shown in a serial   compact  spheroids  with  smooth  contours.  At  day  7,
            view  (Videoclip  S4,  with  description  in  Supplementary   the spheroids further matured and become darker. We
            File).  It  was  observed  that  the  acoustically  assembled   determined the formation efficiency of spheroid, which
            cell  aggregates  alternately  appeared  and  disappeared  as   depends on the incubation time, by calculating the ratio
            the microscope’s focal layer continued to move upward   of the number of compact spheroids to the total number of
            from the bottom. Figure 4a shows the distribution of cell   initial cell aggregates.
            aggregates at three different layers. It clearly demonstrates
            that cell aggregates in each layer were arranged in a dot-  Figure 4d shows that the efficiency of spheroid formation
            array pattern, and had the same periodical distribution   had reached more than 90% at day 3. Furthermore, we
            characteristic (Figure 4b). In this experimental setup, 7500   tested the viability of cells during the acoustic assembly
            (25 × 25 × 12) cell aggregates were fabricated per operation.  and culture process (Figure 4e and f). The results revealed
                                                               good cell viability (>90%) and no significant difference as
               To further mature the cell aggregates, these loosely   compared to cells without acoustic treatment. Together,
            formed aggregates need to be transferred into an incubator.   these results demonstrated that the novel 3D acoustic
            However, the transfer process would inevitably disrupt their   assembly device enabled to fabricate cell spheroids in a
            aggregation structure, resulting in low production efficiency   high-efficiency, high-throughput, and low-cell damage
            and low yield of spheroids. To prevent that, we employed the   manner.
            GelMA material to constitute the cell suspension. It has two
            major characteristics: (i) rapid photopolymerization into a   3.5. Cell spheroid retrieval
            crosslinked hydrogel to maintain and protect the structure   To flexibly apply the cell spheroids for diverse biological
            of acoustically assembled cell aggregates, and (2) superior   studies, such as high-throughput drug screening and tissue
            biocompatibility to enable the growth and maturation of   engineering, the acoustically fabricated cell spheroids need


            Volume 9 Issue 4 (2023)                        266                         https://doi.org/10.18063/ijb.733
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