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




































            Figure 4. Cell spheroid fabricated by the 3D acoustic assembly devices. (a) Bright images of the acoustically assembled C3A cell aggregates at different
            layers. (b) The corresponding normalized line scan intensity curves at layer 1 (green), layer 2 (red), and layer 3 (blue). (c) The loosely assembled cell
            aggregates were gradually fused into compact cell spheroids during a 1-week culture. (d) The dependence of spheroid formation efficiency on incubation
            time. At day 3, the formation efficiency of cell spheroids was higher than 90%. (e) Live/dead staining and (f) viability assessment of the cell aggregates or
            spheroids during a 1-week culture. All scale bars: 250 μm each.

            to be retrieved from the GelMA hydrogel scaffold. Here,   as reliable and sufficient models for further studies, such as
            we used a GelMA lysis buffer, which can dissociate the   drug screening.
            GelMA hydrogel to release the encapsulated spheroids.
            After a 3-day culture in incubator, the pieces of GelMA   3.6. Drug testing
            hydrogel were incubated with GelMA  lysis buffer for   After obtaining a large number of spheroids using our
            30  min.  Figure 5a shows that hundreds of spheroids   3D  acoustic  assembly  devices,  we  further  applied  these
            could be released. These retrieved C3A cell spheroids still   acoustically fabricated spheroids in drug testing. As
            retained their intact morphology and preserved specific   sorafenib  is  a  first-line  targeted drug  for  advanced  liver
            albumin expression. The size distribution of the retrieved   carcinoma, we tested its efficacy against C3A spheroids [51,52] .
            cell spheroids was further counted. In Figure 5b, the results   The retrieved spheroids were dispensed into an ultra-low
            showed that 80% of the spheroids were distributed in the   attachment 96-well plate and arranged into seven groups
            size range of 90–120 μm. Furthermore, we observed the   for six different drug concentrations (0.1, 1, 5, 10, 25,
            growth  of  cell  spheroid  after  the  dissociation  treatment.   50  μM) and control (vehicle only). Traditional 2D cell
            The retrieved cell spheroids were transferred into a low-  cultures were set as parallel experiments. After treatment
            attachment culture plate for a 1-week culture. In Figure 5c,   with drug for 48 h, cell viability was measured using a
            the results showed that the spheroid tended to be round   live/dead staining assay. As shown in Figure 6a, dead cells
            and enlarged.  Figure  5d shows the diameter of cell   appeared in the C3A spheroids at a drug concentration of
            spheroids increased with the growth process. In addition,   25 μM, while cell death in 2D cultures distinctly occurred
            we evaluated the viability of cell spheroids by Calcein-AM/  at a drug concentration of 10 μM. The IC  value was
                                                                                                   50
            PI staining (Figure 5e). The retrieved spheroids remained   further calculated. Figure 6b shows that the IC50 value of
            viable (>90%) throughout the 1-week culture (Figure 5f).   spheroids (16.03 μM) was slightly higher than 2D cultures
            To conclude, we demonstrated that the acoustically   (13.52 μM), indicating higher drug resistance in spheroids,
            fabricated spheroids can be easily retrieved from the   which could be attributed to several characteristics of
            GelMA hydrogel scaffold using GelMA lysis buffers, and   3D cultures [4-7] . In addition, the dead cell percentage
            the high cell viability remained, enabling them to be used   increased rapidly in both 2D and spheroid cultures as the


            Volume 9 Issue 4 (2023)                        267                         https://doi.org/10.18063/ijb.733
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