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International Journal of Bioprinting   A computational model of cell viability and proliferation of 3D-bioprinted constructs



            show how different geometries can significantly affect cell   the growth consumption equation (Equation V), the self-
            viability inside the construct.                    inhibiting effect is introduced through the term 1-ρ/ρ max
                                                               to account for the reduction of the nutrient consumption
            2. Materials and methods                           rate for cell proliferation when the cell density increases
            2.1. Materials                                     since cell proliferation is limited by the maximum cell
            Normal human dermal fibroblasts (HDF) were purchased   density. The diffusion-consumption equation is shown in
            from Lonza, Basel, Switzerland. Fibroblast culture medium   Equation VI.
            and phosphate-buffered saline (PBS) were purchased         lag         φ          φ
            from CARLO ERBA Reagents S.r.l., Cornaredo, Italy.    ψφ ρ, (  ) =Vmax φ + K m  = m ρ φ + K m  (IV)
            Antibiotic/antimycotic solution, gelatin, sodium alginate               
            and calcein AM were purchased from Sigma Aldrich, St.   ψ φρ , (  ) growth  =    ρ  m  φ  (V)
                                                                             ρ −1
                                                                                     
            Louis, Missouri, USA. CaCl  solution, print cartridges                ρ max     φ + K g
                                    2
            and nozzles were purchased from Twin Helix S.r.l.,    ∂φ      
            Rho, Milan.                                           ∂t  −∇⋅( D ∇ ) + ()=φ  ψ φ  0           (VI)
            2.2. Mathematical model of nutrient diffusion and   The third differential equation of the model describes the
            consumption and cell proliferation                 pointwise  cell  proliferation and  death  and  consists  of  a
            In order to represent nutrient diffusion, consumption, and   mass balance equation based on the variation of cell density
            cell proliferation, our newly proposed model consists of   through specific growth and death rates (Equation VII).
            three equations: two nonlinear parabolic PDEs describing   The growth rate is described by the Monod equation in a
            oxygen and glucose concentrations in a 3D geometry   similar way to the Michaelis–Menten equation for nutrient
            (domain), and an additional unsteady nonlinear PDE   consumption (Equation VIII). To consider at the same time
            describing cell density in every point of the domain. The   the effect of glucose and oxygen on cellular proliferation,
            equations for oxygen and glucose concentrations describe   a multiplicative decomposition of the growth rate for
            the diffusion and consumption of the two substances.   the two substances is used. The death rate is introduced
            The diffusion term is derived by the combination of the   as the inverse of the Monod equation (Equation IX). The
            first and the second Fick’s laws, which are described in   Monod equation for growth is hybridized with the Lotka–
            Equations I and II. The diffusion equation is found in   Volterra equation, through the same multiplicative term
            Equation III.                                      (1−ρ/ρmax).
                    
                                                                        
               J =− D∇() φ                              (I)       ∂ρ  =  ρ 1 −  ρ    µ g  −ρµ d      (VII)
                                                                        
                      
               ∂φ  =−∇ J⋅                                         ∂t        ρ max     
               ∂t                                      (II)               φ    φ    
                                                                               
                                                                               
                                                                   g
                                                                  µ = G    g      g              (VIII)
                                                                                
                        
                    
               ∂φ −∇ ( D⋅  ∇ ) =φ  0                   (III)             φ +  K O   φ + K 
                                                                                      gl 
                                                                              2
               ∂t                                                  d         φ    
                                                                       H −
                                                                  µ =− 1         d                     (IX)
            The consumption term, describing the rate of  nutrient           φ + K  
            consumed by the cells, is given by the sum of two   The  diffusion-reaction equations  of  oxygen  and glucose
            components: the lag consumption (Equation IV),     concentration and the mass balance equation for cell
            accounting for the consumption rate for cell survival, and   density variation are found in Equations X, XI, and XII. To
            the growth consumption (Equation V), accounting for the   complete the problem, a set of boundary conditions for the
            consumption rate for cell proliferation. The consumption   diffusion-consumption equations and an initial condition
            rate depends not only on the cell density but also on   for all three equations are specified. The boundary
            the nutrient concentration. In both the equations, the   conditions  describe  oxygen  and  glucose  concentration
            Michaelis–Menten formulation is used, relating the actual   at the interface between the culture medium and the
            consumption to the maximum consumption rate and the   construct surface (Equations XIII and XIV). The boundary
            nutrient concentration through the  Michaelis–Menten   conditions used are of Robin ones. They can model a wide
            constant.  Eventually,  the  maximum  consumption  rate   range of different cases by properly tuning the Robin
            is computed as the metabolic consumption of the single   coefficient, thus allowing for the development of a versatile
            cell times the cell density while the Michaelis–Menten   model. The initial conditions specify the values of oxygen,
            constants are the nutrient concentrations at which half of   glucose, and cell concentration in the whole domain at the
            the corresponding maximum consumption rate occurs. In   initial time (Equations XV, XVI, and XVII).

            Volume 9 Issue 4 (2023)                        354                         https://doi.org/10.18063/ijb.741
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