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International Journal of Bioprinting                                  Aflatoxin B1-induced cancer stem cells




            by culturing it in Dulbecco’s modified Eagle’s medium   3D-printed cells were maintained at 37°C and 5% CO , with
                                                                                                        2
            (DMEM; Gibco, Grand Island, NY, USA) supplemented   nutrients provided by DMEM supplemented with 10% FBS
            with 10% fetal bovine serum (FBS; Gibco) and 1%    and 1% antibiotic-antimycotic, which was exchanged every
            antibiotic-antimycotic (Gibco) at 37°C under 5% CO . To   24 h. Their growths were monitored under the bright-field
                                                       2
            maintain cell growth, media exchange was conducted every   function of fluorescence microscope (Olympus BX51,
            48 h after washing with phosphate-buffered saline (1× PBS,   Japan), wherein the diameter measurement is possible.
            pH 7.2, Gendepot, USA). When subculture was needed,   2.5. Aflatoxin B1 treatment
            the cells were washed with 1× PBS before detachment with   Aflatoxin B1 was purchased as a 5-mg powder in a
            trypsin (TrypLE Express, Gibco, Denmark) for 5 min.
                                                               vial (Enzo, Farmingdale, NY, USA). It was dissolved in
            2.2. Material preparation for 3D bioprinting       dimethyl sulfoxide (DMSO) to give the stock solution with
            To mimic the ECM in tumor microenvironment, gelatin   a concentration of 0.5 mg/mL; subsequently, it was kept at
            and alginate were purchased and employed in the    -20°C. For the treatment on HepG2 tumor spheroids, this
            lyophilized  powder form. They were dispersed  into 1×   stock solution was diluted in serum-free DMEM to three
            PBS at concentrations of 10% and 4% (w/v), respectively.   concentrations of 1, 2.5, and 5 μM. After a 7-day period
            The mixtures were heated up to 80°C in 7 h; to obtain a   of tumor spheroids’ growth, DMEM supplemented with
            homogenous gel, they were mixed every hour, before being   10% FBS and 1% antibiotic-antimycotic was discarded,
            kept at 37°C. Finally, approximately 2.5 million HepG2   and the gel structures were washed twice with 1× PBS.
            cells,  prepared in  0.5  mL  of DMEM  supplemented  with   Subsequently, different plates were treated with different
            10% FBS and 1% antibiotic-antimycotic, were added and   concentrations of aflatoxin B1, along with the control,
            mixed gently with the gel, which could be immediately   which contained only serum-free DMEM. The carcinogen
            applied to cell 3D printing.                       incubation was performed for 48 h under the condition of
                                                               37°C and 5% CO .
            2.3. 3D printing of mini-well                                   2
            The CAD program Rhino 6 was used to design 3D mini-  2.6. Immunostaining for the detection of surface
            well structure. Subsequently, the design was converted   marker on tumor spheroids
            into stl files for application in the New Creator K V1.57.70   Two important markers are found in the HepG2 liver cancer
            software. Once the file was uploaded and the 3D printer   cell line. One is CD133, or prominin-1, a transmembrane
            was connected to the software, the fabrication of the mini-  glycoprotein  that has been widely  used to  sort out liver
            well was initiated automatically. Briefly, thermoplastic   CSCs. The other is ALDH1, a cytosolic enzyme, which
                                                                                                           [52]
            polylactic acid (PLA) polymer was transformed into a   is responsible for intracellular retinoic acid formation .
            semisolid form by heating to 210°C, which flowed through   Owing  to  their  significant  role,  this  study  employed
            the nozzle as semisolid fiber with a size of 0.2 mm. By   these two markers to isolate and identify CSCs from the
            optimizing the filling density and printing speed at 75%   spheroids. After exposure to aflatoxin B1 at four different
            and 10 mm/s, respectively, layer-by-layer printing was   concentrations, the tumor spheroids were washed three
            facilitated to form a mini-well that was 4 mm high and   times with 1× PBS. Subsequently, fixation was conducted by
            covered an area of 14×14 mm. Each mini-well dish included   adding 4% paraformaldehyde (PFA) at 4°C to the samples
            nine wells arranged in a 3 × 3 square. An individual well   in 20 minutes, followed by three washes with PBS. In the
            had a size of 3 × 3 mm.                            next step, permeabilization and blocking were done by
                                                               immersing the samples into a 1× PBS solution containing
            2.4. 3D bioprinting of cell-laden hydrogel         0.2% Triton-X and 1% FBS for 15 min. Following this,
            The 3D bioprinting of HepG2 cells in the hydrogel was   the samples were stained for 1 h with Anti-Alexa fluor
            conducted using the same 3D  bioprinter and computer   594 CD133 and Anti-Alexa fluor 647 ALDH1 antibody
            software as in the previous step. In particular, the prepared   solutions at a dilution rate of 1:200, and then washed thrice
            mixture of hydrogel and cells was loaded into a 10-mL   with 1× PBS. Finally, counter-staining was required, using
            syringe and fixed in the dispenser of the 3D bioprinter.   Hoechst  33258  (Bloomington,  MN  55431)  at  a  dilution
            Another stl file encoding the specialized design for gel   rate of 1:500 for 15 min, followed by washing thrice using
            printing was uploaded to the computer. Once printing   PBS. The fluorescence imaging of tumor spheroids was
            commander was activated, the printer automatically printed   performed using confocal microscope (TCS SP8, Leica,
            the cell-laden hydrogel with cross-shaped structures into   Wetzlar, Germany) and LASX software after washing thrice
            all nine individual PLA wells obtained from the previous   with 1× PBS. The obtained images were analyzed with
            step. After the cell-laden hydrogel was completely printed   Imaris software (Bitplane, Zurich, Switzerland), whereas
            into the wells, the hydrogel was crosslinked by a 160-mM    the fluorescence intensity was measured by Metamorph
            aqueous calcium chloride solution for 10 min. The   software (Molecular Devices, San Jose, CA, USA).

            Volume 9 Issue 6 (2023)                        363                          https://doi.org/10.36922/ijb.0985
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