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International Journal of Bioprinting                                  Aflatoxin B1-induced cancer stem cells



































            Figure 1. (a) Schematic diagram that depicts the formation of cancer spheroids and drug-resistant cancer cells via 3D bioprinting. Daily measurement of
            HepG2 liver tumor spheroids. (b) Numbered spheroids and bright-field images of the same region throughout a 7-day period. (c) Mean spheroid diameter
            throughout the period. (d) Diameters of spheroids measured on day 0 (immediately after printing). (e) Diameters of spheroids measured on the 7th day.
            (f) Growth percentage of all numbered spheroids.

            2.7. Quantification analysis with fluorescence-    dispersed in buffer and applied to a BD flow cytometer for
            activated cell sorting (FACS)                      quantification analysis.
            Initially, tumor spheroids were arranged randomly and
            maintained in the gel structure. To dissociate tumor   2.8. Statistical analysis
            spheroids from the hydrogel, 500 mg of collagenase NB   All the quantitative measurements were performed in three
            4G Proved Grade powder was dispersed in 5 mL double   experimental replicates. The collected data are expressed as
            distilled water (DDW)  to form  a  solution.  Then,  the   mean ± standard deviation (SD) from triplicate samples. A
            collagenase solution was added to the hydrogel containing   one-way ANOVA with Tukey’s post-hoc test was performed
            tumor  spheroids.  By  incubating  the  hydrogel  in  the   to identify statistically significant differences.
            collagenase solution for 30 min at 37°C, the hydrogel   3. Results
            structure was totally dissociated. The broken and dissolved
            hydrogels, along with the remaining spheroids, were   3.1. Development of tumor spheroids in hydrogel
            collected and centrifuged at 1500 rpm for 1 min, and the   structure
            supernatant was removed. The residue was dispersed in   To determine whether the bioprinting approach can
            Accutase and incubated in 37°C; subsequently, the tumor   facilitate proper spheroid formation, the diameters of the
            spheroids were fully disintegrated into single cells. These   spheroids were measured over a 7-day period using the
            single cells are fixed with 4% PFA at 4°C in 10 min. After   bright-field  microscope. Spheroid  images  of the  same
            fixation and discarding PFA, the single cells were washed   position were taken every 24 h. Figure 1 shows the growth
            twice by dispersing in PBS, centrifuging and discarding the   of spheroids and related measurement; an increase in the
            supernatant. Subsequently, single cells were permeabilized   mean diameter of 18 different spheroids was observed
            and blocked with a mixture of 0.2% Triton-X and 1%   (Figure 1c). The mean diameter started at an initial value of
            FBS prepared in PBS for 10 min. In the next step, Anti-  18.5 μm and increased up to 39.2 μm on the 7th day, which
            Alexa fluor 594 CD133 and Anti-Alexa fluor 647 ALDH1   corresponded to a relative growth of more than 210%. The
            antibodies were diluted in a PBS buffer containing 1% FBS,   growth rate was maintained quite steadily throughout the
            at a rate of 1:100, and applied to the single cells for 1 h.   study period, despite a slight decrease from the 4th day to
            Finally, the antibody solution was discarded, and the single   the 5th day. A fluctuation in growth of individual spheroids
            cells were washed with PBS. The single cells were then   was clearly observed (Figure 1d and e). Eighteen different


            Volume 9 Issue 6 (2023)                        364                          https://doi.org/10.36922/ijb.0985
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