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International Journal of Bioprinting                                  Aflatoxin B1-induced cancer stem cells




            Table 1. Fluorescence intensity of the obtained images
             Group                           CD133 intensity  Average        ALDH1 intensity  Average
             Aflatoxin B1 0 μM    1          16.75           11.59            12.71           14.26
                                  2          10.36                            14.98
                                  3           8.09                            9.81
                                  4          10.99                            18.43
                                  5          15.92                            16.08
                                  6           7.46                            13.55
             Aflatoxin B1 1 μM    1          10.74           20.13            23.43           24.16
                                  2          13.29                            18.51
                                  3          26.45                            18.45
                                  4          22.94                            31.25
                                  5          21.6                             27.85
                                  6          25.81                            25.49
             Aflatoxin B1 2.5 μM  1          22.51           27.01            21.3            29.33
                                  2          17.58                            22.79
                                  3          27.22                            21.87
                                  4          27.74                            35.06
                                  5          31.53                            36.51
                                  6          35.53                            38.5
             Aflatoxin B1 5 μM    1          19.03           35.38            28.96           43.70
                                  2          40.96                            47.48
                                  3          32.82                            39.21
                                  4          39.65                            56.24
                                  5          35.05                            42.03
                                  6          44.79                            48.31


            spheroid level as a function of aflatoxin B1 using confocal   and aflatoxin B1 treatment could be deduced by counting
            microscopic imaging (Figure 3). Unlike above results   CSCs and determining their proportion over the total
            (Figure 2),  Figure 3 presents individual heterogenic   number of cancer cells in a single spheroid. The average
            response of single cancer cells in a single tumor spheroid   CSC percentage in the single spheroids increased gradually
            to the carcinogen aflatoxin B1. The drug-resistant single   when the aflatoxin B1 concentration increased (Figure 3e).
            cancer stem cell in the single spheroid was identified by the   It was determined to be 31% at aflatoxin B1 concentration
            simultaneous expression of CD133 and ALDH1, which are   of 5 μM, compared to 6.6% in the control. This result offers
            shown in green and red, respectively. The yellow dots in   a clear insight into the effect of aflatoxin B1 on induction
            the single spheroids corresponded to the single CSC. Each   of drug-resistant CSCs at the single tumor spheroid level.
            single cell in the single spheroids, denoted as gray dots, was   Interestingly, the entire population of single cancer cells
            identified by staining of their nuclei with Hoechst 33342.   in single spheroids diminished as the concentration of
            The total number of single cancer cells in a single spheroid   aflatoxin B1 increased (Table 2).
            was automatically calculated by a specific function of the
            IMARIS software that recognizes and counts the  gray   3.3. Analysis of cancer stem cells via fluorescence-
            dots. The left images in  Figure 3 show the total single   activated cell sorting
            cancer cells marked as gray dots in the single spheroids.   FACS analysis was employed as another method to
            The middle images in Figure 3 show CD133 and ALDH1   examine the induction of drug-resistant single  CSCs by
            expressed in the single cells of left images. Considering   aflatoxin B1 at the single spheroid level. FACS can detect
            the positivity of two markers, the right images present   single cancer cells isolated from single tumor spheroids
            the drug-resistant single CSCs marked as yellow dots. The   fabricated via 3D bioprinting. After a 7-day period of
            correlation between the formation of drug-resistant CSCs   growth, because cancer cells existed as spheroids where


            Volume 9 Issue 6 (2023)                        366                          https://doi.org/10.36922/ijb.0985
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