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International Journal of Bioprinting                                 Transdermal delivery of printed cisplatin



            and linearity of cisplatin was tested in a concentration   MN patches, with each containing 15 μg of cisplatin, were
            range of 10–1000 ng/mL in mouse plasma with a limit of   pressed with the thumb for approximately 2 min and then
            quantification (LOQ; at 10 ng/mL).                 taped with 3M™ Steri-Strip™ Reinforced Adhesive Skin
                                                               Closures (Digas, Athens, Greece) for 60 min. The vehicle
            2.8. Cell expansion                                cohort was treated daily with saline solution containing
            H1437 cells were originally purchased from the American   12.5% DMSO and 12.5% Kolliphor® EL orally, and every
            Type Culture Collection (ATCC). Cells were grown   5 days with saline intraperitoneally. After 15 days, the mice
            in Dulbecco’s Modified Eagle’s Medium (DMEM)       were sacrificed with cervical dislocation, and the tumors
            supplemented with 10% fetal bovine serum and penicillin/  were dissected, weighed, and photographed.
            streptomycin in a humidified chamber with 5% CO .
                                                     2
                                                               2.10. Cisplatin uptake measurement with mass
            2.9. Efficacy study                                cytometry-CyTOF
            NOD.Cg-Prkdc scid Il2rg tm1Wjl/SzJ mice (NSG mice;   Frozen murine lung tumor tissue specimens were thawed
            Stock No.: 005557) [33,34]  were purchased from the Jax   in ice-cold dissociation solution (PBS supplemented with
            repository (Bar Harbor, ME, USA) and bred in individually   2 mM EDTA). Tissues were further dissected into small
                                                                                                             3
            ventilated cages under specific pathogen-free conditions,   pieces with an average size of approximately 27–30 mm
            under veterinarian supervision, in full compliance with   (3  ×  3  × 3  mm).  Then,  using a  culture  dish  filled  with
            Federation of Laboratory Animal Science Associations   dissociation solution, tissue was pressed through a 100-μm
            recommendations in the Animal House Facility of the   nylon mesh with the plunger of a 5-mL syringe to prepare
            Biomedical Research Foundation of the Academy of Athens   a cell suspension. During this step, the nylon mesh was in
            (BRFAA, Greece). All procedures for care and treatment of   contact with the surface of the liquid in the culture dish.
            animals were approved by the Institutional Committee on   The mesh was then rinsed two or three times with ice-
            Ethics of Animal Experiments and the Greek Ministry of   cold dissociation solution. Resulting suspension was then
            Agriculture (Protocol #1392861, 28/12/22).         filtered through a 40-μm nylon mesh and adjusted on top
                                                               of a 50-mL polypropylene Falcon tube, and dissociation
               H1437 and H1437 KMT2C/KD cells were grown       solution was added to a final volume of 15 mL followed by
            in DMEM supplemented with 10% fetal bovine serum   centrifugation at 300 × g for 7 min. Cells were then washed
            and penicillin/streptomycin. Two million of cells were   twice  with  5  mL  of  Maxpar  Cell  Staining  Buffer  (CSB)
            injected subcutaneously in the right flank of approximately   from Standard BioTools Inc. (SB; South San Francisco,
            6-week-old male NSG mice. Tumor dimensions were    CA, USA; formerly known as Fluidigm) and centrifuged at
            measured with a caliper. When tumors grew to a diameter   300 × g for 5 min. Following washing, cells were fixed with
            of approximately 0.3 cm, the mice were randomly assigned   freshly prepared 2%, filtered, methanol-free formaldehyde
            to groups. No exclusion criterion was applied. Four groups   solution (prepared from 16% stock solution; Sigma-
            of at least 8 mice for either H1437 or the KMT2C/KD   Aldrich) for 10 min at room temperature. Fixed cells were
            derivative were used for in vivo administration of olaparib,   then centrifuged at 800 ×  g for 5 min and stained with
            olaparib/cisplatin (Olap/C-IP), olaparib/cisplatin-MNs   DNA intercalator solution (1:1000 dilution of 125 μM
            (Olap/C-MN), and vehicle. Cisplatin was administered to   Cell-ID™ Intercalator-Ir) in Maxpar Fix and Perm buffer
            mice either transdermally or intraperitoneally. The efficacy   (all from SB, USA) and incubated at 4°C overnight. The
            of  the  vehicle  cohort,  Olap/C-IP  cohort,  and  Olap/C-  following day, cells were washed twice with CSB buffer and
            MN cohort was compared with one another. Cisplatin   cell acquisition solution (SB, USA). Immediately before
            dosing was 3 mg/kg  of cisplatin either  intraperitoneally   the acquisition, cells were re-suspended in cell acquisition
            or  transdermally,  i.e.,  60  μg/dose.  Furthermore,  50  mg/  solution supplemented with EQ Four Element Calibration
            kg olaparib in saline solution containing 12.5%    Beads (EQ4 beads from  SB), diluted 1:10, at a final cell
            dimethylsulfoxide (DMSO) and 12.5% Kolliphor® EL   concentration 1 × 10 cells/mL. Acquisition was performed
                                                                               6
            (Sigma-Aldrich) was administered orally on a daily basis.   on a Helios™ mass cytometry system (SB). To maximize data
            This is the typical amount of olaparib administered in mice   quality, the acquisition rate on the Helios was maintained
            for therapeutic purposes by most groups.           at a rate of <400 events/s. Acquired data were normalized

                For transdermal application of cisplatin, mice were   using EQ4 beads (SB method) with CyTOF software
            anesthetized with a ketamine:xylazine mix (90 mg/kg    (version 10.7.1014). Normalized fcs files were analyzed
            ketamine and 10 mg/kg xylazine) as previously      with bivariate dot plots and histograms in FlowJo™ v10.8
            described [29,35] . MN application onto the skin of mice was   Software (BD Life Sciences, Franklin Lakes, NJ, USA).
            previously  described . Briefly, the  opposite  (left) non-  Graphs and statistical analysis were performed using
                             [29]
            tumor-bearing flank of the mouse was shaved, and four   GraphPad Prism 9 (version 9.2.0 for Windows, GraphPad

            Volume 9 Issue 6 (2023)                         30                        https://doi.org/10.36922/ijb.0048
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