Barbara J Klotz1,2, Loes A Oosterhoff3, Lizette Utomo1,2, Khoon S Lim4, Queralt Vallmajo-Martin5, Hans Clevers6, Tim B F Woodfield4, Antoine J W P Rosenberg1, Jos Malda2,7,8, Martin Ehrbar5, Bart Spee3, Debby Gawlitta1,2. 1. Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht, Utrecht University, 3508 GA, Utrecht, the Netherlands. 2. Regenerative Medicine Utrecht, 3584 CT, Utrecht, the Netherlands. 3. Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, 3508 TC, Utrecht, the Netherlands. 4. Department of Orthopaedic Surgery and Musculoskeletal Medicine, Centre for Bioengineering and Nanomedicine, University of Otago, Christchurch, 8011, New Zealand. 5. Department of Obstetrics, University Hospital Zurich, University of Zurich, 8091, Zurich, Switzerland. 6. Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, University Medical Center Utrecht, 3584 CT, Utrecht, the Netherlands. 7. Department of Orthopaedics, University Medical Center Utrecht, Utrecht University, 3508 TC, Utrecht, the Netherlands. 8. Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, 3508 TC, Utrecht, the Netherlands.
Abstract
For creating functional tissue analogues in tissue engineering, stem cells require very specific 3D microenvironments to thrive and mature. Demanding (stem) cell types that are used nowadays can find such an environment in a heterogeneous protein mixture with the trade name Matrigel. Several variations of synthetic hydrogel platforms composed of poly(ethylene glycol) (PEG), which are spiked with peptides, have been recently developed and shown equivalence to Matrigel for stem cell differentiation. Here a clinically relevant hydrogel platform, based on PEG and gelatin, which even outperforms Matrigel when targeting 3D prevascularized bone and liver organoid tissue engineering models is presented. The hybrid hydrogel with natural and synthetic components stimulates efficient cell differentiation, superior to Matrigel models. Furthermore, the strength of this hydrogel lies in the option to covalently incorporate unmodified proteins. These results demonstrate how a hybrid hydrogel platform with intermediate biological complexity, when compared to existing biological materials and synthetic PEG-peptide approaches, can efficiently support tissue development from human primary cells.
For creating functional tissue analogues in tissue engineering, stem cells require very specific 3D microenvironments to thrive and mature. Demanding (stem) cell types that are used nowadays can find such an environment in a heterogeneous protein mixture with the trade name Matrigel. Several variations of synthetic hydrogel platforms composed of poly(ethylene glycol) (PEG), which are spiked with peptides, have been recently developed and shown equivalence to Matrigel for stem cell differentiation. Here a clinically relevant hydrogel platform, based on PEG and gelatin, which even outperforms Matrigel when targeting 3D prevascularized bone and liver organoid tissue engineering models is presented. The hybrid hydrogel with natural and synthetic components stimulates efficient cell differentiation, superior to Matrigel models. Furthermore, the strength of this hydrogel lies in the option to covalently incorporate unmodified proteins. These results demonstrate how a hybrid hydrogel platform with intermediate biological complexity, when compared to existing biological materials and synthetic PEG-peptide approaches, can efficiently support tissue development from human primary cells.
Shortcomings of autologous tissue transplants and the shortage of donor
organs are a major clinical burden to society. Tissue engineering and regenerative
medicine are considered as a potential solution to overcome this problem.
Considerable advancements over the course of almost 30 years resulted in therapeutic
applications with successes for thin or avascular tissues and organs such as
skin,[
carti-lage,[ and
bladder.[ For
biologically complex tissue analogues and for upscaling of constructs to clinically
relevant size, a major bottleneck for advancement to the clinical setting lies in
the lack of vasculari-zation.[
Furthermore, there is a need for clinically relevant, degradable biomaterials that
stimulate cell differentiation, matrix secretion and ultimately, functional tissue
development.[Hydrogels play an important role in tissue engineering approaches, since
their 3D polymer network, characterized by a high water content, can closely
resemble the native extracellular matrix in the (developing) tissues. In fundamental
stem cell culture, the most commonly used biomaterial is isolated from a mousetumor
(Engelbreth–Holm–Swarm), which is rich in extracellular matrix proteins with the
trade name Matrigel (or Cultrex).[The composition of Matrigel is heterogeneous with more than 1500 different
proteins in its makeup, with the most prevalent proteins being laminin, collagen
type IV, and entactin.[ This
material is especially required for biologically demanding cell cultures, such as
organoids[ and vasculogenesis assays.[ Its unique biological composition
attributes its value for cell culture to the derivation from the basement membrane
and allows cells to proliferate and differentiate. The basement membrane forms a
specialized extracellular habitat of multiple organ and tissue systems throughout
the body, making it an interesting target matrix for recapitulation.Furthermore, even though Matrigel might appear as an ideal biomaterial from a
biological perspective, there are numerous disadvantages that render it unsuitable
for clinical application.[ High
variability in composition and also stiffness, limits the batch reproducibility
massively,[ with a
lot-to-lot similarity of only 53%.[ The murine origin of Matrigel will furthermore complicate
clinical translation due to immunogenic effects.[To advance the translation of human tissue analogues to the clinics, new
matrices with biological equivalence to the basement membranes are of high
relevance. Recent approaches to create these were based on completely defined
synthetic hydrogel platforms, coupled with biological components in the form of
peptides improving cell adhesion such as RGDs (arginylglycylaspartic
acid).[ In this study,
laminins were chosen for incorporation because these represent the major protein
present in Matrigel. Synthetic polymers are advantageous since they are biologically
inert and they have highly defined material and mechanical properties. To impart
biological characteristics, inert synthetic polymers such as poly(ethylene glycol)
(PEG), poly(vinyl alcohol) (PVA), poly-N-isopropylacrylamide (PNIPAAM) require
addition of bioactive peptide sequences. For example, in a vascular toxicity screen,
a 2D platform based on poly(ethylene glycol) (PEG) and peptides mimicking the
functional groups of large ECM molecules (RGDs) outperformed Matrigel in terms of
reproducibility and sensitivity.[ The screening assay typically involves cell culture periods
for up to 24 h. Also, for stem cell expansion, the tailored PEG-based system with
peptides maintained human embryonic stem cell pluripotency during the initial 4
d.[ Further, another
group presented an elegant approach to expand and differentiate intestinal stem
cells and organoids in a mechanically dynamic PEG-peptide-based hydrogel to foster
fibronectin-based adhesion peptides and compared it to Matrigel.[ During culture over 4 d,
intestinal stem cells survived and proliferated in the PEG-peptide hydrogels.
Another variant of PEG hydrogels, spiked with RGDs and protease-degradable peptides
even allowed for 14 d cell differentiation protocols, which resulted in comparable
levels of differentiation as cultures in Matrigel.[These recent hydrogel developments are great achievements toward finding a
clinically relevant replacement for Matrigel by showing biological equivalence. The
next step lies in the further development of a tissue-specific tailorable material,
which allows for enhanced cell differentiation compared to Matrigel in order to more
closely mimic the function of a native tissue. However, due to the low number of
biologically active sites in synthetic matrices with spiked peptides, they have a
reduced cell-driven remodeling capacity when compared to natural materials.
Stimulating remodeling of the engineered matrix into a mature biologically
functional tissue analogue implies successful long-term performance of encapsulated
cells.[ The native
extracellular matrix (ECM) is a dynamic material, which provides residing cells with
specific physical and chemical cues via binding sites.[ The ECM is ascribed a crucial role in regulating
the development, function, and homeostasis of residing cells.[ Hence, an ideal scaffold material
for engineering of tissues outside the human body will be one that mimics the
natural architecture of the targeted tissue, which remains a significant challenge
with the current technology.[To bridge the gap between minimalistic approaches of synthetic, defined
matrices, and biological materials, novel hydrogels that provide a matrix with
intermediate biological complexity are needed for tissue engineering purposes.
Gelatin can serve this purpose, as it is derived from the most abundant protein in
the human body, collagen type I, which is highly conserved among species. It is
associated with less immunogenicity than collagen while retaining bioactive signals
of its native progenitor. Furthermore, gelatin is used, despite its animal origin,
routinely in the clinics since several decades.[In this study, we developed a gelPEG hydrogel platform aimed at
recapitulating the biological functionality of the basement membranes, while
maintaining the simplicity, tailor-ability, and reproducibility of synthetic
hydrogels. This hybrid semisynthetic gelPEG platform uniquely combines its inherent
support of cell performance, tailorability of physicochemical characteristics and
highly versatile application by incorporation of natural (unmodified)
tissue-specific proteins. A systematic material characterization is presented and
tailored toward physicochemical parameters favoring multitissue differentiation. The
biological performance of the novel hydrogel is compared to that of Matrigel.
Vasculogenesis, a hallmark process for tissue engineering, is evaluated in gelPEG
hydrogels and assessed regarding extent and maturity of the developed vascular
network in 3D. To demonstrate the enhanced cell-instructive capacity of the new
basement membrane-inspired material, it was applied in engineering of
prevascularized bone and liverlike tissue analogues.
Results
Systematic Evaluation of gelPEG Hybrid Hydrogels
Hydrogels were fabricated by forming covalent crosslinks between gelatin
and PEG via an enzymatic reaction with coagulation factor XIII (FXIIIa). To do
so, the specific amino acid substrate sequence (NQEQVSPL) of the enzyme was
conjugated to 8 arm PEG (PEG-Gln), which can be crosslinked with the native
lysine residues on gelatin (Figure 1).
Moreover, in the same reaction step, other lysine-containing proteins may be
coupled into the gelPEG hydrogel network to create a tissue-specific ECM-like
environment. Before crosslinking, cells were resuspended in the gelatin-PEG
solution to form a 3D polymer network around the cells.
Figure 1
Enzymatic crosslinking reaction between PEG and gelatin. The FXIIIa-specific
amino acid sequence for glutamine (gln), NQEQVSPL, was conjugated to 8 arm PEG
(PEG-Gln), which can be crosslinked with lysine (lys) residues that are
naturally occurring on gelatin. The reaction takes place under physiological
conditions and cells can be encapsulated in the same step. It is also possible
to immobilize other lysine-containing proteins in the hydrogel network for
enhanced tissue specificity (see Figure S2, Supporting Information).
The optimal crosslinking conditions between gelatin and PEG were
established by mixing the two components in molar ratios between 1:1 and 6:1
(gelatin)Lys/(PEG)Gln at a constant overall polymer concentration of 3% w/v
(Figure 2). Hydrogels with the lowest
swelling ratio, indicating efficient crosslinking and therefore the best
fabrication window, was from 1:1 to 4:1 gelatin/ PEG combination (Figure 2a). Since gelatin can be degraded and
remodeled by cells, 4:1 gelatin/PEG was preferred over 2:1 and 1:1 and chosen to
proceed within further experiments. The swelling ratio decreased with increasing
polymer concentration (Figure 2b). A
polymer concentration of 1% w/v gelPEG resulted in mechanically unstable
hydrogels that could not be manipulated without destruction. The compressive
moduli were 2.6 kPa ± 0.6 for 2% and 6.8 kPa ± 2 for 3% w/v gelPEG hydrogels
with significant differences (p = 0.0026) (Figure 2C). Rheological measurements indicated for 2% gelPEG
at 4:1 molar ratio a point of gelation after 2 ± 1.5 min and the hydrogel was
completely crosslinked after about 15 min (Figure S1, Supporting
Information). Furthermore, coupling of lysine-containing proteins of interest
into the gelPEG network was demonstrated. To do so, laminin (LN) 521 was
successfully incorporated in gelPEG hydrogels as indicated by
anti-α5-LN staining in whole mount constructs (Figure S2b, Supporting
Information).
Figure 2
Physical fine-tuning and characterization of gelPEG hydrogels. a) Hydrogels with
the lowest swelling ratio were obtained at a molar ratio (gelatin)Lys/(PEG)Gln
of 2:1 for 3% w/v gelPEG. b) Decreasing gelPEG concentration resulted in higher
swelling ratios. c) Compressive moduli were significantly increased from 2% to
3% gelPEG. n.d., not determined; lys: lysine; gln: glutamine; data are depicted
as mean + SD; n = 5.
Vasculogenesis in gelPEG Hydrogels Compared to Matrigel
The biological functionality of the novel developed gelPEG hydrogel for
3D vasculogenesis was assessed and compared to Matrigel, the gold standard for
vasculogenesis. Low polymer content or crosslink densities resulting in soft
hydrogels are needed to allow for cell migration[ and enabling capillary network formation.
[ For this reason,
we chose for this application the 2% w/v gelPEG hydrogel formulation, which is
relatively stable (compared to 1%) and still relatively soft.Interconnected endothelial cell networks from healthy human endothelial
colony forming cells (ECFCs) were observed in Matrigel after 3 d, whereas
similar capillary-like network took longer to be formed in gelPEG hydrogels and
was observed after 6 d (Figure
S3, Supporting Information). After a 10 d coculture of healthy human
ECFCs and MSCs, highly interconnected vascular-like structures were present
throughout all hydrogels (N = 3 donor combinations, Figure 3a,e; Figure S3c,f, Supporting
Information). Quantification of total vessel length and average vessel thickness
of 150 μm z-projections revealed comparable network formation in gelPEG and in
Matrigel (Figure 3j,k). Also, in both
matrices, vascular networks were stabilized by pericyte-like cells as indicated
by αSMA staining (Figure
3b,f). Moreover, staining of VE-cadherin junctions in the
capillary-like structures highlighted the cell–cell contacts of single
endothelial cells, which had fused and remodeled into a further matured vessel
(Figure 3c,g) containing lumen (Figure 3d,h). A close-up of the capillaries,
showed filopodial extensions indicating active angiogenesis at various sites in
the hydrogels (here in gelPEG hydrogel) (Figure
3i).
Figure 3
Vasculogenesis in gelPEG and Matrigel characterized by stabilized capillary-like
structures with lumen. Human GFP-ECFCs and MSCs were cocultured for 10 d in
EGM-2. a,e) Projections of 150 μm confocal stacks through a hydrogel. b,f)
Stabilization of vascular networks by pericyte-like cells (red). c,g)
Capillary-like structures were composed of multiple fused endothelial cells
indicated by cell-cell contact by VE-cadherin junctions. d,h) Capillary-like
structures in gelPEG and Matrigel were characterized by lumenization (dotted
lines indicate cutting sections). i) Capillary-like structures with flopodia at
a site of active angiogenesis, here in a gelPEG hydrogel. j,k) Total vessel
length and average vessel thickness in gelPEG hydrogels and Matrigel. Data are
depicted as mean + SD; N = 3, n = 3.
Development of Prevascularized Bone-Like Tissue Analogues
To further demonstrate the versatility and performance of the novel
gelPEG hydrogels, prevascularized bone-like tissue analogues were cultured with
human MSCs and ECFCs in the novel material and compared to Matrigel.
Prevascular-ized tissues can be engineered by using endothelial cells that
self-assemble into vascular-like networks.[ Furthermore, in a vascularized bone engineering
approach, MSCs play a dual role. First, a part of these multipotent cells will
differentiate into pericyte-like cells, which are needed for stabilization and
maturation of capillary networks. Second, another fraction of MSCs will undergo
osteogenesis toward the formation of bone tissue.[To increase gelPEG’s biological resemblance to Matrigel, one of its
major components, laminin 111 (LN111),[ was immobilized in the gelPEG networks and taken along
in the comparison. After a culture period of 2 weeks under osteo-genic
conditions, ECFC-MSC cocultures were analyzed for markers indicating
prevascularization and osteogenesis. From a macroscopic point of view, gelPEG
hydrogels became opaque during the culture period, whereas Matrigel remained
rather transparent (Figure 4). Matrigel
cultures were negative for von Kossa staining, while interestingly, all gelPEG
hydrogels were mineralized (Figure 4a,e).
Also, gelPEG hydrogels with LN111 showed mineralization in seven out of nine
constructs, which appeared more homogeneously distributed throughout the
hydrogel when compared to pure gelPEG hydrogels (Figure 4i). The majority of cells in cocultures of all hydrogels
were positive for the osteogenic marker osteonectin (Figure 4b,f,j). Late osteogenesis-related genes encoding for
osteocalcin and osteopontin were expressed comparably in all hydrogel systems
(Figure 4n,o). Moreover, vasculogenesis
was present in all hydrogel compositions as shown in projections of 100 µm in
the z-direction (Figure 4c,g,k). The total
length of the capillary-like network was comparable between Matrigel and
gelPEG+LN111, whereas gelPEG hydrogels had a significantly shorter vascular-like
network (Figure 4m). The gene expression
levels encoding for CD31 were comparable between all conditions (Figure 3n). However, the gene expression for
VE-cad-herin was significantly lower in gelPEG and gelPEG+LN111 compared to
Matrigel (Figure 4q). The capillary-like
networks were supported by αSMA positive pericyte-like cells
(Figure 4d,h,l) and pericyte-related
genes encoding for αSMA and NG2 had comparable expression
levels in all hydrogel compositions (Figure
4r,s).
Figure 4
Development of prevascularized bone-like tissue analogues in Matrigel and
gelPEG-based hydrogels. ECFC-MSC cocultures were cultured for 2 weeks under
osteogenic culture conditions in the different hydrogels before analysis of
osteogenesis, vasculogenesis, and presence of pericyte-like cells. Expression of
BCLAP and SPP1 as osteogenic markers,
CDH5 and PECAM1 were measured as
endothelial markers and CSPG4 and ACTA2 as
pericyte markers. a,e,i) Von Kossa staining was positive for gelPEG and
gelPEG+LN111 hydrogels highlighting mineralization. b,f,j) Sections of hydrogels
highlighted the presence of the osteogenic marker osteonectin in all groups.
c,g,k) 100 μm z-projections of vascular-like networks (green) in the centre of
the hydrogels. d,h,l) Vascular-like structures, stabilized by
αSMA-positive pericyte-like cells (red). m) Total vessel length
was equal in Matrigel and gelPEG+LN111, and significantly longer than in gelPEG
hydrogels. n,o) mRNA expression for osteogenic genes encoding for osteocalcin
and osteopontin were comparably expressed in Matrigel, gelPEG, and gelPEG+LN111.
p,q) Vasculogenesis-associated genes encoding for CD31 and VE-cadherin were
expressed in all hydrogels, with highest VE-cadherin expression in Matrigel,
followed by gelPEG and gelPEG+LN111. r,s) Pericyte-associated genes encoding for
αSMA and NG2 were equally expressed in all hydrogels. Data
are depicted as mean + SD; N = 3, n = 3.
Notably, Matrigel constructs lost thickness when compared to
gelPEG-based constructs as also apparent in paraffin cross-sections of the
constructs (Figure 4a,b,e,f,i,j). At the
same time, the diameter of all of the constructs stayed approximately the same
(Figure 4, first column).
Development of Liver-Like Tissue Analogues
To further assess the biological performance of gelPEG hydro-gels for
biologically demanding cell cultures, liver organoids were encapsulated in
tailored hydrogels and compared to a conventional culture protocol in Matrigel.
Since the Matrigel used for this application, typically has a high protein
concentration and thus, higher stiffness, in analogy, also gelPEG was used at 3%
w/v, to achieve stiffer hydrogels. These hydrogels were further supplemented
with LN111, to better resemble Matrigel’s composition, or with LN521, since this
LN is associated with improved hepatocyte performance.[Hematoxylin and eosin (H&E) staining of liver organoids in the
different matrices highlighted cell structures with similar morphology. However,
in gelPEG-based hydrogels, the cell nuclei were located more toward the luminal
side of the orga-noid structures (Figure
5a–d).
Figure 5
Development of liver-like tissue analogues in Matrigel (MG) and gelPEG-based
hydrogels. A functional read-out of protein levels and enzyme activities was
performed after 9 d culture of liver organoids. H&E staining of liver
organoids in a) Matrigel, b) gelPEG, c) gelPEG+LN111, and d) gelPEG+LN521. e)
Albumin protein levels in cultured organoid cell lysates. f,g) ALAT an ASAT
enzyme activities of liver organoid cell lysates. h,i) LDH and GLDH enzyme
levels of liver organoid cell lysates. Data are depicted as mean + SD;
N = 3, n = 3.
Functional readout of the liver-like tissue analogues was performed to
investigate the quality of the engineered tissue. In terms of albumin
production, liver organoids in gelPEG with added laminins performed best, with
levels about 2–3 times higher than in Matrigel (Figure 5e). The liver-like tissues in gelPEG produced significantly
higher enzyme levels of alanine aminotransferase (ALAT) and aspartate
transaminase (ASAT) compared to Matrigel (Figure
5f,g). Lactate dehydrogenase (LDH) and the more liver-specific
glutamate dehydroge-nase (GLDH) indicate metabolic activity of hepatocytes in
the different hydrogels. The same trend as observed for the enzyme levels of
ALAT and ASAT could be seen for LDH and GLDH. Again, in Matrigel the levels were
lowest compared to gelPEG-based hydrogels (Figure
5h,i). Overall, addition of LN111 or LN521 resulted in intermediate
enzyme levels, being higher than in Matrigel (Figure 5). Compared to pure gelPEG hydrogels, overall, the addition
of LN111 did not further enhance the enzyme levels, whereas LN521 had a slightly
negative effect.The metabolic activity as assessed by Alamar Blue (resazurin to
resorufin) conversion by hepatocytes was monitored over culture time showing a
steep increase from day 1 to day 3. After a culture period of 9 d, the activity
was increased by 50% in Matrigel and gelPEG hydrogels, whereas in LN111 and
LN521 containing hydrogels, the activity was doubled when compared to day 1
(Figure S4,
Supporting Information).Furthermore, gene expression levels were quantified on day 9. In
contrast to the outcomes on protein level, albumin expression levels were
highest in Matrigel and gelPEG and lower in gelPEG when LNs were added (Figure S5b, Supporting
Information). KRT7 (CK7), a cytokeratin that is specifically
expressed in simple epithelia and can be used to detect bile ducts in the
liver,[ was equally
expressed in all hydrogels (Figure S5a, Supporting Information). The cytochrome family of
enzymes CYP2B6, CYP2C19, and CYP3A4, involved in drug metabolism, e.g., showed
comparable expression levels in Matrigel and gelPEG, whereas with the addition
of laminins overall lower expression levels were detected (Figure S5d–f, Supporting
Information). SLC10A1, which is encoding for a liver-specific sodium/bile acid
cotransporter, was comparably expressed in all hydrogels (Figure S5c, Supporting
Information).
Discussion
In this study, we present a novel, hybrid hydrogel of gelatin and PEG that
is easily customized with (native) lysine-containing proteins. The presented
tailored hydrogel platform performed as good as Matrigel in terms of 3D
vasculogenesis and even outperformed Matrigel when employed for engineering of
prevascularized bone- or liver-like tissue analogues.
Crosslinking of Gelatin and PEG by FXIIIa
The crosslinking strategy that was chosen in this study was compared to
a Matrigel control. The main reason for this was that a direct comparison of the
biosynthetic gelPEG platform to pure crosslinked gelatins, such as via microbial
transglu-taminase or UV crosslinked gelatin methacryloyl (gelMA), is
inappropriate. The significant differences in the gelatin concentration,
hydrogel stiffness, and/or crosslinking density between these systems also
affects cell behavior in these materials.The composition of the herein presented hydrogel-plat-form is based on a
transglutaminase-catalyzed crosslinking mechanism (factor XIIIa), which was
adopted from the blood coagulation cascade. The elegant strategy to make use of
the recognition sequences of this enzyme for immobilizing instructive peptides
in hydrogels was developed by Hubbell and colleagues at the end of the
1990s.[
Subsequently, this mechanism was exploited for crosslinking entirely synthetic
PEG hydrogels under physiological conditions.[ In this approach, two PEG precursors, one
with a glutamine-containing sequence and one with a lysine-containing sequence,
served as substrates for factor XIIIa to be coupled.In this work, we replaced PEG-Lys with gelatin, which natively contains
lysine residues that can serve as a donor substrate without any further
modifications. We hypothesized that by using a material with inherent
cell-responsive elements, a close mimic of the natural environment of cells
could be created. In fact, gelatin is a denatured form of collagen, the most
abundant protein in the human body.The crosslinking agent FXIIIa is an FDA approved drug for treating
patients with a blood coagulation disorder (trade names are Cluvot, CSL Behring;
NovoThirteen, Novo Nordisk). These drug formulations of the enzyme are designed
for injection into the blood stream. When applied in the gelPEG system, any
potentially remaining activity of FXIIIa could be inactivated by plasmin prior
to use for implantation purposes.[ Combined, this convincingly highlights the safety of FXIII
for hydrogel crosslinking. While PEG is a synthetic polymer, which is on the
market for medicinal products,[ its conjugated derivatives containing peptides remain to
be translated toward the clinics. Furthermore, the incorporated laminins are
recombinant and xenogen-free.
Modular Approach to Integrate Nonmodified Proteins in Hydrogels
Hybrid hydrogels that integrate synthetic and biologic materials, such
as ECM-derived materials, are a promising way for synthesizing next-generation
hydrogels.[
Therefore, the approach of immobilizing ECM-derived proteins in synthetic
materials was undertaken by several groups.[ Such systems present a merger of both, biological
complexity in a physico-chemically controllable matrix. These previous modules
of PEG platforms could only accommodate incorporation of ECM molecules of
interest after their chemical or biological modification. While being elegant,
it can be a laborious approach to modify all proteins of interest.[ Therefore, the here taken
approach of immobilizing unmodified proteins for tissue specificity presents a
simpler hydrogel-platform. Laminins were chosen in this study as model proteins
to demonstrate retention of bioactivity after incorporation in gelPEG.
Additionally, laminins represent the most abundant protein in Matrigel. The
successful incorporation illustrates the flexibility of the platform as
tissue-specific isoforms can be used for tailoring the platform’s accommodation
of various cell types.
Characteristics of gelPEG Hydrogels
Optimization of the hydrogel composition revealed the best ratio between
gelatin and PEG to be between 2:1 and 4:1 to form most effective hydrogels with
low swelling ratio and sol fraction. Increasing the gelatin over PEG
concentration still led to reasonable hydrogel formation, an increase of PEG
immediately impaired hydrogel formation. This indicates that the availability of
lysine residues is the limiting factor in the reaction.For this study we chose a 4:1 ratio, for which a relatively higher
gelatin to PEG concentration ratio was the most ideal. By doing so, less steric
hindrance from PEG is expected, which, in contrast to gelatin, cannot be further
broken down and replaced by secreted ECM from encapsulated cells. However, the
ratio might be further fine-tuned toward a 1:1 Gln:Lys molar ratio, to match the
degradation of the hydrogel with the speed of matrix deposition of a specific
tissue type of interest. In fact, it was shown previously that degradation of
hybrid hydrogels can be further slowed down by the addition of a synthetic
polymer.[ While for
vasculogenic and osteogenic cocultures, gelPEG hydrogels roughly retained their
initial volume over culture time, this was not the case for Matrigel-based
cocultures. Also, Matrigel constructs of liver organoid cultures appeared very
instable after a culture period of 9 d, which was less apparent in gelPEG
hydrogels. For further fine-tuning toward upscaled, clinically relevant
approaches for liver organoids, it might be therefore suggested to slightly
increase either the total polymer or PEG-Gln concentration.Matrigel has a low and highly variable elastic modulus, ranging from
≈0.4 to 3 kPa.[ The 2%
gelPEG hydrogels with a compressive modulus of 2.6 kPa ± 0.6 were the closest
possible (low protein content) Matrigel mimics from a mechanical point of view
that could be created. This comparable stiffness of the materials rules out its
potential role as effector of the observed cell behavior.
Vasculogenesis in gelPEG Matrices
Clinically relevant-sized tissue analogues generally require a
prevascular network before implantation. The presence of such an engineered
capillary-like network throughout the construct can accelerate the connection
with the patients’ own vascula-ture, which is critical for implant
survival.[
Especially Matrigel is known for its proangiogenic properties that allow for the
fast formation of a vascular-like network. Due to this reason it is an often
used, highly potent material for vasculogenesis/angiogen-esis-related
assays.[Prevascular network development over time by human ECFCs was initially
favored in Matrigel compared to gelPEG. A thickening of capillary-like
structures might indicate further maturation (i.e., arteriogenesis).[ In this study, maturity of
the networks was shown by the presence of stabilized capillarylike structures
and by the presence of lumen. The initial difference in performance between
Matrigel and gelPEG might be explained by the proangiogenic properties of
Matrigel, which are mediated by proteins such as collagen type IV and
LN111[ that might enable faster vasculogenesis. This
assumption is supported by this work where addition of LN111 to osteogenic
cultures resulted in improved vascular structure formation. All in all, the
gelPEG hydrogel performed equally well as the gold standard Matrigel in terms of
long-term prevas-cularization, both in extent and in maturity.
Following, a bone-like construct was engineered as a model tissue, which
requires simultaneous development of a prevascular network during bone forming.
Early osteogenic differentiation on the protein level of all hydrogel constructs
was shown by the presence of osteonectin. Comparable gene expression levels for
osteopontin and osteocalcin indicated a comparable extent of osteogenic
differentiation in all conditions. However, mineralization, a late phenomenon
during osteogenesis, was only present in gelPEG-based hydrogels. While it is
known from literature that osteogenesis is supported by Matrigel,[ the presence of
mineralization becomes generally prevalent after 21 d of culture.[ Therefore, the absence of
mineralization in MG after 14 d culture is in agreement with literature. Whereas
nine out of nine gelPEG hydrogels were characterized by mineralization after
only 14 d, seven out of nine gelPEG+LN111 hydrogels were positive for von Kossa
staining. Pure gelPEG hydrogels strongly supported early matrix mineralization,
which can be explained by the gelatin extraction method. Gelatin is
characterized by nucleation sites. Especially, anionic gelatin (obtained by
alkaline extraction) enables pronounced calcium binding of the matrix due to its
negative charge at physiological pH.[ Therefore, due to the nature of the gelatin in gelPEG
hydro-gels, the matrix is especially favorable as a template for bone
development.The addition of LN111 to gelPEG hydrogels led to an enhanced and more
homogenous distribution of minerals throughout the matrix. At the same time,
vasculogenesis was stimulated as indicated by a significantly longer vascular
network length. LN111 was shown to enhance vasculogenesis, which corresponds to
literature.[ The
influence of LN111 on osteogenesis, especially on mineralization via inducing
calcium phosphate precipitation, was established in previous studies.[ Together, gelPEG hydrogels
appeared as suitable templates for bone development, in which bioactives can
enhance tissue development. Specifically, LN111 can be a potent stimulator of
vasculogenesis in these constructs. Further fine-tuning of the LN111
concentration, all or not combined with additional factors, might help to
optimize the balance between enhanced vasculogenesis and robust mineralization
of all hydrogel constructs.VE-cadherin is an endothelial cell–cell contact marker[ and has a key role in
endothelial barrier function and angio-genesis.[ While the highest VE-cadherin expression is
apparent in Matrigel, it might be plausible that downregulation of VE-cadherin
in both gelPEG groups was a result of a more complete maturation status of the
cells in the prevascular structures, supported by the apparent staining of CD31
and αSMA.In contrast to purely vasculogenic cultures, vasculo-osteogenic cultures
resulted in significantly lower vascular network length in pure gelPEG hydrogels
compared to Matrigel. This difference can be explained by the added medium. For
the osteogenic differentiation with simultaneous vasculogenesis, osteogenic
medium was used instead of vasculogenic medium. Thus, in this condition, ECFCs
obtain vasculogenic signals from the embedded MSCs[ and not from the medium. Therefore, when the
vasculogenic stimulation is not induced by the culture medium, adequate
vascularization can be achieved by incorporation of LN111 in the hydrogel.The novel gelPEG hydrogel platform allowed for the successful
engineering of prevascularized bone-like tissue analogues. Due to the faster
osteogenic differentiation while maintaining simultaneous vasculogenesis, gelPEG
hydrogels even outperformed Matrigel for engineering of prevascularized
bone-like constructs.
Engineering Liver-Like Tissue Analogues
GelPEG was tested with hepatic organoids[ to evaluate the potential in comparison to
the gold standard, Matrigel. Overall, the addition of LN111 or LN521 did not
show a beneficial effect over pure gelPEG hydrogels, apart from albumin
expression. However, compared to Matrigel, gelPEG with added laminins improved
liver organoid differentiation as shown by elevated albumin expression and both
ALAT and ASAT activity levels. This positive effect of LN521[ and in a mix with LN111, was
described previously where efficient hepatocyte differentiation and
self-organization occurred on laminin-coated surfaces on pluripotent stem
cells.[ Especially
with respect to metabolic function and self-organization of hepatocytes, LN
coatings outperformed a Matrigel control. The minor negative effect of the
addition of LN521 on hepatic enzymes and CYP-expression compared to gelPEG alone
is in contrast with reports by others.[ Since the addition of the LN521 in the pluripotent
stem cells is already at the endodermal differentiation stage, this indicates
that the effect is not as profound on hepatic organoids which are considered a
more mature stem cell type.[Furthermore, hepatocyte metabolic activity was strongly affected in the
different hydrogel compositions. From day 1 until day 3 the cell activity
doubled in Matrigel and gelPEG hydrogels, and increased 3.5 and 6 times in
hydrogels laden with LN111 and LN521, respectively. This increase in metabolic
activity might correlate with cell proliferation. It has been shown that
laminins are supporting survival and proliferation of multiple cell types. This
strong increase in metabolic activity in gelPEG hydrogels compared to Matrigel
in the beginning of the culture period might be due to enhanced proliferation,
stimulated by the comparably stiff gelPEG hydrogels. It was shown by Gjorevski
et al., that a higher matrix stiffness in PEG hydrogels was associated with
intestinal stem cell proliferation, whereas softer hydrogels were needed for
cell differentiation.[ The
authors also demonstrated that matrix-metalloproteinase (MMP)-sensitive PEG
hydrogels (with RDG-sites) could not be degraded fast enough by the cells to
allow for organoid differentiation after an initial proliferation phase.
Consequently, they added a hydrolytically degradable polymer to the PEG platform
to speed up the degradation process after an initial proliferation phase. In the
present hydrogel system, combining gelatin and PEG, this cell-mediated
degradation and remodeling of the matrix might occur naturally. After reaching a
higher cell number during the initial proliferation phase, secreted MMPs might
speed up the degradation process, resulting in a softer hydrogel, suitable for
cell differentiation. This assumption can be supported by the fact that after
the initial 3 d the metabolic activity gradually dropped in all hydrogel
compositions, which might indicate a phase of cell differentiation.Furthermore, it was shown recently that natural matrices were
characterized by fast stress relaxation properties, a feature that synthetic
hydrogels are typically missing and which appeared to be critical in guiding
cell differentiation.[ By
using hybrid hydrogels as presented here, this natural characteristic of the
extracellular matrix might be present and could have contributed to the
permission of multiple cell differentiation into the vasculogenic, osteogenic,
and hepatocyte lineages.The use of gelPEG hydrogels was demonstrated here for the biological
suitability as extracellular matrix of multiple tissue engineering approaches.
In the future, gelPEG might also be used as a “bioink” for biofabrication
processes due to its fast crosslinking.[ In combination with reinforcing materials, such as
offered by thermoplastics,[
complex and multitissue type tissue analogues might be realized. Furthermore,
these complex biofabricated tissue constructs might be characterized by a
multiscale vascular tree consisting of engineered macrovessels and
self-assembled capillary-like structures[ throughout the construct.
Conclusions
This research demonstrates that a simple hydrogel composed of gelatin and
PEG can replace and even outperform Matrigel for complex, long-term tissue
engineering approaches. With this, a clinically relevant, degradable biomaterial was
developed, which can efficiently support cell differentiation and matrix secretion
toward the development of functional tissue analogues. Moreover, this novel gelPEG
platform is easily tailorable with (combinations of) lysine-containing proteins to
establish a tissue-specific matrix; illustrated here by addition of tissue-specific
laminins. Additional ECM-mimicking cues can prove valuable to create spatial
resolution in a hydrogel when aiming at multiple tissue types within one
biomaterial, sharing one culture medium.The presented hybrid hydrogel can be readily applied to other tissue
engineering approaches by fine-tuning the ratio between gelatin and PEG, the total
polymer concentration, and by covalently immobilizing relevant proteins to further
stimulate tissue development. Taken together, we suggest that such hybrid hydrogels
consisting of PEG-Gln and a relevant biologic material, catalyzed by FXIIIa, will
help to overcome the bioma-terial-associated bottleneck of implementing complex
tissue engineering in the clinics.
Experimental Section
Materials
Alkaline treated porcine skin gelatin (beMatrixTM LS-H high bloom, Nitta
Gelatin NA Inc) with an endotoxin count less than 10 endotoxin units (EU)
g−1 was used. The gelatin was set to a pH of 7.5, sterile
filtered and freeze dried. The peptide was purchased from NeoMPS (Strasbourg,
France). Eight-arm PEG-vinyl sulfone (8-PEG-VS, mol wt 40 kDa) was obtained from
NOF Europe (Grobbendonk, Belgium).
Synthesis of PEG-Gln Macromeres
PEG-Gln was synthesized and characterized as described
previously.[ In brief, a glutamine
acceptor substrate (H-NQEQVSPL-ERCG-NH2, TG-Gln) was used. The
NQEQVSPL cassette corresponds to a substrate site of FXIII in an
α2-plasmin inhibitor[ and the ERCG cassette contains a cysteine that can
react with VS.[ This TG-Gln
substrate was coupled to 8-PEG-VS via Michael-type addition at a 1.2-fold molar
excess of TG-Gln to PEG-VS in 0.3 m triethanolamine (pH 8.0) at 37 °C
for 2 h. The reaction product was dialyzed, freeze dried, and PEG-Gln
conjugation was confirmed by 1 H NMR.
Formation of Gelatin-PEG Hydrogels
Factor XIII (200 U mL−1, Cluvot, CSL Behring) was activated
with 20 U mL−1 thrombin (Baxter) in the presence of 2.5 ×
10−3 M CaCl2 for 15 min at 37 °C and stored at -80 °C
in small aliquots (FXIIIa). Hydrogel formulations consisting of different ratios
of PEG-Gln and gelatin were formulated in tris-buffered saline (TBS, pH 7.6, 40
× 10−3
m) containing 50 × 10−3
m calcium chloride. Hydrogel crosslinking was initiated upon addition
of 10 U mL−1 factor XIIIa. For biomaterial characterizations,
disc-shaped hydrogels with 8 mm diameter were prepared in a silicone sheet with
1 mm height (BioPlexus Corporation). The reaction mixture was left to crosslink
for 1 h in a humidified incubator when covalent crosslinks were formed between
native lysines of gelatin or extracellular matrix-derived proteins and the
Gln-conjugates on PEG (Figure 1).
Hydrogel Mass Loss and Swelling Analysis
GelPEG hydrogels were prepared in various lysine (Lys) and Gln molar
ratios (Lys:Gln) ranging from 1:1 to 6:1 for a 3% w/v total polymer
concentration and swelling analysis was performed. Furthermore, gelPEG hydrogels
were prepared at a polymer concentration of 1 and 2% w/v at a ratio of 4:1. All
hydrogels were characterized by means of swelling and mass loss studies, as
described previously[ for
n = 5 technical replicates. In brief, immediately after
crosslinking, the wet weight of the hydrogels was measured (m
initial,). Per experimental group, 10 gels were
prepared, from which five were directly frozen, lyophilized, and weighed
(m
dry, ) and the other five were incubated in TBS
for 24 h at 37 °C before the wet weight (m
swollen) and the dry weight were determined (m
dry, ). The sol fraction describes the polymer
concentration that is not crosslinked into the network and is therefore lost
during hydrogel swelling. The hydrogel swelling ratio (q) and
the sol fraction were calculated according to the following Equations (1-4)[
Rheological Analysis of Hydrogel Formation
The crosslinking of gelPEG hydrogels at 2% w/v and 4:1 ratio by 10 U
mL−1 FXIIIa was investigated (n = 3). An AR G-2
rheometer (TA-Instruments, the Netherlands) was used with the software TA
Instruments Trios V4.3.0.38388. The testing was performed at 0.1% strain and 1
Hz continuous oscillation at 37 °C for 30 min under a humidified atmosphere. The
point of gelation of the reactions was measured by recording the time when the
shear storage modulus (G′) was equal to the shear loss modulus
(G″) by analyzing tan δ =
G″/G′. n = 3 independent
measurements were performed.
Mechanical Properties of Swollen Hydrogels
The elastic modulus of the hydrogels was determined after equilibration
for 24 h in PBS at 37 °C. By means of a dynamic mechanical analyzer (DMA 2980,
TA instruments) compression was applied between –20% per min and –30% at room
temperature (RT). The elastic modulus was based on the slope from the linear
region of the stress–strain curve of a strain range between 5% and 10%
(n = 5 technical replicates).
Coupling of Laminins into gelPEG Hydrogels
To investigate the coupling of lysine containing proteins into the
gelPEG hydrogel network, laminin 521 (Biolamina, Sweden) served as a model
protein. Laminin 521 (LN) was added at a concentration of 10 μg mL−1
to the reaction mixture of 3% w/v 4:1 gelPEG in TBS (n = 5
technical replicates). Hydrogels without LN served as a control
(n = 5 technical replicates). Hydrogel discs (≈1 × 5 mm) of
20 μL volume were incubated for 24 h at 37 °C in TBS. All hydrogels were washed
and fixed in 4% formalin and stained with a primary anti-LN α5
antibody (1:260, clone 4C7, MAB1924, Merck), followed by a goat-antimouse
antibody Alexa Fluor 546 (4 μg mL−1, A-11 003, Thermofisher). Imaging
of control and LN-laden hydrogels occurred with a fluorescence microscope (B×51,
Olympus).
Cell Isolation, Culture, and Characterization
Multipotent mesenchymal stromal cells (MSCs) were derived from human
bone marrow aspirates from the iliac crest of three patients after ethical
approval and informed consent (University Medical Center Utrecht, 08-001-K). The
white mononuclear cell (MNC) fraction was separated via density gradient
centrifugation on Ficoll-paque PLUS (1.077 g mL−1, GE healthcare).
The collected cells were expanded in expansion medium composed of
α-MEM (Gibco), 10% v/v heat-inactivated fetal bovine serum
(FBS, Lonza), 100 U mL−1 penicillin, 10 mg mL−1
streptomycin (Gibco), 0.2 × 10−3
m
l-ascorbic acid-2-phosphate (ASAP, Sigma) and 1 ng mL−1
basic fibroblast growth factor (bFGF, 233-FB R&D Systems), at 37 °C/ 5.0%
CO2. MSCs were identified by their capacity to undergo
differentiation toward the osteo-, adipo-, and chondrogenic lineages.
Furthermore, fluorescence-activated cell sorting (FACS) characterization of the
MSCs was performed showing absence of the hematopoietic markers CD14 (RPA-M1,
fluorescein isothiocyanate (FITC)-conjugated, Abcam), CD34 (4H11, AP-conjugated,
Abcam), CD45 (MEM-28, PE-conjugated, Abcam), and CD79a (HM47, PE-conjugated,
Abcam) and presence of the established MSC-like markers CD90 (5E10,
FITC-conjugated, Abcam), CD105 (MEM-226, AP-conjugated, Abcam), and CD73 (AD2,
PE-conjugated, Abcam). Cells were used up to passage 4.Human endothelial colony forming cells (ECFCs) were derived from three
human umbilical cord blood donors after caesarean sections according to the
local ethical guidelines (University Medical Center Utrecht, METC 01–230/K). The
obtained cord blood was diluted 1:1 with PBS 2 × 10−3
m EDTA before density gradient centrifugation on Ficoll-paque. The
harvested cells were cultured on rat collagen type I (Corning) at a seeding
density of 10–20 × 106 cells cm −2. Endothelial growth
medium-2 (EGM-2) was composed of endothelial basal medium-2 (EBM, Lonza), 10%
v/v FBS, 100 U mL−1 penicillin, 10 mg mL−1 streptomycin
and EGM-2 singlequots (Lonza). During the first 7 d after isolation, the medium
was refreshed daily. Colonies with cobblestone-like morphology were picked after
14–21 d and were further expanded. ECFCs were characterized by FACS where they
were positive for CD105 and CD31 (TLD-3A12, FITC-conjugated, Abcam), partially
positive for CD34 and CD309 (VEGFR/KDR, PE-conjugated, MACS Miltenyi Biotech)
and negative for CD45, CD14, and CD133 (AC133-VioBright, FITC-conjugated,
Miltenyi Biotech). ECFCs were used up to passage 10. Furthermore, ECFCs were
transduced with green fluorescent protein (GFP) in a pHAGE-2 vector with a human
EF-1α promotor as described previously.[Human liver organoid cultures were generated from three donors from
surplus material of donor livers used for liver transplantations performed at
the Erasmus Medical Centre Rotterdam (courtesy of Dr. Luc van der Laan, approved
by the Medical Ethical Council of the Erasmus MC).[The organoids were grown in Matrigel in Expansion Medium (EM), as
previously described by Huch et al.[ A total of 7 to 5 d prior to differentiation toward
hepatocyte-like cells the EM was supplemented with 25 ng mL−1 BMP-7
(Peprotech, London, UK). At day 0, the organoids were passaged with a split rate
of 1:1 and reseeded in 3% w/v 4:1 gelPEG or Matrigel (Corning, 354 230, Growth
Factor Reduced Basement Membrane Matrix). Differentiation medium (DM) containing
advanced DMEM/F12 (Gibco, Dublin, Ireland) supplemented with 1% v/v
Penicillin-Streptomycin (Thermo Fisher Scientific, Waltham, MA, USA), 1% v/v N2,
1% v/v B27, 10 × 10−3 M HEPES, 1% v/v Glutamax, 50 ng mL−1
EGF (all from Invitrogen, Carlsbad, CA, USA), 1.25 × 10−3
m N-acetyl cysteine (Sigma-Aldrich, St Louis, MO, USA), 5 ×
10−6
m A83-01 (Tocris Bioscience, Bristol, UK), 25 ng mL−1 HGF,
10 × 10-9
m Gastrin, 25 ng mL−1 BMP7 (all from Peprotech), 10 ×
10−6
m DAPT (γ-secretase inhibitor, Selleckchem, Houston,
TX, USA), 100 ng mL−1 FGF19 (R&D Systems, Minneapolis, MN, USA),
and 30 × 10−6
m dexamethasone (Sigma-Aldrich) was added freshly every other day until
the samples were collected (day 9).
MSC-ECFC Coculture in Hydrogels
MSCs and ECFCs were coencapsulated in gelPEG (2% w/v 1:4) hydrogels or
Matrigel (Corning, 354 230, Growth Factor Reduced Basement Membrane Matrix)
reaching a final seeding density of 5 × 106 MSCs and 1.25 ×
106 ECFCs per mL gel. Besides CaCl2, TBS, and FXIIIa,
the reaction mixture contained 20% of cell culture medium. Furthermore,
cocultures were encapsulated in Matrigel which was 1:1 diluted with TBS
including 20% of cell culture medium.For vasculogenic cultures, GFP-labeled ECFCs were used. For each
condition, three hydrogel droplets of 75 μL each were placed in the center of
wells in a 12-well plate. To track formation of capillarylike structures over
culture time, hydrogels were imaged on days 2 and 6 using an inverted
fluorescence microscope (IX53 Inverted Fluorescence Microscope, Olympus).
Hydrogels were cultured in EGM-2 for 10 d, fixed in formalin, and cut in three
pieces for different stainings. MSCs from three different donors were combined
with GFP-ECFCs from one donor (N = 3 different donors,
n = 3 technical replicates).To induce osteogenesis and simultaneous vasculogenesis, hydrogels were
prepared as for vasculogenic cultures. MSC-ECFC cocultures in gelPEG and gelPEG
combined with 10 μg mL−1 laminin 111 were compared to cultures in
Matrigel. The cocultures were cultured in osteogenic differentiation medium
(ODM) for 2 weeks. ODM was composed of a-MEM, 10% FBS, 100 U mL−1
penicillin, 10 mg mL−1 streptomycin, 10 × 10−3
m
β-Glycerolphosphate (Sigma), and 10 × 10−9
m dexamethasone (Sigma). Six hydrogels per condition were prepared, of
which three were used for qPCR analysis and three were fixed, cut and used for
paraffin embedding and whole mount fluorescent stainings. All experiments were
performed with three MSC-ECFC combinations from different donors
(N = 3, n = 3).
Liver Organoid Culture in Hydrogels
Liver organoids from three different donors were encapsulated in Growth
factor reduced Matrigel (456 231, Corning, New York, NY, USA), 3% w/v 1:4
gelPEG, gelPEG with 10 μg mL−1 LN111, or gelPEG with 10 μg
mL−1 LN521. The gelPEG-cell mixture contained 20% medium, whereas
Matrigel was used undiluted. Hydrogel droplets with a volume of 40 μL were
placed in the center of culture wells and DM media was added. On days 1, 3, 6,
and 9 of differentiation the viability of the organoids was measured with an
Alamar Blue assay according to the manufacturer’s guide (Invitrogen). A total of
9 days after differentiation samples were collected for gene-expression
profiling and enzyme measurements. For gene-expression profiling, organoids were
lysed with 350 μL RLT (Qiagen, Hilden, Germany) and stored at –20 °C until
further analysis. For enzyme measurements, organoids were lysed in Milli-Q water
(Merck Millipore) at –20 °C until analysis. ALAT, ASAT, LDH, GLDH, albumin, and
total protein were measured using the AU680 Beckman (Beckman Coulter, Brea, CA,
USA) standard protocols, and values were corrected for total protein levels
(N = 3, n = 3).
mRNA Isolation, cDNA Synthesis, and qPCR Analysis
After culture, cell-containing hydrogels were digested using 2 mg
mL−1 collagenase A (Roche) for 10 min at 37 °C. The
MSC-ECFC-containing pellet was then homogenized in TRIzol reagent (Thermo Fisher
Scientific) and messenger RNA (mRNA) was isolated from the aqueous phase.
Potential DNA contamination was removed by a DNAse treatment (Turbo DNAse;
Thermo Fisher) according to the manufacturer’s instructions. The organoids were
lysed with 350 μL RLT (Qiagen, Hilden, Germany) complemented with 1% v/v
2-Mercaptoethanol (Sigma-Aldrich), and mRNA was isolated using the RNeasy
micro-kit (Qiagen), following the manufacturer’s guide. The total extracted
amount of mRNA was quantified with a NanoDrop ND-1000 spectrophotometer (Thermo
Fisher Scientific) at 260/280 nm. Complementary DNA (cDNA) was synthesized from
1 μg mRNA using the iScript cDNA Synthesis Kit (Bio-Rad, Hercules, USA)
according to the manufacturer’s instructions. qPCR analysis was executed with a
Bio-Rad CFX96 Real-Time PCR Detection System (Bio-Rad) using FastStart SYBR
Green Master mix (Sigma-Aldrich) and an input of 20 ng cDNA per reaction.
Primers used for qPCR analysis are listed in Table S1 (Supporting
Information). The amplification efficiency of the used primers was all between
0.9 and 1.1 and the relative expression was determined by the 2−ΔCT
formula.For liver organoid cultures, the same protocol was followed using a
Bio-Rad CFX384 Real-Time Detection System and an input of 10 ng cDNA per
reaction. A housekeeping index was calculated based on a previously published
formula based on GAPDH and YWHAZ.[
Whole Mount Fluorescent Stainings
Prior to immunofluorescent stainings, the hydrogel constructs were
permeabilized with 0.2% triton-X in PBS for 30 min and blocked in 5% BSA/PBS for
30 min. Capillarylike structures in the hydrogels were investigated by CD31
staining (5.1 μg mL−1, M0823, Dako), secondary sheep antimouse
biotinylated antibody (1:200, RPN1001v1, GE Healthcare), and tertiary
streptavidin Alexa Fluor 488 conjugate (5.0 μg mL−1, S32354,
Invitrogen). In vasculogenic cocultures, ECFCs with the GFP label were not
stained for CD31. The endothelial phenotype was confirmed by a rabbit
antivascular endothelial cadherin antibody (VE-cad, 1:250, D87F2, Cell
Signalling Technology) which was combined with a secondary donkey-antirabbit
Alexa 647 antibody (5 μg mL−1, ab150075, Abcam). Stabilizing cells of
the capillary-like structures were identified by a mouse monoclonal
Cy3-conjugated aSMA antibody (1:300 μg mL−1, Clone 1A4, C6198 Sigma
Aldrich). Furthermore, 4,6-diamidino-2-phenylindole (DAPI, 100 ng
mL−1, Sigma) was used to stain cell nuclei. The hydrogels were
imaged with a confocal microscope (SP8x Leica, DMi8, Leica).
Immunohistochemistry
Fixed osteogenically differentiated hydrogels were dehydrated in graded
ethanol series. After clearance in xylene, the hydrogels were embedded in
paraffin and sectioned into 5 μm slices. An osteonectin staining was performed
after deparaffinization and rehydration before endogenous peroxidase was blocked
in 0.3% H2O2. Citrate buffer (pH 6) was used for antigen
retrieval at 80 °C for 20 min. The primary antibody for osteonectin (4.2 μg
mL−1, AON-1, deposited to the DSHB by Termine, J.D.; DSHB
(Developmental Studies Hybridoma Bank, created by the NICHD of the NIH and
maintained at The University of Iowa, Department of Biology, Iowa City, IA
52242) Hybridoma Product AON-1 [) was incubated for 1 h, followed by a horseradish
peroxidase–conjugated antimouse antibody (Envision + system-HRP labeled polymer,
K4000 Dako). Detection of osteonectin occurred by conversion of
3,3’-diaminobenzidine solution (SK-4100, Vector) with counterstain for nuclei by
hematoxylin (Merck). Concentration-matched isotype controls were performed using
a mouse IgG1 monoclonal antibody (Thermofisher Scientific).A von Kossa staining was performed to detect mineralization of the
osteogenically differentiated cocultures. After deparaffinization and
rehydration, the samples were incubated with 1% silver nitrate solution (Fisher
Scientific) under a light bulb for 1 h. Unreacted silver was removed by rinsing
with 5% sodium thiosulfate (Alfa Aesar GmbH) for 5 min. Nuclear counterstaining
was performed with hematoxylin.The organoid-containing hydrogels were digested using 2 mg
mL−1 collagenase A (Roche) for 10 min at 37 °C. The organoids
were fixed in 10% neutral buffered formalin, embedded in paraffin, and sections
of 4 μm were cut. H&E staining (Merck KGaA, Darmstadt, Germany) was
routinely performed. Imaging was performed using an Olympus microscope (CKX41)
in combination with a Leica DFC425C camera.
Image Analysis
Hydrogels of vasculogenically differentiated cultures (GFP-ECFCs) were
imaged at the thickest part of the hydrogel (center) on a confocal microscope
(SP8x Leica, DMi8). Projections of 150 μm z-stacks were made (one stack per
hydrogel, n = 9 stacks per condition), which were adapted in
contrast and intensity with ImageJ 1.51a before batch-processing of the images.
Angioquant software[ was
used to analyse the vascular networks’ total vessel length as well as average
thickness of vessels by dividing the total vessel area by the total vessel
length. For osteogenic cocultures, 100 μm z-stacks were made, processed in
ImageJ and the total vessel length was quantified with Angioquant
(n = 9 projections per condition).
Statistics
For mass loss studies, a one-way ANOVA was performed with a Tukey HSD
post hoc analysis using Graphpad prism 7.02. For the compressive moduli,
significance was determined by a Student’s t-test in Graphpad
prism 7.02. For osteogenic and hepatic cell cultures, MS Excel 2010 (Microsoft,
Redmond, USA) was used for calculations and PASW Statistics 22.0 (SPSS Inc.
Chicago, USA) for statistical analysis. To take into account donor variations, a
mixed linear model (after log-transformation for osteogenically differentiated
constructs) was conducted followed by a Bonferroni’s post hoc test to compare
gene expressions between the tested hydrogel types. In the model, the hydrogel
type was considered as a fixed factor, while the cell donors were considered as
random factors (n = 3 gels per group). Differences were
considered statistically significant for p ˂ 0.05 and the
Bonferroni corrected p-values are depicted in the figures.
Asterisks represent statistical significances according to p
values (*p ˂ 0.05; **p ˂ 0.01;
***p ˂ 0.001), N refers to the number of
independent experiments (with different cell donors), and n
refers to the technical replicates.
Supplementary Material
Supporting Information is available from the Wiley Online Library or from
the author.
Authors: Debby Gawlitta; Joost O Fledderus; Mattie H P van Rijen; Inge Dokter; Jacqueline Alblas; Marianne C Verhaar; Wouter J A Dhert Journal: Tissue Eng Part A Date: 2011-10-04 Impact factor: 3.845
Authors: Rodrigo Curvello; Genevieve Kerr; Diana J Micati; Wing Hei Chan; Vikram S Raghuwanshi; Joseph Rosenbluh; Helen E Abud; Gil Garnier Journal: Adv Sci (Weinh) Date: 2020-11-20 Impact factor: 16.806