Abstract
Despite the increasing incidence of kidney-related diseases, we are still far from understanding the underlying mechanisms of these diseases and their progression. This lack of understanding is partly because of a poor replication of the diseasesin vitro,limited to planar culture. Advancing towards three-dimensional models, hereby we propose coaxial printing to obtain microfibers containing a helical hollow microchannel. These recapitulate the architecture of the proximal tubule (PT), an important nephron segment often affected in kidney disorders. A stable gelatin/alginate-based ink was formulated to allow printability while maintaining structural properties. Fine-tuning of the composition, printing temperature and extrusion rate allowed for optimal ink viscosity that led to coiling of the microfiber's inner channel. The printed microfibers exhibited prolonged structural stability (42 days) and cytocompatibility in culture. Healthy conditionally immortalized PT epithelial cells and a knockout cell model for cystinosis (CTNS-/-) were seeded to mimic two genotypes of PT. Upon culturing for 14 days, engineered PT showed homogenous cytoskeleton organization as indicated by staining for filamentous actin, barrier-formation and polarization with apical markerα-tubulin and basolateral marker Na+/K+-ATPase. Cell viability was slightly decreased upon prolonged culturing for 14 days, which was more pronounced inCTNS-/-microfibers. Finally,CTNS-/-cells showed reduced apical transport activity in the microfibers compared to healthy PT epithelial cells when looking at breast cancer resistance protein and multidrug resistance-associated protein 4. Engineered PT incorporated in a custom-designed microfluidic chip allowed to assess leak-tightness of the epithelium, which appeared less tight inCTNS-/-PT compared to healthy PT, in agreement with itsin vivophenotype. While we are still on the verge of patient-oriented medicine, this system holds great promise for further research in establishing advancedin vitrodisease models.
Original language | English |
---|---|
Article number | 044102 |
Pages (from-to) | 1-16 |
Journal | Biofabrication |
Volume | 14 |
Issue number | 4 |
Early online date | 14 Jun 2022 |
DOIs | |
Publication status | Published - Oct 2022 |
Bibliographical note
Funding Information:This work was supported by funding from The Dutch Kidney Foundation (17PHD16, A M G and 18KVP01, A M G, C S, Y S Z), the Hofvijverkring Visiting Scientist Program (Y S Z, A M G, C S), the Materials Driven Regeneration Young Talent Grant (A M G, C S), H2020 WIDESPREAD-05-2018-TWINNING Remodel (S M M; R M), the IMAGEN project which is co-funded by the PPP Allowance made available by Health∼Holland, Top Sector Life Sciencezs & Health, to stimulate public–private partnerships (IMplementation of Advancements in GENetic Kidney Disease, LSHM20009; E S G, R M), Utrecht Institute for Pharmaceutical Sciences (M G V) and Brigham Research Institute (Y S Z).
Publisher Copyright:
© 2022 The Author(s). Published by IOP Publishing Ltd.
Keywords
- coaxial 3D printing
- biomaterials
- proximal tubule
- cystinosis
- in vitro modeling
- kidney