MMC reagents promotes cell sheet formation
As shown in Fig. 1A, Vc enabled detachment of some cell fragments, not intact cell sheets after 4 days culture. In contrast, combination of MMC (including VF400, VF70, VF70/400) and Vc induced cohesive cell sheets formation (Fig. 1B-D). The MMC based cell sheets were robust and easy to be detached by pipetting (Fig. 1E,F). Although all of VF400, VF70, VF70/400 allow fabrication of intact cell sheets, VF400 was decided as an optimal condition given its lower working concentration and cost than other groups.
Immunofluorescence staining showed that fibronectin and cells were completely detached from the cell culture dish and remained in the cell sheet (Fig. 1G,H). This result suggests this method dose not destroy the ECM layer in the cell sheet, which is the same as cell sheets harvested from TRCDs. Consistent with other studies (Kumar et al. 2015; Marinkovic et al. 2021), MMC did not affect gene expression for collagens (I, III, IV, V, VI); fibronectin; MMP-2 (Fig. 1I-N), confirming that MMC is a biophysical phenomenon and does not affect cell genotype, which is quite important in culturing stem cells.
Furthermore, MMC based cell sheets were tried to be stacked to observe whether they could form multilayered structure as TRCD based cell sheets. As shown in Fig. S1 A-C (supplementary materials), MMC based cell sheets stably stuck together generating double-layered and triple-layered tissue constructs. Addition of culture media did not decouple multilayered tissues, indicating the presence of ECM “glue” in the cell sheets (Fig. S1 G). HE staining of cross-sections of cell sheets also confirmed integrated multiple layered structure (Fig. S1 D-F).
Until now, although some cutting-edge techniques, such as magnetic force (Gonçalves et al. 2017) and ultrasonic vibration (Imashiro et al. 2020), have been reported to rapidly harvest cell sheets in several days, they require specific devices which are not easily available in biological labs. In this study, we proposed a simple, rapid and economical method to detach cell sheets. The materials we used, such as Ficoll, Vc, cell culture dish and pipette, are commonly available and affordable in biological labs. Therefore, we believe this method can enable more biomedical scientists to carry out CST research.
MMC treated 3T3 fibroblast layer facilitate rapid hepatic cell sheet formation
CST is a scaffold-free technology which recapitulates in vivo stratified structure, increases cell-cell, cell-ECM interaction and thus provide a competitive way to build functional hepatic tissue, which have a potential to be used as drug testing models or cell-based therapy for metabolic liver disease (Sakai et al. 2018; Kim et al. 2012; Kim et al. 2017; Sekine et al. 2011). However, all of these studies took advantage of cell sheets from TRCDs, MMC based CST has not been reported for fabrication of hepatic cell sheet tissues. However, hepatocytes including HepG2 cells produce small amount of ECM and not easy to form intact cell sheets. Therefore, HepG2 cells were tried to be cultured on MMC treated 3T3 fibroblast layer for co-cultured cell sheet formation. Since co-culture ratio of hepatocytes and fibroblasts has been demonstrated to be an important factor affecting hepatocellular functions (Sakai et al. 2018), various density of HepG2 cells have been seeded on 3T3 fibroblast layer.
As shown in Fig. 2A, HepG2/3T3 co-culture cell sheets containing various HepG2 cells from 2.5×104 cells/cm2 to 40×104 cells/cm2 were successfully fabricated, demonstrating the feasibility to obtain heterotypic cell sheet tissues by using the MMC method. HE staining confirmed stable attachment of HepG2 cells on 3T3 layers after 6 days culture (Fig. 2B). Besides, although HepG2 cell numbers did not disturb the detachment of co-cultured cell sheets, it affected area of cell sheets. It seemed that area of HepG2/3T3 co-cultured cell sheets increased with rise of HepG2 seeding cell numbers (Fig. S2).
As for liver specific functions, urea synthesis was significantly enhanced as HepG2 seeding density increased from 2.5×104 to 10×104 on day 6 (Fig. 2C). However, when the seeding density was more than 10×104, urea synthesis did not increased further. Similar to this trend, CCK8 assay result showed that viable cell numbers reached a plateau from 20Hep/T to 40Hep/T, which indicated that there is a cell number limitation to culture cell-dense tissues in vitro (Fig. 2E). This is probably because that poor nutrient, oxygen and waste transport result in cell necrosis in the central cell-layers (Miyamoto et al. 2021). What’s more, another liver function marker, albumin secretion revealed an increase from 2.5Hep/T to 10Hep/T, but declined from 10Hep/T to 40Hep/T. By analyzing the above mentioned results, we found that 10×104 cells/cm2 of HepG2 cells was the best condition for fabrication of functional hepatic cell sheet tissues.
MMC induced hBMSC cell sheets demonstrated larger area and greater cell number than that of TRCD induced cell sheets
To further explore the application of MMC based CST, hBMSC cell sheets, which have great clinical significances in regenerative medicine, were fabricated and compared with cell sheets harvested from TRCDs. As shown in Fig. 3A,B, both of TRCDs and MMC allowed fabrication of intact hBMSC cell sheets after 5 days culture, whereas area of MMC induced cell sheets was 24 mm2, 1.4 times larger than that of cell sheets harvested from TRCDs (Fig. 3C). HE staining of cross-sections of cell sheets showed that there was no obvious difference in thickness between two types of cell sheets (Fig. 3D,E). Phase contrast microscopy exhibited that MMC treated cells were more crowded than cells on TRCDs on day 5 (Fig. 3F,G). Further, CCK8 assay showed that MMC accelerated cell proliferation since day 3, in comparison to TRCD counterparts (Fig. 3H). Possibly, MMC intensifies the efficacy of autocrine cell signals, and growth factors present in serum, and thus facilitated cell proliferation. In particular, MMC group exhibited 1.6 times greater cell number than that of TRCD group on day 5, which is consistent with the findings of HepG2/3T3 co-cultured cell sheets and confirmed that cell numbers is a major factor in regulating area of cell sheets.
Although this MMC method allows rapid fabrication of 3T3 and hBMSC cell sheets, it also has limitations. As shown in Fig. S3A, MMC treated NHDFs could not be detached as intact cell sheets with some cell fragments still strongly bind with culture surface. In contrast, NHDFs were completely detached from TRCDs by lowering temperature (Fig. S3B). CCK8 assay result demonstrated that cell number of MMC group was 1.6 times greater than that of TRCD group on day 5 (Fig. S3C), which is similar to hBMSCs. Therefore, cell number was not the culprit of partially detachment of NHDF cell sheets.
NHDFs are major cells in skin tissue for ECM production with the most prevalent ECM is collagen, which comprises 77% of the fat-free dry weight of human skin (Tracy et al. 2016; Weinstein and Boucek 1960). Since collagen typeⅠwhich constitute 90% of collagen (Miyamoto et al. 2021), is strongly adhesive protein, thus may inhibit NHDF cell sheet detachment. This hypothesis was consistent with Satyam et al’ study. They have reported that Ficoll treated primary human corneal fibroblast sheets were not easy to be detached from commercially TRCDs due to the abundant deposited ECM (Satyam et al. 2014). Finally, we thought MMC based CST was cell-specific and seemed to be not suitable for cells have strong ability to produce collagens. We are now trying to figure out possible mechanism and develop cell culture media 2.0, which will be reported in the future.