Pancreatic line Cell Differentiation of bone marrow Mesenchymal Stromal Cells in Acellular Pancreatic Scaffolds

Background: To evaluate the potential differentiation ability of bone mesenchymal stromal cells(BMSCs) to pancreatic line Cells on rat acellular pancreatic bioscaffold (APB). Methods: Fresh pancreata from 20 Adult Sprague Dawley rats (between 6 and 7 weeks old) were soaked and perfused using Easy-Load Digital Drive peristaltic pumps. After BMSCs were isolated and identied, they were dynamic cultured on the APB and static cultured in tissue culture ask(TCF). Based on whether the differentiation was induced by the growth factors (GF) in the culture system, our study was divided into 4 groups: BMSCs cultured in TCF without any GF(TCF-GF(-)), BMSCs cultured in TCF with GF(TCF-GF(+)), BMSCs cultured on APB without GF(APB-GF(-)), BMSCs cultured on APB with GF (APB-GF(+)).The cytological behavior such as the proliferation and differentiation of BMSCs in all the above kinds of culture system with or without GF were assessed by morphological observation, ow cytometry, ELASA analysis, qRT-PCR assay and western blot analysis. Results: 4ml/min was the most appropriate ow rate for the dynamic culture of BMSCs. Under culture conditions, BMSCs populations could attach to and proliferate within the APB. APB could promote the proliferation and viability of BMSCs signicantly better in dynamic culture with optimal ow rate 4ml/min, when compared to the static culture system. Also, the proliferation rate of BMSCs in the APB groups were signicantly increased compared to TCF system. During the pancreatic line cell differentiation process, APB could induce BMSCs into pancreatic-like cells which expressed markers such as pancreatic duodenal homeodomain containing transcription factor (PDX-1) and pancreatic exocrine transcription factor (PTF-1) higher at mRNA levels compared to TCF system. In contrast, the marker Oct4 (octamer-binding transcription factor 4) was expressed at a lower level in APB group. For the pancreatic functional cytoketatins including α-Amylase(α-Amy), cytokeratin 7(CK7), fetal liver kinase-1 (Flk-1),and C-peptide, they were all expressed at higher level in APB group than in the TCF group. And metabolic enzymes secretion such as amylase and insulin were promoted signicantly in APB system. By scanning electron microscope(SEM) and transmission electron microscopy(TEM), the ultrastructure of BMSCs in the APB group could further demonstrated the morphological characteristics of pancreatic-like cells. In addition, in both the dynamic and static system, GF could signicantly facilitate the function of proliferation, differentiation and cell engraftment . Conclusion: Together our data show the capacity of APB , 3D pancreatic biomatrix, promoting BMSCs differentiate toward pancreatic line phenotypes, and the considerable potential of using these cells for pancreatic cell therapies and tissue engineering. Step The high-glucose (25mmol/L) containing 10ng/ml EGF, 10ng/ml Activin A(Peprotech), 10ng/ml betacellulin (Peprotech), 2% B27 and 0.5% BSA for 7 days. The medium changed every For TCF static cells were cultured in TCF system APB cells were cultured in the biomimetic bioreactor on APB the optimal were not any kinds of in both the TCF-GF(-)and APB-GF(-) group.


Introduction
Severe pancreatic disease such as severe acute pancreatitis and pancreatic cancer may cause pancreatic failure, which poses a serious harm to human health, with an exceedingly high global mortality rate [1][2][3][4].
As there are lack of effective therapies, pancreas transplantation has been proposed as a potential therapeutic alternative for the treatment of organ defection or tissue injury. As organ transplantation has been greatly limited by the imbalance between demand and supply of suitable donor organs [5], regenerative medicine(RM) being an interdisciplinary and a very attractive eld of research seeks to overcome the limitations of replacement and transplantation treatment by facilitating the natural development of tissue [6].
One of the roadblocks to success in RM eld is the identi cation of cells that can be used to regenerate bioengineered organs [7][8]. Stem cells and their descendants or committed progenitors, are capable of proliferating and differentiating into specialized cells [9]. Due to their ability to self-renew and maintain inde nitely a population with identical properties through symmetric and asymmetric cell divisions, stem cell therapies for diseased solid organs are an important potential modality of RM [10].
Mesenchymal stem cells(MSC) can be isolated from tissues such as bone marrow, adipose tissue, umbilical cord tissue or amniotic uid. Due to their characteristics such as self-renewal and multilineage differentiation capability into osteogenic, adipogenic, chondrogenic, and myogenic-and neurogenic-like lineages [11][12][13][14][15], MSCs offer great therapeutic potential and have been developed to treat a wide range of disorders.
The most extensively studied MSC is bone mesenchymal stromal cells(BMSCs), characterized as broblast-like cells, which are isolated from the bone marrow mesenchymal cellular populations. BMSCs are renowned in RM for their multilineage differentiation potential and easy acquisition [15,16].Aside from their remarkable proliferative and multilineage differentiation/ regenerative potential, BMSCs can affect the surrounding microenvironment by their multiple impressive paracrine functions [17,18]. Also, they have immunomodulatory and antioxidant properties [19]. Since the introduction of cell therapy as a strategy for the treatment of many diseases, BMSCs have emerged as ideal candidates.
BMSCs can be differentiate into cells of pancreatic lineages under certain culture system [20]. But such inducing stratergy can not provide conditions for BMSCs proliferating rapidly with high viability. Also, these kinds of induced BMSCs can not maturely express the important pancreatic lineages cells markers.
They will loss of stem cell characteristics and functions after expansion in vitro [21,22]. Acellular matrix(ACM) plays an ideal three-dimensional(3D) platform for regenerative medicine because it is biocompatible and preserves 3D geometric and spatial architecture [23]. ACM has physiological levels of biochemical components, matrix-bound growth factors, and cytokines [24]. Furthermore, ACM had intact and patent vasculature structures which could transport nutrition and oxygen for seeding cells to attach and localize to speci c topographical position [25].
Previous study indicated that certain kinds whole organ ACM could support BMSCs differentiating into mature cells and expressing functional markers [26][27][28][29]. Furthermore, this type of induced cells had potential applications in regenerative therapy and tissue repair [30]. But less research previously have been shown about whole organ ACM promoting BMSCs pancreatic differentiation.
Past work from our laboratory indicated the biological utility of acellular pancreatic biomaterial scaffolds(APB) as whole organ ACM, which could support and enhance AR42J pancreatic acinar cells proliferation and differentiation for regenerative medicine [31].Therefore, in this study, we determine to investigate the ability of APB to promote BMSCs proliferation and differentiation which may improve regenerative therapy.

Materials And Methods
Isolation and identifcation of BMSCs All animal work was approved by the Institutional Animal Care of China and performed in accordance with the Animal Welfare Act Institutional Guidelines. BMSCs were collected from the bone marrow of the Adult Sprague Dawley rats (weighing approximately 250g between 6 and 7 weeks old). The rats were euthanized by chloroform, and the femur and tibia were removed. In order to collect BMSCs, a 23-gauge syringe was inserted into the bone cavity and ashed with serum-free Dulbecco's modi ed Eagle's medium (DMEM). After centrifuging at 1200 rpm for 10 min, the bone marrow cells were re-suspended in DMEM(HyClone,USA) that was supple-mented with 10% fetal bovine serum (FBS), 10U/ml penicillin, 10μg/ml streptomycin (Gibco, Australia), and 1% L-glutamate(Sigma,USA). Finally, the number of viable cells was checked and transferred to culture dishes at a density of 5 ×10 5 cells per cm 2 in high-glucose DMEM containing 10% FBS for incubation in 37°C and 5% CO2 atmosphere. The medium was changed every 2 to 3 days. Only low-passage (≤5) cells were used in experiments. Cells were passaged every 7-10 days at a 1:3 ratio. BMSCs were characterized by ow cytometry for expression of CD90, CD29, and CD45.
Decellularization of rat pancreas and reseeding of APB Male or female Sprague Dawley rats, weighing approximately 250g and between the ages of 6 to 7 weeks, were anesthetized. As previous study described, the pancreata were decellularized and the biocompatibility of APB was assessed [31,32]. BMSCs were reseeded onto APB and cultured in the biomimetic bioreactor system made by our laboratory for 7 days in order to evaluate repopulation and further differentiation. Cells were seeded on APB by multi-step infusion with 2.5×10 6 in 2ml each through hepatic portal vein and pancreatic duct. Medium was changed every 2-3days.The ultrastructure of seeded BMSCs on APB were observed by scanning electron microscope(SEM) and transmission electron microscopy(TEM). Additionally, to assay the optimal ow rate APB supporting the proliferation of BMSCs, the process of dynamic culture was perfused retrogradely at different speed (0, 0.5, 1, 2, 4, 6ml/min). The DNA content of BMSCs in the APB scaffold in each speed was quanti ed on day 4 and 7.
In vitro differentiation of BMSCs into pancreatic line cells After BMSCs reseeding on APB for 7 days, they were induced into pancreatic-like clusters in the differentiation culture system in 3 steps for another 21 days. The time at the end of the 7 th day of BMSCs reseeding on APB was recorded as time zero. Step1:BMSCs were cultured in high glucose DMEM (25mmol/L) containing 2% FBS,0.2mmol/L β-mercaptoethanol(Gibco), 10ng/ml bFGF(Peprotech,USA )and 10ng/ml EGF(Peprotech) for 7 days.
Step three: The cells were cultured in serum-free high-glucose DMEM (25mmol/L) containing 10ng/ml EGF, 10ng/ml Activin A(Peprotech), 10ng/ml betacellulin (Peprotech), 2% B27 and 0.5% BSA for 7 days. The medium was changed every 2 days. For TCF static culture system, cells were cultured in TCF system with no ow rate,while in APB dynamic system, cells were cultured in the biomimetic bioreactor system on APB in the optimal ow speed. There were not any kinds of GF in both the TCF-GF(-)and APB-GF(-) group.

The morphological characteristic of BMSCs in differentiation by SEM and TEM
The samples were xed in 2.5% glutaraldehyde in 0.1M PBS(pH 7.4) for 60 minutes, washed thoroughly in 3 changes 0.1M PBS for 15 minutes each. Next, the samples were xed in 1% OsO4 in 0.1M PBS for 60 minutes. This was followed by another 3 changes of PBS washing steps for 15 minutes each. The samples were then dehydrated in gradient series of alcohol for 15 min each. Additionally, samples were critical point dried and coated with Au/Pd using a Cressington Coater 108A sputter coater. Electron microscope images were taken using a Jeol JSM-6335F eld emission SEM.
For TEM, the sample was xed in 2.5% glutaraldehyde in PBS.Then were post-xed in 1% osmium tetroxide in PBS, dehydrated through a graded series of alcohols and embedded in Epon. Thin (60-nm) sections were cut using a Reichert Ultracut S, mounted on 200 mesh copper grids and counterstained with 2% aqueous uranylacetate for 7 min and 1% aqueous lead citrate for 2 min. Observation was with a JEOL 1011 TEM.

The characteristic of BMSCs by laser scanning confocal microscopy(LSCM)
Tissue samples were xed in 4%formaldehyde (ThermoFisher,Waltham,Mass), cryo-protected with 30% sucrose, and cut into 5μm thick sections. For immunostaining, the rabbit primary antibodies(1:200; Boersen, China) were used. Goat antirabbit Alexa uor 488 (1:500; Invitrogen,USA)was used as a secondary antibody. For co-labeling using antibodies from the same host species, sequential staining by GFP(BioHermes,USA) was conducted. After the rst primary antibody staining, an additional blocking step was included before the addition of a secondary antibody. The slides were washed three times with 1×PBS(5-10 minutes each) before being mounted with ProLong Gold Anti-fade Reagent with DAPI (Invitrogen). After washing,the cells were incubated with streptavidin-conjugated Texas red (Tx-R) for 30min at 37°C, washed 6 times (10min each) with PBS and mounted on glass slides using FITC-guard (Testog Inc., IL) as the mounting medium.
Cells were then examined in a PHOIBOS 1000 laser scanning confocal microscope (Sarastro,Stockholm, Sweden). Tx-R was excited with an argon laser. The emitted signals were collected and used to create three-dimensional reconstructions of serial confocal sections using the programVanis(Sarastro, Stockholm, Sweden).

Cell Proliferation Assay
Bromodeoxyuridine (BrdU) incorporation was analyzed immunohistochemically using a BrdU immunohistochemistry system. Cell proliferation was also assessed by measuring the BrdU incorporation using a commercially available BrdU ELISA kit(Abcam,UK) according to the manufacturer's protocol. Cellswere xed by a xation solution and incubated with anti-BrdU antibody for 90 minutes. After washing, tetramethyl-benzidine was added, and absorbance was measured by a spectrophotometric plate reader at 405-nm wavelength.
The expression of pancreatic line gene markers assessment by RT-PCR RNAwas extracted using a NucleoSpin kit (Seebio Biotech,China) according to the manufacturer's protocol. The absorbance at 280 and 260 nm was measured using a BioRad Smart Spec spectrophotometer (Biorad Laboratories, USA) to evaluate the RNA concentration and quality. Reverse transcription was performed using the ImProm II (Promega, Madison,Wis) reverse transcription kit according to the manufacturer's recommendations.Quantitive real time-polymerase chain reaction analysis was performed for pancreatic acinar genes. Analysis was repeated in triplicate.

Quanti cation of potential metabolic function of differentiated BMSCs in vitro
For the insulin release assay in vitro, the cell clusters were tested using four different glucose concentrations (5, 10, 15 and 25mmol/L). The sample were pre-incubated with Krebs-Ringer bicarbonate (KRB) buffer for 1 h. After that, the clusters were removed and incubated for 1h in KRB containing different concentrations of glucose.The supernatant was collected and frozen at minus 80°C. Insulin levels were then measured using rat insulin enzyme-linked immunosorbent assay (ELISA) kits (Mercodia, Sweden) according to the manufacturer's protocol.
On the other hand, amylase(Amy) secretion were measured by 4 different cholecystokinin (CCK) including 0mmol/L,10-9 mmol/L,10-8 mmol/L,10-7 mmol/L.The values for amylase are expressed as ratios between the amount of amylase released into the extracellular medium and the total cellular amylase determined by permeabilizing cells with 0.1% SDS in 10 mM phosphate buffer (pH 7.8). The metabolic enzymes Amy was spectrophotometrically using Phadeba amylase kit according to the manufacturer's protocol.Both the above 2 process were performed at the end of differentiation process.

Statistical Analysis
Data were expressed as means (standard deviation [SD]). Signi cant differences among groups were determined by the t-test for 2-group comparisons and analysis of variance of repeated measure followed by post hoc analysis for multiple group comparisons.Probability values at P < 0.05 indicated statistical signi cance.

Characterization of BMSCs isolated from bone marrow
The morphology of BMSCs in Passage 1 exhibited irregular round shape and size (Figure 1a) while Passage 3 of BMSCs changed to regular form and showed a spindle broblast-like appearance( Figure   1b). Early passage of BMSCs between two and four passages, were 90.21% positive for both CD90 and CD29, 98.53% positive for CD90 and negative for CD45, 93.38% positive for CD29 and negative for CD45.

Repopulation of APB with BMSCs in pancreatic bioreactor cultures
The seeded BMSCs attached on the surface of the APB bioscaffold and exhibited different shapes (yellow arrows). The adhesion among neighboring cells(white arrows) could be observed by SEM ( Figure  2a). Also, LSCM indicated that BMSCs not only attached on the surface of the bioscaffold,but also formed in cluster in the inner structure of APB. The three-dimensional scaffolds reseeded with the GFPpositive cells(green) were counterstained with component collagen(red) and DAPI(blue) (Figure 2b). The APB, as the three-dimensional scaffolds,could support the reseeding of BMSCs.
Also,the DNA quanti cation of the BMSCs-APB graft showed that 4ml/min for the dynamic culture system was the most appropriate ow rate for BMSCs proliferation in both day 4 and day 7 with signi cant difference compared to other ow speed (P<0.05). (Figure 3) The ultrastructural characteristics of BMSCs during differentiation process The undifferentiated BMSCs indicated spindle broblast-like appearance with little microvilli at the surface of the cells by SEM (Figure 4a).There was not any mature organelle by TEM (Figure 4b,4c).
The differentiated BMSCs at the 21st day was spherical in shape with more dense microvilli at the surface of the cells by SEM (Figure 5a). There was a major increase number of epithelial-like cell clusters(white arrow) with a complex intercalation of the extracellular matrix(ECM) (black arrow) ( Figure   5b). Differentiating endocrine and exocrine cells developed from the BMSCs and subsequently formed isolated small clusters (Figure 5c). A signi cant amount of extracellular matrix bers accumulated around each newly differentiated cells as well as the cell clusters (Figure 5d). By TEM, pancreatic-like epithelial cells(white arrow)were organized into ductal structures (black arrow)surrounded by scattered individual mesenchymal-like stellate cells (Figure 5e).The epithelial cells had formed small clusters separate from the ducts(black arrow). Acinar cells increased in number and formed amylase cell clusters(red arrow).The cell clusters for insulin had also increased in numbers and formed islet-like structure(white arrows)that contained capillaries(yellow arrows) (Figure 5f).

BMSCs proliferation in the differentiation process among 4 groups
To determine whether the APB allowed BMSCs to grow and to compare its e cacy with other kinds of culture system (Figure 6), BrdU incorporation of BMSCs proliferated with time-dependent growth from day 3 to 21 in all 4 groups. From day 3, the cell proliferation rate was signi cantly higher in the APB dynamic system than in the TCF culture with or without GF(P<0.05). Also, at the present of GF, the proliferation rate was higher in both APB system and TCF system with signi cant difference from day 3(P<0.05). These results suggest that the APB e ciently facilitates pancreatic-like cell growth and GF could promote BMSCs proliferation.

Evaluation of the expression of pancreatic gene markers
To assess the ability of the APB to support BMSCs differentiation, the expression of pancreatic genes at different time points of all the culture system was assessed (Figure 7). The PDX-1 and PTF-1 gene increased while Oct 4 gene decreased from day 3 to 21 for all samples. Furthermore, in both 2 kinds of culture system, the PDX-1 and PTF-1 gene were higher while the Oct4 was less in GF(+) groups compared with GF(-) groups. In addition, with or without GF, the expression of PDX-1 and PTF-1 was higher while Oct4 was lower for BMSCs cells cultured on the APB groups. The expression of PDX-1 and PTF-1 was higher for cells cultured on the APB-GF(-) system than on TCF-GF(-) system with signi cant difference from day 7, while was higher for cells cultured on the APB-GF(+) system than on TCF-GF(+) system with signi cant difference from day 3. On the other hand, Oct4 was lower for cells cultured on the APB-GF(-) system than on TCF-GF(-) system with signi cant difference from day 5, while was lower for cells cultured on the APB-GF(+) system than on TCF-GF(+) system with signi cant difference from day 3.

Evaluation of the expression of pancreatic cytoketatins
To verify these ndings, we performed western blotting of pancreatic cytoketatins (Figure 8). The protein expression of α-Amy, CK7, C-peptide and Flk-1 was increased from day 3 to 21 for all groups. Also, in both 2 kinds of culture system, such four cytoketatins were higher in GF(+)groups compared with GF(-)groups. In addition, with or without GF, the expression of the 4 cytoketatins was higher for BMSCs cells cultured on the APB than for cells in TCF group. The expression of C-peptide was higher in APB-GF(-) group than in TCF-GF(-) group with signi cant difference from day 5, while was higher in APB-GF(+) group than in TCF-GF(+) group with signi cant difference from day 3. For other 3 kinds of cytoketatins, the expression was higher in APB-GF(-) group with signi cant difference from day 14, while was higher in APB-GF(+) group with signi cant difference from day 5.The gene and cytoketatin results suggest that pancreatic cell differentiation is enhanced in the presence of APB and GF could promote BMSCs differentiation..

Assessment of pancreatic metabolic function of differentiated BMSCs
The insulin secretion levels(pg) of cell clusters were detected in the presence of 5, 10, 15 and 25mmol/L glucose (Figure 9a). The insulin levels enhanced when concentrations of glucose increased in all 4 groups. At the lowest concentration of 5mmol/L, there were no signi cant difference among 4 groups(P>0.05). At the concentration of 10mmol/L, there were signi cant difference at the presence of GF in both dynamic system and static system (P<0.05), but still no signi cant difference between dynamic system and static system with or without GF(P>0.05). At the higher concentrations of 15 and 25mmol/L glucose, with or without GF, insulin secretion levels were higher in the APB groups than in TCF groups(P<0.05), and the level of insulin were signi cantly higher at the presence of GF in both APB and TCF culture system(P<0.05).
The amylase secretion in the culture system were detected in the presence of 10 -11 mmol/L, 10 -10 mmol/L, 10 -9 mmol/L and 10 8 mmol/L CCK (Figure 9b). The amylase levels enhanced when concentrations of CCK increased in all 4 groups. At the concentration of 10 -11 mmol/L, 10 -10 mmol/L, there were no signi cant difference among 4 groups (P>0.05). At the concentration of 10 -9 mmol/L and 10 -8 mmol/L, there were signi cant difference between APB system and TCF system with or without GF(P<0.05), and also the amylase secretion levels were signi cantly higher at the presence of GF in both APB and TCF culture system(P<0.05).

Discussion
For purposes of tissue regeneration either in vivo or in vitro, it is essential for the donor cell including the following characteristics (1) the ability to differentiate into pancreatic cell types, (2) high proliferative potential(must be able to expand to high numbers prior to seeding onto the APB) (3) be easily accessible(an autologous cell source,either differentiated or stem), and (4) lack of immunogenicity. Such the above characteristics point to the possibility of using BMSCs as a source for reseeding on APB or as in vivo cell therapy.
The growth of cells should be regulated by their microenviroment around including the attachment among cells and the signal molecules.It is important for cells to proliferate and differentiate in culture system mimicing the microenvironment of their innate tissue which can not be accomplished by traditional 2D culture system [33,34]. As a biomaterial scaffold with a highly preserved innate ECM, ACM provides an ideal platform for cell adhesion, viability, proliferation and differentiation.
Furthermore, appropriate ow rate is better for BMSCs proliferation and differentiation in the dynamic culture system than static culture in APB. Dynamic culture is bene t for O2 and nutrient delivery which are necessary for BMSCs. Also, the metabolic waste around BMSCs can be easily removed in ow culture system [35]. In addition, the ow speed in the dynamic culture system can generate liquid shearing force which will appropriately modulated BMSCs proliferation and differentiation. Lowering or enhancing the ow rate will led to the increase of BMSCs cell apoptosis proportion [36].
In our study, BMSCs could be reseeded and repopulation on the surface and in the center of APB by morphological assessment.Also, BMSCs could survive and proliferate with high viability at 4ml/min for BMSCs proliferation in the dynamic culture system. 4ml/min will be utilized as the most optimal ow rate in our study.
For the purpose of BMSCs differentiation, the GF was added in both 2 kinds of culture system. During the differentiation process, BMSCs could proliferate with time-dependent growth in all 4 groups.The cell proliferation rate was higher in the APB dynamic system than in the TCF culture system.The proliferation rate was higher in APB-GF(+)system than in the APB-GF(-) system. Such results indicated that the APB can e ciently facilitates pancreatic-like cell growth and GF could promote BMSCs proliferation during differentiation process.
For ultrastructural characteristics of BMSCs through differentiation process, the shape of cells had been transferred into spherical with more dense microvilli. Both endocrine and exocrine cells increased in number and formed cell epithelial-like clusters with signi cant amount of extracellular matrix bers accumulated around. Also, glycogen positivity, nucleus, secretory granules and mature organella such as mitochondria, smooth endoplasmic and reticulum rough endoplasmic reticulum had been clearly showed in our study. This indicates that BMSCs can be differentiated into pancreatic-like cells. Study has indicated that cell aggregation was a necessary condition for the BMSCs differentiation [37]. This result is in accordance with our current research.
To assess pancreatic differentiation, the expression of genes PDX-1 and PTF-1 that were known to be important to pancreatic function were evaluated. PDX-1 plays a vital role in pancreatic development and differentiation [38]. PTF-1, as transcriptional regulation of exocrine-speci c genes and exocrine transcription factor, is responsible for pancreatic exocrine function and exocrine gene expression [39]. In our research, without GF, PDX-1 and PTF-1 were higher on the APB system than on TCF system with signi cant difference from day 7,while were higher with signi cant difference from day 3 with GF. This indicates that APB can support BMSCs differentiation and GF can increase such function of APB.
On the other hand, Oct4, the pluripotency markers which associated with the differentiation potential of BMSCs [40], decreased after differentiation. Oct4 was lower for cells cultured on the APB system than on TCF with signi cant difference after day 5 without GF, but lower with signi cant difference from day 3 with GF. The expression of genes PDX-1, PTF-1 and Oct4 indicates that APB can promote BMSCs reducing its pluripotency capacities and differentiate into pancreatic like cells especially under the help of GF.
Also, to identify the pancreatic-like cells, we also assessed the expression of the cytoketatins such as α-Amy, CK7, C-peptide and Flk-1. α-Amy is a well-established marker of pancreatic acinar cells. Both CK7 and Flk-1 are localized normally in the pancreatic duct structures in the adult pancreas and contribute to the formation of the large intralobular, the interlobular, and the main duct [41]. Coupled with CK7, Flk-1 functions as the receptor of vascular endothelial growth factor, which is associated with the endothelial layer of the vasculature [42,43].These two markers are known to be expressed during pancreatic morphogenesis in the fetus [44]. C-peptide is expressed in pancreatic endocrine cells which indicate β-cells function [45].
Our study indicated that the expression of α-Amy, CK7, and Flk-1 was signi cantly higher for BMSCs cells cultured on the APB than for cells in TCF group after day 14 without GF,while was higher with signi cant difference from day 5 with GF. Also, C-peptide was higher for cells cultured on the APB system than on TCF with signi cant difference after day 5 without GF, but higher with signi cant difference from day 3 with GF. The cytoketatin results suggest that BMSCs could differentiatied into two major pancreatic line cell types:1) the endocrine cells which arrange mainly in groups as islets of Langerhans and secrete different polypeptides delivered to other parts of the body via the vasculature; 2) the secretions of acinar exocrine cells carry away through the ductal system. And GF can strengthen BMSCs induction on APB.
Further study also assessed the metabolic function of differentiated BMSCs. To demonstrate the endocrine function, we compared the insulin secretion levels at different glucose concentrations. The insulin levels enhanced when concentrations of glucose increased. Insulin secretion levels were signi cantly higher in the APB groups than in TCF groups at the higher concentrations of 15 and 25mmol/L glucose. GF could signi cantly increase insulin secretion. Such trend was not signi cant at the low concentration of glucose.
Similarly, the amylase levels enhanced when concentrations of CCK increased. At the higher concentration of CCK in 10 -9 mmol/L and 10 -8 mmol/L, Amy was signi cantly higher in APB system than in TCF system. Amy secretion could signi cantly increase at the presence of GF. Low level of CCK could not show such trend. Studies had indicated that CCK at less than 10 -8 mmol/L could stimulate Amy secretion in concentration dependent,while CCK more than 10-8 mmol/L might inhibit Amy secretion [46].We uitilized CCK less than 10-8mmol/L in our study.
The assay of metabolic function indicates that APB with GF can promote the pancreatic organogenesis of BMSCs and support BMSCs differentiated into primary functional units which maintain their respective phenotypic expression (endocrine β-cells: insulin and exocrine acinar cells: Amylase)-in close proximity to their respective native niches.
As whole organ ACM had physiological resemblance of the original tissue, including intact 3D architecture, preserved native ECM components, vascular networks, and biomechanical properties, it could guide tissue regrowth and encourage cell differentiation when combined with biological agents [47]. Our study is in consists with previous study, Previous study has indicated that BMSCs were less immunogenic for they did not express MHC class II markers, and did not elicit a strong immune response as evidenced by lack of activation of T cells [48]. Additionally, BMSCs was easy acquisition and easily accessible. Based on all the above merits of BMSCs, our ndings will support in vivo cell therapy efforts, as well as in vitro treatments in whole-pancreas regeneration.
It should be emphasized that there are several unavoidable limitations of this study. Firstly, the cells after BMSCs differentiation in our research do not have intact properties and function of native phenotypic pancreatic cells.We have to improve our differentiation strategy in further research. Secondly, the article is based on animal model. In the future study, we will provide opinions/insights regarding the feasibility and usefulness of bioscaffolds and cells in humans. Thirdly, our study focuses on APB and BMSCs used in vitro. The efforts of supporting pancreatic tissue engineering in vivo will be provided in future research.
Despite these limitations, we believe that our data truly represented valuable and reliable information related to APB and BMSCs.

Conclusions
APB could support the proliferation and viability of BMSCs in dynamic culture with optimal ow rate 4ml/min. During differentiation process, APB could induced BMSCs into pancreatic-like cells which expressed gene markers and pancreatic functional cytoketatins, and promote metabolic enzymes secretion. GF could signi cantly facilitate the function of proliferation, differentiation and cell engraftment in APB. Our study had the considerable potential for pancreatic cell therapies and pancreatic tissue engineering.