Abstract

The generation of 3D tissue constructs with multiple cell types and matching mechanical properties remains a challenge in cardiac tissue engineering. Recently, 3D bioprinting has become a powerful tool to achieve these goals. Decellularized extracellular matrix (dECM) is a common scaffold material due to providing a native biochemical environment. Unfortunately, dECM’s low mechanical stability prevents usage for bioprinting applications alone. In this study, we developed bioinks composed of decellularized human heart ECM (dhECM) with either gelatin methacryloyl (GelMA) or GelMA-methacrylated hyaluronic acid (MeHA) hydrogels dual crosslinked with UV light and microbial transglutaminase (mTGase). We characterized the bioinks’ mechanical, rheological, swelling, printability, and biocompatibility properties. Composite GelMA–MeHA–dhECM (GME) hydrogels demonstrated improved mechanical properties by an order of magnitude compared to the GelMA–dhECM (GE) hydrogels. All hydrogels were extrudable and compatible with human induced pluripotent stem cell derived cardiomyocytes (iCMs) and human cardiac fibroblasts (hCFs). Tissue-like beating of the printed constructs with striated sarcomeric alpha-actinin and connexin 43 expression was observed. The order of magnitude difference between the elastic modulus of these hydrogel composites offers applications in in vitro modeling of the myocardial infarct boundary. Here, as a proof of concept, we created an infarct boundary region with control over the mechanical properties along with the cellular and macromolecular content through printing iCMs with GE bioink and hCFs with GME bioink.

Highlights

  • Myocardial infarction (MI) is one of the most common cardiovascular diseases and has remained the main cause of death worldwide for decades [1,2]

  • It is crucial to fabricate human benchtop models recapitulating the mechanical properties of both healthy cardiac tissue and fibrotic scar tissue, which is formed as a result of the collagen deposition and fibroblast activation triggered in response to the MI and has an increased stiffness [4]

  • We showed the extrusion-based 3D printing of gelatin methacryloyl (GelMA) and GelMA

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Summary

Introduction

Myocardial infarction (MI) is one of the most common cardiovascular diseases and has remained the main cause of death worldwide for decades [1,2]. Many studies are dedicated to understanding the MI mechanism and potential therapeutic options on animals, research concerning human myocardium remains very limited [3] For this reason, it is crucial to fabricate human benchtop models recapitulating the mechanical properties of both healthy cardiac tissue and fibrotic scar tissue, which is formed as a result of the collagen deposition and fibroblast activation triggered in response to the MI and has an increased stiffness [4]. It is crucial to fabricate human benchtop models recapitulating the mechanical properties of both healthy cardiac tissue and fibrotic scar tissue, which is formed as a result of the collagen deposition and fibroblast activation triggered in response to the MI and has an increased stiffness [4] These printed constructs have been used in different applications including but not limited to drug screening and regenerative medicine [5,7,8]. They fall short on fully capturing the biochemical cues of the native tissue microenvironment

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