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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fbioe.2017.00022</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Engineering Muscle Networks in 3D Gelatin Methacryloyl Hydrogels: Influence of Mechanical Stiffness and Geometrical Confinement</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Costantini</surname> <given-names>Marco</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/383826"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Testa</surname> <given-names>Stefano</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/162806"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Fornetti</surname> <given-names>Ersilia</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/404190"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Barbetta</surname> <given-names>Andrea</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/404110"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Trombetta</surname> <given-names>Marcella</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/404165"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Cannata</surname> <given-names>Stefano Maria</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/162760"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Gargioli</surname> <given-names>Cesare</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/115351"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Rainer</surname> <given-names>Alberto</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/147880"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Engineering, Universit&#x000E0; Campus Bio-Medico di Roma</institution>, <addr-line>Rome</addr-line>, <country>Italy</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Biology, Tor Vergata Rome University</institution>, <addr-line>Rome</addr-line>, <country>Italy</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Chemistry, Sapienza University of Rome</institution>, <addr-line>Rome</addr-line>, <country>Italy</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Giovanni Vozzi, University of Pisa, Italy</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: O. H. Ilkwon, KAIST &#x02013; Korea Advanced Institute of Science &#x00026; Technology, South Korea; Piergiorgio Gentile, University of Sheffield, UK</p></fn>
<corresp content-type="corresp" id="cor1">&#x0002A;Correspondence: Cesare Gargioli, <email>cesare.gargioli&#x00040;uniroma2.it</email>; Alberto Rainer, <email>a.rainer&#x00040;unicampus.it</email></corresp>
<fn fn-type="other" id="fn002"><p>Specialty section: This article was submitted to Bionics and Biomimetics, a section of the journal Frontiers in Bioengineering and Biotechnology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>07</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>5</volume>
<elocation-id>22</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>01</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>03</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Costantini, Testa, Fornetti, Barbetta, Trombetta, Cannata, Gargioli and Rainer.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Costantini, Testa, Fornetti, Barbetta, Trombetta, Cannata, Gargioli and Rainer</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>In this work, the influence of mechanical stiffness and geometrical confinement on the 3D culture of myoblast-laden gelatin methacryloyl (GelMA) photo-crosslinkable hydrogels was evaluated in terms of <italic>in vitro</italic> myogenesis. We formulated a set of cell-laden GelMA hydrogels with a compressive modulus in the range 1&#x02009;&#x000F7;&#x02009;17&#x02009;kPa, obtained by varying GelMA concentration and degree of cross-linking. C2C12 myoblasts were chosen as the cell model to investigate the supportiveness of different GelMA hydrogels toward myotube formation up to 2&#x02009;weeks. Results showed that the hydrogels with a stiffness in the range 1&#x02009;&#x000F7;&#x02009;3&#x02009;kPa provided enhanced support to C2C12 differentiation in terms of myotube number, rate of formation, and space distribution. Finally, we studied the influence of geometrical confinement on myotube orientation by confining cells within thin hydrogel slabs having different cross sections: (i) 2,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;2,000&#x02009;&#x003BC;m, (ii) 1,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;1,000&#x02009;&#x003BC;m, and (iii) 500&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;500&#x02009;&#x003BC;m. The obtained results showed that by reducing the cross section, i.e., by increasing the level of confinement&#x02014;myotubes were more closely packed and formed aligned myostructures that better mimicked the native morphology of skeletal muscle.</p>
</abstract>
<kwd-group>
<kwd>gelatin methacryloyl</kwd>
<kwd>hydrogel stiffness</kwd>
<kwd>C2C12 differentiation</kwd>
<kwd>geometrical confinement</kwd>
<kwd>skeletal muscle</kwd>
</kwd-group>
<contract-num rid="cn01">Uncovering Excellence Grant 2014 (MDESMPLAT)</contract-num>
<contract-sponsor id="cn01">Universit&#x000E0; degli Studi di Roma Tor Vergata<named-content content-type="fundref-id">10.13039/501100007642</named-content></contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="1"/>
<equation-count count="2"/>
<ref-count count="28"/>
<page-count count="8"/>
<word-count count="4884"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="introduction">
<title>Introduction</title>
<p>Skeletal muscle (SM) is a highly dynamic and plastic tissue able to modify its intrinsic size or strength following electric impulse, mechanical loading, or diet. SM accounts for about 30&#x02013;45% of body weight, being the most abundant among human body tissues (Buckingham and Montarras, <xref ref-type="bibr" rid="B3">2008</xref>). This tissue can self-repair relatively small damages resulting from tears, small lacerations, strains, or toxins <italic>via</italic> a three-stage process that involves demolition, repair, and remodeling of myofibers. However, SM tissue cannot restore significant tissue loss that can arise after severe trauma, invasive surgeries, degenerative diseases, or simply as a consequence of aging (Tidball, <xref ref-type="bibr" rid="B27">2011</xref>; Milner and Cameron, <xref ref-type="bibr" rid="B21">2013</xref>).</p>
<p>Tissue engineering holds great promise for the fabrication of artificial muscles to be used for <italic>in vitro</italic> studies and for the replacement of diseased or injured muscle tissue (Bach et al., <xref ref-type="bibr" rid="B2">2004</xref>; Levenberg et al., <xref ref-type="bibr" rid="B16">2005</xref>). However, due to its structural complexity, engineering a functional muscle tissue <italic>in vitro</italic> still represents a daunting task. Two of the most challenging aspects consist in attaining (i) a proper 3D organization of myotubes into highly packed and aligned structures (as to mimic the native SM tissue) and (ii) an advanced maturation of the myotubes in terms of formation and development of sarcomeres. To address these challenges, different strategies have been developed in the recent past (Almany and Seliktar, <xref ref-type="bibr" rid="B1">2005</xref>; Fuoco et al., <xref ref-type="bibr" rid="B10">2012</xref>, <xref ref-type="bibr" rid="B9">2015</xref>; Manabe et al., <xref ref-type="bibr" rid="B19">2012</xref>; Melchels et al., <xref ref-type="bibr" rid="B20">2012</xref>; Malda et al., <xref ref-type="bibr" rid="B18">2013</xref>; Juhas et al., <xref ref-type="bibr" rid="B14">2014</xref>; Heher et al., <xref ref-type="bibr" rid="B12">2015</xref>; Madden et al., <xref ref-type="bibr" rid="B17">2015</xref>; Kang et al., <xref ref-type="bibr" rid="B15">2016</xref>; Morimoto et al., <xref ref-type="bibr" rid="B22">2016</xref>). In particular, to promote a proper 3D organization of myotubes that could mirror the natural organization of muscle fascicles, bioreactors have been designed to stimulate the constructs loaded with myogenic progenitors either mechanically or electrically (Powell et al., <xref ref-type="bibr" rid="B24">2002</xref>; Manabe et al., <xref ref-type="bibr" rid="B19">2012</xref>; Ito et al., <xref ref-type="bibr" rid="B13">2014</xref>; Heher et al., <xref ref-type="bibr" rid="B12">2015</xref>; Kang et al., <xref ref-type="bibr" rid="B15">2016</xref>). These works demonstrated the possibility of obtaining highly oriented myofibers: for example, mouse myoblast cell line C2C12 cultured under static strain showed an increase in myotube alignment and sarcomere maturation (Heher et al., <xref ref-type="bibr" rid="B12">2015</xref>); the same cell line, when electrically stimulated, showed an increase in the maturation of myoblasts, with a percentage of contractile myotubes as high as 80% (Manabe et al., <xref ref-type="bibr" rid="B19">2012</xref>). However, all the presented approaches showed limitations in terms of process scalability. On the other hand, to better understand the process of myogenesis and sarcomerogenesis, researchers have primarily studied the influence of substrate stiffness on the spreading, elongation, and cooperative fusion of myoblasts (Engler et al., <xref ref-type="bibr" rid="B7">2004</xref>; Gilbert et al., <xref ref-type="bibr" rid="B11">2010</xref>). In these studies, substrate stiffness has been demonstrated not only to affect the formation of syncytia, but also to play a key role in myotube maturation and in the assembly of the sarcomeric unit.</p>
<p>Although successful in determining an optimal stiffness value for the maturation of myotubes (&#x0007E;12&#x02009;kPa), these studies have been performed by seeding cells directly on the surface of the biomaterials (2D substrates). This may represent a bias for all the studies in which cells are encapsulated within hydrogels (3D substrates) experiencing an actual 3D environment.</p>
<p>In this study, we investigate the influence of two parameters&#x02014;namely, hydrogel stiffness and geometrical confinement&#x02014;on the <italic>in vitro</italic> differentiation of C2C12 myoblasts encapsulated in gelatin methacryloyl (GelMA) hydrogels. First, we formulated a set of precursor hydrogel solutions with increasing GelMA concentrations and we tuned the stiffness of the resulting hydrogels by varying the degree of UV-induced cross-linking. After a thorough mechanical characterization, we used those formulations for the preparation of cell-laden hydrogels in combination with C2C12 murine myoblasts and, at desired time points, we qualitatively evaluated the development of myotube structures by means of bright-field and fluorescence microscopy. Finally, we set up a robust and facile method to fabricate string-like cell-laden hydrogel structures with different cross sections to study the effect of such geometrical confinement on the degree of alignment of the resulting myotubes.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2-1">
<title>Synthesis of GelMA</title>
<p>Gelatin methacryloyl was synthesized following a previously published protocol (Costantini et al., <xref ref-type="bibr" rid="B4">2016</xref>). Briefly, gelatin (type A3, &#x0007E;300 Bloom from porcine skin) was dissolved at 10% (w/v) in PBS at 60&#x000B0;C. Methacrylic anhydride (MA, 0.08&#x02009;mL per gram of gelatin) was then added to the gelatin solution dropwise under vigorous stirring and the mixture was allowed to react for 2&#x02009;h (Figure <xref ref-type="fig" rid="F1">1</xref>A). After a five-fold dilution with additional warm PBS, the GelMA solution was dialyzed against deionized water using 12&#x02013;14&#x02009;kDa cutoff dialysis tubes (Spectrum Laboratories) for 6&#x02009;days at 50&#x000B0;C to remove unreacted MA and additional by-products. GelMA was lyophilized and stored at &#x02212;20&#x000B0;C until use.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>(A)</bold> Scheme of the synthetic route for the synthesis of gelatin methacryloyl (GelMA) and <bold>(B)</bold> <sup>1</sup>H-NMR spectrum of GelMA in which the peaks relative to hydrophobic alkyl side chains of valine (Val), leucine (Leu), and isoleucine (Ile) and methacrylamide substituent groups of lysine (Lys) and hydroxylysine (Hly) amino acids are shown.</p></caption>
<graphic xlink:href="fbioe-05-00022-g001.tif"/>
</fig>
</sec>
<sec id="S2-2">
<title>Determination of the Degree of Substitution (DS)</title>
<p><sup>1</sup>H-NMR (Bruker AVANCE AQS 600&#x02009;MHz) operating at 600.13 MHz was used to determine the DS of the synthesized GelMA according to a previously published work (Ovsianikov et al., <xref ref-type="bibr" rid="B23">2011</xref>). Briefly, GelMA was dissolved in warm D<sub>2</sub>O, and the <sup>1</sup>H-NMR spectrum was acquired when the sample reached an equilibrium temperature of 40&#x000B0;C. The DS could be calculated by applying the following formula:
<disp-formula id="E1"><mml:math id="M1"><mml:mrow><mml:mtext>DS</mml:mtext><mml:mrow><mml:mo>(</mml:mo><mml:mi>&#x00025;</mml:mi><mml:mo>)</mml:mo></mml:mrow><mml:mo>=</mml:mo><mml:msub><mml:mtext>Mol</mml:mtext><mml:mrow><mml:mtext>Val</mml:mtext><mml:mo>,</mml:mo><mml:mtext>Leu</mml:mtext><mml:mo>,</mml:mo><mml:mtext>Ile</mml:mtext></mml:mrow></mml:msub><mml:mo>&#x000D7;</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mn>5.7</mml:mn><mml:mtext>ppm</mml:mtext></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mn>1.2</mml:mn><mml:mtext>ppm</mml:mtext></mml:mrow></mml:msub></mml:mrow></mml:mfrac><mml:mo>&#x000D7;</mml:mo><mml:mfrac><mml:mrow><mml:mn>100</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mtext>Mol</mml:mtext><mml:mrow><mml:mtext>Lys</mml:mtext><mml:mo>,</mml:mo><mml:mtext>Hly</mml:mtext></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow></mml:math></disp-formula>
where Mol<sub>Val,Leu,Ile</sub> is the total number of moles of valine, leucine, and isoleucine amino acids present in gelatin; Mol<sub>Lys,Hly</sub> is the total number of moles of lysine and hydroxylysine present in gelatin; <italic>I</italic><sub>1.2&#x02009;ppm</sub> is the integration of the peak ascribed to the resonance of hydrophobic alkyl side chains of valine, leucine and isoleucine while <italic>I</italic><sub>5.7&#x02009;ppm</sub> is the integration of the peak ascribed to the vinyl proton of methacrylamide substituent groups. On the basis of the known amino acid composition of gelatin, the total number of moles for each amino acid could be calculated.</p>
</sec>
<sec id="S2-3">
<title>Fabrication of Soft Mold in Polydimethylsiloxane (PDMS) Elastomer</title>
<p>Soft molds were fabricated in PDMS by replica molding of a PMMA (Plexiglas) master produced by CNC milling. Briefly, we designed the model of the mold with a CAD software (AutoCAD, Autodesk). The mold was composed of three microchannels with the same length (<italic>L</italic>&#x02009;&#x0003D;&#x02009;16.5&#x02009;mm) but different cross sections: 2,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;2,000&#x02009;&#x003BC;m, 1,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;1,000&#x02009;&#x003BC;m, and 500&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;500&#x02009;&#x003BC;m. To enhance the mechanical stability and to facilitate the handling of the hydrogels, we added an additional <italic>U</italic>-shaped channel as to create a frame to the three microchannels. Then, we imported the 3D model in a CAM software (SolidCAM, Dassault Syst&#x000E8;mes) and generated a tool path code to obtain a positive master, which was precision-milled out of a 5-mm-thick Plexiglas sheet using a CNC milling machine (Proxxon MF70 with Mach3 software, Newfangled Solutions). Finally, PDMS (Sylgard 184, Dow Corning, 10:1 pre-polymer to catalyst ratio) was poured on top of the Plexiglas master, degassed, and cross-linked at 60&#x000B0;C for 3&#x02009;h. Prior to use, PDMS molds were sterilized by thorough washing in pure ethanol (99.8%) followed by washing in sterile PBS.</p>
</sec>
<sec id="S2-4">
<title>Preparation of Hydrogels and <italic>In Vitro</italic> Culture</title>
<sec id="S2-4-1">
<title>Influence of Hydrogel Stiffness on Myoblast Differentiation</title>
<p>To study the influence of hydrogel stiffness on myoblast differentiation, we prepared four GelMA solutions with a polymer concentration of 3, 4, 6, and 8% w/v in PBS, respectively. 1&#x02009;mg/mL Irgacure 2959 (BASF) was added to the solutions as a radical photoinitiator. Solutions were then laden with C2C12 myoblasts at a concentration of 2&#x02009;&#x000D7;&#x02009;10<sup>7</sup> cells/mL. The cell suspensions were finally cast into cylindrical molds (diameter&#x02009;&#x0003D;&#x02009;4&#x02009;mm, height&#x02009;&#x0003D;&#x02009;2&#x02009;mm) and cross-linked by low-dose UV irradiation (365&#x02009;nm, 1.3&#x02009;mW/cm<sup>2</sup> for 4&#x02009;min). The obtained hydrogels were cultured <italic>in vitro</italic> for 14&#x02009;days in DMEM (Gibco) supplemented with 10% heat-inactivated fetal bovine serum, 100&#x02009;IU/mL penicillin, and 100&#x02009;mg/mL streptomycin at 37&#x000B0;C and 5% CO<sub>2</sub> humid atmosphere. For each of the formulated GelMA solutions, experiments were performed in triplicate.</p>
</sec>
<sec id="S2-4-2">
<title>Influence of Geometrical Confinement on Myotube Orientation</title>
<p>To study the influence of geometrical confinement on C2C12 differentiation, we prepared hydrogels with different cross section using the aforementioned PDMS mold. GelMA concentration was set at 4% w/v, as this value resulted the best environment for myoblast differentiation from the first propaedeutic series of experiments. To draw accurate statistics of myotube alignment within the hydrogel structures, experiments were performed in triplicate. Cell density, cross-linking time, and <italic>in vitro</italic> culture conditions were the same as in the previous experiments.</p>
</sec>
</sec>
<sec id="S2-5">
<title>Mechanical Testing</title>
<p>Gels were characterized in terms of their compressive stiffness under unconfined compression using an Instron 3365 universal tester (Norwood, MA, USA). Cylindrical specimens (8&#x02009;mm in diameter, 4&#x02009;mm in height) of formulated GelMA were tested at room temperature (RT) up to 50% final strain with the following parameters: 0.01&#x02009;N preload force, 0.125/min strain rate. Values for the compressive modulus were calculated from the initial linear region (0&#x02013;20% of strain) of the obtained stress&#x02013;strain curves. Each measurement was performed in triplicate and results are reported as the mean&#x02009;&#x000B1;&#x02009;SD.</p>
</sec>
<sec id="S2-6">
<title>Immunofluorescence (IF)</title>
<p>Cells encapsulated within GelMA hydrogels were fixed in PFA 2% and processed for fluorescence immunocytochemistry as previously described (Scardigli et al., <xref ref-type="bibr" rid="B26">2008</xref>). Briefly, samples were re-hydrated with PBS and cells were permeabilized with 0.2% v/v Triton X-100 in PBS for 30&#x02009;min. Subsequently, samples were incubated with mouse anti-myosin heavy chain (MHC, Clone MF20 DSHB, 1:2) primary antibody diluted in blocking buffer (0.2% Triton X-100 and 20% heat-inactivated goat serum in PBS) for 20&#x02009;min at RT. After several washes with buffer, sections were incubated with anti-mouse FITC (Chemicon, 1:500) secondary antibody. Samples were counterstained with DAPI to detect nuclei, washed three times with wash buffer, and mounted on Vectashield antifade mounting medium (Vector Laboratories). Samples were imaged with a Nikon Eclipse 2000-TE microscope equipped with a CoolSNAP MYO CCD camera (Photometrix) and MetaMorph software.</p>
</sec>
<sec id="S2-7">
<title>Image Analysis</title>
<p>Image analysis was performed using ImageJ software. The distributions of myotube orientation within the hydrogel structures following <italic>in vitro</italic> culture was obtained by analyzing IF micrographs (MHC signal) with OrientationJ plugin (P&#x000FC;sp&#x000F6;ki et al., <xref ref-type="bibr" rid="B25">2016</xref>). The plugin evaluates the orientation for every pixel of the image based on the structure tensor and provides an orientation distribution plot as an output.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3-1">
<title>Influence of Hydrogel Stiffness on Myoblast Differentiation</title>
<p>One of the main features that influences the network density and stiffness of GelMA hydrogels is the DS of &#x003B5;-amino groups of lysine and hydroxylysine with methacrylic moieties. Despite the complexity of the <sup>1</sup>H-NMR spectrum of GelMA, an accurate and quantitative determination of DS can be carried out through a <sup>1</sup>H-NMR-based relative quantitation method. This method can be easily applied to GelMA since its amino acid composition is well known (Eastoe, <xref ref-type="bibr" rid="B6">1955</xref>). The peak around 1.2&#x02009;ppm (Figure <xref ref-type="fig" rid="F1">1</xref>B) can be ascribed to the resonance of the hydrophobic alkyl side chains of valine (Val), leucine (Leu), and isoleucine (Ile). These hydrophobic side chains can be considered chemically inert and thus they do not participate in the reaction with MA. On the other hand, the peaks at 5.7 and 6.0&#x02009;ppm can be ascribed to the vinyl proton of methacrylamide substituent groups of lysine and hydroxylysine amino acids. By using these two peaks as reference peaks and by applying the following formula (see Section &#x0201C;<xref ref-type="sec" rid="S2">Materials and Methods</xref>&#x0201D; for more details):
<disp-formula id="E2"><mml:math id="M2"><mml:mtable columnalign='left'><mml:mtr><mml:mtd><mml:mrow><mml:mtext>DS</mml:mtext><mml:mrow><mml:mo>(</mml:mo><mml:mi>&#x00025;</mml:mi><mml:mo>)</mml:mo></mml:mrow><mml:mo>=</mml:mo><mml:msub><mml:mtext>Mol</mml:mtext><mml:mrow><mml:mtext>Val</mml:mtext><mml:mo>,</mml:mo><mml:mtext>Leu</mml:mtext><mml:mo>,</mml:mo><mml:mtext>Ile</mml:mtext></mml:mrow></mml:msub><mml:mo>&#x000D7;</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mn>5.7</mml:mn><mml:mtext>ppm</mml:mtext></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mn>1.2</mml:mn><mml:mtext>ppm</mml:mtext></mml:mrow></mml:msub></mml:mrow></mml:mfrac><mml:mo>&#x000D7;</mml:mo><mml:mfrac><mml:mrow><mml:mn>100</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mtext>Mol</mml:mtext><mml:mrow><mml:mtext>Lys</mml:mtext><mml:mo>,</mml:mo><mml:mtext>Hly</mml:mtext></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow></mml:mtd></mml:mtr><mml:mtr><mml:mtd><mml:mspace width="3em" class="thinspace"/><mml:mo>=</mml:mo><mml:mn>0.384</mml:mn><mml:mo>&#x000D7;</mml:mo><mml:mfrac><mml:mrow><mml:mn>103.49</mml:mn><mml:mo>/</mml:mo><mml:mn>2</mml:mn></mml:mrow><mml:mrow><mml:mn>1000.02</mml:mn></mml:mrow></mml:mfrac><mml:mo>&#x000D7;</mml:mo><mml:mfrac><mml:mrow><mml:mn>100</mml:mn></mml:mrow><mml:mrow><mml:mn>0.0385</mml:mn></mml:mrow></mml:mfrac><mml:mo>=</mml:mo><mml:mn>51.6</mml:mn><mml:mi>&#x00025;</mml:mi></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
a DS of 51.6% for the synthesized GelMA was obtained.</p>
<p>Following its synthesis, purification and characterization, GelMA was used for the preparation of a set of hydrogels. Since our first goal was to evaluate the influence of hydrogel stiffness on myoblast differentiation, before encapsulating the myogenic precursor, we explored two different variables that influence hydrogel stiffness: (i) the concentration of GelMA in the precursor hydrogel solutions and (ii) the UV crosslinking time. First, we performed few experiments to determine the lowest limits for the two parameters&#x02014;i.e., the minimum concentration and the shortest UV cross-linking time that would eventually give rise to a gel. It turned out that for concentrations below 3% w/v&#x02014;independently of the UV-light cross-linking time&#x02014;it was not possible to obtain a stable hydrogel. On the contrary, for a GelMA concentration of 3% w/v, it was possible to obtain stable hydrogels for a minimum cross-linking time of 4&#x02009;min (UV dose&#x02009;&#x02248;&#x02009;310&#x02009;mJ/cm<sup>2</sup>). These values of GelMA concentration and UV light cross-linking time were thus taken as lowest levels for the two parameters. Then, we prepared other three solutions with GelMA concentrations up to 8% w/v&#x02014;namely 4, 6, and 8% w/v. The four GelMA solutions were UV cross-linked for either 4 or 5&#x02009;min, and the resulting hydrogels were then mechanically tested to determine their compressive behavior. The stress&#x02013;strain plots for the formulated hydrogels are reported in Figure <xref ref-type="fig" rid="F2">2</xref>, while Table <xref ref-type="table" rid="T1">1</xref> summarizes the values of compressive modulus calculated from the stress&#x02013;strain data. As it can be noticed, both GelMA concentration and UV cross-linking time have an impact on the compressive modulus, which increases with increasing either of the two parameters. Since it is well known that myoblasts, when cultured on top of hydrogel systems, sense the substrate stiffness and, as demonstrated in previously published works (Engler et al., <xref ref-type="bibr" rid="B7">2004</xref>), undergo a better differentiation on substrates having a stiffness around 8&#x02009;&#x000F7;&#x02009;12&#x02009;kPa, we decided not to considerably exceed this range and thus we did not prepare hydrogels with GelMA concentration higher than 8% w/v. Furthermore, since the effect of UV irradiation time for a given composition (% GelMA) was minor, we decided to limit cell experiments to the 4-min irradiation group, as to keep the UV dose to cells as low as possible.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><bold>Stress&#x02013;strain curves for different values of gelatin methacryloyl (GelMA) concentration (3, 4, 6, and 8% w/v) and UV cross-linking time [4&#x02009;min (A) and 5 min (B)]</bold>.</p></caption>
<graphic xlink:href="fbioe-05-00022-g002.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p><bold>Values of the compressive modulus of elasticity as calculated from stress&#x02013;strain curves for hydrogels at different levels of gelatin methacryloyl (GelMA) concentration and UV dose</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">GelMA (% w/v)</th>
<th valign="top" align="center">Elastic modulus (kPa)</th>
<th valign="top" align="center">Elastic modulus (kPa)</th>
</tr>
<tr>
<th valign="top" align="center" colspan="3"><hr/></th>
</tr>
<tr>
<th valign="top" align="center"/>
<th valign="top" align="center">4&#x02009;min UV&#x00040;365&#x02009;nm</th>
<th valign="top" align="center">5&#x02009;min UV&#x00040;365&#x02009;nm</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">3</td>
<td align="center" valign="top">1.06&#x02009;&#x000B1;&#x02009;0.07</td>
<td align="center" valign="top">1.19&#x02009;&#x000B1;&#x02009;0.12</td>
</tr>
<tr>
<td align="left" valign="top">4</td>
<td align="center" valign="top">2.45&#x02009;&#x000B1;&#x02009;0.05</td>
<td align="center" valign="top">3.20&#x02009;&#x000B1;&#x02009;0.10</td>
</tr>
<tr>
<td align="left" valign="top">6</td>
<td align="center" valign="top">5.81&#x02009;&#x000B1;&#x02009;0.10</td>
<td align="center" valign="top">8.74&#x02009;&#x000B1;&#x02009;0.22</td>
</tr>
<tr>
<td align="left" valign="top">8</td>
<td align="center" valign="top">10.04&#x02009;&#x000B1;&#x02009;0.13</td>
<td align="center" valign="top">16.55&#x02009;&#x000B1;&#x02009;0.80</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Cell-laden hydrogels were timely observed by phase contrast microscopy up to 14&#x02009;days, and the results are summarized in Figure <xref ref-type="fig" rid="F3">3</xref>. At lower concentrations (3&#x02013;4% w/v), C2C12 rapidly spread within the hydrogel matrices revealing the formation of short myotubes already 48&#x02009;h after polymerization, whereas at higher concentrations, cells presented limited spreading (6% w/v) or even almost exclusively round shape (8% w/v). At later time points&#x02014;7/14&#x02009;days after polymerization&#x02014;C2C12 encapsulated into 3% GelMA hydrogel displayed a remarkable amount of myotubes forming a 3D-entangled network homogeneously distributed in the hydrogel volume. Similarly, 4% GelMA hydrogel supported a pronounced formation of myotubes, comparable to the one obtained with 3% GelMA, albeit with a slightly less homogeneous distribution. On the contrary, at higher GelMA concentrations (6&#x02013;8%), C2C12 presented a remarkable detriment in myogenic differentiation, with minor myotube formation generally localized in clusters.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>Gelatin methacryloyl stiffness affecting C2C12 myogenesis as observed by phase contrast microscopy up to 14&#x02009;days</bold>. Scale bars: 100&#x02009;&#x000B5;m.</p></caption>
<graphic xlink:href="fbioe-05-00022-g003.tif"/>
</fig>
</sec>
<sec id="S3-2">
<title>Influence of Geometrical Confinement on Myotube Orientation</title>
<p>The first propaedeutic experiment evidenced a clear correlation between matrix stiffness and the ability of myoblasts to undergo efficiently myogenesis. Results showed that the best candidates were those at lower GelMA concentration (3 and 4%)&#x02014;i.e., with lower compressive moduli. Despite the performances of 3% GelMA were slightly better, we decided to use 4% GelMA as these hydrogels were easier to handle. After determining the most suitable GelMA concentration for myogenic differentiation, a micromolding approach was established to investigate myotube organization under different confinement regimes, as sketched in Figure <xref ref-type="fig" rid="F4">4</xref>. The mold was designed to produce cell-laden thin hydrogel strings at different cross sections&#x02014;namely 2,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;2,000&#x02009;&#x003BC;m, 1,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;1,000&#x02009;&#x003BC;m, and 500&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;500&#x02009;&#x003BC;m&#x02014;connected to a <italic>U</italic>-shaped supporting frame, further reinforced by a modeled glass capillary at its core. This solution endowed the structure with enhanced rigidity to support the ensuing myostructures and restraining hydrogel contraction due to myotube tensions.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>Scheme of the micromolding process for the fabrication of gelatin methacryloyl (GelMA) hydrogels: a <italic>U</italic>-shaped glass capillary is embedded within the hydrogel to act as a supporting frame for the hydrogel strings having different cross sections</bold>.</p></caption>
<graphic xlink:href="fbioe-05-00022-g004.tif"/>
</fig>
<p>C2C12 cells were successfully retained within the three different hydrogel strings as confirmed by phase contrast micrographs showing a regular round shape (Figures <xref ref-type="fig" rid="F5">5</xref>A&#x02013;C). After 3&#x02009;days of culture, the structures revealed a remarkable compaction (Figures <xref ref-type="fig" rid="F5">5</xref>D&#x02013;F) most likely due to C2C12 differentiation and myotube formation, particularly highlighted in the hydrogel with the smallest cross section (arrow in Figure <xref ref-type="fig" rid="F5">5</xref>F). Fourteen days after cell encapsulation, IF analyses were performed to evaluate the organization of MHC positive myotubes (Figures <xref ref-type="fig" rid="F5">5</xref>G&#x02013;L). Micrographs showed a considerable parallel orientation for the myostructure cultured in the smallest (500&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;500&#x02009;&#x003BC;m) and middle (1,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;1,000&#x02009;&#x003BC;m) hydrogel structures (Figures <xref ref-type="fig" rid="F5">5</xref>H,I), while in the largest ones (2,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;2,000&#x02009;&#x003BC;m), parallel organization was just partially achieved (Figure <xref ref-type="fig" rid="F5">5</xref>G), revealing the significant importance of proper geometrical confinement of myogenic precursors during the SM differentiation process. This can be better appreciated from the myotube orientation distribution plots (Figures <xref ref-type="fig" rid="F5">5</xref>M&#x02013;O). In all cases, myotube orientation distribution was peaked along the hydrogel string axis. However, by reducing the hydrogel cross section, the distribution plots appeared increasingly sharp (Figures <xref ref-type="fig" rid="F5">5</xref>N,O), confirming that the geometrical confinement plays a significant role in myotube alignment.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p><bold>C2C12 cells encapsulated into 4% GelMA at different degrees of geometrical confinement</bold>. <bold>(A&#x02013;F)</bold> Phase contrast micrographs of C2C12 captured 24&#x02009;h <bold>(A&#x02013;C)</bold> and 72&#x02009;h <bold>(D&#x02013;F)</bold> after cross-linking. From left to right: 2,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;2,000&#x02009;&#x003BC;m; 1,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;1,000&#x02009;&#x003BC;m; 500&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;500&#x02009;&#x003BC;m. Black arrow in <bold>(F)</bold> indicates myostructure shrinkage occurring in the thinner structure. <bold>(G&#x02013;L)</bold> Immunofluorescence (IF) against myosin heavy chain (MHC) (red) <bold>(G&#x02013;I)</bold> following 14&#x02009;days culture; nuclei were counterstained by DAPI (blue) <bold>(J&#x02013;L)</bold>. Scale bars: 100&#x02009;&#x000B5;m. <bold>(M&#x02013;O)</bold> Myotube orientation distribution plots (with 0&#x000B0; corresponding to the direction of the major axis of symmetry of each hydrogel structure) calculated from IF micrographs (MHC signal).</p></caption>
<graphic xlink:href="fbioe-05-00022-g005.tif"/>
</fig>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>Discussion</title>
<p>Despite the notable achievements and technological progress of the last decade, assembling a functional artificial SM is still a daunting task. Numerous approaches have been developed and tested with the aim of recapitulating the SM architectures and a partial degree of biomimicry, especially in terms of myotube orientation, has been achieved (Ito et al., <xref ref-type="bibr" rid="B13">2014</xref>; Fuoco et al., <xref ref-type="bibr" rid="B9">2015</xref>; Heher et al., <xref ref-type="bibr" rid="B12">2015</xref>; Madden et al., <xref ref-type="bibr" rid="B17">2015</xref>).</p>
<p>Pioneering studies have demonstrated that myogenic precursors are particularly sensitive to the stiffness of the substrate on top of which they are cultured, demonstrating that sarcomerogenesis is favored only for a small range of stiffness values (&#x0007E;10&#x02009;&#x000F7;&#x02009;14&#x02009;kPa) (Engler et al., <xref ref-type="bibr" rid="B7">2004</xref>). Although representing significant proofs of concept, these studies suffer from two main disadvantages: (i) the employed strategies are not scalable and (ii) they poorly resemble the native 3D conditions in which SM tissue develops.</p>
<p>These values&#x02014;obtained for 2D cell culture&#x02014;should be carefully reviewed as myogenic precursors are often encapsulated within hydrogel systems and, in this condition, they sense an actual 3D environment. From the cellular perspective, 2D and 3D culture conditions represent two distinct scenarios and, hence, the response of myogenic precursors might be completely different.</p>
<p>Given these premises, we tried to evaluate the influence of hydrogel stiffness and of geometrical confinement on the <italic>in vitro</italic> generation of engineered muscle networks within a hydrogel system. To this aim, we encapsulated C2C12 cells within GelMA hydrogels with a stiffness in the range &#x0007E;1&#x02009;&#x000F7;&#x02009;10&#x02009;kPa.</p>
<p>Interestingly, we found that, as the stiffness of the matrix increases, the ability of C2C12 to undergo rapid and efficient, myogenesis highly decreases, and the best results were obtained for the hydrogels with the lowest stiffness (&#x0007E;1&#x02009;&#x000F7; 3&#x02009;kPa, GelMA 3&#x02009;&#x000F7; 4% w/v). These results are in contrast with those published in literature for 2D culture of C2C12. A thorough explanation of this phenomenon is not simple. Most likely, we can speculate that C2C12&#x02014;when cultured either in 2D or 3D&#x02014;experience different focal adhesion configurations that influence cell polarization and cell signaling pathways (Wozniak et al., <xref ref-type="bibr" rid="B28">2004</xref>; Eriksson et al., <xref ref-type="bibr" rid="B8">2007</xref>).</p>
<p>Furthermore, to undergo myogenesis, C2C12 cultured in 3D need to partially digest the surrounding matrix to fuse with adjacent cells and, reasonably, they need to activate metabolic pathways for matrix metalloproteinases. This could partially explain why C2C12 did not differentiate significantly in the stiffest hydrogels due to high matrix density. Additionally, the diffusion rate of metabolites and wastes is inversely proportional to the matrix stiffness, and this might further hamper C2C12 differentiation within the stiffest hydrogels (Drury and Mooney, <xref ref-type="bibr" rid="B5">2003</xref>).</p>
<p>Finally, we investigated the influence of geometrical confinement on myogenic precursors embedded in 4% GelMA. Results showed a remarkable influence of the hydrogel cross section on the architectural organization of differentiated myotubes. In all cases, we observed a rapid compaction of hydrogels with a significant decrease in their cross sections. This phenomenon is mediated by cells: in fact, as cell fusion proceeds, the arising myotubes produce a tension that is capable to shrink the gels. Furthermore, IF analysis revealed that the degree of myotube organization was influenced by hydrogel cross sections. In particular, we noticed that myotube distribution was more homogeneous in the hydrogel strings with smaller cross sections (1,000&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;1,000&#x02009;&#x003BC;m and 500&#x02009;&#x003BC;m&#x02009;&#x000D7;&#x02009;500&#x02009;&#x003BC;m), in which a more physiological 3D organization with the formation of highly aligned bundles could also be observed.</p>
<p>In conclusion, we have demonstrated that both hydrogel stiffness and geometrical confinement play a crucial role in the differentiation of myogenic precursors in a 3D culture environment. However, a thorough understanding of these phenomena is still missing, and further investigations are required to better clarify how they can affect the generation of functional SM tissue <italic>in vitro</italic>.</p>
</sec>
<sec id="S5" sec-type="author-contributor">
<title>Author Contributions</title>
<p>MC, CG, and AR designed the experiments; MC, ST, EF, AB, and CG carried out experiments; AB performed <sup>1</sup>H-NMR GelMA characterization; CG, SC, MT, and AR supervised the project. MC, AB, CG, MT, and AR wrote the manuscript. All co-authors contributed to discussion and analysis of the data.</p>
</sec>
<sec id="S6">
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<sec id="S7">
<title>Funding</title>
<p>This work has been supported in part by Universit&#x000E0; degli Studi di Roma Tor Vergata under Uncovering Excellence Grant 2014 (MDESMPLAT) to CG.</p>
</sec>
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