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~15 to 60 min to activate transcription (15, 17). We therefore tested determine the relative effects of perfusate temperature and flow rate
whether this approach could precisely regulate tissue temperature on hydrogel heating at biologically relevant temperatures, we sought
over prolonged periods of time by maintaining steady-state thermal to develop a finite element model of heated hydrogel perfusion for
profiles in perfused hydrogels. To do this, we first printed hydrogels mild hyperthermia that incorporated thermal and flow parameters
that contained a single channel (Fig. 2A). We then perfused precisely from our heating system. To derive these parameters, we first incre-
heated fluid through this channel while tracking hydrogel tempera- mentally increased flow rate over a range of heating element powers
ture in real-time using infrared thermography (Fig. 2B). Upon and measured fluid temperature at the point of heater outflow (i.e.,
initiating perfusion, we observed that hydrogel temperature under- hydrogel inlet; fig. S1). We then implemented perfusate tempera-
went an initial ramp-up phase (~5 min) followed by a steady-state ture values observed from each flow rate at 13.5-W heater power
plateau in which temperature deviated by <±0.4°C/min at three into a computational model of single-channel hydrogel heating
separate regions measured across the hydrogel (Fig. 2B, right). (Fig. 2C and fig. S1B). Computational simulations predicted that
During perfusion, heat is transferred from fluidic channels to hydrogel temperatures in the range for mild hyperthermia were
the bulk through convection and conduction, resulting in thermal achievable using flow rates from 0.4 to 1.6 ml min−1, but not for
gradients throughout the bulk volume (18). The perfusate input slower or faster flow rates (Fig. 2C and fig. S1B). Within this window,
temperature is known to govern the rate and magnitude of heat we observed that flow rates of 0.5 and 1.0 ml min−1 produced subtle
transfer, while fluid flow rate influences the thermal profile (18). To differences in the shape of thermal profiles, despite roughly equivalent
input temperatures (Fig. 2C and fig. S1B). Thus, these flow rates did exhibit different temperatures at the hydrogel edge, although
provided a set of conditions to further examine the effects of flow these formulations are less commonly used for bioprinting due to
rate on heat transfer. their limited support of cell viability (16).
We therefore performed experimental validation studies of per- These findings led us to further computationally explore the po-
fused single-channel hydrogels at 0.5 or 1.0 ml min−1 and analyzed tential spatial design space for a single-channel system. To do this,
the steady-state thermal profiles from infrared images (Fig. 2D). we assessed how varying channel length and ambient temperature
Experimental temperature measurements (solid lines) and compu- affect the thermal profile in our model. Predictions showed that sin-
tational simulation predictions (dashed lines) showed agreement gle channels up to 30 mm long achieved hyperthermic temperatures
when measured both orthogonal (Fig. 2E) and parallel (Fig. 2F) to (40° to 45°C) along their entire length, with outlet temperatures falling
channel flow. Both physical measurements and simulations out of the hyperthermic range at greater lengths (fig. S3A). Spatial
demonstrated thermal gradients in the hydrogel. Temperature along heat distribution was only marginally affected within the ambient
the channel was better maintained under flow at 1.0 ml min−1 com- temperature range used in our studies here (20° to 22°C; fig. S3B),
pared to flow at 0.5 ml min−1 (**P < 0.01; Fig. 2, E and F), and flow but more substantive increases in ambient temperature (e.g., to 30,
at 0.5 ml min−1 promoted more heat transfer at the channel inlet 37°C) produced wider spatial gradients in hyperthermic range
(fig. S2A). Addition of cells to single-channel hydrogels did not (fig. S3B). Together, these studies showed that the rules of heat
affect temperature profile after thermofluidic perfusion (fig. S2B) transfer could be leveraged to predict thermal spatial profiles in per-
nor did differences in hydrogel weight percent in ranges commonly fused hydrogels and that these profiles could be finely tuned by
used for 3D printing of cellularized hydrogels [i.e., 10 to 20 weight varying parameters such as flow rate, channel length, and input and
% (wt %); fig. S2C] (16). Stiffer hydrogel formulations (i.e., 25 wt %) ambient temperature.
Generation and characterization of heat-inducible cells finely characterize how bioluminescent intensity correlates with
We next aimed to genetically engineer heat-inducible cells that acti- temperature, infrared and bioluminescence images were overlaid to
vate gene expression upon exposure to mild hyperthermia. To do map individual pixels and generate temperature-bioluminescence
this, we implemented a temperature-responsive gene switch-based response curves. The shape of temperature-response curves appeared
on the human heat shock protein 6A (HSPA6) promoter, which ex- similar in shape across various target temperatures (Fig. 3J, all data
hibits a low level of basal activity and a high degree of up-regulation overlaid; fig. S6, individual response curves). Similar to whole-gel anal-
in response to mild heating (19). This promoter activates heat- yses, greater target temperatures generated the most robust activa-
regulated transcription through consensus pentanucleotide sequences tion (Fig. 3J and fig. S6). In initial studies, we noted that leakage at
(5′-NGAAN-3′) called heat shock elements, which are binding sites the hydrogel inlet or outlet could activate cells. Subsequent improve-
for heat shock transcription factors (19). We transduced human ments to fluidic connectivity with a custom-printed perfusion apparatus
embryonic kidney (HEK) 293T cells with a lentiviral construct in led to higher precision thermal patterning (fig. S7; see link to open
which a 476–base pair (bp) region of the HSPA6 promoter contain- source perfusion apparatus design in Methods). Last, multiperspective
ing eight canonical heat shock elements was placed upstream of a imaging and bioluminescence quantification of single-channel per-
firefly luciferase (fLuc) reporter gene (Fig. 3A). Initial characteriza- fused hydrogels from both “top-down” and “cross-sectional” perspec-
tion of temperature-sensitive promoter activity in engineered cells tives demonstrated that reporter gene activation had a 3D radial
in 2D tissue culture demonstrated a temperature-dose dependent gradient topology around each channel (fig. S8). Together, these
up-regulation of luciferase activity in the range of mild hyperthermia results illustrate that thermofluidics can be used to activate varying
(fig. S4A). Statistically significant up-regulation was observed in levels of gene expression in 3D artificial tissues.
through each inlet over four consecutive days (Fig. 4B, bottom) and user-defined spatial and dynamic patterning of mesoscale gene ex-
imaged tissues for bioluminescence. Bioluminescent images demon- pression patterns in 3D artificial tissues.
strated statistically significant luciferase up-regulation for regions
surrounding heated inlets compared to nonheated inlet regions on Maintenance of gene patterning in vivo
all 4 days (Fig. 4, C and D.) Together, our results illustrate that by To test whether gene patterning could be maintained after engraft-
exploiting heat transfer design principles, thermofluidics enables ment of artificial tissues in vivo, we stimulated tissues with HEAT
and implanted these tissues into athymic mice. All tissues contained tissue homeostasis, regeneration, and disease (20). We engineered
HEK293T cells expressing fLuc under the control of the heat-inducible heat-inducible constructs to drive expression of three genes in
HSPA6 promoter. All tissue constructs contained a single channel the Wnt/-catenin signaling pathway: (i) R-spondin-1 (RSPO1),
and were stimulated in one of three ways: (i) thermofluidic perfu- a potent positive regulator of Wnt/-catenin signaling (21); (ii)
sion at 44°C for 60 min, (ii) bulk heating in a cell culture incubator -catenin, a critical transcriptional coregulator that translates to
at 44°C for 60 min, or (iii) bulk exposure in a cell culture incubator the nucleus upon canonical Wnt signaling (22); and (iii) Wnt-2,
to 37°C. Tissues were implanted into mice immediately after heat- a ligand that binds to membrane-bound receptors to activate
ing, and bioluminescence imaging was performed 24 hours later. the Wnt/-catenin signaling pathway. The Wnt-2 gene was also
We found that thermofluidic spatial control of gene expression was tagged with V5 (23). We engineered lentiviral constructs in which
maintained after in vivo tissue engraftment (Fig. 5A and movie S1). RSPO1, -catenin, or Wnt2-V5 is driven by the heat-inducible
HSPA6 promoter, and mCherry is driven by a constitutive pro-
Spatial control of Wnt/-catenin signaling pathway moter [spleen focus-forming virus (SFFV); Fig. 6A]. Reverse tran-
We next sought to demonstrate the modularity of our system scription quantitative polymerase chain reaction (RT-qPCR) analysis
for spatially regulating expression of the Wnt/-catenin signaling of each engineered cell line for mCherry expression relative to
pathway, which directs diverse aspects of embryonic development, GAPDH expression suggested lentiviral integration (fig. S10A). We then
sustained for exposure times required to trigger gene expression. advanced fabrication and biological realms, thermofluidics cre-
Together, the sheer rapidity and highly parallel nature of this pro- ates a new avenue for bioactive tissues with applications in both ba-
cess enable spatial and dynamic genetic patterning at length scales sic and translational biomedicine.
and depths not previously possible in 3D artificial tissues.
Most previous methods to elicit cellular signaling in artificial tissues
have focused on tethering extracellular cues to hydrogels (28, 29). MATERIALS AND METHODS
Innovations in stimuli-responsive or “smart” biomaterials enabled Materials and photopolymer synthesis
activation of these chemistries by exogenous physical stimuli, such Poly(ethylene glycol) diacrylate (PEGDA; 6000 Da) and lithium
as light, to control the spatial position and timing of extracellular phenyl-2,4,6-trimethylbenzoylphosphinate (LAP) were prepared as
cues (30, 31). Although useful, these material-focused methods are previously described (16, 42). Gelatin methacrylate (GelMA) was
unlikely to provide complete control even in fully defined starting synthesized as previously described, with slight modifications (43).
environments because cells rapidly remodel their microenvironments Methacrylic anhydride was added dropwise to gelatin dissolved in
(32). Moreover, these technologies offer an imprecise means to con- carbonate-bicarbonate buffer at 50°C for 3 hours, followed by pre-
trol downstream transcription because many, often unknown, inter- cipitation in ethanol. The precipitate was allowed to dry, dissolved
mediary steps modify intracellular signal transduction before gene in phosphate-buffered saline (PBS), frozen at −80°C, and then
activation. Our thermofluidic approach provides a complementary lyophilized for up to 1 week. GelMA was stored at −20°C until use.
new technology to these methods that target extracellular signals by Tartrazine (Sigma-Aldrich T0388, St. Louis, MO, USA) was added
facilitating spatiotemporal control at the intracellular genetic level. to prepolymer solutions as a photoabsorber to increase print resolution
Apparatus, Holliston, MA). To construct the in-line fluid heater, model heat loss to the ambient environment, heat transfer coeffi-
perfusate tubing was connected to the syringe pump for flow rate cients of 5 and 30 W/(m2 * K) were applied to the sides and upper
control, while the cartridge heater was connected to the power sup- boundaries of the hydrogel, respectively, with an infinite tempera-
ply for heating control. Perfusate tubing was then wounded around ture condition of 22.0°C applied for all boundaries. Boundary tem-
the cylindrical cartridge heater, allowing for heat transfer from the perature and fluid inflow conditions at the channel inlet were used
heater into the flowing perfusate. The temperature of the fluid was to simulate the effect of changing perfusate temperature and flow rate,
then controlled by changing the flow rate or heater power. In all respectively. Model geometry was manipulated for studies on channel
studies, we used PBS (Thermo Fisher Scientific, Hampton, NH) for length and channel branching. Prescribed external temperature was
the perfusate solution. varied for ambient temperature studies.
completion of perfused heating, hydrogels were dismounted from received either thermofluidic heat stimulation via flow of 44°C bio-
the perfusion chips and returned to a cell culture incubator. compatible fluid at 1.0 ml min−1 for 60 min (n = 5), global heat
stimulus by being placed in a 44°C tissue culture incubator for
Cell encapsulation and printing of cell-laden hydrogels 60 min (n = 3), or were maintained in a 37°C tissue culture incubator
Cultured HEK293T cells were detached from tissue culture plates (n = 3). The artificial tissues were then immediately implanted sub-
with 0.25% trypsin solution (Corning), counted, centrifuged at cutaneously on the ventral side of female NCr nude mice aged 8 to
1000 rpm for 5 min, and resuspended in liquid prepolymer (7.5 wt % 12 weeks old (Taconic). Twenty-four hours after implantation, mice
6 K PEGDA, 7.5 wt % GelMA, 17 mM LAP, and 1.591 mM tartrazine). were anesthetized and injected with luciferin (15 mg/ml; PerkinElmer,
For characterization of heat transfer with respect to cell density, Waltham, MA). Bioluminescence was then recorded via the IVIS
cells were encapsulated in prepolymer mixtures at final densities Spectrum Imaging System (PerkinElmer). For 3D images, a custom
from 0 to 24 × 106 cells ml−1 before printing. For HEK293T expression 3D imaging unit developed by A. D. Klose and N. Paragas (44)
studies, cells were encapsulated at a final density of 6 × 106 cells ml−1. (InVivo Analytics, New York, NY) was used. Briefly, anesthetized
For HepaRG studies, cells were encapsulated at a final density of 2.5 × mice were placed into body-fitting animal shuttles and secured into
106 cells ml−1. Printing was performed as previously described the custom 3D imaging unit that uses a mirror gantry for multiview
under DLP light intensities ranging from 17 to 24.5 mW cm−2, with bioluminescent imaging. Collected images were then compiled and
bottom layer exposure times from 30 to 35 s and remaining layer overlaid onto a standard mouse skeleton for perspective.
exposure times from 12 to 17.5 s. Upon print completion, fabricated
hydrogels were removed from the platform with a sterile razor blade Spatial analysis of in vivo IVIS images
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Polymerization of PEG-diacrylate with lithium phenyl-2,4,6-trimethylbenzoylphosphinate: conclusions in the paper are present in the paper and/or the Supplementary Materials. Data
Polymerization rate and cytocompatibility. Biomaterials 30, 6702–6707 (2009). and hydrogel design files for 3D printing are available in Zenodo (https://zenodo.org/
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