Optimization of Cell Adhesion Environments for a Liver Cell Dn 'W__& DIUI=ClU LU[ -i AASSACHUSETTS iNSMTUTE OF TECHNOLOGY by JAN 2 5 2006 Michael B. Wongchaowart Q ( Ui.s. LIBRARIES irrsi^1rv LjuIVIVjJ y Massachusetts Institute of Technology, 2004 Submitted to the Division of Bioengineering in Partial Fulfillment of the Requirements for the Degree of Master of Engineering in Biomedical Engineering At the MassachusettsInstitute of Technology September 2005 F.r.bv "a:'5 © 2005 Massachusetts Institute of Technology. All Rights Reserved. Signature of Author: ` :ivision of Biological Engineering August X, 2005 Certified by: Linda G. Griffith Professor of Biological and Mechanical Engineering Thesis Supervisor Accepted by ,." /·/Lj n,vu A Ia39 ..X A,,.. Lq-UI lI I llrr.... UIu YCI Professor Of Biological an4'Cheical Engineering MEBEProgram Director Chair of BE Graduate Committee 1 .CHIVES Table of Contents ABSTRACT 4 INTRODUCTION 5 1.1 Overview of the Liver ..................................................................................................................... 1.1.1 1.1.2 1.2 B asic Liver Functions .................................................................................................................. 5 Liver Structure and Histology ..................................................................................................... 5 Bioartificial Liver ........................................................................................................................... 1.2.1 1.2.2 5 7 Applications ................................................................................................................................. 7 MilliF Bioreactor ......................................................................................................................... 8 1.3 Cell Adhesion in the Liver ............................................................................................................. 9 1.3.1 Liver Extracellular Matrix ........................................................................................................... 9 10 Integrins ................................................................................................ 1.3.2 12 1.3.3 Adhesion Signaling Pathways ........................................................... 2 HEPATOCYTE SPHEROID CULTURE 12 2.1 Rationale for Spheroid Use.............................................................. 2.2 Primary Hepatocyte Isolation and Spinning Suspension Culture.... 12 ............................ 13 2.3 Spheroid Characterization ................................... .......................... 14 2.3.1 Toluidine Blue Viability Assay ........................................ ...................... 14 2.3.2 Liver-Specific Gene Expression ............................................................. 15 2.3.3 RNA Isolation and Real-Time PCR........................................................................................... 17 2.4 Polymer Microspheres .............................................................. 18 2.4.1 Objective for Microsphere-Spheroid 2.4.2 2.4.3 19 Microsphere Synthesis and Preparation.............................................................. Hepatocyte Culture with Microspheres on poly-HEMA-Treated Surfaces ............................... 20 2.5 Results and Discussion .... 2.5.1 2.5.2 2.5.3 3 Culture .............................................................. 18 .......................................................... 21 Spheroids from Spinning Suspension Culture ........................................................................... 21 26 ........... Microsphere Spheroids ..................................................................................... 28 Comparison of Spheroid Formation Methods.............................................................. COMB POLYMER ADHESION SURFACES 30 3.1 Control of Surface Cell Adhesion Properties Using Comb Polymers ............................ 3.2 Comb Polymer and Adhesion Peptide Synthesis ........... 2 ........................ 30...... 30 .................... 32 3.3 Cell Spreading Analysis ................................................... 33 3.4 Adhesion Signaling on Comb Polymer Surface ................................................... 3.4.1 Focal Adhesion Kinase Activation States................................................... 3.4.2 Analysis of FAK Activation by Immunoblotting ........................................ ........... 3.5 Surface Selectivity and Nonparenchymal Cell Attachment................................................... 34 34 35 36 3.5.1 Kupffer and Stellate Cell Antibodies ................................................... 36 3.5.2 Immunostaining Protocol ................................................... 36 3.6 Results and Discussion ................................................... 3.6.1 3.6.2 3.6.3 Hepatocyte Morphology and Function ........................................ FAK activation ................................................... Surface Selectivity ................................................... 4 CONCLUSIONS 5 REFERENCES AND FUTURE WORK 37 ........... 37 39 39 39 39 3 Abstract 4 Abstract The MilliF bioreactor offers great potential for the formation of i vivo-like liver tissue outside the body, making it a valuable tool for applications such as drug toxicity models and biosensors. Cell adhesion is an important factor in the maintenance of differentiated hepatocyte functions. Hepatocyte adhesion environments were examined in two settings: spheroid culture prior to seeding in the bioreactor and 2D surface culture methods that could be applied to the bioreactor scaffold. Spheroids were formed either by culturing in spinning suspension or on a static, non-adherent surface. In spheroid culture, the addition of extracellular matrix (ECM) signaling through the use of soluble Matrigel or adhesion protein-coated microspheres did not improve hepatocyte viability or function as assessed by liver-specific gene expression. These results suggest the importance of cell-cell rather than cell-surface interactions in maintaining hepatocytes. Optimal culturing of spheroids in spinning suspension without the ECM addition was found to be 3 days without media changes. 2D surfaces were treated with an adhesion peptide-conjugated comb polymer, preventing nonspecific cell adhesion and allowing attachment through the as31 integrin. Varying the proportion of adhesion peptide presented to cells was found to regulate hepatocyte morphology and function; a surface with decreased hepatocyte spreading and liver-specific gene expression closer to in vivo was characterized. Immunoblotting for activated focal adhesion kinase (FAK) revealed that FAK signaling was not induced by attachment to the comb polymer surfaces. Immunostaining for other liver cell types demonstrated that the surface allowed hepatic stellate cell and Kupffer cell adhesion. Acknowledgements f would like to thank my advisors, Professor Linda Griffith and Doctor Tommy Wong. Their support, encouragement, and inspiration were greatly appreciated throughout my graduate experience. It was an honor to work under both of them, and their guidance was essential for the completion of my thesis. I would also like to recognize all of the members of the Griffith lab for their generosity and willingness to help me with my research. I thank Ben Cosgrove, Albert Hwa, Artemis Kalezi, Ricardo Llamas Vidales, Corey Moore, Joe Moritz, Joe Shuga, and Anand Sivaraman for their advice and aid. In particular, I am grateful to Alexandria Sams, Nate Tedford, and Megan Whittemore for their mentorship and the time they dedicated to helping me with my experiments. Jim Serdy and Eileen Dimalanta generously prepared and provided me with essential materials for my research. Finally, I am deeply indebted to my family and friends, whose love and support helped me through the struggle. E 4c<, Introduction 1.1 Overview of the Liver 1.1.1 Basic Liver Functions The liver is a vital organ with numerous functions. The liver is important for carbohydrate metabolism, regulating blood glucose levels and serving as a major site of glycogen storage. In lipid metabolism, the liver provides fatty acids and cholesterol to the rest of the body and uptakes and excretes cholesterol. In protein metabolism, the liver converts ammonia to urea, synthesizes all nonessential amino acids, and secretes all major plasma proteins. In addition, the liver stores iron and vitamins and serves as a major blood reservoir. For digestion, the liver synthesizes and secretes bile to emulsify lipids in the intestines. A large population of phagocytic cells makes the liver a major line of defense against foreign particles such as bacteria. The liver is also important for clearing hormones from the blood and processing and excreting drugs and toxins (Berne et al., 2004; Desmet, 1994). 1.1.2 Liver Structure and Histology The liver receives blood from two sources: the hepatic artery and the portal vein. Blood exits the liver in hepatic veins that empty into the inferior vena cava. The liver is organized into lobules, polyhedral structures with a central vein surrounded by portal triads consisting of a bile duct, hepatic artery, and portal vein (Figure 1). Blood enters from arterioles and portal venules at the periphery of the lobule and flows radially inward through sinusoids to the central vein. Bile flows radially outward through bile canaliculi and empties into bile ducts. 5 Liver Lobule Detail of Lobule patic artery branch Hepatocyte~ Sinusoic Bile canalit Bile di rtal vein branch Figure 1. Liver lobule structure. Blood flows from portal triads through sinusoids to the central vein. Bile secreted by hepatocytes flow through bile canaliculi into bile ducts (Cunningham and Van Horn, 2003). Hepatocytes are the main functional cell of the liver, comprising approximately 60% of the total liver cell number. These parenchymal cells are polarized, containing a canilular domain for bile secretion (13% of the cell surface), a sinusoidal domain in contact with the space of Disse and bloodstream (37% of the cell surface), and a lateral domain where cell-cell contact (Weibel et al., 1969). Hepatocytes form cell plates that line the extensive vasculature of the liver and are responsible for most liver functions such as carbohydrate, protein, lipid, and drug metabolism. 6 Sinusoidal endothelial cells (SEC) line the sinusoidal vessels and comprise approximately 20% of the total liver cell number. SEC membranes contain pores, or fenestrations, that increase hepatocyte exposure to blood and act as filters (Braet and Wisse, 2002). Unlike most endothelial cells, SEC lack a regular basement membrane; this also serves to increases hepatocyte-blood contact. Kupffer cells, comprising about 15% of the total liver cell number, are liver tissue macrophages. Found attached to the sinusoidal wall, their main function is to clear waste and foreign materials such as bacteria and endotoxins from hepatic circulation through endocytosis (Naito et al., 2004). Kupffer cells also secrete factors such as proteases and cytokines that influence hepatocytes and other sinusoidal cells. Hepatic stellate cells, also known as perisinusoidal, fat-storing, or Ito cells, are located between hepatocytes and sinusoidal endothelial cells. Comprising approximately 6% of the total liver cell number, star-shaped stellate cells have long processes that wrap around the sinusoidal endothelium. Stellate cells functions include production of liver extracellular matrix proteins, retinoid storage, and the regulation of sinusoidal blood flow (Burt, 1999). In response to injury, stellate cells secrete growth hormones and increase matrix protein synthesis. Pit cells are large granular lymphocytes found attached to sinusoidal endothelial cells and Kupffer cells. Comprising less than 2% of the total liver cell number, pit cells are associated with natural killer activity (Nakatani et al., 2004). 1.2 Bioartificial Liver 1.2.1 Applications 7 Liver failure remains a significant health problem and is associated with approximately 30,000 deaths per year (1993). The condition of patients with liver disease might be improved by the use of extracorporeal liver tissue bioreactors, or bioartificial livers. These bioreactors have potential to support liver functions better than mechanical devices focusing on processes such as hemodialysis, hemofiltration, and plasma exchange. Bioartificial liver systems will most likely benefit patients with acute liver failure rather than chronic liver failure (Tzanakakis et al., 2000). Bioartificial livers also represent a valuable tool for the development of pharmaceuticals. The liver is responsible for processing foreign molecules entering the body, and new drugs must be tested in vitro to predict their toxicity and efficacy. Bioartificial livers that better mimic the in vivo organ have potential to be superior in vitro systems for assessing important drug characteristics such as hepatotoxicity, cholestasis, and drug uptake and metabolism. Finally, the liver's role in drug metabolism and its exposure to pathogens through its extensive vasculature makes bioartificial livers especially relevant as a biosensor designed to detect toxins and pathogenic infection. 1.2.2 MilliF Bioreactor The Griffith lab at MIT has developed a microfabricated array bioreactor for 3D perfused culture of liver cells (Powers et al., 2002a; Powers et al., 2002b), (Figure 2). Liver cells are seeded into an array of channels etched through a thin silicon scaffold. The scaffold rests upon a microporous filter that is supported by a second, empty scaffold. After allowing cells to attach to the scaffold (-1 day after seeding), higher fluid pressure is applied to the upper, cell-filled scaffold. This pressure drives perfusion of culture medium through the channels and back into the media reservoir for recirculation 8 (Figure 2C). Fluid flow in the bioreactor was designed to provide adequate oxygen levels to cells while applying physiologic levels of sheer stress. Liver cell morphogenesis is directed by channel geometry and adhesion properties of the scaffold surface, which is coated with type I collagen. The presence of an optical window allows in situ observation of the tissue by microscopy. I I Figure 2. MilliF bioreactor system. (A) MilliF bioreactor. (B) Tissue formation in scaffold channels. (C) Schematic of fluid flow through the bioreactor. The MilliF bioreactor has shown promise as an improved liver cell culture system when compared to 2D collagen sandwich culturing of hepatocytes (in press). The expression of a number of liver-specific genes including liver-enriched transcription factors and drug metabolizing enzymes was significantly higher in the bioreactor. In addition, albumin and urea synthesis were increased relative to collagen sandwich cultures. While current protocols utilize a type I collagen coating to promote hepatocyte attachment to the scaffold, other surface adhesion preparations might be explored to further improve the MilliF bioreactor system. In addition, cell culture steps prior to seeding into the MilliF bioreactor can be further characterized and optimized. 1.3 Cell Adhesion in the Liver 1.3.1 Liver Extracellular Matrix While extracellular matrix (ECM) occupies only 3% of the area in sections of normal liver tissue, it is an important regulator of liver tissue morphology and function 9 (Lin et al., 1998). While ECM is mainly present around vascular structures (portal triads and central vein branches) and Glisson's capsule (the connective tissue encasing the liver, hepatic artery, portal vein, and bile ducts), it is also found in the space of Disse (Rojkind and Greenwel, 1994). The space of Disse between hepatocytes and the sinusoidal endothelial lining contains typical basement membrane components such as sheetforming type IV collagen, fibronectin, laminin, and proteoglycans, as well as some type I collagen (Stamatoglou and Hughes, 1994). However, it lacks a defined basement membrane; the diffuse ECM facilitates the transfer of molecules between blood and hepatocytes. Portal tract and central vein areas are rich in fibrillar collagens (types I, III, and V) and also include fibronectin (Bedossa and Paradis, 2003). In addition to serving as a mechanical scaffold for liver tissue, the ECM is an important regulator of cell processes including survival, proliferation, differentiation, and migration. ECM often mediates such processes through cell adhesion molecules called integrins, though it is also capable of binding and releasing signaling molecules such as growth factors or cytokines. 1.3.2 Integrins Integrins are a family of glycosylated heterodimeric cell surface receptor proteins consisting of a a- and 3-subunit. Each subunit spans the plasma membrane once and has a large extracellular domain and generally short cytoplasmic tail. There are currently 18 known a-subunits and 8 known P-subunits; different combinations of alpha and beta subunits associate noncovalently to form distinct integrins, of which 24 have been presently identified. Most integrins bind to ECM components, and the ligand-binding process involves divalent cations (Plow et al., 2000). Integrins are thought to have two 10 possible conformations: a bent, inactive state and a straight, active state (Xiong et al., 2003), (Figure 3A). The tripeptide sequence arginine-glycine-aspartate (RGD) is often a recognition site for ECM-binding integrins and is found in ECM proteins such as fibronectin, vitronectin, and fibrinogen (Koivunen et al., 1993; Ruoslahti, 1996). Integrin binding specificity is influenced by sequences on both subunits, and the crystal structure of extracellular integrin heterodimer bound to an RGD peptide reveals that the RGD binding site lies at the interface between the a- and 3-subunits (Xiong et al., 2002). As integrins bind to ECM, they cluster and form complexes with numerous other proteins involved in intracellular signaling and cytoskeletal organization; these complexes are termed focal adhesions. The following integrins and corresponding ECM ligands are expressed by hepatocytes: atll (collagen I, collagen IV, and laminin), a231 (collagen I, collagen IV, laminin, and fibronectin), a 3 31,(fibronectin), and asB3 1 (fibronectin) (Gullber et al., 1992; Ruoslahti et al., 1994). Figure 3. Integrin structure and signaling. (A) Crystal structure of the integrin heterodimer in bent conformation. Integrin conformation corresponds to activity state 11 (Lodish et al., 2004). (B) Complex integrin signaling pathways lead to cell proliferation, survival, migration, and differentiation (Guo and Giancotti, 2004).(Guo and Giancotti, 2004; Lodish et al., 2004) 1.3.3 Adhesion Signaling Pathways When cells adhere to ECM through integrins, the assembly of focal adhesions structurally connects the cytoskeleton with the ECM and initiates a complex set of intracellular signaling events (Figure 3B). Integrin signaling influences a variety of cellular processes including proliferation, survival, migration, and differentiation (Lafrenie and Yamada, 1996; van der Flier and Sonnenberg, 2001). For example, activation of p3 integrins by treatment with RGD peptides or anti-integrin antibodies has been shown to prevent apoptosis in cultured hepatocytes (Pinkse et al., 2004). When clustered, most integrins recruit focal adhesion kinase (FAK) to the focal adhesion. FAK recruitment in turn leads to the MAP kinase, JNK, and AKT signaling pathways through Src-family kinases (SFKs) and phosphatidylinositol 3-kinase (PI3K) (Guan, 1997; Guo and Giancotti, 2004). In addition to these complex pathways, integrins can also interact with and behaviorally influence other integrins, recteptor tyrosine kinases, and cadherins (van der Flier and Sonnenberg, 2001). 2 Hepatocyte Spheroid Culture 2.1 Rationale for Spheroid Use Isolated hepatocytes can aggregate to form compact multicellular structures called spheroids when they are cultured using a variety of conditions including positively charged surfaces (Koide et al., 1990), nonadherent surfaces (Landry et al., 1985), and spinner vessels (Wu et al., 1996). Hepatocyte spheroids have been shown to maintain liver functions such as albumin secretion better than traditional monolayer culture 12 techniques, suggesting the importance of 3D cell-cell interactions (Koide et al., 1990; Tong et al., 1990). Spheroids continue to offer potential as a tissue-like system for modeling the liver, and have shown liver function such as cytochrom P450 induction and UDP-glucuronyltransferase activity after long-term culture (Tong et al., 1992). Experiments with the MilliF bioreactor have made use of spheroids cultured in spinner vessels because spheroids show superior structural stability and liver function maintenance compared to seeding single cells (Powers et al., 2002a), (Powers et al., 2002b). However, the formation and maintenance of hepatocyte spheroids in spinner vessels has not been thoroughly investigated. Spheroid health was characterized after 2, 3, and 7 days of culture with and without daily half media changes to ascertain optimal culture conditions. In addition, soluble Matrigel was added to some to determine if extracellular matrix signaling affects spheroid formation and maintenance. Matrigel, a complex, soluble mixture of basement membrane proteins extracted from EngelbrethHolm-Swarm mouse sarcoma cells, has previously been shown to better maintain hepatocyte function and morphology than collagen alone in 2D cultures (Moghe et al., 1996). Matrigel is mainly composed of laminin, followed by collagen IV, heparan sulfate proteoglycans, entactin and nidogen (Kleinman et al., 1982). 2.2 Primary Hepatocyte Isolation and Spinning Suspension Culture. Liver cells were isolated from 150 to 230g male Fischer rats using a modified two-step collagenase perfusion (Seglen, 1976). The liver cell suspension was centrifuged three times for 2 min at 50 x g. The cell pellet was then resuspended in hepatocyte growth medium (HGM) similar to that used by Block et al. (1996), but without 13 hepatocyte growth factor. Cell viability, assessed by trypan blue exclusion, was between 88% and 93% following resuspension. The liver cell suspension typically included 95% hepatocytes and 5% nonparenchymal cells. Isolated hepatocytes were generously provided by Emily Larson, Megan Whittemore, and Laura Vineyard. Hepatocyte spheroids were formed in spinner vessels using a protocol similar to that used by Wu et al. (1996). Spinner vessels were coated with Sigmacote (Sigma Chemical Co.) to prevent cell adhesion, rinsed with deionized water, and sterilized. 20 x 106 freshly isolated hepatocytes were added to cold HGM to a total volume of 100 ml. While being cultured in a 37°C, 8.5% CO2, humidified incubator, cells were stirred at 85 rpm with a suspended magnetic stirbar. For flasks with daily media changes, 50ml media were removed after allowing cells to settle. The media was centrifuged for 3 min at 50 x g to collect cells unintentionally removed, the supernatant was discarded, and the small cell pellet was resuspended in 50ml fresh 37°C HGM and returned to the spinner flask. For flasks testing the effects of soluble matrix components, ml of growth factor reduced Matrigel (BD Biosciences #356230) was added to the media prior to cell seeding. Spheroids with diameters between 100 and 300ptm were selected using open mesh nylon filters (SEFAR #03-100/49 and #03-300/54). This spheroid size range was used for seeding into the MilliF bioreactor, in which scaffold channels have 300 Im x 300 jim rounded square geometry (Powers et al., 2002a; Powers et al., 2002b). 2.3 Spheroid Characterization 2.3.1 Toluidine Blue Viability Assay Spheroids were fixed in 2.5% glutaraldehyde for 6 hours at 40 C and washed in phosphate buffered saline (PBS) overnight at 4C. 14 Cells were dehydrated with 100% acetone for 1 hour at 4°C and embedded in glycol methacrylate using a Technovit 8100 embedding kit. 3-4 tm thick sections were prepared from embedded spheroid samples using an Ultracut E microtome (Reichert). Sections were floated on water droplets and incubated at to affix to slides. Spheroid sections were stained with 0.5% Toluidine Blue O (Electron Microscopy Sciences #22050) for 1.5 min and washed for 2 min in distilled water. Toluidine blue can be used to preferentially stains live cells a deep blue while only lightly staining dead cells (Li et al., 1998). Photos were taken using a AxioCam HRc camera (Carl Zeiss #BLANK) attached to an Axiovert 200 inverted microscope (Carl Zeiss #M202662), and AxioVision 3.1 software (Carl Zeiss). Adobe Photoshop 7.0 was used for live/dead image analysis to determine the proportion of live cell area to dead cell area. Threshold luminescence values were selected for live-dead and dead-background transitions. The numbers of image pixels falling within the live and dead cell luminescence ranges were counted using a pixel histogram function. Average spheroid section diameters were calculated by adding live and dead cell areas and assuming circular geometry. 2.3.2 Liver-Specific Gene Expression In order to characterize how well liver functions are being maintained in vitro, the expression levels of a number of liver-specific genes were determined using real-time PCR. These genes included transcription factors, drug metabolizing enzymes, and albumin. Hepatocyte nuclear factor 1 alpha (HNFla) is a liver enriched transcription factor that influences the expression of a large number of liver specific genes. HNF1 binding 15 sites are found in the promoters or enhancers of many genes involved in liver functions such as carbohydrate metabolism, detoxification, lipid metabolism, and protein secretion (Odom et al., 2004). HNF1 binds to a palindromic DNA sequence as a dimer (Chouard et al., 1990). CCAAT/enhancer binding protein beta (C/EBPP3)is a liver-enriched transcription factor involved in inducible gene regulation in response to inflammatory stress (Lekstrom-Himes and Xanthopoulos, 1998). C/EBPP is activated by interleukin-6 in hepatocytes and regulates acute-phase reactive genes, including C-reactive protein and complement C3. C/EBPP has also been found to be function in controlling noninducible liver-specific genes such as CYP2D5, PEPCK, and transferrin (Tronche and Yaniv, 1994). Albumin, synthesized by the liver, is the most abundant plasma protein and is important for maintaining osmotic pressure through its high concentration in the blood. Albumin is responsible for transporting a variety of substances including metals, hormones, free fatty acids, unconjugated bilirubin, and many drugs. Albumin expression is controlled both by several liver-enriched transcription factors (HNF1, HNF3, and C/EBP) and other transcription factors (Cereghini et al., 1987; Lichsteiner et al., 1987). Albumin synthesis is often used to assess hepatic function in liver cell cultures. Cytochrome P450s (CYPs) are heme-containing enzymes involved in endogenous metabolism and phase I biotransformation of xenobiotics (Parkinson, 1996). Located in hepatocyte microsomes or endoplasmic reticulum, CYPs often catalyze monooxygenation reactions that add a functional group to their substrates to which other molecules can be conjugated. CYP2B1 is the major phenobarbital-inducible 16 CYP in rats; while it is constitutively expressed, phenobarbital treatment has been shown to greatly increase CYP2B1 mRNA levels (Morris and Davila, 1996). CYP2Cll is constitutively expressed at high levels in adult male rat hepatocytes and is involved in testosterone metabolism (Morishima et al., 1987). CYP3A1 and CYP3A2 are both constitutively expressed in the liver, and a variety of drugs have been found that can induce increased mRNA levels (Morris and Davila, 1996). 2.3.3 RNA Isolation and Real-Time PCR Spheroids were resuspended in ml TRIzol Reagent (Invitrogen Life Technologies #15596-026) to stabilize RNA. The suspension was homogenized using a syringe and 20 gauge needle, pumping 5 times. 2001il chloroform was added to the homogenate, and the mixture was vortexed briefly and centrifuged for 15 min at 12,000 x g and 4°C. The upper aqueous phase was mixed with an equal volume of 70% ethanol, and then RNA was isolated with a Qiagen RNEasy Mini Kit (Qiagen #74104). Isolated RNA was treated with DNase I (Invitrogen #18068-015) to degrade any contaminating DNA. Total RNA was converted to cDNA using an Ominscript Reverse Transcription Kit (Qiagen #205111), RNase inhibitor (Ambion #2682), and random hexamer primer (Qiagen #SP200-0). Liver specific mRNA expression levels were evaluated by real-time polymerase chain reaction. Real-Time PCR experiments were carried out on a DNA Engine Peltier Thermal Cycler with Chromo 4 Four-Color Real-Time Detector (MJ Research) using Opticon Monitor 2.0 software (MJ Research). cDNA samples with a final reaction volume of 20pl were prepared using a QuantiTect SYBR Green PCR Kit (Qiagen #204143). After an initial denaturing step at 95°C for 15min, the following steps were 17 cycled 41 times: 94°C for l5sec (melting), 55°C to 620 C for 1 min (annealing), 72°C for 30sec (extension), and plate read. The annealing temperature varied for different primer sets. PCR product purity was assessed by melting curve analysis. Liver specific mRNA levels were normalized using 18S ribosomal RNA, a house-keeping gene that has a constant expression level across different conditions. In order to compare to in vivo gene expression, RNA was isolated from rat liver tissue sections that were immediately placed in TRIzol Reagent and homogenized after surgical removal. After homogenization, RNA isolation from in vivo samples was carried out as described above. 2.4 Polymer Microspheres 2.4.1 Objective for Microsphere-Spheroid Culture Hepatocyte spheroid formation is necessary for seeding into the MilliF bioreactor (Powers et al., 2002a). However, spheroid formation is often an inefficient process in which only a fraction of the total cells forms spheroids in the desired size range; many hepatocytes either fail to aggregate at all or form large aggregates inappropriate for use in the bioreactor. Polymer microspheres coated with extracellular matrix proteins were utilized to test whether uniform hepatocyte spheroids consisting of a monolayer of cells surrounding a central microsphere could be generated. A degradable biocompatible polymer was selected so that microspheres would degrade after long-term culture in the MilliF bioreactor. In addition, hepatocyte spheroids often include a significant proportion of dead cells. The microspheres were used to test whether the addition of cellmatrix interactions could improve viability and liver function maintenance in spheroids, which are presumably dominated by cell-cell interactions. 18 2.4.2 Microsphere Synthesis and Preparation Poly(co-lactic-glycolic acid) (PLGA) microspheres were synthesized from polylactic acid (Sigma-Aldritch) (PLA) and polyglycolic acid (Sigma-Aldritch) (PGA). 15.0g PLA in 3kg water and 42.11g PGA in 800g methylene chloride. The PGA solution was added to the PLA solution stirring at 400rpm in a Lightnin Labmaster Mixer (VWR #52339-958). Copolymer beads formed during slow evaporation of methylene chloride while stirring over 24 to 36 hours. Microspheres were sieved to select for diameters between 24 and 38 plm. PLGA microspheres were generously provided by James Serdy. Microspheres were sterilized for 2 hours in 70% ethanol. They were then incubated with either bovine dermal type I collagen (Angiotech #FXP-019) or human plasma fibronectin (Invitrogen #33016015) overnight at room temperature with gentle agitation. Collagen-coated microspheres were incubated with 0.31mg/ml collagen in PBS with a total collagen content of 100 ptg/cm2 microsphere surface area (assuming a smooth surface). Fibronectin-coated microspheres were incubated with 10 ptg/ml fibronectin with a total fibronectin content of 1.77Ltg/cm2 microsphere surface area. Microsphere surfaces are porous, so effective adhesion protein surface densities are most likely significantly lower. Microspheres sometime aggregated during incubation with adhesion adhesion proteins; these samples were vortexed to break apart aggregates. Microspheres were centrifuged for 1 min at 1 x 103 rpm and the supernatant was removed. 19 O arr OCH OCH3 O C-CH-O-C-CH-O 0O polylactide (PLA) }C-CH 2 - - O-C-CH2-0 O 0oo 0O m polyglycolic acid (PGA) A 0 0 B0m 50 O B Figure 4. (A) Chemical structure of PLA and PGA. The PLGA copolymer degrades slowly by backbone hydrolysis to form lactic acid and glycolic acid monomers. A greater proportion of PLA leads to slower degradation. (B) 24 to 381pm PLGA microspheres. 2.4.3 Hepatocyte Culture with Microspheres on poly-HEMATreated Surfaces Initial attempts to add the microspheres to the spinning suspension culture failed. The vast majority of microspheres failed to incorporate into cell aggregates, most likely due to their inefficient dispersion in the media. To address this issue, spheroids were instead generated by static culturing on a non-adherent plastic surface (Landry et al., 1985). This alternative method did allow efficient incorporation of microspheres in the spheroids. 60mm tissue culture dishes were coated with poly(2-hydroxyethyl methacrylate) (poly-HEMA) by evaporating 2 ml of 2.5% poly-HEMA in 95% ethanol. Isolated hepatocytes were mixed with microspheres at a ratio of 6 cells to each microsphere. Microsphere numbers were estimated by assuming random close packing of 31.5plm 20 diameter spheres. 1 x 106 primary hepatocytes with microspheres in 4.5ml HGM were seeded into each dish. Cells were cultured in a 37°C, 5% C0 2, humidified incubator. 2.5 Results and Discussion 2.5.1 Spheroids from Spinning Suspension Culture Spheroid viability was examined by toluidine blue staining of sections and image analysis (Figure 5). Daily media changes and soluble adhesion factors did not significantly affect viability after 2 or 3 days of culture; viability remained around 70% (Figure 6A). Spheroids showed similar viabilities from day 2 to day 3, and either period might be an appropriate length of culture time before proceeding to the bioreactor. Viability declined more quickly from day 3 to 7 in spheroids without daily media changes, suggesting that nutrient availability or buildup of cell waste do not affect viability until after 3 days in culture. However, daily media changes only slightly increased spheroid viability at day 7. This result implies that other factors most likely contribute to cell death. Such factors could include programmed cell death due to a lack of cell-surface signaling. Day 7 spheroids were often characterized by a central dead region, with live cells located on spheroid surfaces (Figure 6B). This pattern was observed in spheroids with daily media changes, indicating that cell death in the spheroid core was not due to unavailability of nutrients or growth factor from the media. The live/dead cell configuration suggests the presence of pro-survival signaling at the surface, perhaps through deposition of ECM proteins on the spheroid exterior. In future studies, the presence of ECM components on or throughout hepatocyte spheroids might be characterized through immunostaining. Alternatively, the survival of cells at the spheroid 21 surface might be promoted through fluid shear. Shear stress-induced integrin signaling through the FAK pathway has been noted in vascular endothelial cells (Li et al., 1997). Soluble Matrigel was found to modulate spheroid size in spinning suspension culture. While control and media change spheroids were of similar size after 3 days of culture (93.0 and 114.6[tm respectively), Matrigel spheroids were approximately twice as large (213.5[pm). Spheroid aggregate size is thought to increase in the spinner vessels over time through the fusion of smaller spheroids (Wu et al., 1996). The significant size difference observed between Matrigel and non-Matrigel spheroids might be due to increased fusion. Such fusion could be promoted by the deposition of Matrigel adhesion proteins on spheroid surfaces, increasing adhesiveness between individual spheroids. The ability of Matrigel to influence spheroid formation might be better characterized through particle size analysis. Real-time PCR results were difficult to analyze due to high variability between samples (Figure 7). While the spheroid-forming process was difficult to reproduce consistently, some trends were discernable. For control spheroids, day 3 spheroids generally showed gene expression levels closer to in vivo than day 2 spheroids. Since viabilities are similar at both days, 3 days is most likely the optimal culture time for hepatocytes in spinner flasks. Overall, daily media changes did not significantly improve gene expression relative to control spheroids. Since viability reaches unacceptably low levels by day 7 with or without changing media, this data suggests that daily media changes are unnecessary and would only increase the risk of contaminating the cultures. Addition of Matrigel did not improve overall liver-specific gene expression. While there was no clear-cut trend, gene expression was often down-regulated in Matrigel spheroids. 22 Matrigel still might be useful for regulating spheroid size and kinetics of formation, but it does not appear to significantly promote the maintenance of hepatocyte differentiation in spinning suspension culture. %P-945 4 0 %ft Figure 5. Spheroid Viability. (Left) Day 3 hepatocyte spheroids fixed, embedded, sectioned, and stained to distinguish live and dead cells. Live cells stain a deeper blue than dead cells. (Right) Live cell images. Pixels with intensities in the range of dead cells have 23 been removed. (A) Control spheroids. (B) Daily media change spheroids. (C) Matrigel Figure 6. (A) Spheroid viability over time in culture. Daily media changes only slightly mitigate the decline in viability over time in culture. (B) Hepatocyte spheroids after 7 days of culture with daily media changes. Media changes do not prevent the development of a central dead core. 24 2 - X- -------HNF1a 1- 237 2 3 7 23 7 2 2 7 37 2 3 7 23 7 1 ff _l 0B -1 - ~-3 -4 Albumin C/EBPb r L I-el "%' I8 - ~-5-6a) ct00 - - O Control E Media Change -8 - * Matrigel u -J 3 CYP2C11 1 CYP3A1 CYP3A2 2 1 237 237 237 237 237 0- o 237 237 237 237 237 4 -1- -2 -3 'E ._ -4 C 0 -5 -6 w " I I -8 - -j0 -9 -10 -11 -12 I I I I II -7 - LC I. REW BIE I UI I 1 I. I I .I . . .... ... 1 nn frr.............................. I (2ntral O Media Change IL' 1 U ! I 1lII I I * Matrigel Figure 7. Liver-specific gene expression in control, media change, and Matrigel hepatocyte spheroids after 2, 3, and 7 days of culture. Spheroid formation in spinning suspension is difficult to reproduce, and there is a high degree of variability between experiments. 25 2.5.2 Microsphere Spheroids Microsphere incorporation into hepatocyte aggregates was achieved for both collagen- and fibronectin-coated microspheres, cell attachment to the microspheres was observed within 15min of seeding (Figure 8A). However, the spheroids generated were extremely heterogeneous in size and shape (Figure 8C). Complex aggregates containing many microspheres were often formed rather than cell monolayers on individual microspheres, and some spheroids contained no microspheres at all (Figure 8B). In addition to generating spheroids more irregular than controls, extremely large macro- scale aggregates would sometimes form (Figure 8D). This heterogeneity makes microsphere spheroids inappropriate for use in the MilliF bioreactor. Microsphere incorporation led to a decrease in cell viability in spheroids after 3 days of culture; viability was 54.8% for collagen-coated microsphere spheroids and 50.2% for fibronectin-coated microsphere spheroids. In addition, the expression levels of a number of liver-specific genes tested using real-time PCR were not closer to in vivo in microsphere spheroids (Figure 9). These results suggest that cell-cell interactions might be more important than cell-substratum interactions for the maintenance of differentiated hepatocytes. An ideal surface for a hepatocyte bioreactor might be one that allows maximal cell-cell contact by reducing cell-matrix contact to the minimum required for stable attachment and pro-survival signaling. Discuss cadherin signaling. 26 I Figure 8. Hepatocyte spheroid formation with PLGA microspheres. (A) In static culture, isolated hepatocytes begin adhering to microspheres within 15 min of seeding. (B) A heterogeneous population of spheroids develops, with spheroids containing zero, one, and multiple microspheres coexisting in culture. (C) Microsphere spheroids are often less regular in shape than control spheroids. (D) Extremely large spheroid-microsphere aggregates formed over time in culture. 27 ., r~ / HNF-1 a C/EBP-b Albumin CYP2B1 1 CYP2C11 CYP3A1 CYP3A2 _T -- 0- _ -1 ,· 4 -3 '.2 0 -4 _ * -6 WU-7 I 'a i I I LL-8 -9 9 .II .......- __--.-- ---.....- -10 - _-......... --- 1 ... _ I I O Control Spheroids I -4 O Spheroids + Collagen-coated Microspheres -11- -I * Spheroids + Fibronectin-coated Microspheres -19 - .~~~~~~~~ Figure 9. Liver-specific gene expression in microsphere spheroids. Microsphere incorporation did not improve maintenance of hepatocyte gene relative to control spheroids. 2.5.3 Comparison of Spheroid Formation Methods After forming spheroids on polyHEMA and in spinning suspension culture, there appeared to be significant differences between the two processes. Liver-specific gene expression was down-regulated in control spheroids formed on polyHEMA compared to control spheroids formed in spinner flasks (Figures 7 and 9). This difference in expression might be attributed to unfavorable oxygen levels in static culture or to signaling induced by fluid shear stress in the spinner flask. Functionally, hepatocytes in spinner flask spheroids appear to be superior to those formed on polyHEMA. However, static culture was better with respect to efficiency of incorporation into appropriately sized aggregates. Standard curves have been previously generated to correlate the 28 amount of total RNA isolated to hepatocyte cell number (- 0.063ng RNA / cell). This correlation was used to estimate spheroid formation efficiency, the ratio cells in spheroids to total cells input at the time of seeding (Figure 10). 50 to 300rtm diameter day 3 spheroids were selected after formation on polyHEMA and in spinner flasks with varying culture conditions. Lower efficiencies with coated microspheres on polyHEMA and Matrigel in spinner flasks were most likely due to an increased proportion of cell aggregates larger than 300pm. Efficiencies were significantly lower when 100 to 300pm diameter spheroids were selected. While spinning suspension culture offers better liver function as shown by gene expression analysis, more efficient spheroid generation methods such as polyHEMA might be necessary if only limited numbers of primary cells are available. II UUo -1, 80% o C o LU 60% .o 0 LL a) 0. 20% 0% polyHEMA Culture Spinning Suspension Culture Figure 10. Spheroid formation efficiency by polyHEMA and spinning suspension culture methods. Efficiency estimated by total RNA isolated from 50 to 300pm day 3 spheroids. 29 3 Comb Polymer Adhesion Surfaces 3.1 Control of Surface Cell Adhesion Properties Using Comb Polymers Cells in culture can secrete a variety of ECM proteins that adsorb nonspecifically to surfaces, allowing cell adhesion. Attachment to this variable and undefined surface can influence cell phenotype and behavior through adhesion-induced signaling. This effect is potentially detrimental for the MilliF bioreactor system because culture surface has been shown to affect the maintenance of differentiation in hepatocytes. The ECM density in experiments with hepatocytes cultured on Matrigel-coated surfaces has been shown to regulate cell morphology and function (Mooney et al., 1992; Powers et al., 1997). Hepatocytes spread on dense ECM and take on a dedifferentiated, proliferative phenotype. On more diffuse ECM they fail to spread or proliferate, but retain higher levels of differentiated function such as albumin secretion. Uncontrolled protein adsorption and nonspecific cell adhesion in the MilliF bioreactor might and promote cell proliferation and adversely affect hepatocyte function. In order to prevent nonspecific attachment and more rigorously control cell adhesion, a comb polymer was utilized. The comb polymer consists of a hydrophobic backbone adsorbed to the surface with hydrophilic side chains extending into the aqueous environment (Figure 11). While the comb polymer alone is resistant to cell adhesion, the side chains can be modified with adhesion molecules that allow cells with the appropriate receptors to adhere. The as5 1 integrin receptor, which binds the ECM component fibronectin, was chosen because this integrin has been shown to be important for hepatocyte adhesion to liver ECM. Unlike most epithelial cells, hepatocytes are exposed to fibronectin at both their canilicular and 30 sinusoidal domains (Enrich et al., 1988). The asp5 integrin has correspondingly been shown to be distributed evenly over the sinusoidal, canilicular, and lateral domains of hepatocytes (Stamatoglou et al., 1990). Adhesion to fibronectin has shown promote differentiated hepatocyte function over other ECM molecules such as collagen or laminin (Sanchez et al., 2000). A branched adhesion peptide specific for the a5s3 1 integrin, referred to as the synKRGD peptide, was attached to the comb polymer (Fig. 2B). This peptide consists of the linear chain PHSRNGGGKGGRGDSPY containiing an RGD sequence and a synergy. The central lysine serves as the branching point with the peptide GGC linked to its sidechain. While the RGD sequence is recognized by many integrins, the synergy sequence PHSRN has been shown to preferentially enhance a 5 ,31 integrin-binding (Mould et al., 2000). The branched structure of the synKRGD peptide gives both a5p1 integrin- binding motifs the conformational freedom to optimally bind the receptor. Previous experiments established that the synKRGD peptide comb polymer system facilitates hepatocyte attachment and showed that epidermal growth factor can mediate cell spreading (Yin, 2004). 31 Figure 11. Comb polymer adhesion system. (A) Comb polymer structure. Cell adhesion peptides (orange) are linked to the comb polymer backbone (gray) through hydrophilic side chains (green). The hydrophilic side chains move freely and prevent protein adsorption to the surface. (B) Chemical structure of the as5P adhesion peptide. The branched structure allows the RGD (red) and synergy (blue) binding motifs to find their optimal binding positions. (C) Fibronectin structure in which the RGD sequence and synergy region are presented to integrins (Lodish et al., 2004). 3.2 Comb Polymer and Adhesion Peptide Synthesis The comb polymer comprised a poly(methyl methacrylate) (PMMA) backbone with hydroxy-poly(ethylene oxide) (HPOEM) side chains. The comb polymer was synthesized as previously described (Banerjee et al., 2000). The copolymer contained approximated BLANK% HPOEM, within the range to enable both comb polymer insolubility and cell adhesion resistance (Irvine et al., 2001). The SynKRGD peptide was generateded by linking the main linear peptide to the cysteine-containing branch peptide (both made using an automated peptide synthesizer) as previously described (Yin, 2004). 32 The SynKRGD peptide was conjugated to the comb polymer using p-maleimidophenyl isocyanate (PMPI). linkage to PMPI. Varying proportions of HPOEM sidechains were activated by Side chains were then reacted with various SynKRGD peptide concentrations, in which the cysteine residue in the peptide bonds with the maleimide in PMPI. After preliminary experiments, two surfaces were chosen for further characterization: (10% 25ltM) and (20% 25lpM) referring respectively activation by PMPI and SynKRGD concentration during conjugation. to side chain SynKRGD- conjugated comb polymer surfaces were generously provided by Eileen Dimalanta. 3.3 Cell Spreading Analysis Comb polymer-treated coverslips were placed in 24-well tissue culture plates and sterilized under UV light for 10min. 1.5cm sections of silicone tubing (Nalgene #80600140) were sterilized in 100% ethanol for 1 hour, rinsed twice in PBS, and placed firmly in wells to hold down the coverslips. This setup left 0.775cm 2 of surface area per well for cell attachment. Hepatocytes were isolated as described in Section 2.2. After rinsing wells with 300[1l HGM, cells were seeded at either low density (6.4 x 103 cell/cm 2 ) or high density (3 x 104 cells/ cm2 ) to observe behavior in single cells and large aggregates respectively. Cells were cultured in a 370 C, 5% C0 2, humidified incubator. After 48 hours, cell membranes were fluorescently stained with 5l/ml Vybrant CM-DiI cell-labeling solution (Molecular Probes #V-22888) for 20min at room temperature. Cell nuclei were fluorescently stained with then fixed in 2% paraformaldehyde for ll/ml Hoechst dye. Cells were hour at 4C and rinsed twice in PBS. Cells were mounted on slides in Fluoromount-G (Electron Microscopy Sciences #17984-25). Microscopy and image capture were carried out as described in Section 2.3.1. Fields at 33 20x magnification were photographed for bright field, cell membrane, and nuclei images. Adobe Photoshop 7 was used for the cell spreading analysis (Figure 12). The cell area in each field was determined using a pixel luminescence threshold function and cell pixels were counted using a pixel histogram function. Cell area was normalized to the number of nuclei in the field. For low cell density analysis, aggregates containing more than 5 nuclei were excluded. For high cell density analysis, only aggregates containing 6 or more nuclei were included. Figure 12. Cell spreading image analysis of cells cultured at low (top) and high (bottom) densities. (A) Cell area stain. (B) Nuclei stain. (C) Cell area quantification. 3.4 Adhesion Signaling on Comb Polymer Surface 3.4.1 Focal Adhesion Kinase Activation States FAK is a 125kDa nonreceptor protein tyrosine kinase involved in cell adhesion signaling (Schlaepfer et al., 1999). FAK is dephosphorylated and inactive in nonadherent cells. When cells attach to extracellular matrix, FAK is recruited to focal adhesions and 34 becomes phosphorylated and activated. Autophosphorylation of tyrosine 397 (Tyr397), a major site of FAK phosphorylation, is an early and critical step in FAK signaling (Schaller et al., 1994). For example, phosphorylation at Tyr397 creates a binding site signaling proteins with an SH2 domain such as Src and phosphatidylinositol 3-kinase (Chen et al., 1996; Xing et al., 1994). Phosphorylation of FAK at other tyrosine sites is then mediated by Src or other Src-family kinases (Calalb et al., 1995). In order to characterize the extent of FAK-mediated cell adhesion signaling on the comb polymer adhesion surfaces, immunoblotting experiments to detect FAK phosphorylated at Tyr397 were carried out. 3.4.2 Analysis of FAKActivation by Immunoblotting Isolated hepatocytes were cultured on comb polymer surfaces as described in Section 3.2.1. After aspirating culture media, 100p1of cold lysis buffer containing 89[pl 1% NP40 detergent (VWR #PI28324), 1pt10.1M phenylmethanesulfonyl fluoride (SigmaAldrich #P7626), and 10pl Protease Inhibitor Cocktail (Sigma-Aldrich #P8340) was added to each well. Cells were disrupted by pipetting up and down repeatedly and then incubated at 4°C for 15min. The lysate was mixed again by pipette, collected, and centrifuged at 12,000 rpm for 15min at 4°C. The supernatant was collected in a fresh tube and protein concentration was determined using a Micro BCA Protein Assay Kit (Pierce Biotechnologies #23235) and a NanoDrop ND-1000 Spectrophotometer (NanoDrop Technologies). Proteins from freshly isolated hepatocytes were also extracted by a similar method. 25pg samples of total protein from each surface were separated by polyacrylamide gel electrophoresis on a 7.5% gel (Bio-Rad #161-1100) and transferred to 35 a polyvinylidene difluoride membrane (Bio-Rad #162-0174). After blocking with a solution of 3% bovine serum albumin (Blank ) in PBST for 2 hours at room temperature, activated FAK was detected by incubating with a 1:1,000 dilution of rabbit anti-phosphoFAK (Tyr397) polyclonal primary antibody (Upstate Biotechnology #07-012) overnight at 4°C. After washing for 15 min in PBST four times, the membrane was incubated for 3hr at room temperature with a 1:10,000 dilution of horse radish peroxidase-conjugated goat anti-rabbit IgG secondary antibody (Jackson Immunoresearch Labs # 111-035-144). The membrane was then washed ffor 15 min in PBST five times and developed by incubating for 1.5min in Western Blot Chemiluminescence Reagent Plus (Perkin Elmer Life Sciences #NEL104). Immunoblot images were captured using a Kodak Image Station 1000 and Kodak ID v3.6 software. 3.5 Surface Selectivity and Nonparenchymal Cell Attachment 3.5.1 Kupffer and Stellate Cell Antibodies NPC surface attachment or integration into cell aggregates was examined by immunostaining. Kupffer cells were detected using a mouse anti-rat ED2 antibody conjugated to FITC. ED2 binds to an antigen expressed in resident tissue macrophages and is a known marker for Kupffer cells (Dijkstra et al., 1994; Meijer et al., 2000). Hepatic stellate cells were detected using a mouse anti-GFAP, a known marker (Neubauer et al., 1996; Niki et al., 1996). 3.5.2 Immunostaining Protocol Liver cells were isolated as described in Section 2.2. Since NPCs are rare in the 95% hepatocyte fraction, total liver isolate was used prior to hepatocyte enrichment 36 through centrifugation. Comb polymer adhesive surfaces were setup as described in section 3.2.1. After culturing 48 hours, cells were fixed in 2% paraformaldehyde for 1 hour at 4C and rinsed twice in PBS. All subsequent incubations were carried out at room temperature. Cells were permeabilized with 0.1% Triton-X-100 in PBS for 15min and washed for 5min in PBS three times. Cells were then washed with PBG three times and blocked with 5% goat serum in PBG for 30min. Cells were incubated with a 1:100 dilution of mouse anti-rat GFAP primary antibody (BLANK) for lhr at room temperature. After washing for 5min in PBG four times, cells were incubated with a goat anti-mouse IgG secondary antibody conjugated to Cy3 (BLANK). Cells were washed three times with PBG and three times with PBS. Nuclei were stained with 2% Hoechst dye (BLANK) in PBS for 3min. Cells were rinsed once with PBS and mounted on slides in Fluoromount-G. 3.6 Results and Discussion 3.6.1 Hepatocyte Morphology and Function Varying comb polymer surfaces were found to distinctly regulate cell spreading and maintenance of liver-specific functions. Average cell area per nuclei was greater on the 10% 25[tM surface than on the 20% 25ltM (Figure 13A). This finding suggests that the 10% 25gM surface is more adhesive for hepatocytes despite containing a smaller proportion of adhesion peptide for presentation to the cells. On both surfaces, cells seeded at low density spread more than cells seeded at high density. Culturing hepatocytes cultured on the two comb polymer surfaces revealed functionally distinct phenotypes. For the set of liver specific genes examined by realtime PCR, expression was significantly closer to in vivo in hepatocytes cultured on the 37 20% 25pM surface (Figure 13B). This improved gene expression correlates with less cell spreading, linking hepatocyte morphology and function. A lesser degree of cell spreading entails a rounder shape reminiscent of in vivo hepatocytes. 1200 . .. . _ _ .. [ 10% 25uM *20% 25uM T 1000- N cm E U) _ U) 800U 0 z 0 a 0Q) 600 - . __---- X 0 0) 0 O I) 400- __ .... 0 : 200- _~__ 0- A l Low Cell Density High Cell Density 38 1 HNFla C/EBPb Albumin CYP2B1 CYP2C11 CYP3A1 CYP3A2 L 0 '' R ," -1 0 0 -2 o -3 w 0 0 *0 C -4 cc'a U. -5 [ I I I 0) -j0 -6 I -7 _,10% 25uM B -8 L 20% 25uM Figure 13. Morphological and functional differences between hepatocytes cultured on two RGD comb-polymer surfaces. 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