Online Supplementary Data & Information a) Automation Concept a.1) Automation & Process control system A schematic draft of the automation concept is depicted in figure S1 a.2) Programming of a complete process control system in LabVIEW® LabVIEW® is a widely used extensive and powerful data-processing and analyzing tool. So we were able to expand it to a complete PCS. By using the mentioned hardware in 2.2 we created a chip-based sensor, actor and device level (SADL) that enabled us to program an ad hoc code for the creation and analyzing of data-strings for commands and responds to and from the SADL. That way, we could use LabVIEW as one central processing and analyzing software for all of our process data. Further we could expand it to a complete PCS that integrates all components of performance into one single Code. Data acquisition and the organization of the timing were performed by using the data flow principle instead of programming via master-slave principle set the base for a robust PCS. Partly pre-programmed structures for visualization, parameterizing and data filing could be configured and complemented. This way, an adequate Human Machine Interface and a memory saving data storage function could be implemented. Finally we could implement sundry feedback control algorithms, freely adapted to the single requirements of the process and incorporate simulation models in parallel, when it seemed to be usefully. b) Automation & Control b.1) pH and pO2 under hypoxic cultivation To control pO2 and the pH values in a highly variable range we implemented a combined but independent control by gas mixing. To stabilize the quality of control we extended the controller with simple computer models, which predict the interferences of the pO2 control to the pH value and vice versa each into a circuit similar to the Smith Predictor. So the controller is able to overcome the destabilizing impact of dead-time delays. Moreover, the effect of usually neglected pre-filling of gas pipes between the mixing unit and the reactor volume that exists respectively to the particular opposite process variable of the pO2 or pH value could be predicted and incorporated into the controller. Accordingly, we were able to parameterize the proportional–integral–derivative (PID) Algorithm of the controller aggressively and avoid long times of cultivating under suboptimal physiological conditions. Figures S2 – S4 shows the courses of the controlled and correcting variables for the combined pH and pO2 value with and without the influence of the controller extension by internal model control (IMC). Here, the example of cultivating under hypoxia with the setpoints pO2w = 150 mbar and pHw value = 7.4 is given. Without the impact of the IMC extension, there was a strong oscillation of the pO2 value, while the pH value was prioritized. After engaging of the IMC extension, the course of the pO2 value completely changed its characteristic and got pushed into the range of tolerance, which held continuously true for almost the entire experiment. Finally, we could even observe the typical standard course for Smith Predictor control b.2) Determination of pressure-volume relation To determine the slope of the pressure to volume relation of the hearts to be processed as well as to check the impact of the decellularized matrix, we collected the data for each heart. One exemplary relation is shown in figure S5. The relation shows a saturation curve that differs from those known by one-dimensional tensile testing. Most likely, this may be related to stretching of the superior 3D organization of the matrix. b.3) Construct Perfusion The maintenance of the myocardial interstitial vicinity is done by diffusion, comparable to the situation in the native myocardium. Here, the supply with nutrition and oxygen depends mainly on concentration, gradients as well as on pressure-gradients. Because the dynamics of the real control paths in our real system concerning the variables pO2 and other concentrations and gradients inside of the construct, strongly differs to those in native myocardium e.g. by the cell density and their metabolic activity, especially at early process times we do believe, that a directly recreation of in vivo perfusion pressure profiles cannot be translated to mimic nature like growth conditions. So we chose that the perfusion pressure should be able to follow a setpoint profile, beginning with a constant setpoint, to support the most physiological pattern of supply. We successfully controlled the perfusion pressure at a setpoint of 70 mmHg. Resulting construct perfusion could be observed by typical belling of the construct. Caused by feeding with a volume flow, the coronary system reacted to the measured pressure as a proportionally and time-delayed system. Here, we implemented a simple proportional-integral (PI) control algorithm. Figure S6 shows the combined standard courses of the stimulation and coronary perfusion pressure together with courses of the correcting variables. The pressure control algorithm worked properly with a very good control quality, as the process variables stay strictly inside of the area of tolerance c) Control of pressure amplitude To control the amplitude of pressure for the mechanical stimulation of the ventricle, we implemented a simple two-step control algorithm. Pressures to volume relations were determined for each heart prior to turning on the controller in order to obtain the individual characteristics of each heart at predefined operation points (figure S5). Prior to each process, we had to adjust the controller for the mechanical stimulation further according to the stimulation frequency and the desired degree of stretching. The amplitude of the periodic pressure signal serves as control variable, so we had to observe the pressure signal adequately. Therefore we used a simple Fourier transformation together with a 10-fold sampling rate respectively to the stimulation frequency, directly programmed into the PCS. While pulsating volume into and out of the pressure pipes, a loss of pressure medium occurs at the unsterile side of the stimulation device. This appears as the main disturbance quantity to the controlled system. It could be balanced adequately by the same system like the steering of 3D stretching. As it can be seen in figure S6, the amplitude of pressure was pushed into the area of tolerance rapidly and without any overshooting. The pressure control algorithm worked properly with a very good control quality, as the process variables stay strictly inside of the area of tolerance. A screenshot of the software while culturing a heart under stimulation has already been demonstrated in figure 2 subitem 8 and figures S2. d) 3D inspection of the constructs We performed a couple of z-stacks with the confocal microscope to gain insight into the three-dimensional distribution of the orientation, alignment and arrangement of the cells inside of the hearts ECM. The figure S7 contrasts exemplary 3D representations for mechanically stimulated and non stimulated hearts. They reflect the benefit of the 3D mechanical stimulation to the orientation and alignment of cultivated cells inside of the hearts ECM and depict it in a 3D graphical impression. The movie M1 shows a slowly spinning z-stack representation of a highly oriented cell-bundle inside of the ECM of a mechanically stimulated heart. e) Image processing We used the image J (NIH, USA) software to detect and analyze the nuclei, that we illustrated exemplary in figure 6. For that reason we used the “make binary”, “outline” and finally “analyze particles” functions. The corresponding processed images are depicted in figure S8. We used the raised data to approximate the relative area of the suspected smallest and biggest nuclei that we could manually identify from the original pictures (fig. 6) and applied this as the upper and the lower cut-off before further analyzing of the data as described in the main text. f) Details of varying cellular alignment With respect to the described quantification of cellular alignment we illustrate observed variances by the combined histograms of the circularity and the orientation angle of detected nuclei. Figure S9 reflects the determined histograms and contrasts varying distributions for stimulated vs. non stimulated constructs side by side. Figure Legends Fig. S1: Draft of the composition of automation. 1) Computer with LabVIEW® Software. 2) Serial Network as one part of the SADL containing analog to digital and vice versa converters. 3) USB based Data Acquisition for very fast data input. 4) Device for 3D Laser Scanning connected via a serial port as well. Fig. S2: Screenshot of the PCS, showing the human machine interface (HMI) for the pO2 and pH value control. The flow charts indicate the courses of the pH value (upper) and the pO2 (lower). Left to the charts: 3 bars, representing O2, N2 and CO2 gas-flow, indicate the composition of the actual gassing. Fig. S3: Courses of the process and actuating variables of the pO2 and pH control according to the settings depicted in figure S2. One can see the strong oscillation of the pO2, what is observable but not as strong for the pH value. The normal gas flows Fni for O2, CO2 and N2 show how the variables set each other to oscillation. Fig. S4: Courses of the process and actuating variables of the pO2 and pH control according to the settings depicted in figure S2 but with additional engaging the model- predictive circuit. The course of the process variables present themselves clearly smoothed and stay inside of the tolerance band (dashed lines) almost completely. Fig. S5: Diagram of the resulting measured static pressure in bar inside of the pressure-pipes and the ventricle-balloon according to volume added to the native volume of the ventricle (+V) in µl. The striated area indicates the static pressure inside of the ventricle, that feeds any stretching of the matrix and represents the equality to each resulting tension of the walls. Fig. S6: Diagram showing the courses of the process variables perfusion pressure pPerf. and stimulation pressure amplitude pAmpl. Together with those of the actuation variables pump speed (NPump) and added or subtracted Volume Increments of the ventricle balloon. After manual setting of the intrinsic pressure, there occurs a loss of pressure until the level of the non-stretched balloon is reached again. After the 2-step control algorithm is active, the set value can be preserved with a good quality of control. The perfusion pressure swings into the band of tolerance rapidly with only a small overshot. Spikes in the course indicate occasional agglutination of the pipe inside of the pump-head. Fig. S7: Representation of confocal recorded Z-stacks of the cultivated constructs LVWs. Nuclei and cytoplasmatic nucleic acids are presented in green by acredin orange staining, while the cytoskeleton is presented in red by F-Actin staining.. A) Exemplary representation for mechanically stimulated hearts. B) Exemplary representation for non stimulated hearts. Fig. S8: Pictures of fig.6 processed via image J software. The figure displays the processed pictures of fig. 6, which represent the prearrangement for analyzing and quantification of the cellular alignment as described in the main text. The single pictures are labeled according to the corresponding pictures of fig.6. I A), III A) & V A) non stimulated; II A), IV A) & VI A) stimulated. Fig. S9: Combined histograms of the determined circularity and orientation angle for the analyzed pictures of fig.6. The combined histograms are depicted as 3D graphs. Bars represent the counted nuclei accordant to the represented coordinates (circularity; orientation angle). Each diagram is labeled according to the analyzed picture of fig.6. I A), III A) & V A) non stimulated; II A), IV A) & VI A) stimulated. M1: Slowly spinning z-stack representation of a highly oriented cell-bundle inside of the ECM of a mechanically stimulated heart. Scale marks are depicted at the border lines of the stack.