Mesenchymal stem cells (MSCs), the archetypal multipotent progenitor cells derived in cultures of developed organs, are of unknown identity and native distribution. We have prospectively identified perivascular cells, principally pericytes, in multiple human organs including skeletal muscle, pancreas, adipose tissue, and placenta, on CD146, NG2, and PDGF-Rb expression and absence of hematopoietic, endothelial, and myogenic cell markers. Perivascular cells purified from skeletal muscle or nonmuscle tissues were myogenic in culture and in vivo. Irrespective of their tissue origin, long-term cultured perivascular cells retained myogenicity; exhibited at the clonal level osteogenic, chondrogenic, and adipogenic potentials; expressed MSC markers; and migrated in a culture model of chemotaxis. Expression of MSC markers was also detected at the surface of native, noncultured perivascular cells. Thus, blood vessel walls harbor a reserve of progenitor cells that may be integral to the origin of the elusive MSCs and other related adult stem cells.

Current limitations of exogenous scaffolds or extracellular matrix based materials have underlined the need for alternative tissue-engineering solutions. Scaffolds may elicit adverse host responses and interfere with direct cell-cell interaction, as well as assembly and alignment of cell-produced ECM. Thus, fabrication techniques for production of scaffold-free engineered tissue constructs have recently emerged. Here we report on a fully biological self-assembly approach, which we implement through a rapid prototyping bioprinting method for scaffold-free small diameter vascular reconstruction. Various vascular cell types, including smooth muscle cells and fibroblasts, were aggregated into discrete units, either multicellular spheroids or cylinders of controllable diameter (300 to 500 μm). These were printed layer-by-layer concomitantly with agarose rods, used here as a molding template. The post-printing fusion of the discrete units resulted in single- and double-layered small diameter vascular tubes (OD ranging from 0.9 to 2.5 mm). A unique aspect of the method is the ability to engineer vessels of distinct shapes and hierarchical trees that combine tubes of distinct diameters. The technique is quick and easily scalable.

Biofabrication of living structures with desired topology and functionality requires the interdisciplinary effort of practitioners of the physical, life, medical and engineering sciences. Such efforts are being undertaken in many laboratories around the world. Numerous approaches are being pursued, such as those based on the use of natural or artificial scaffolds, decellularized cadaveric extracellular matrices and lately bioprinting. To be successful in this endeavor it is crucial to provide in vitro micro-environmental clues for the cells resembling those in the organism. Therefore scaffolds populated with differentiated cells or stem cells of increasing complexity and sophistication are being fabricated. However, scaffolds, no matter how sophisticated they are, can cause problems stemming from their degradation, eliciting immunogenic reactions and other a priori unforeseen complications. It is also being realized that ultimately the best approach is to rely on the self-assembly and self-organizing properties of cells and tissues and the innate regenerative capability of the organism itself, not just simply prepare tissue and organ structures in vitro followed by their implantation. Here we briefly review the different strategies for the fabrication of three-dimensional biological structures, in particular bioprinting. We detail a fully biological, scaffoldless, print-based engineering approach that uses self-assembling multicellular units as bioink particles and employs early developmental morphogenetic principles, such as cell sorting and tissue fusion.

Understanding the principles of biological self-assembly is indispensable for developing efficient strategies to build living tissues and organs. We exploit the self-organizing capacity of cells and tissues to construct functional living structures of prescribed shape. In our technology, multicellular spheroids (bio-ink particles) are placed into biocompatible environment (bio-paper) by the use of a three-dimensional delivery device (bio-printer). Our approach mimics early morphogenesis and is based on the realization that the genetic control of developmental patterning through self-assembly involves physical mechanisms. Three-dimensional tissue structures are formed through the postprinting fusion of the bio-ink particles, in analogy with early structure-forming processes in the embryo that utilize the apparent liquid-like behavior of tissues composed of motile and adhesive cells. We modeled the process of self-assembly by fusion of bio-ink particles, and employed this novel technology to print extended cellular structures of various shapes. Functionality was tested on cardiac constructs built from embryonic cardiac and endothelial cells. The postprinting self-assembly of bio-ink particles resulted in synchronously beating solid tissue blocks, showing signs of early vascularization, with the endothelial cells organized into vessel-like conduits.

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The notion of tissue surface tension has provided a physical understanding of morphogenetic phenomena such as tissue spreading or cell sorting. The measurement of tissue surface tension so far relied on strong approximations on the geometric profile of a spherical droplet compressed between parallel plates. We solved the Laplace equation for this geometry and tested its solution on true liquids and embryonic tissue fragments as well as multicellular aggregates. The analytic solution provides the surface tension in terms of easily and accurately measurable geometric parameters. Experimental results show that the various tissues and multicellular aggregates studied here are incompressible and, similarly to true liquids, possess effective surface tensions that are independent of the magnitude of the compressive force and the volume of the droplet.PACS numbers: 68.03. Cd, 68.05.Gh, 87.18.La In the absence of external forces, an embryonic tissue fragment (typically less than 1 mm in size) rounds up similarly to a liquid drop, to minimize its surface energy. Cells of two distinct tissues randomly intermixed within a single multicellular aggregate sort into separate regions similarly to coalescing immiscible liquids. To account for these observations Steinberg formulated the Differential Adhesion Hypothesis (DAH), which states that embryonic tissues or, more generally, tissues composed of motile cells with different homotypic adhesive strengths should behave analogously to immiscible liquids [1,2]. DAH implies that such tissues, similarly to ordinary liquids, possess measurable surface and interfacial tensions generated by adhesive and cohesive interactions between the component subunits (molecules in one case, cells in the other). Predictions of DAH have been confirmed both in vitro [3] and in vivo [4,5,6], and the surface tensions of different embryonic tissues were measured and the values accounted for the observed mutual sorting behavior [3,7]. Currently, the only available method to measure the surface or interfacial tension σ of submillimeter size droplets of tissue aggregates is by compression plate tensiometry [7,8]. The method, based on the Laplace equation, so far relied on various approximations of the geometrical profile of an equilibrated spherical droplet compressed between two parallel plates and yielded σ values that can at best only be considered relative and their independence on droplet size and compressive force questionable. In this Letter, by analytically solving the corresponding Laplace equation, we determine the exact profile of a compressed droplet, which allows, for the first time, to accurately and reliably determine the absolute value of tissue surface tensions in terms of easily and accurately measurable geometric parameters. Furthermore, we show that the method can readily be extended to the simultaneous compression of several droplets of different sizes. Finally, we apply our new method to a large number of compression plate measurements for calculating σ of true liquids (for validati...

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