Hyaluronan (HA), a major component of the extracellular matrix, plays a key role in cell proliferation, growth, survival, polarization and differentiation. We investigated the optimization of a HA hydrogel scaffold for culture of human oral mucosal epithelial cells (OMECs) for potential application in limbal stem cell therapy. The effect of the optimized scaffold on OMEC cell sheet morphology, cell metabolic activity and expression of genes associated with stemness, adherence and cell damage was studied. The results indicate that HA hydrogels crosslinked with polyethylene glycol diacrylate (PEGDA) failed to support OMEC attachment and growth. However, HA hydrogel scaffolds dried for three days and coated with 1 mg/mL collagen IV produced a full OMEC sheet. Cell morphology was comparable to control after three weeks culture, maintaining 76% metabolic activity. Of apoptosis-related genes, the pro-apoptotic markers CASP3 and BAX2 were upregulated and downregulated, respectively, compared to control whereas the anti-apoptotic marker BCL2 was downregulated. The expression level of stemness genes ∆Np63α and ABCG2 was significantly higher than control. Genes associated with improved scar-less wound healing (integrin-αV) and protection of the ocular surface (cadherin-1) had~3-fold increased expression. These data suggest that our optimized HA-hydrogel scaffold could enhance culture of OMEC cell sheets for use in ocular reconstruction. Bioengineering 2019, 6, 97 2 of 17 (OMECs) from rabbits [4] and humans [5]. Later, other cell types such as embryonic stem cells [6], conjunctival epithelial cells [7], bone marrow-derived mesenchymal stem cells [8], epidermal adult stem cells [9], immature dental pulp stem cells [10], follicle bulge-derived stem cells [11] and umbilical cord-lining stem cells [12] were introduced. Cell sheets are typically cultured on a carrier scaffold for transplantation to the ocular surface [13].Choice of carrier scaffold is crucial to prevent differentiation and loss of stem-cell phenotype. The phenotypic state is an important indicator of healthy cells and it is known that the success rate of regeneration in damaged tissue depends on the degree of stemness in the transplant sheet rather than the number of cells [14]. Several natural and synthetic polymer materials have been developed for use as scaffolds such as human amniotic membrane, fibrin, siloxane hydrogel contact lenses, human anterior lens capsule, collagen, plastic compressed collagen, crosslinked collagen, electrospun and magnetically oriented scaffolds [15]. Several studies suggest hyaluronan (HA) hydrogel scaffolds as a potential carrier scaffold for use in treatment of LSCD. HA hydrogel scaffolds chemically cross-linked with a polyaspartamide derivative (PHEA-EDA) have been used as a substitute for amniotic membrane for delivery of human LECs [16]. Additionally, a 3D HA hydrogel with and without collagen type I has been shown to enhance the growth and differentiation of human corneal epithelial cells (hCECs) when co-cultured with adipose...