Abstract
Background/Aim: Spheroid formation is a well-known feature of stem/progenitor cells. Dental pulp cells (DPCs) cultured in serum-free medium can also form spheroids. However, the success rate varies largely depending on various factors. This study aimed to explore these factors and optimize the conditions. Materials and Methods: Primary DPCs were obtained from 6 wisdom teeth. Possible influencing factors including donor teeth, concentrations of the KnockOut Serum Replacement (KSR), seeding density (regarding surface and volume), passage and freezing were tested. Results: DPCs from all 6 donor teeth formed spheroids in serum-free medium. Number, size, and total area of spheroids varied among different donor teeth. Optimal concentration of the KSR and seeding densities also varied from tooth to tooth. Generally, high KSR and high cell density lead to better spheroid formation. However, very high KSR and cell density can also lead to cell death and the fusion of spheroids to irregular aggregates. Conclusion: An initial setting can be recommended as: Serum-free MEM plus 10-15% KSR and seeding densities of 1-2×105 cells/ml and 2×105 cells/cm2. These parameters provide a direction for optimizing the condition for obtaining spheroids from human DPCs.
- Dental pulp
- stem cell
- spheroid formation
- serum-free culture
- osteogenic differentiation
- adipose differentiation
Human dental pulp cells (DPCs) contain cells with stem/progenitor cell features that exhibit the potential to differentiate into multiple cell lineages (1-3). Dental pulp tissues can be easily obtained from extracted teeth, for example, wisdom teeth. They, therefore, provide a promising resource for application in regenerative medicine.
Cell-spheroid is a 3-dimension (3D) organization of cells. In real life, spheroid formation is the beginning of embryo development. Under certain conditions in culture, cells remain or migrate together and form a round sphere-like structure. However, not all cells can form spheroids, rather the ability of spheroid formation is a feature of stem/progenitor cells. A previous study (4) reported that DPCs can form spheroids when cultured under serum-free conditions. They reported stem cells in the core of spheroids and an increasing population of stem cells with time (4). These results suggested that 3D spheroid culture may provide a strategy for isolating and enriching the stem-like cell population from heterogeneous DPCs. Besides, spheroids provide a scaffold-free and serum-free strategy for maintaining cells in a more natural 3D organization, which is advantageous for developing medical applications.
However, applying the method of Xiao et al. (4), we could not reliably obtain spheroids. We often observed that some spheroids detach from the surface and die out. Also, some details, such as optimal cell density, are lacking. For studies designing to use DPCs in spheroids, it is helpful to optimize the conditions comprehensively for higher reliability and reproducibility. The present study was carried out to study possible factors which are expected to influence spheroid formation: 1) donor teeth, 2) concentrations of the Knockout Serum Replacement (KSR), 3) seeding density (regarding surface and volume), 4) passage and 5) freezing/thawing.
Materials and Methods
Culturing dental pulp cells. Primary DPCs were derived from 9 wisdom teeth, Z1 through Z9, of healthy donors (16-18 years old) who underwent extraction at the Department of Oral and Maxillofacial Surgery in Hamburg. This kind of specimen was usually disposed as biological waste. With the written consent of the patients, the teeth were anonymized and used for the study. The study protocol was reported to the Hamburg authority of privacy protection. The tumor cells S462 used in the study as control were established in our laboratory (5, 6).
The extracted teeth were kept in sterile phosphate-buffered saline and transported into the laboratory where they were broken under a sterile environment by a hammer. The pulp tissues were gently separated from the teeth and cut into 2-3 mm3 pieces. These fragments of pulp tissues were let attach to the culture surface and incubated in Minimum Essential Medium (MEM) (Gibco, Grand Island, NY, USA) with 15% fetal bovine serum, 1% penicillin-streptomycin, and 1% Amphotericin B (Gibco). After 7-10 days, DPCs started to migrate out of the tissue pieces and grow in monolayer. Pulp cells from 6 different wisdom teeth (Z1, 3, 6, 7, 8, 9) at passages 3-6 were used for the spheroid formation.
Spheroid formation. Cells were seeded at various densities and cultured in MEM with various concentrations of KnockOut™ Serum Replacement (KSR) (Gibco) as presented below.
Concentrations of KSR (%): 0, 5, 10, 15
Volume cell density (105/ml): 1×, 2×, 2.5×, 5×
Surface cell density (105/cm2): 0.5×, 1×, 1.5×, 2×
Freezing/thawing: Frozen at –80°C for one week. Then cultured in 15% KSR, at 1×105 cells/ml and of 2×105 cells/cm2.
Passage: Passages 3 and 6 were compared in 15% KSR, at 1×105 cells/ml and of 2×105 cells/cm2.
Spheroid formation was examined under microscope 1, 2 and 3 days after the seeding. The number and size of the spheroids were recorded. Only spheroids meeting the following criteria are considered as DPC spheroids: 1) sphere-like form with a smooth surface, 2) the main body is translucent and 3) diameter larger than 10 μm2. Spheroid size, number, and total area were calculated by Image J (Rasband, W.S., ImageJ, U. S. National Institutes of Health, Bethesda, MD, USA).
Osteogenic and adipogenic differentiation. For osteogenic and adipose tissue differentiation, additive cocktails (0.1 μM dexamethasone, 50 μM L-ascorbic acid 2-phosphate, 10 mM β glycerol phosphate) and (1 μM dexamethasone, 0.5 mM IBMX, 0.2 mM indomethacin, 10 μM insulin) were added, respectively. The media for DPCs in monolayer or in 3-days spheroids were changed to the above induction media or control media that did not have the additives. Media were changed every 3 days. After 21 days and 14 days of induction, calcium deposits and lipid droplets were stained with Alizarin red and Oil Red O, respectively.
Results
Primary DPCs in culture. From 6 out of the total of 9 healthy wisdom teeth, vital and well-growing pulp cells were obtained, corresponding to a success rate of 67%. These six cultures were used for the following experiments. From the other 3 teeth, no vital cells were obtained in two cases and the cells grew very slowly in one case.
Dynamics of spheroid formation. Two hours after seeding in spheroid induction medium, DPCs started to aggregate (Figure 1A). They first formed a network structure which became increasingly thicker and approximately 4 h after seeding, the nets-structure started to break. Approximately eight hours after seeding, the breaking down of the network structure was completed and cell-aggregations of irregular forms appeared. One day after seeding, round spheroids with smooth boundaries and translucent bodies became visible. Later, some of the spheroids fused together and formed larger spheroids, while some others fell apart and disappeared (Figure 1A).
No spheroids were formed by the tumor cells MPNST 462, which were included as a comparison (Figure 1A, 2nd row, rightmost).
Spheroids were evaluated 1, 2 and 3 days after seeding. Only those with nearly round form, translucent bodies, smooth boundaries and larger than 10 μm2 in diameter were defined as spheroids. Generally, the size of spheroids increased with time while the numbers of spheroids decreased. The total area of the spheroids (size × number) decreased from day 1 to day 3 (Figure 1B). In one case (Z8), all spheroids disappeared on the third day. Decreasing of the number and total area of spheroids seem to be a result of losing activity of the KSR since after refreshing the medium, the number and size of all spheroids was maintained.
Spheroid formation varied among cells from different donor teeth. After 24 h of culture in the spheroid formation medium, cells from all 6 teeth formed spheroids. No spheroids were formed in the control of tumor cells. The area of the spheroids varied largely from tooth to tooth (Figure 2A).
Effect of KnockOut serum replacement concentration on spheroid formation. Generally, higher KSR concentration correlated with a larger number of spheroids (Figure 3A). By contrast, the size of the spheroids seemed to be less affected.
On the other side, in media with >15% KnockOut, spheroids detached from the surface and died several days later in some cases.
Effect of seeding density on spheroid formation. Density in volume. KnockOut concentration was fixed to 15% and the cell density in the area was fixed at 2×105 cells/cm2. Spheroids were evaluated one day after seeding. Among seeding densities of 1, 2, 2.5 and 5×105 cells/ml, the largest number of spheroids was obtained at the lowest density 1×105 cells/ml while only few spheroids were formed at the highest density (5×105 cells/ml). In one case (Z6), no spheroids were formed at 5×105 cells/ml (Figure 3B). In concordance, spheroid size increased with increasing density. The area (size x number) of spheroids decreased in 3 cases and increased in one case (Figure 3B).
Density in area. KnockOut concentration was fixed to 15% and the cell density in volume was fixed at 1×105 cells/ml. Among the densities of 0.5, 1, 1.5 and 2×105 cells/cm2, the number of spheroids did not change substantially (Figure 3C). The size and area of the spheroids both increased with increasing density. However, density higher than 2×105 cells/cm2 led to the fusion of spheroids in one case (Figure 4).
Effect of freezing and passaging on spheroid formation. The KnockOut concentration was fixed to 15% and seeding densities at 1×105 cells/ml and 2×105 cells/cm2. No clear effect was observed from freezing and thawing on the ability of the DPCs to form spheroids (Figure 2B). No clear effect of cell passages between 3 and 6 was detected regarding their spheroid formation (Figure 2C).
Differentiation potential of dental pulp cells in spheroids. The spheroid formation is a well-known feature of stem/progenitor cells. Therefore, DPCs in the form of spheroids may have stronger features or have a higher proportion of such stem/progenitor cells. To test this hypothesis, osteogenic and adipose tissue differentiation were compared between DPCs in spheroids and those in monolayer.
Since the differentiation induction medium contains serum, cells in spheroids started to migrate out and attach to the culture surface. After 3 weeks, calcium accumulated in both pulp cells from spheroids and in those from monolayer culture was stained by Alizarin Red (Figure 5). No difference was detected between the two groups. Since the migration of cells from spheroids was not complete after 3 weeks, some cell aggregates were still visible and were non-specifically stained with Alizarin Red.
Two weeks after differentiation to adipose tissue, large amounts of lipid droplets were observed in cells from the spheroids and from the monolayers as revealed by staining with Oil Red O. No difference was detected between the two groups of cells. As in the case of osteogenic differentiation, cells aggregates were non-specifically and strongly stained with oil red o (Figure 6).
Discussion
Factors influencing spheroid formation. From the results of this research, we can conclude that factors influencing spheroid formation of human DPCs include 1) donor teeth, 2) concentration of the KSR, 3) seeding density of the cells. By contrast, freezing/thawing and passaging up to passage 6 do not seem to influence spheroid formation capability.
Since the number of included teeth is very small, no detailed analysis can be carried out to examine possible demographic and medical parameters of the donors (e.g., age, gender, health condition) and donor teeth which may correlate with spheroid formation. Also, the time between the tooth extraction and the setting up of culture in the laboratory may play a role in the viability of the cells and eventually also influence the potential of the cells to form spheroids.
The KSR and cell density generally promote spheroid formation. However, too high concentration of the KnockOut and too high cell density can also lead to death or fusion of the spheroids. As a rule, the following parameters can be recommended for an initial setting for spheroids which may be adjusted and optimized according to the results in each case: 10-15% KSR, seeding density at 1-2×105 cells/ml and 2×105 cells/cm2.
Differentiation potential. DPCs from spheroids exhibited compatible differentiation potential as cells in monolayer. Our initial hypothesis that spheroid formation may result in enrichment in stem/progenitor cells, which should have higher differentiation potential, was therefore not proved. In the present study, quantification of stained the differentiated cells did not show a difference. Therefore, if there is a difference this should be subtle.
Another pitfall in evaluating the differentiation of cells in spheroids is the artifact in staining because of the incomplete dissociation of spheroids. To assess differentiation within the spheroids, alternative staining methods are needed. For example, staining of sections of the spheroids may provide an alternative. Also, extensive washing of the dyes out of the aggregates and observation of the stained cells using a confocal microscope may also be a strategy.
Spheroids provide a scaffold-free 3D culture. 3D culture is an advanced cell culture technique especially in regenerative medicine which can be divided into two major categories: scaffold-free and scaffold-based strategies. Spheroid-formation is a scaffold-free 3D culture which corresponds to a multi-cellular organization in vitro. In spheroids, cells assemble themselves in the endogenous extracellular matrix and generate their own microenvironment. Therefore, scaffold-free spheroids provide a 3D model that more closely reflects the in vivo physiological microenvironment (7). By contrast, scaffolds are generally simple artificial materials, which may influence cell activity in uncertain ways.
In the present study, DPCs formed spheroids without any external physical force. The process is therefore more natural and closer to the process of embryogenesis (8, 9). The culture conditions and parameters studied should therefore be valuable for establishing protocols to obtain spheroids that can be further differentiated to various cell lines.
Serum-free culture. Another advantage of the method used in the present study is the serum-free condition. Usually, the culture media of DPCs are supplemented with fetal calf serum to support cell survival and expansion. However, some contents of serum remain to be unidentified which prevents standardized cell preparations and could transfer pathogens. For clinical applications of stem cells on patients, components of bovine serum may lead to immune responses (10) and result in the rejection of transplanted cells (10, 11). Indeed, antibodies against bovine serum proteins have been identified in patients who received cells cultured with calf serum (12). Due to these reasons, it is essential to culture cells under serum-free conditions towards potential clinical use. By contrast, the KSR used in the present study is a supplement with known components and is more suitable for medical applications than bovine serum.
Conclusion
Donor teeth, the concentration of KSR, and the seeding density are influencing factors for spheroid formation of human DPCs. An initial setting-up can be recommended as serum-free MEM with 10-15% KSR at a seeding density of 1-2×105 cells/ml and 2×105 cells/cm2. Too high KnockOut serum and seeding densities may lead to death and fusion of spheroids. Freezing and thawing did not influence spheroid formation. Subculturing to at least passage 6 did not influence spheroid formation. DPCs in spheroids provide a scaffold-free 3D culture model under the serum-free condition which is desirable for medical applications.
Acknowledgements
The Authors thank Mrs. Jane Rehberg for her technical assistance. Y. Zheng and L. Jiang are supported by China Scholarship Council Grant No. 201608080075 and No. 201808080113, respectively.
Footnotes
This article is freely accessible online.
Authors’ Contributions
Yajie Zheng, Li Jiang, and Ming Yan performed the research; Yajie Zheng and Lan Kluwe designed the research study; Ralf Smeets, Lan Kluwe and Reinhard E. Friedrich contributed essential materials or tools; Yajie Zheng wrote the manuscript, Lan Kluwe and Reinhard E. Friedrich revised the manuscript critically.
Conflicts of Interest
The Authors have no conflicting financial interests to declare in relation to this study.
- Received April 6, 2021.
- Revision received May 6, 2021.
- Accepted May 7, 2021.
- Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved