Graphene oxide (GO) is a novel nanomaterial that has recently gained significant attention in the field of biomedicine, particularly for the advancement of biosensors, drug delivery systems, tissue engineering, innovative approaches for bioimaging and cancer therapy [1]. It is commonly used in scaffold engineering due to its extraordinary characteristics, including biocompatibility, strong hydrophilicity, and numerous oxygen functional groups (e.g., hydroxyl, carboxyl, and epoxy groups) [2, 3]. In the past decades, there has been a significant increase in the utilization of GO as a promising substance for tissue engineering and regenerative medicine, particularly in stem cell differentiation. Additionally, the electrical conductivity characteristics of GO have a positive impact on enhancing the differentiation of stem cells into different lineages and excitable tissues, like neural, bone, and cardiac muscle [4]. Several studies have shown the benefits of GO in the field of bone tissue engineering. La et al. demonstrated that GO has the ability to decrease the necessary dosage and enhance the delivery of Bone Morphogenetic Protein-2 (BMP-2) in order to promote the osteogenic differentiation of mesenchymal stem cells (MSCs) [5]. Another study has shown that when the GO is present, the 3D bioactive glasses scaffold exhibits improved cytocompatibility and enhanced osteogenesis differentiation ability with rat BMSCs. In addition, GO stimulates the growth of blood vessels and significantly improves the healing of bone at the site of injury in a rat model with cranial defects [6]. One mechanism that has been introduced to explain the effect of GO on bone repair is the enhancement of stiffness in hydrogels that contain stem cells, leading to the promotion of osteogenesis [7]. Another mechanism is enhancing the electrical conductivity of the substrates by stimulating the entry of calcium ions, which facilitates the process of bone differentiation and biomineralization [8]. The findings indicate that the presence of GO greatly enhances the hydrophilicity of culture substrates and improves the adhesion and diffusion capabilities of BMSCs [9]. According to Tabatabaee et al., the presence of GO in gelatin/PHEMA scaffolds enhances the hydrophilicity, electrical conductivity, and compressive modulus of the scaffolds. [10]. A study conducted by ES. Kang et al. revealed that the size of GO particles has a notable impact on the process of hMSc differentiating into osteoblasts. Therefore, micro-sized GO (1–10 µm) promotes osteogenesis more efficiently than nano-sized GO (100–300 nm). [11].
Cell therapy is an innovative approach in tissue engineering and regenerative medicine that involves the transplantation of stem cells into a specific area to promote the development of new tissue. Mesenchymal stem cells (MSCs) possess several advantages compared to other types of stem cells, rendering them highly suitable for cell therapy. These characteristics encompass the capacity for self-renewal, differentiation into various lineages, low immunogenicity, and minimal risk of teratoma development, while avoiding any ethical implications [12, 13]. Human bone marrow-derived mesenchymal stem cells, also known as hBMSCs, have the capacity to differentiate into a wide variety of cell types, including osteoblasts, chondrocytes, adipocytes, neurons, astrocytes, fibroblasts, myoblasts, cardiomyocytes, hepatocytes, endothelial cells, and stromal cells [14]. Nonetheless, the process of implanting hBMSCs into the body is met with notable obstacles, such as immune rejection [15], the development of teratomas [16, 17], and undirected cell differentiation [18]. Therefore, there are presently three main obstacles that the tissue regeneration field is trying to overcome: 1) keeping and growing stem cells in-vitro, 2) controlling stem cell differentiation into particular cell types with in-vivo functionality, and 3) generating multicellular structures that mimic the structure and organization of living tissue [19, 20]. In order to achieve this objective, tissue engineering has utilized novel biomaterials/scaffolds that promote bone formation and stimulate bone cell growth, along with stem cells and growth factors, to enhance the process of bone repair and regeneration [21]. Recent studies demonstrate that the microfluidic single-cell encapsulation technique can enhance stem cell therapy for bone regeneration [22, 23].
Reconstructing the cell's microenvironment using 3D cultures is crucial in order to maintain the survival and differentiation of hBMSCs when the cells are transplanted into target tissues. Cells can maintain their phenotype, adhesion, metabolism, and response to soluble factors, among other effects, within this 3D environment [24]. Several approaches have been developed for growing cells in 3D cultures at a small scale, such as hanging drops, microwells, cellular microarrays, and microfluidic devices [25]. Hydrogels are highly versatile and therefore serve as exceptional scaffolds for tissue engineering [22]. The microfluidics approach for hydrogel microencapsulation provides a highly accurate and precise environment for microscale 3D cell culture, surpassing other methods, as it effectively mimics the ECM. Recent research indicates that stem cells microencapsulation exhibits enhanced viability, proliferation, and differentiation capabilities. These findings can be attributed to the biocompatibility, monodispersity, and efficient exchange of growth factors, respiratory gases, and nutrients facilitated by the microgels. [26–28]. Furthermore, microgels are highly appropriate for bone repair and tissue engineering because of their biodegradability [29], injectability [23], immunoisolation [30], and programmability [31].
Currently, the tissue regeneration field is facing three primary challenges that it is striving to overcome: 1) in-vitro cultivating and expanding of stem cells, 2) regulating the differentiation of stem cells into particular types of cells with in-vivo functionality, and 3) producing multicellular arrangements that mimic the living tissue’s structure and function. [19, 20]. In order to accomplish tissue regeneration using stem cells, the 3D scaffolds that contain the cells must possess both biophysical and biochemical cues that can stimulate the formation of bone tissue. The objective of this study is to encapsulate hBMSCs within homogenous alginate microgels and to investigate the effect of single-layer graphene oxide (slGO) on the viability and differentiation of these stem cells into bone tissue. In order to achieve this objective, hBMSCs and slGO are encapsulated within alginate microgels using a flow focusing single-cell encapsulation design. The study focuses on investigating the behavior of the stem cells and the mechanical characteristics of the microgels.