In the central and peripheral nervous systems, ACh plays a significant role in synaptic transmission, where it mediates fast excitatory neurotransmission by binding to ACh receptors. Furthermore, ACh has been considered as a core neurotransmitter deficient in AD in the cholinergic system [30, 31]. AD, defined by progressive and irreversible cognitive decline [32], is the most common neurodegenerative disorder among elderly people. AD pathogenesis has been linked to a deficiency in the brain neurotransmitter ACh on the basis of findings that have correlated cholinergic system abnormalities with intellectual impairment [33]. The fundamental neuromorphological changes of AD are severe loss of cholinergic neurons, widespread degeneration of cholinergic functions in the brain and a lack of ACh for controlling learning and memory in the central nervous system. Therefore, to develop therapies for AD, the number of BFCNs and the level of ACh should be enhanced through various means. Recent studies regarding treatments for AD have mainly focused on augmenting residual cholinergic neurotransmission by using acetylcholinesterase inhibitors [32]. The development of stem cell-based therapy for AD has been proposed, with the main goals of enhancing the formation of BFCNs and the generation of ACh.
In this work, the experiments results demonstrate the enhanced generation of functional BFCNs from NPCs on 3D-GF: the proportion of BFCNs at 21 days of differentiation reached approximately 30.5% on 3D-GF compared with TCPS group that only presented 9.7%. These BFCNs expressed all relevant markers of the BFCN lineage at both the mRNA and protein levels, produced ACh in vitro and also generated functional cholinergic synapses. In the present study, 3D-GF can promote the generation of BFCNs from NPCs, and the secretion of ACh by the differentiated cells grown on 3D-GF was approximately twice than that in the TCPS control groups. Our findings suggest that 3D-GF scaffold provide a potential platform for transplanted BFCNs to restore memory function in AD because the increased ACh produced by BFCNs on 3D-GF can serve as a hippocampal neuromodulator and would play an important role in replacing the synapses lost in AD, thus enhancing memory function [6]. The properties of 3D-GF allow for various potential applications in the fields of tissue engineering and regenerative medicine. The results suggest that culturing NPCs on 3D-GF could provide an excellent source of cholinergic neurons for AD therapy.
To the best of our knowledge, it is the first study to apply 3D-GF for the generation of functional BFCNs. 3D-GF has been shown to provide positive cues for neuron differentiation [18, 20], which was further validated in the present work. Previous studies have demonstrated that the unique morphology of 3D-GF can promote the neuron differentiation. Thus, the notable difference between the generation of BFCNs on 3D-GF versus TCPS substrates is probably due to the different surface morphology and spatial structure, given that the surface of 3D-GF structures possesses micro-scale topographic features different from those of TCPS (Figure S1). In particular, 3D-GF exhibits more complex 3D structures with interconnected pores, whereas TCPS has a relatively smooth surface with a 2D structure. All these factors may influence the behaviors of NPCs. Cell adhesion related to cell differentiation is essential for tissue engineering applications. Cell spreading, proliferation, and maintenance of cellular functions require good adhesion between the cells and scaffolds. In this work, we studied the cell adhesion ability by using western blotting and RT-PCR methods, and our results demonstrated that 3D-GF results in a significant enhancement in NPCs adhesion after 7 days of proliferation culture compared with TCPS. Therefore, the differential cell adhesion ability facilitates the enhancement of generating BFCNs on 3D-GF, which is in agreement with the studies indicating that the enhanced expression of adhesion proteins on graphene scaffolds facilitates cell differentiation [11, 34, 35].
Although the differentiation data can be interpreted straightforwardly, challenges remain to be addressed before 3D-GF is used for cell transplantation in stem cell-based therapy in the future. First, it has been demonstrated that 3D-GF is biodegradable [14, 34], but the degradation time is excessively long, thus requiring the acceleration of the degradation rate in future research. Second, the proportion of ChAT+/MAP2+ cells should be increased. Third, it is unknown whether 3D-GF has the potential to enhance the generation of other functional neurons, such as dopaminergic neurons, serotoninergic neurons. Therefore, additional validation and future exploration may be required. Nonetheless, as a neural scaffold, 3D-GF facilitates the generation of neurons and shows great potential in the field of neural therapy.