Three-Dimensional Cell Culture of Adipose-Derived Stem Cells in a Hydrogel with Photobiomodulation Augmentation

Summary

Here, we present a protocol demonstrating the use of hydrogel as a three-dimensional (3D) cell culture framework for adipose-derived stem cell (ADSC) culture and introducing photobiomodulation (PBM) to enhance the proliferation of ADSCs within the 3D culture setting.

Abstract

Adipose-derived stem cells (ADSCs), possessing multipotent mesenchymal characteristics akin to stem cells, are frequently employed in regenerative medicine due to their capacity for a diverse range of cell differentiation and their ability to enhance migration, proliferation, and mitigate inflammation. However, ADSCs often face challenges in survival and engraftment within wounds, primarily due to unfavorable inflammatory conditions. To address this issue, hydrogels have been developed to sustain ADSC viability in wounds and expedite the wound healing process. Here, we aimed to assess the synergistic impact of photobiomodulation (PBM) on ADSC proliferation and cytotoxicity within a 3D cell culture framework. Immortalized ADSCs were seeded into 10 µL hydrogels at a density of 2.5 x 10³ cells and subjected to irradiation using 525 nm and 825 nm diodes at fluencies of 5 J/cm² and 10 J/cm². Morphological changes, cytotoxicity, and proliferation were evaluated at 24 h and 10 days post-PBM exposure. The ADSCs exhibited a rounded morphology and were dispersed throughout the gel as individual cells or spheroid aggregates. Importantly, both PBM and 3D culture framework displayed no cytotoxic effects on the cells, while PBM significantly enhanced the proliferation rates of ADSCs. In conclusion, this study demonstrates the use of hydrogel as a suitable 3D environment for ADSC culture and introduces PBM as a significant augmentation strategy, particularly addressing the slow proliferation rates associated with 3D cell culture.

Introduction

ADSCs are mesenchymal multipotent progenitor cells with the capacity to self-renew and differentiate into several cell lineages. These cells can be harvested from the stromal vascular fraction (SVF) of adipose tissue during a lipoaspiration procedure¹. ADSCs have emerged as an ideal stem cell type to use in regenerative medicine because these cells are abundant, minimally invasive to harvest, easily accessible, and well characterized². Stem cell therapy offers a possible avenue for wound healing by stimulating cell migration, proliferation, neovascularization, and reducing inflammation within wounds^3,4. Roughly 80% of the regenerative capacity of ADSCs is attributable to paracrine signaling via their secretome⁵. Previously, it was suggested a direct local injection of stem cells or growth factors into damaged tissue could illicit sufficient in vivo repair mechanisms^6,7,8. However, this approach faced several challenges, such as poor survival and reduced stem cell engraftment within damaged tissues as a result of the inflammatory environment ⁹. Furthermore, one of the reasons cited was a lack of an extracellular matrix to support the survival and functionality of the transplanted cells¹⁰. To overcome these challenges, emphasis is now being placed on the development of biomaterial carriers to support stem cell viability and function.

Three-dimensional (3D) cell culture enhances cell-to-cell and cell-to-matrix interaction in vitro to provide an environment that better resembles the in vivo environment¹¹. Hydrogels have been extensively studied as a class of biomaterial carriers that provide a 3D environment for stem cell culture. These structures are made of water and crosslinked polymers¹². Encapsulation of ADSCs in hydrogel has virtually no cytotoxic effect on the cells during culture while maintaining the viability of the cells⁶. Stem cells cultured in 3D demonstrate enhanced retention of their stemness and improved differentiation capacity¹³. Similarly, hydrogel-seeded ADSCs demonstrated increased viability and accelerated wound closure in animal models¹⁴. Furthermore, hydrogel encapsulation significantly increases the engraftment and retention of ADSCs in wounds^15,16. TrueGel3D is made of a polymer, either polyvinyl alcohol or dextran, solidified by a crosslinker, either cyclodextrin or polyethylene glycol¹⁷. The gel is a synthetic hydrogel that does not contain any animal products that may interfere with the experiments or trigger an immune reaction during the transplantation of the gel into a patient while effectively mimicking an extracellular matrix¹⁸. The gel is fully customizable by altering the composition and individual components. It can house different stem cells and support the differentiation of several cell types by adjusting the stiffness of the gel¹⁹. Attachment sites can be created through the addition of peptides²⁰. The gel is degradable by the secretion of metalloproteases, allowing for cell migration²¹. Lastly, it is clear and allows for imaging techniques.

PBM is a minimally invasive and easily performed form of low-level laser therapy used to stimulate intracellular chromophores. Different wavelengths elicit different effects on cells²². Light in the red to near-infrared range stimulates increased adenosine triphosphate (ATP) and reactive oxygen species (ROS) production by enhancing flux through the electron transport chain²³. Light in the blue and green ranges stimulates light-gated ion channels, allowing for the non-specific influx of cations, such as calcium and magnesium, into cells, which is known to enhance differentiation²⁴. The net effect is the generation of secondary messengers that stimulate the transcription of factors triggering downstream cellular processes such as migration, proliferation, and differentiation²⁵. PBM can be used to pre-condition cells to proliferate or differentiate before transplanting the cells into an adverse environment, e.g., damaged tissue²⁶. Pre- and post-transplant PBM (630 nm and 810 nm) exposure of ADSCs significantly enhanced the viability and function of these cells in vivo in a diabetic rat model²⁷. Regenerative medicine requires an adequate number of cells for effective repair of tissues²⁸. In 3D cell culture, ADSCs have been associated with slower proliferation rates compared to two-dimensional cell culture⁶. However, PBM can be used to augment the 3D cell culture process of ADSCs by enhancing viability, proliferation, migration, and differentiation^29,30.

Protocol

NOTE: See the Table of Materials for details related to all materials, reagents, and software used in this protocol. The protocol has been graphically summarized in Figure 1.

1. Two- dimensional (2D) cell culture

NOTE: Immortalised ADSCs (1 x10⁶ cells) are stored at -195.8 °C in liquid nitrogen in a cryopreservation vial containing 1 mL of cell freezing media.

1. Preparing the 2D cell recovery medium and 2D culture flask
   1. Transfer 39 mL of the basal medium into a 50 mL centrifuge tube
   2. Enrich the basal medium with 20% fetal bovine serum (FBS; 10 mL) and antibiotics (1 mL) (0.5 mL Penicillin-Streptomycin and 0.5 mL Amphotericin B).
   3. Pre-condition a T75 flask by transferring 6 mL of the cell recovery medium into the flask and incubate it at 37 °C, 5% CO₂, and 85% humidity for 45 min (this can be done while performing the cell recovery steps to save time).
      NOTE: Warm the complete medium to 37 °C before use and store it at 4 °C for a maximum period of 1 week.
2. 2D cell recovery
   1. Remove a cryovial from the liquid nitrogen storage tank and rapidly defrost the vial in a water bath at 37 °C, until it is completely defrosted.
   2. Spin down the cryovial using a centrifuge at 1006 x g for 5 min (20 °C) and thereafter remove the supernatant.
   3. Resuspend the pelleted cells using 1 mL of pre-warmed cell recovery medium.
   4. Evenly distribute the suspended cells in the pre-conditioned flask (final volume of 7 mL) and incubate at 37 °C, 5% CO₂, and 85% humidity.
   5. After 24 h discard and replace the cell recovery medium.
   6. Replace the culture medium every 2-3 days until the flask becomes confluent with cells.
3. Harvest of 2D culture flask in single cell suspension and cell count
   1. Remove the 2D culture flask from the incubator and discard the culture media into an appropriate waste container.
   2. Transfer 10 mL of rinse solution into the flask to rinse the cells and remove waste and protein build-up. After that, discard the rinse solution.
   3. Add 6 mL of detachment solution to the culture flask to detach the cells. Incubate the flask at 37 °C, 5% CO₂, and 85% humidity for 2 min.
      NOTE: Observe the flask under a microscope to confirm that all cells have been detached. If not, gently tap on the flask and incubate for another minute.
   4. Once all of the cells have been detached, transfer the cell suspension into a 15 mL centrifuge tube and add 1 mL of the cell recovery media (containing 20% FBS) to the tube. This will neutralize the effect of the detachment solution.
   5. Centrifuge the tube for 5 min at 1711 x g (20 °C).
   6. Remove the supernatant and resuspend the cells in 1 mL of complete media.
   7. Remove 10 µL of the cell suspension, place it in a 500 µL microcentrifuge tube and mix it with 10 µL of trypan blue in a 1:1 ratio.
   8. Place 10 µL of the trypan blue cell solution mix in a cell counting chamber in duplicate.
   9. Place the cell counting chamber into the automated cell counter. The cell counter will indicate the total number of cells per mL as well as the number of viable and dead cells. Calculate the average viable cell count and the number of viable cells needed to be embedded in the 3D hydrogel (step 2.2.6).

2. 3D cell culture

1. Preparing the 3D complete culture medium
   1. Transfer 44 mL of the basal medium into a 50 mL centrifuge tube.
   2. Enrich the media with 10% FBS (5 mL) and antibiotics (1 mL) (0.5 mL Penicillin-Streptomycin and 0.5 mL Amphotericin B).
      NOTE: Warm the complete media to 37 °C before use and store it at 4 °C for a maximum of one week.
2. Preparing the hydrogel
   1. Prepare the fast dextran by centrifuging (1000 x g for 30 s at 20 °C) the fast-dextran vial to concentrate the material. Add 175 µL of water to the fast-dextran vial to achieve a final concentration of 30 mmol/L reactive groups.
   2. Vortex the tube (medium speed for 30 s) containing the fast-dextran solution until the material is fully dissolved. Incubate the dissolved material on ice for 5 min. Centrifuge the tube, briefly vortex it, and keep it on ice during further use.
   3. Centrifuge the crosslinker (1000 x g for 30 s at 20 °C) to concentrate the material. Add 188 µL of water to the crosslinker vial to achieve a final concentration of 20 mmol/L of thiol groups.
   4. Vortex the tube (medium speed for 30 s) containing the crosslinker solution until all material is dissolved. Incubate the dissolved crosslinker at room temperature (RT) for 5 min. Centrifuge the tube, briefly vortex, and keep it at RT during further use.
   5. Adapt the hydrogel protocol from 30 µL to 10 µL for cost reduction (see Table 1 for specific details).
   6. Prepare the cell suspension to achieve a seeding density of 2.5 x 10³ cells per 10 µL hydrogel.
   7. Combine the components according to Table 1 to create a master mix. Transfer 9 µL of the master mix to a well in a 96-well strip plate.
   8. Solidify the gel by adding 1 µL of the degradable crosslinker 3 min after the master mix is transferred.
   9. Cover the hydrogels with 170 µL pre-warmed complete culture media. Incubate for 1 h. After 1 h, replace the culture medium.
      NOTE: The hydrogel-embedded cells are ready for further experimentation or analysis within the 3D culture system. Follow additional protocols as needed for downstream applications.

3. Photobiomodulation exposure

1. Setting up the laser
   1. Set up the diode laser system for either green (525 nm) or near-infrared (825 nm) wavelengths. Switch on the lasers and allow them to warm up for the recommended duration.
   2. Stabilize the power output of the lasers by allowing them to reach a steady state. This ensures consistent and accurate irradiation.
   3. Measure the power output of the lasers using a laser power meter. Record the power values for each wavelength.
   4. Use Equation 1 ( Laser irradiation time) to calculate the laser irradiation time. Substitute the values from Table 2 into Equation 1 to determine the appropriate irradiation time for each fluency. In Equation 1, "r" represents the radius of the irradiation zone of the laser.
      
      
      
      Equation 1
   5. Refer to Table 2 for the specific parameters needed for the calculation, including fluencies (5 J/cm² or 10 J/cm²) and laser power output.
2. Irradiating the 3D cell cultures
   1. After replacing the complete media (step 2.2.9), place the 96-well plate containing hydrogel-embedded cells under the diode laser system. Irradiate the hydrogels with the calculated laser irradiation time for the selected fluency (5 J/cm² or 10 J/cm²) at the chosen wavelength (green or near-infrared). Therefore, the cultures will only receive a single dose.
   2. Ensure that each experimental group is accompanied by a control (n = 4), consisting of ADSCs embedded in hydrogel without PBM exposure.
      NOTE: Always wear safety glasses appropriate for the wavelength of light you are working with. The lasers are used outside of a safety cabinet; thus, it is crucially important to disinfect the area before use.
   3. Incubate the culture plates at 37 °C, 5% CO₂, and 85% humidity for the duration of the experiments. Incubate the plates for 24 h for the first analysis or 10 days for the second analysis period, post-irradiation.

4. Morphology

1. Inverted light microscopy
   1. Turn on the inverted light microscope and allow it to warm up for a few minutes. Ensure the microscope is properly aligned and calibrated.
   2. Prepare the sample for observation on a microscope slide or a specialized cell culture dish, depending on the experimental setup. Calibrate the microscope for optimal imaging conditions.
   3. Adjust the focus, brightness, and contrast settings as needed. Select the 20x objective lens on the microscope for observing and recording cell morphology.
   4. Place the sample on the microscope stage and focus on the cells of interest using the eyepiece. Using the eyepiece or camera view, observe and record the cell morphology. Pay attention to cell shape, size, and any distinctive features.
   5. Attach the camera module to the microscope. Set up the camera for digital imaging. Ensure proper connection and communication between the camera and the microscope.
   6. Using the 20x objective lens, capture digital pictures of the observed cells. Use the camera controls to adjust exposure, focus, and other relevant settings.
      NOTE: Ensure that the captured images are of high quality and provide a representative view of the cell morphology.
   7. Launch the imaging software on the computer. Capture the image and use the analysis tools within the software to analyze cell morphology.
   8. Measure cell dimensions, count cells, or perform any relevant analysis based on the experimental objectives.
   9. Add an appropriate scale bar to the images using the software. Use the known magnification of the microscope objective to accurately represent the scale of the images.

5. Biochemical assays

1. Cell recovery
   NOTE: The cells need to be recovered from the hydrogel in a single-cell suspension for further downstream biochemical assays.
   1. Prepare the enzymatic cell recovery solution. In a sterile environment, prepare a working solution by diluting the enzymatic cell recovery solution with phosphate-buffered saline (PBS) at a ratio of 1:20 (Solution: PBS). If recovering cells from a specific number of gels or wells is required, calculate the total volume required based on 30 µL of recovery solution per gel.
   2. Add 30 µL of the working solution to each gel or well containing the cells needing recovery. Ensure thorough and even distribution of the recovery solution by gently rocking or swirling the plate. Incubate the plate with the recovery solution according to the recommended incubation time. This information can typically be found in the product datasheet or protocol provided by the supplier.
   3. After the incubation period, carefully remove the plate from the incubator. Centrifuge the plates at 1409 x g for 5 min (20 °C) to pellet the cells. Refer to the product datasheet or protocol for recommended centrifugation conditions. Once centrifugation is complete, carefully discard the supernatant, being cautious not to disturb the cell pellet.
   4. Gently resuspend the pelleted cells in 220 µL of sterile PBS. Ensure thorough mixing to achieve a homogeneous single-cell suspension. The cells are now ready for downstream biochemical assays. Follow the specific protocols for the intended assays, considering the nature of the recovered cells and the requirements of the experimental setup.
2. Lactate dehydrogenase (LDH) cytotoxicity assay
   1. For each well, carefully remove 50 µL of complete culture media, ensuring minimal disturbance to the cell layer.
   2. Add 50 µL of the cytotoxicity reagent directly to each well containing the remaining 50 µL of culture media. Mix gently by pipetting up and down to ensure thorough mixing of the sample with the reagent.
   3. Prepare a positive control. Set up triplicate wells with 5 µL of 10x lysis solution per 50 µL of positive control cells included in the kit.
   4. Incubate the plate at the recommended temperature and duration. This step allows the cytotoxicity reagent to lyse the cells and release LDH into the culture media.
   5. After the incubation period, add 50 µL of the stop solution directly to each well containing the cytotoxicity reagent and cell lysate. Mix gently by pipetting up and down to ensure proper stopping of the reaction.
      NOTE: The stop solution halts further LDH release and ensures the stability of the color development.
   6. Set up the spectrophotometric plate reader according to the manufacturer's instructions. Record the absorbance of each well at 490 nm. This wavelength is specific to the colorimetric detection of the formazan product generated by the LDH reaction.
   7. Subtract background absorbance readings from both treatment groups and control wells. Obtain background readings from wells containing media and cytotoxicity reagents without cells.
   8. Analyze the corrected absorbance values for each sample to determine the cytotoxicity level. Higher absorbance values indicate increased LDH release and, consequently, higher cytotoxicity.
   9. Ensure that each experimental group and control consisted of four repeats (step 3.2.2) for statistical accuracy. Calculate and import the average absorbance of each group and control into an appropriate statistical program.
   10. Compare the results between treatment groups and appropriate controls to assess the cytotoxic effects accurately and record all absorbance readings, calculations, and experimental conditions for future reference.
3. ATP proliferation assay
   1. In a sterile environment, mix 50 µL of the recovered cells with 50 µL of the ATP reagent in each well.
      NOTE: Adjust the volume of cells and reagents based on the number of wells and experimental design. Maintain consistent ratios for accurate results.
   2. Place the plate on a shaker and shake vigorously in the dark for 5 min. This step ensures thorough mixing of the cells with the reagent. After shaking, incubate the plate for an additional 25 min at RT. This incubation period allows the reagent to lyse the cells and generate a luminescent signal proportional to the amount of ATP present.
   3. Set up the plate reader according to the manufacturer's instructions for luminescence detection. Measure luminescence from each well containing the cell lysate and ATP reagent. Ensure that the plate reader is set to measure luminescence with appropriate settings.
   4. Subtract background luminescence readings from both treatment groups and control wells. Obtain background readings from wells containing only the ATP reagent and PBS without cells.
   5. Analyze the corrected luminescence values for each sample to determine ATP levels, reflecting cell proliferation or viability.
   6. Ensure that each experimental group and control consisted of four repeats (step 3.2.2) for statistical accuracy. Calculate and import the average luminescence of each group and control into an appropriate statistical program.
   7. Compare the results between treatment groups and relevant controls to assess ATP proliferation accurately. Record all luminescence readings, calculations, and experimental conditions for future reference.
      NOTE: For all biochemical analyses in kit form, follow the kit's manual or protocol provided by the manufacturer for specific details, such as recommended incubation times, concentrations, and any additional steps or considerations. Always adhere to laboratory safety guidelines when handling chemicals and biological materials.

Results

To assess the morphology and visually inspect the cell density of the hydrogels, inverse microscopy was used (Figure 2). The ADSCs retained a rounded morphology 24 h after seeding and PBM exposure. The cells were scattered throughout the gel as single cells or in grape-like clusters. The morphology was unchanged after 10 days in 3D culture. No definitive difference in morphology was noted between the experimental groups and controls or between the different experimental groups.

To assess the cytotoxic effects of PBM exposure and 3D culture using hydrogel, LDH leakage was measured (Figure 3). There were no significant differences between the experimental groups and controls at 24 h or 10 days, indicating that PBM exposure and hydrogel culture had no detrimental effect on the cells.

Cellular proliferation rates were measured by measuring the ATP content of ADSCs (Figure 4). PBM exposure resulted in increased proliferation rates in all experimental groups compared to the controls. At 24 h post-PBM exposure, the 525 nm wavelength stimulated the highest proliferation rates. However, at the 10 day mark, the 825 nm wavelength demonstrated superior proliferation rates compared to the 525 nm wavelength. At the end of the 10-day culture period, the 825 nm, 10 J/cm² group showed the highest proliferation rate.

Figure 1: Overview of the protocol. Summarized protocol highlighting the preparation of the hydrogel in 96 well plates, PBM exposure, and the measurement of morphology and biochemical assays at 24 h and 10 days post-PBM exposure. Please click here to view a larger version of this figure.

Figure 2: ADSCs self-aggregated after seeding. The cells retained a round-to-oval morphology and were distributed in the hydrogel as either single cells or aggregates with a grape-like cluster appearance at (A) 24 h and (B) 10 days after seeding and PBM exposure. No definitive change was observed after 10 days of incubation. Using controls (1 and 4), 525 nm at 5 J/cm² (2) and 10 J/cm² (5) or 825 nm at 5 J/cm² (3) and 10 J/cm² (6), respectively. Please click here to view a larger version of this figure.

Figure 3: Cellular LDH leakage as a measurement of cytotoxicity 24 h and 10 days post-PBM exposure, using a 525 nm and 825 nm diode (5 J/cm² and 10 J/cm²) in the hydrogel. No significant increase in cytotoxicity was observed compared to the experimental control. The positive control was representative of complete cell death. Please click here to view a larger version of this figure.

Figure 4: Cellular ATP as a measurement of proliferation 24 h and 10 days post-PBM exposure, using a 525 nm and 825 nm diode (5 J/cm² and 10 J/cm²) in the hydrogel. PBM exposure stimulated increased proliferation rates in all experimental groups at both time points and both fluencies. Significant differences (P < 0.001) are indicated by ***. Please click here to view a larger version of this figure.

Component	Volume (µL) per well
SLO-Dextran polymer (30 mmol/L)	0.7
Cell suspension	2
Buffer	0.8
Water	5.5
Crosslinker	1
Total volume	10

Table 1: Hydrogel (10 µL) reagent volumes.

Laser Parameters	Green (G)	Near infra-red (NIR)
Light Source	Diode Laser	Diode Laser
Wavelength (nm)	525	825
Power Output (mW)	553	515
Power Density (mW/cm2)	57.48	53.53

Table 2: Laser parameters.

Discussion

ADSCs are an ideal cell type to use for regenerative medicine as they stimulate various processes to aid in wound healing^3,4. However, there are several challenges that need to be circumvented, e.g., poor survival rates and ineffective engraftment of the cells in an injury site⁹. Immortalized cells were used as a commercially available cell line, as they can be passaged for more generations compared to primary cells, they do not need to be harvested, are well characterized, and are homogenous populations ensuring consistent results³¹. The aim of this study was to determine the augmentative potential of PBM on the proliferation and cytotoxicity of ADSCs, using 3D cell culture. The manufacturer's protocol for a 30 µL hydrogel has been adapted to a 10 µL to save cost³². However, this reduced volume made the preparation and handling of the gel more difficult.

ADSCs have been shown to self-aggregate within a 3D environment³³. Similarly in this study, the cells formed cell aggregates with a grape-like appearance. However, single-laying cells were also identified. Cell shedding is a known property of spheroids in which cells become detached from the main spheroid or aggregate body and are released into the culture environment. Cell shedding can result from cellular proliferation, in which viable cells are shed during mitosis and allow for migration³⁴. Alternatively, shedding can result due to cell death and loss of spheroid or aggregate shape³⁵, especially in very large spheroids due to a growing necrotic core. The cells adopted a rounded morphology in 3D culture, compared to a spindle shape in 2D cultures. In keeping with the findings of similar studies, these results are due to a lack of attachment sites or extracellular matrix for the cells to adhere to^6,9. Furthermore, the cells showed no significant migration in the gel, further implying the need for attachment sites³⁶. It is recommended to add an adhesion peptide or another extracellular matrix protein to facilitate attachment, adhesion, and migration. A limitation of the study was the use of inverse light microscopy to observe the 3D morphology of the ADSCs instead of Z-stacking. PBM exposure and 3D culture had no significant effect on the cytotoxicity of the ADSCs both at 24 h and 10 days post exposure, indicating that hydrogel culture and PBM are safe and have no negative impact on the cells^6,26. In 3D cell culture, ADSCs have been associated with slower proliferation rates compared to 2D cell culture. This is supported by the low proliferation rates of the normal controls in the current study⁶. PBM (525 nm and 825 nm) significantly increased the proliferation rates of ADSCs in 3D culture. Initially, the green light (525 nm) at both 5 J/cm² and 10 J/cm² fluencies elicited the highest proliferation rates compared to the near-infrared light (825 nm). However, at the 10-day mark, the near-infrared light (825 nm) has the highest proliferation rates at both 5 J/cm² and 10 J/cm² fluencies. Similarly, PBM (525 nm and 825 nm) has been demonstrated to increase proliferation rates in 2D cultures³⁷. It is recommended to also include a wavelength combination group, as other studies have reported a synergistic effect of green and near-infrared light.

In conclusion, the hydrogel used is a synthetic hydrogel with tremendous customization capacity to suit the needs of various applications. The current study has demonstrated that the gel has no cytotoxic effect on cells in culture over a 10-day period. Furthermore, PBM demonstrated a positive augmentative potential by significantly upregulating the proliferation rates of ADSCs, despite being in a 3D culture environment. Thus, this hydrogel can serve as a possible biomaterial carrier for transplantation into wounds. Future investigations should be aimed at testing the potential ability of the gel to assist in wound healing using animal studies. If the animal trial outcomes are favorable, it is envisioned that patient-derived ADSCs may be harvested, encapsulated, and augmented with PBM prior to transplantation into wounds to assist in wound healing in clinical applications.

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
525 nm diode laser	National Laser Centre of South Africa	EN 60825-1:2007
825 nm diode laser	National Laser Centre of South Africa	SN 101080908ADR-1800
96 Well Strip Plates	Sigma-Aldrich	BR782301
Amphotericin B	Sigma-Aldrich	A2942	Antibiotic (0.5%; 0.5 mL)
CellTiter-Glo 3D Cell Viability Assay	Promega	G9681	ATP reagent, Proliferation assay Kit
Corning 2 mL External Threaded Polypropylene Cryogenic Vial	Corning	430659	cryovial
CryoSOfree	Sigma-Aldrich	C9249	Cell freezing media
CytoTox96 Non-Radioactive Cytotoxicity Assay	Promega	G1780	Cytotoxicity reagent
Dulbecco’s Modified Eagle Media	Sigma-Aldrich	D5796	Basal medium (39 mL/44 mL)
FieldMate Laser Power Meter	Coherent	1098297
Flat-bottomed Corning 96 well clear polystyrene plate	Sigma-Aldrich	CLS3370
Foetal bovine serum	Biochrom	S0615	Culture medium enrichment (5 mL; 10% / 10 mL; 20%)
Hanks Balanced Salt Solution (HBSS)	Sigma-Aldrich	H9394	Rinse solution
Heracell 150i CO2 incubator	Thermo Scientific	51026280
Heraeus Labofuge 400	Thermo Scientific	75008371	Plate spinner for 96 well plates
Heraeus Megafuge 16R centrifuge	ThermoFisher	75004270
Immortalized ADSCs	ATCC	ASC52Telo hTERT, ATCC SCRC-4000	Passage 37
Invitrogen Countess 3	Invitrogen	AMQAX2000	Automated cell counter for Trypan Blue
Julabo TW20 waterbath	Sigma-Aldrich	Z615501	Waterbath used to warm media to 37 °C
Olympus CellSens Entry	Olympus	Version 3.2 (23706)	Imaging software: digital image acquisition
Olympus CKX41	Olympus	SN9B02019	Inverted light microscope
Olympus SC30 camera	Olympus	SN57000530	Camera attached to inverted light microscope
Opaque-walled Corning 96 well solid polystyrene microplates	Sigma-Aldrich	CLS3912	Opaque well used for ATP luminescence
Penicillin-Streptomycin	Sigma-Aldrich	P4333	Antibiotic (0.5%; 0.5 mL)
SigmaPlot 12.0	Systat Software Incorporated
TrueGel3D – True3	Sigma-Aldrich	TRUE3-1KT	10 µL
TrueGel3D Enzymatic Cell Recovery Solution	Sigma-Aldrich	TRUEENZ	01:20
Trypan Blue Stain	Thermo Fisher - Invitrogen	T10282	0.4% solution
TrypLE Select Enzyme (1x)	Gibco	12563029	Cell detachment solution
Victor Nivo Plate Reader	Perkin Elmer	HH3522019094	Spectrophotometric plate reader