• International Journal of Technology (IJTech)
  • Vol 13, No 8 (2022)

Development of Auto-PIVOT: Automated Platform In Vitro for Cell Tissue Culture

Development of Auto-PIVOT: Automated Platform In Vitro for Cell Tissue Culture

Title: Development of Auto-PIVOT: Automated Platform In Vitro for Cell Tissue Culture
Muhammad Irsyad, Yudan Whulanza, Puspita Anggraini Katili, Radiana Dhewayani Antarianto, Chyntia Olivia Maurine Jasirwan, Nilo Bugtai

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Cite this article as:
Irsyad, M., Whulanza, Y., Katili, P.A., Antarianto, R.D., Jasirwan, C.O.M., Bugtai, N., 2022. Development of Auto-PIVOT: Automated Platform In Vitro for Cell Tissue Culture. International Journal of Technology. Volume 13(8), pp. 1651-1662

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Muhammad Irsyad Department of Mechanical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus UI Depok, West Java 16424 Indonesia
Yudan Whulanza 1. Department of Mechanical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus UI Depok, West Java 16424 Indonesia, 2. Research Center for Biomedical Engineering, Faculty of Engineerin
Puspita Anggraini Katili 1. Research Center for Biomedical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus UI Depok, West Java 16424 Indonesia, 2. Biomedical Engineering Study Program, Department of Electri
Radiana Dhewayani Antarianto Department of Histology, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia
Chyntia Olivia Maurine Jasirwan Division of Hepatobilliary, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia
Nilo Bugtai Department of Manufacturing Engineering and Management, Gokongwei College of Engineering, De La Salle University, 1004 Manila, Philippines
Email to Corresponding Author

Abstract
Development of Auto-PIVOT: Automated Platform In Vitro for Cell Tissue Culture

Bioreactors are growing in popularity among network engineers. Bioreactors are generally chambers used for cell culture processes with predetermined parameters. Pivot is a bioreactor system for cell culture that is controlled automatically and remotely using multi-chambers that allow inflow of fresh liquid or output for sample collection. This system facilitates gas exchange between the culture medium and ambient gas. The system provides a storage bag for fresh media and a peristaltic pump is used to move the media in a closed loop during perfusion and stirring in the cell culture chamber. The flow rates used is 2 mL/min. The system has a container for direct sample measurement to obtain pH, oxygen, and carbon dioxide parameters. The bioreactor system is also equipped with a mixing vessel which allows the addition of desired nutrients or additives to the system. The results of a computational fluid dynamics (CFD) and shear stress-based flow analysis have been conducted. The simulation results demonstrate that the applied Pivot parameters correspond to an ideal environment to hepatocyte cell viability and growth. This research is expected to increase the number of cells produced without reducing the quality of each chamber and be carried out simultaneously, automatically, and remotely controlled.

Automated system; Bioreactor; Cell culture; PIVOT; Remotely controlled

Introduction

    Tissue engineering triggers the rapid development of various technology in medical applications (Hinman et al., 2020; Birla, 2014). Currently, engineered tissues realized in a laboratory have been used at the clinical level (Mason et al., 2011). This advancement was supported by the establishment of the triad of tissue engineering: cells, scaffolding, and signals (Jain & Bansal, 2015). Bioreactor represents a device that transmits signals in tissue engineering. A bioreactor carries out biological and/or biochemical processes, including microbial and mammalian cell culture processes in a monitored and controlled environment. Moreover, bioreactors also enable us to realize an operating condition by intervening in the culture environment (Birla, 2014).
    Compared to petri dishes, bioreactors have been proven to have better performance in the sense that bioreactors are able to facilitate tissue culture in three dimensions (3D) with the help of biomaterial scaffolds (Costa et al., 2020; Paez?Mayorga et al., 2019; Nadhif et al., 2017). In this 3D environment, the cultured tissues produce properties that resemble the targeted mimetic tissue (Valls-Margarit et al., 2019; Villa-Diaz et al., 2013). In addition, tissue culture in bioreactors can be carried out dynamically (Nadhif et al., 2017), allowing the perfusion process of growth factors, nutrients, medicines, metabolites, and other culture media (Petrenko et al., 2017). The perfusion process can also be carried out to flow oxygen (O2) (Schmid et al., 2018) and carbon dioxide (Schuerlein et al., 2017) in a controlled manner that affects cell respiration and acidity (pH) of the environment (Be?karde? et al., 2018; Petrenko et al., 2017). Some bioreactors include electrical electrodes for stimulation and signal recording (Whulanza et al., 2022). The cells given by this electrical stimulant are cells that can be excited, such as nerve and muscle cells (Khodabukus et al., 2019; Huang et al., 2012). Meanwhile, recording electrodes were used to identify cell activity, such as nerve cells and cardiac wall cells in bioreactors (Li et al., 2018; Sagita et al., 2018).
    During the operation, a bioreactor is often put into incubators to maintain the culture temperature (Bilgen et al., 2013), considering that there are still few bioreactors that integrate thermal modules (Liu et al., 2019). In fact, the placement of bioreactors that consist of several components in the incubators often makes it difficult for researchers to run experiments. Nadhif et al. developed a thermal control module that can be integrated with bioreactors (Nadhif et al., 2019). Therefore, the development of a bioreactor with integrated temperature control IoT system became our research of interest in this phase. One of the examples also found is from Rahmat et al., who monitored microalgae cultivation inside a photobioreactor using an IoT system (Rahmat et al., 2020). Long-term exposure to high temperatures may have detrimental effects on cells, such as inhibiting cell proliferation and increasing the number of necrotic cells (Zhu et al., 2015; Reissis et al., 2013). An automated system is required to be implemented in a bioreactor to maintain a suitable temperature for the cells over time (Wang et al., 2020). As is well known, the incubation period for cell culture may range from 24 hours to 7 days (Schmid et al., 2018; Meinert et al., 2017). However, research on cell culture bioreactors that can be observed remotely in real-time is still few and with limited parameters.
     The aseptic requirements of the cell culture procedure necessitate a closed system; therefore, clean room access is necessary for manual operations. In biopharmaceutical production facilities, the high costs and demand for cleanroom space are obstacles to reserving certain room sections exclusively for the bioreactor system. Research using mini cleanrooms so far is one of the implementations used on micro-electromechanical systems (MEMS). Vutla et.al reported the results of an analysis based on airflow simulation in a MEMS clean room aimed at predicting the distribution of 0.5 um airborne particles according to ISO-5 standards (Rao Vutla et al., 2019). ISO-5 or Classification 100 Cleanrooms are a stricter classification of cleanrooms across a smaller cross-section of industries and applications. ISO 5 Cleanrooms are used in biotechnology, pharmaceutical, nanotechnology, and precision manufacturing industries. The installment of cleanroom is costly due to its operation with normally large area that contain 5-100 working people.
      Regarding the constraints mentioned, our approach here is minimizing the space by applying the automatic and remote controlled system in the mini cleanroom to maintain the sterility of all bioreactor components. In this study, experiments using thermal, pressure and pH modules as case studies to be connected with the Internet of Things (IoT) system and using the finite element method to determine airflow and temperature in a clean room. 

Experimental Methods

2.1. Pivot System Configuration

      In this system component, cell culture chamber is the bioreactor's heart: It contains the monolayer of cells or the scaffold upon which cells are seeded. Polydimethylsiloxane (PDMS), a biocompatible silicone polymer, is used to construct the entire chamber (Sylgard 184, Dow Corning). The bioreactor system includes the following components: 1) bioreactor cell chamber; 2) mixing chamber; 3) peristaltic pump; 4) air supply device with filter and 5) electrical system.

2.2. Electrical System Configuration

        The backbone of the structure mainly consisted of five components: a DC power supply with emergency battery as optional, a heating system included the driver, environment sensing included: temperature, pH, humidity sensors, and microcontroller altogether with IoT platform as previously developed by our group (Assyarify et al., 2022). This is accomplished using an Arduino microcontroller and custom-designed software to maintain the required cell environment parameter values. Multiple input ports on the Arduino microcontroller receive feedback regarding all controlled parameters. Through a series of lines of code, the software compares the feedback input to a predetermined value deemed optimal for the growth of the cells. By sending a signal through the output port to the water heater, pressure regulator, solenoid valve and others, any action required to maintain system balance and correct any parameter changes can be performed.

        In this study, Wi-Fi microcontrollers were employed: ESP-Arduino Mega; Arduino microcontroller, which have been utilized in various studies. The temperature sensor transmitted the measured chamber temperature to the microcontroller. In this setup, a 60 W (12V, 5A) DC power supply was selected as the heater consumed 50 W power. This circuit forms a logic to control the temperature input with occurred disturbance, resulting in required values. Thus, the heater conveyed the heat to the water and transferred it to the bioreactor chamber.

2.3. Internet-of-Things (IoT) Platform

    The thermal module, pH module, and pH module were remotely monitored and presented in a control panel with a commercial user interface Blynk. Blynk provides data communication between the bioreactor system and the internet mainframe. Built-in equipment and IoT implementation enable real-time automatic parameter control and monitoring of real-time processes. The sensor's output will be transmitted to the Blynk server through a Wi-Fi connection and displayed on a web browser platform and smartphone application. Users are able to specify download parameters for retrieving data from the database.

2.4. Clean Room Installation

       A clean room is specifically designed and controlled to minimize particulate matter levels complied with the standard of the International Organization for Standardization (ISO) 14644-1. The clean room was designed equipped with ducting (HEPA H13 filter). The clean room will contain the PIVOT system to ensure the air quality and sterility with positive pressure environment. Important assumed data that needed in order realizing the cleanroom is good air exchange standards for rooms; the amount of air flow intake corresponds to the volume of the room; estimated cooling load from indoors and outside air temperature and good airflow input and output location

2.5.  Modelling and Simulation of PIVOT system

      There were two stages of model and simulation that were conducted in this study. The first one is the study of mini cleanroom as the outer containment of the system. The second one was the simulation of cell culture chamber due to the fluid dynamic in the chamber. The 3D model of the mini cleanroom was drawn using an Autodesk Inventor 2022 software and exported to Ansys Fluent Student License 2022 R2 in STEP file format.  Furthermore, finite element modeling (FEM) model of cell culture chamber was simulated to observe the shear stress reacted on the surface of the bioreactor that directly affect to the living cell cultured on it.

2.6. Trial Test
    Auto-PIVOT trials were conducted to characterize temperature and monitor air pressure and pH for 30 minutes (1,800 seconds). In order to characterize the temperature, four temperature sensors are placed in each corner of the water heating chamber. Using a Digital 4-Channel K-Type Thermocouple Thermometer, measurements were taken. The measurement results from the bioreactor's built-in thermistor will be compared and analyzed. The controlled temperature was set to 37°C following the reference temperature for liver cell culture. Injecting a mixture of air from the compressor and CO2 gas into the mixing chamber allows for pH regulation. Air from the compressor is used in place of oxygen to avoid potential fire hazards. The pH control's actuator is a solenoid valve connected to the CO2 gas hose. When the pH of the mixing chamber falls below 7, the CO2 gas hose is shut off by a solenoid valve. If the value is greater than seven, the solenoid valve will open and CO2 gas will be mixed with air from the compressor.

Results and Discussion

3.1. The PIVOT system

      The PIVOT platform consists of these main components: 1) cell culture chamber; 2) reservoir/ mixing chamber; 3) heating medium; peristaltic pump; 4) electrical system and 5) mini cleanroom box with HEPA filter and air supply. The electrical system provides the power supply, controller and sensors temperature, pH, humidity and the IoT platform.  All of this component was presented in schematic diagram as in Figure 1a and realized in Figure 1b and 1c.


Figure 1 a) Schematic of Auto-Pivot Platform; b) bioreactor cell culture configuration and c) complete setup of the platform

        The cell culture chamber made of polydimethylsiloxane elastomeric polymer (PDMS) serves as bioreactors (inset Figure 1c). An extra chamber serves as reservoir that allows the oxygen and temperature sensors tapped into the liquid. Another chamber can be connected to this reservoir chamber to flow important nutrients as required. This reservoir acted as a conditioning environment that finally flowed to the cell cultured bioreactor.

        Culture chambers were heated using a water bath heating system that utilized the distilled water's heat capacity to keep the culture chamber in desired temperature. The water bath was heated by resistive heaters placed directly in the heating pod. An electronic unit controls the resistive heaters through a power regulator.

        The pressure is controlled through the serial to PWM board that generates the analog 0-10V control signal for the pressure regulator. Typically, the pressure regulators are designed to be used in a closed system and the imposed pressure is guaranteed for a static environment. The pressure in the mixing chamber is obtained with a low resistance imposed by a sensor. An IoT system was successfully implemented by transmitting the measured temperature data from the culture chamber sensor. Since external disturbances to a bioreactor system could be detrimental to the cultured tissue, the measurement data was sent to a web server every second to allow for the early detection and correction of any errors. A real-time sequential graph of the measured temperature is displayed at a dashboard to provide an easily comprehensible data visualization (as featured in Supplementary Material 1).

        Simultaneously with the data collected during the experiment, the web server received and stored the data in its database. In addition, the data could be retrieved using the history panel, as depicted in Supplementary Material 1. In this regard, a user could set a specific time frame for the result to be displayed. Unfortunately, the data could only be displayed within a single frame for a maximum of 15 minutes. As presented in Supplementary Material 1, this web-based application offered a history management function for downloading the desired timeframe in a spreadsheet file format. Consequently, the user could view all measured data for further analysis.

3.2. Clean Room Installation and Simulation

       This phase realized an installment parameter for the clean room system of the bioreactor environment. This parameter shall formulate good and sterilized air exchange standards for the workspace of the cell culture. The amount of airflow intake corresponds to the volume of the room that needs to be conditioned. Estimation of cooling load from indoor and outside air temperatures was estimated.

Table 1 Simulation Parameters of Mini Cleanroom

Physical Features

Value

Unit

Heat conduction in solid

Off

--

Time dependent

On

--

Gravitational effect

Off

--

Rotation

Off

--

Flow type

Laminar and turbulent

--

Relative humidity

50.0

%

Default roughness

0

Micrometer

Default wall condition

Adiabatic wall

--

Static pressure

101325

Pa

Temperature

300.0

K

        The mini cleanroom roof has four fan filter units (FFUs) in each corner and parallel to the four air vents on the floor. In this study, we used clean rooms that refer to ISO 5 which can be implemented in biotechnology, pharmaceuticals, nanotechnology, and various clean technology manufacturing applications. In a typical ISO-5 cleanroom, airflow occurs at v=0.5 ms-1 from the top vent to the bottom vent. Since particles with a diameter of 0.5 m have a negligible mass, it is assumed that their flow is governed by the fluid flow, making it possible to predict the path and presence of particles in the domain. A detail input parameter for the simulation environment was summarized in table 1.

        According to the simulation results was sufficient to ensure the clean air transmission within the minichamber. With a constant of 6 Air Changes per Hour (ACH), subjects shall get fresh air by adding a 25 x 25 cm 450 cfm inlet fan to the room. This could be realized using a 400 cfm exhaust fan. The simulation was realized successfully and found that the humidity of the room was relatively constant at 50-60% RH. Hypothetically, room temperature reaches the targeted temperature at an average of 33oC. The visualization results were presented at Figure 2.


Figure 2 Clean room air transmission simulation visualization result a) velocity profile in perspective view and b) pressure profile in the side view

        The cleanroom was successfully designed with floor dimensions of 40x60 cm, a height of 50 cm, and an estimated volume of 38.5 cm2 of free space after deducting the volume of the Pivot device. The four vents at each top and bottom corner (as inlet and outlet holes) of the cleanroom have a diameter of 5 cm, and a HEPA filter is installed at each vent to maintain cleanroom sterility.

        The results of the simulation utilizing the mini cleanroom model demonstrate laminar airflow from the inlet to the outlet, as presented in Figure 2a and 2b. Maintaining the temperature equilibrium on the water chamber's surface is dependent on laminar airflow. Supplementary material 2 depics the velocity of airflow in the mini cleanroom. Similarly, the simulation visualization shows that the temperature at the inlet with 300K (26°C) to the water surface can be maintained at 310K. (37°C). This is also due to the fact that the outlet is designed to be perpendicular to the inlet at every corner, preventing turbulence that can lower the water's room temperature and affect the bioreactor's flow temperature.

3.3. Finite Element Analysis of Bioreactor

        The simulation in the second phase is conducted to observe the temperature profile, and fluid dynamic in the bioreactor. Note that the bioreactor was seated on the heating source in this system which affect the temperature profile in the mini cleanroom. The simulation environment employed the parameter shown in Table 2.

        Here, the actual shear stress on the wall depends linearly on the density and viscosity of the culture medium employed. The default element size used for meshing the model is 4.16 x 10-3 m, resulting in 11081 nodes and 53064 elements. The resulting meshing model is imported into the Fluent module and analyzed using a three-dimensional double-precision model.

Table 2 Finite element parameters of bioreactor chamber simulation

Boundary Condition

Value

Unit

Viscosity

103

Pa.s

Fluid density

1,000

kg/m3

Flow rate

2-3

mL/min

Pressure

1 (760)

Atm (mmHg)

Temperature

37

°C

Slip condition

no-slip boundary

--

Reference fluid

water

--

        A model of the bioreactor chamber's within the cleanroom is also represented in Figure 3a. The realization of the bioreactor in the cleanroom was represented in the figure 3c.  Furthermore, the placement of supporting equipment such peristaltic pump and electrical system. These two supporting systems was also inserted in the simulation since its connected directly to the cell culture chamber trough a plastic hose. The dynamic of fluid shall contribute to the connection system of this fluid connection. It is assumed that that the heat generated by peristaltic and the electrical system is neglected at this moment. Therefore, figure 3b shows that the heat source is limited to the heating system of the bioreactor.

        The numerical study also highlights the shear stress that involved in the cell culture chamber. Our previous study indicated that cell viability corresponds with the shear generated on the bioreactor’s substrate. The standard transport equation is utilized to determine the flow rate ensuring shear stress in our bioreactor chamber, particularly in the surface area where the cell culture mainly occured (Kehtari et al., 2018).


Figure 3 a) CAD model Isometric view of an auto-PIVOT system within the mini cleanroom; b). the profile temperature in the chamber that used the heating system in the culture chamber; and c) realization of the PIVOT within the mini cleanroom

     The simulation results indicate that the shear stress experienced by hepatocytes in the cell chamber at a flow rate parameter of 2 mL/min is well above the minimum limit. As the simulation and visualization results in Figure 4, the resulting shear stress is only 4.6x10-7 Pa. In order to prevent cell death caused by stress and inadequate nutrient input due to a too-slow flow rate. According to previous research, the shear stress in normal hepatic sinusoids does not exceed 0.2 Pa. Using a shear stress of 0.05 Pa on iPSCs-derived hepatocytes (iPSCs-Heps) cultured in a bioreactor device, Kehtari et al. observed a higher level of hepatic markers than in static conditions. Flow cytometry and immunocytochemistry analysis revealed that iPSCs cultured in the device successively gained the features of definitive endodermal cells, hepatoblasts, and mature hepatocytes. During the experiment, albumin and urea secretion were significantly greater in the micro-bioreactor device than in the culture plates (Kehtari et al., 2018). In addition to the shear stress and flow velocity parameters, paying attention to the surface roughness and wettability parameters on the cell chamber's surface is an additional way to ensure high viability. The currently utilized cell chamber is molded from PDMS, which can be enhanced by the biomachining procedure (Whulanza et al., 2016).


Figure 4  a) Cell culture chamber; b) CAD model of PDMS cell chamber and c) Velocity and wall share on the chamber

3.4. Trial Test

        Temperature measurements at the four corners of the water-heating chamber using a 4-Channel K-Type thermocouple and in the center of the water-heating chamber using a thermistor Pivot show a similar trend. The rise times of thermistor, ch1, ch2, ch3, and ch4 are 855, 763, 825, 772, and 782 seconds, respectively. The average rise time required to reach the target temperature is about 13 minutes. According to the graph and rise time, it is known that ch1 has a higher temperature. It is due to its proximity to the water heater.

        The monitoring outcomes showed no change in the pH value, which averaged approximately 6.78. It is presumably because the air supply from the compressor contains little dissolved O2, which is insufficient to alter the pH considerably. To counteract this, the regulated addition of huge volumes of O2 is required, hence the usage of O2 tanks cannot be avoided. Due to the possible fire hazards posed by the use of O2, security protocols must also be enhanced. The monitoring results are shown in Figure 5b

        Furthermore, developing the pivot parameter also requires precise PID control of the heater. The highest temperature at the end of the measurement session reached 38.6°C at ch1, ch3, and ch4. Due to a temperature deviation of 1.6°C, some consideration may be required regarding the type of cell used. The measurement duration also needs to be increased to ensure the steady-state value of the temperature PID control, where bioreactors are usually used for days. As a result, some evaluation and development of the algorithms used for PID control are required.


Figure 5 a) measurement of temperature profile during the testing of Auto-PIVOT and b) view window in the Blynk software during the operation

      The 3D cell culture which is the main feature of this bioreactor has become new standard (Khafaga et al., 2022; Pichler et al., 2022).  Moreover, the substrate and cell interaction are being optimized in current setting such as using the perfusion of fludic movement for benefit of cell viability (Yu et al 2022; Nadhif et al., 2020).  The observation of single cell has also put important milestone in the trend of bioreactor (Czosseck et al., 2022; Clement et al 2022; Whulanza et al., 2014). The progress of microfluidic device fabrication enables this observation nowadays (Charmet et al., 2020; Suwandi et al., 2014). This micro-scale environmental control method has the potential to be applied to a broader range of cell and tissue types in the future. Though since different cells and tissues have different environmental parameter needs. This trend in micronization technology is not restricted to the cellular level; instead, it is slowly moving towards the molecular level (Utomo et al., 2021; Whulanza et al., 2016). Moreover, the development of PIVOT is also one of the steps required to advance tissue engineering into technology 4.0 and a method for preventing the spread of COVID-19 within the laboratory (Berawi et al., 2020a; 2020b).

Conclusion

    The Internet of Things system has been successfully integrated with PIVOT's thermal control, pH, and pressure monitoring to enable remote monitoring. The server also stores measurement results data so that the data can be reviewed for further analysis. The simulation results indicate that the design parameters of shear stress less than 0.2 Pa and fluid velocity of 2 mL/min are compatible with and reliable for developing hepatocyte cells. Adjusting the thermal control to achieve a steady state at a predetermined temperature is necessary for further research. Designing and testing a pressure control module for remote air and CO2 input using hepatocyte cells is required.

Acknowledgement

    Authors thanks to the Grant of RIIM (Riset dan Inovasi untuk Indonesia Maju) 2022.

References

Assyarify, H., Nadhif, M.H., Gates, W., Whulanza, Y., 2022. IoT-Enabled Tissue-Engineering Bioreactors for Real-Time Remote Monitoring: A Trial Using a Thermal Module. AIP Conference Proceedings, Volume 2537(1), p. 050011

Berawi, M.A., Suwartha, N., Kusrini, E., Yuwono, A.H., Harwahyu, R., Setiawan, E.A., Yatmo, Y.A., Atmodiwirjo, P., Zagloel, Y.T., Suryanegara, M., Putra, N., Budiyanto, M.A., Whulanza, Y., 2020. Tackling the COVID-19 Pandemic: Managing the Cause, Spread, and Impact. International Journal of Technology, Volume 11(2), p. 209

Berawi, M.A., Suwartha, N., Surjandari, I., Zagloel, T.Y.M., Asvial, M., Harwahyu, R., Suryanegara, M., Setiawan, E.A., Maknun, I.J., Kusrini, E., Kartohardjono, S., Sofyan, N., Yuwono, A.H., Harjanto, S., Putra, N., Budiyanto, M.A., Whulanza, Y., 2020. Accelerating Sustainable Energy Development through Industry 4.0 Technologies. International Journal of Technology, Volume 11(8), p. 1463

Be?karde?, I.G., Ayd?n, G., Bekta?, ?., Cengiz, A., Gümü?derelio?lu, M., 2018. A Systematic Study for Optimal Cell Seeding and Culture Conditions in a Perfusion Mode Bone-Tissue Bioreactor. Biochemical Engineering Journal, Volume 132, pp. 100–111

Bilgen, B., Chu, D., Stefani, R., Aaron, R.K., 2013. Design of a Biaxial Mechanical Loading Bioreactor for Tissue Engineering. Journal of Visualized Experiments: JoVE, Volume 74, p. 50387

Birla, R., 2014. Introduction to Tissue Engineering: Applications and Challenges. IEEE Press

Costa, J., Ghilardi, M., Mamone, V., Ferrari, V., Busfield, J.J.C., Ahluwalia, A., Carpi, F., 2020. Bioreactor with Electrically Deformable Curved Membranes for Mechanical Stimulation of Cell Cultures. Frontiers in Bioengineering and Biotechnology, Volume 8, p. 22

Charmet, J., Rodrigues, R., Yildirim, E., Dallmann, R., Whulanza, Y., 2020. Low-Cost Microfabrication Toolbox. Micromachines, Volume 11(2), p. 135

Clément, V., Roy, V., Paré, B., Goulet, C.R., Deschênes, L.T., Berthod, F., Bolduc, S. and Gros-Louis, F., 2022. Tridimensional Cell Culture of Dermal Fibroblasts Promotes Exosome-Mediated Secretion of Extracellular Matrix Proteins.  Scientific Reports, Volume 12(1), p. 19786

Czosseck, A., Chen, M.M., Nguyen, H., Meeson, A., Hsu, C.C., Chen, C.C., George, T.A., Ruan, S.C., Cheng, Y.Y., Lin, P.J. and Hsieh, P.C., 2022. Porous Scaffold for Mesenchymal Cell Encapsulation and Exosome-Based Therapy of Ischemic Diseases. Journal of Controlled Release, Volume 352, pp. 879892

Hinman, S.S., Kim, R., Wang, Y., Phillips, K.S., Attayek, P.J., Allbritton, N.L., 2020. Microphysiological System Design: Simplicity Is Elegance. Current Opinion in Biomedical Engineering, Volume 13, pp. 94–102

Huang, J., Lu, L., Zhang, J., Hu, X., Zhang, Y., Liang, W., Wu, S., Luo, Z., 2012. Electrical Stimulation to Conductive Scaffold Promotes Axonal Regeneration and Remyelination in a Rat Model of Large Nerve Defect. PLOS ONE, Volume 7(6), p. e39526

Jain, A., Bansal, R., 2015. Applications of Regenerative Medicine in Organ Transplantation. Journal of Pharmacy and Bioallied Sciences, Volume 7(3), p. 188

Kehtari, M., Zeynali, B., Soleimani, M., Kabiri, M., Seyedjafari, E., 2018. Fabrication of a Co-Culture Micro-Bioreactor Device for Efficient Hepatic Differentiation of Human Induced Pluripotent Stem Cells (HiPSCs). Artificial Cells, Nanomedicine, and Biotechnology, Volume 46(sup2), pp. 161–170

Khafaga, A.F., Mousa, S.A., Aleya, L., Abdel-Daim, M.M., 2022. Three-dimensional (3D) Cell Culture: A Valuable Step In Advancing Treatments for Human Hepatocellular Carcinoma.    Cancer Cell International, Volume 22(1), p. 243

Khodabukus, A., Madden, L., Prabhu, N.K., Koves, T.R., Jackman, C.P., Muoio, D.M., Bursac, N., 2019. Electrical Stimulation Increases Hypertrophy and Metabolic Flux in Tissue-Engineered Human Skeletal Muscle. Biomaterials, Volume 198, pp. 259–269

Li, R.A., Keung, W., Cashman, T.J., Backeris, P.C., Johnson, B.V., Bardot, E.S., Wong, A.O.T., Chan, P.K.W., Chan, C.W.Y., Costa, K.D., 2018. Bioengineering an Electro-Mechanically Functional Miniature Ventricular Heart Chamber from Human Pluripotent Stem Cells. Biomaterials, Volume 163, pp. 116–127

Liu, C., Sun, Y., Li, N., Zhang, B., Zhen, F., 2019. Impact of Temperature Fluctuation on Anaerobic Fermentation Process of Upgrading Bioreactor under Solar Radiant Heating. Applied Thermal Engineering, Volume 156, pp. 382–391

Mason, C., Brindley, D.A., Culme-Seymour, E.J., Davie, N.L., 2011. Cell Therapy Industry: Billion Dollar Global Business with Unlimited Potential. Regenerative Medicine, Volume 6(3), pp. 265–272

Meinert, C., Schrobback, K., Hutmacher, D.W., Klein, T.J., 2017. A Novel Bioreactor System for Biaxial Mechanical Loading Enhances the Properties of Tissue-Engineered Human Cartilage. Scientific Reports, Volume 7(1), p. 16997

Nadhif, M.H., Assyarify, H., Waafi, A.K., Whulanza, Y., 2020. Reflecting on Mechanical Functionalities in Bioreactors for Tissue Engineering Purposes. International Journal of Technology, Volume 11(5), p. 1066

Nadhif, M.H., Hadiputra, A.P., Utomo, M.S., Whulanza, Y., 2019. Fabrication and Characterization of an Affordable Conditioned Bio-Specimen Transporter (Conbiport) for Urban Areas. International Journal of Technology, Volume 10(8), p. 1626

Nadhif, M.H., Whulanza, Y., Istiyanto, J., Bachtiar, B.M., 2017. Delivery of Amphotericin B to Candida Albicans by Using Biomachined Lab-on-a-Chip. Journal of Biomimetics, Biomaterials and Biomedical Engineering, Volume 30, pp. 24–30

Paez?Mayorga, J., Hernández?Vargas, G., Ruiz?Esparza, G.U., Iqbal, H.M.N., Wang, X., Zhang, Y.S., Parra?Saldivar, R., Khademhosseini, A., 2019. Bioreactors for Cardiac Tissue Engineering. Advanced Healthcare Materials, Volume 8(7), p. 1701504

Petrenko, Y.A., Petrenko, A.Y., Martin, I., Wendt, D., 2017. Perfusion Bioreactor-Based Cryopreservation of 3D Human Mesenchymal Stromal Cell Tissue Grafts. Cryobiology, Volume 76, pp. 150–153

Pichler, R., Rizzo, L., Tröndle, K., Bühler, M., Brucker, H., Müller, A.L., Grand, K., Farè, S., Viau, A., Kaminski, M.M. and Kuehn, E.W., 2022. Tuning The 3D Microenvironment of Reprogrammed Tubule Cells Enhances Biomimetic Modeling of Polycystic Kidney Disease.  Biomaterials, Volume 291, p. 121910

Rahmat, A., Jaya, I., Hestirianoto, T., Jusadi, D., Kawaroe, M., 2020. Design a Photobioreactor for Microalgae Cultivation with the IOTs (Internet of Things) System. Omni-Akuatika, Volume 16(1), p. 53

Rao Vutla, S., Prakash Regalla, S., Ramaswamy, K., 2019. A Laminar Fluid Flow Model for Study of Ventilation Systems in Micro-Electromechanical Systems (MEMS) Clean Room. Journal of Physics: Conference Series, Volume 1276(1), p. 012057

Reissis, Y., García-Gareta, E., Korda, M., Blunn, G.W., Hua, J., 2013. The Effect of Temperature on the Viability of Human Mesenchymal Stem Cells. Stem Cell Research & Therapy, Volume 4(6), p. 139

Sagita, I.D., Whulanza, Y., Dhelika, R., Nurhadi, I., 2018. Designing Electrical Stimulated Bioreactors for Nerve Tissue Engineering. AIP Conference Proceedings, Volume 1933(1), p. 040019

Schmid, J., Schwarz, S., Meier-Staude, R., Sudhop, S., Clausen-Schaumann, H., Schieker, M., Huber, R., 2018. A Perfusion Bioreactor System for Cell Seeding and Oxygen-Controlled Cultivation of Three-Dimensional Cell Cultures. Tissue Engineering Part C: Methods, Volume 24(10), pp. 585–595

Schuerlein, S., Schwarz, T., Krziminski, S., Gätzner, S., Hoppensack, A., Schwedhelm, I., Schweinlin, M., Walles, H., Hansmann, J., 2017. A Versatile Modular Bioreactor Platform for Tissue Engineering. Biotechnology Journal, Volume 12(2), p. 1600326

Suwandi, D., Whulanza, Y., Istiyanto, J., 2014. Visible Light Maskless Photolithography for Biomachining Application. Applied Mechanics and Materials, Volume 493, pp. 552–557

Utomo, M.S., Nadhif, M., Bayani, G.F.E., Whulanza, Y., 2021. A Low Cost, off-the-Shelf Bioreactor as Enabling Technology for Physiological Modeling. In: The 5th Biomedical Engineering's Recent Progress in Biomaterials, Drugs Development, and Medical Devices: Proceedings of the 5th International Symposium of Biomedical Engineering (ISBE) 2020. Depok, Indonesia, p. 050017

Valls-Margarit, M., Iglesias-García, O., Di Guglielmo, C., Sarlabous, L., Tadevosyan, K., Paoli, R., Comelles, J., Blanco-Almazán, D., Jiménez-Delgado, S., Castillo-Fernández, O., Samitier, J., Jané, R., Martínez, E., Raya, Á., 2019. Engineered Macroscale Cardiac Constructs Elicit Human Myocardial Tissue-like Functionality. Stem Cell Reports, Volume 13(1), pp. 207–220

Villa-Diaz, L.G., Ross, A.M., Lahann, J., Krebsbach, P.H., 2013. Concise Review: The Evolution of Human Pluripotent Stem Cell Culture: From Feeder Cells to Synthetic Coatings. STEM CELLS, Volume 31(1), pp. 1–7

Wang, B., Wang, Z., Chen, T., Zhao, X., 2020. Development of Novel Bioreactor Control Systems Based on Smart Sensors and Actuators. Frontiers in Bioengineering and Biotechnology, Volume 8, p. 7

Whulanza, Y., Aditya, R., Arvialido, R., Utomo, M.S., Bachtiar, B.M., 2017. Ease Fabrication of PCR Modular Chip for Portable DNA Detection Kit. In: Biomedical Engineering’s Recent Progress in Biomaterials, Drugs Development, and Medical Devices: Proceedings of the First International Symposium of Biomedical Engineering (ISBE 2016). Depok City, Indonesia, p. 040006

Whulanza, Y., Arafat, Y.B., Rahman, S.F., Utomo, M.S., Kassegne, S., 2022. On-Chip Testing of a Carbon-Based Platform for Electro-Adsorption of Glutamate. Heliyon, Volume 8(5), p. e09445

Whulanza, Y., Nadhif, H., Istiyanto, J., Supriadi, S., Bachtiar, B., 2016. PDMS Surface Modification Using Biomachining Method for Biomedical Application, Journal of Biomimetics, Biomaterials and Biomedical Engineering, Volume 26, pp. 66–72

Whulanza, Y., Widyaratih, D.S., Istiyanto, J., Kiswanto, G., 2014. Realization and Testing of Lab-On-Chip for Human Lung Replication. ARPN Journal of Engineering and Applied Sciences, Volume 9(11), pp. 2064–2067

Zhu, S., Wang, J., Xie, B., Luo, Z., Lin, X., Liao, D.J., 2015. Culture at a Higher Temperature Mildly Inhibits Cancer Cell Growth but Enhances Chemotherapeutic Effects by Inhibiting Cell-Cell Collaboration. PLOS ONE, Volume 10(10), p. e0137042