Treating Leukemia with intravenous stem cell transplantation represents a well-established therapy technique. For applications, that require high local cell concentrations, transplantation by conventional intravenous injection is less potent, due to cell distribution with blood circulation. Instead, spraying them directly onto the injured or diseased area shows promising results in various applications, e.g. superficial treatment of topographically challenging wounds, in situ seeding of cells on implants, deposition of cells in tubular organs for stem cell therapy. The present work aims for a basic knowledge about viability boundaries for coaxial cell-spray atomization and the reciprocal influence between cells in solution and primary breakup mechanics. A generic modular nozzle is developed, to ensures reproducible boundary conditions. Investigations are conducted regarding primary breakup and relations between resulting droplet size distribution and cell survival. Measurements are performed, utilizing microscopic high-speed visualization with suitable image post processing. Cell viability is analyzed using phase contrast microscopy prior and after atomization. A relation between Rayleigh-Taylor instability wavelength and droplet size distributions by means of Sauter mean diameter (SMD) and cell survival rate (CSR) is suggested. A power law is presented, exclusively dependent on dimensionless measures (λ ⊥ ∼ Re −1/2 We −1/3 ) which is found to be proportional to SMD and CSR.
Keywords cell spray, coaxial atomization, cell survival
IntroductionStem cell therapy is a research field in regenerative medicine with increasing importance due to the ability of cells to support healing of afflicted tissue. A well-established example represents the treatment of Leukemia by means of intravenous stem cell transplantation, where cells distribute by blood circulation within the organism after injection. To utilize the full potential of stem cells for applications that require high local cell concentration, alternative approaches for transplantation would be desirable, that enable local treatment rather than homogeneous distribution. An example for the requirement of high concentrations is the treatment of Acute Lung Injury (ALI) or Acute Respiratory Distress Syndrome (ARDS), both resulting from inhalation of biological toxins or toxic chemicals [1]. Despite extensive research, the mortality rate remains high (40%) for both diagnoses [2]. As stated in [3], the anti-inflammatory properties of intrapulmonary instilled MSCs decrease the severity of endotoxin-induced ALI and improves survival in animal studies, though the increased liquid feed may further damage the lung tissue. Minimization of liquid feed into the lung could be achieved by using droplets as a carrier medium. A well-established technique for drug delivery in the lung using droplets, is the nebulization of liquids into a fine mist, that is directly inhaled. However, nebulization of cell solutions leads to high cell mortality rates [4]. In addition, direct in...