“…More vigorous stirring and aeration are required to maintain the mass transfer rate of nutrients and gases for larger number of cells (Xing et al, 2009). However, this increases hydrodynamic shear stress, which produces adverse effects on cells, such as reduced proliferation, low viability, and uncontrolled differentiation of stem cells (Croughan, Hamel, & Wang, 1987;Gupta et al, 2016;Leung, Chen, Choo, Reuveny, & Oh, 2010;Ng, Berry, & Butler, 1996;O'Connor & Papoutsakis, 1992). The trade-off between the mass transfer rate and the hydrodynamic shear stress makes largescale expansion of shear-sensitive cells unreliable and leads to timeconsuming optimization of operating conditions on each expansion stage, as those factors are typically affected by the bioreactor's capacity.…”