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International Journal of Bioprinting                                 Bioprinting organoids for toxicity testing




            1. Introduction                                    proliferation, and differentiation of different cells in the
                                                               3D environment depend on the right bioink. Therefore,
            As  modern  science  and  technology  continues  to  evolve,   how to develop biological inks suitable for different types
            three-dimensional (3D) printing technology is no   of cells to ensure the health and function of cells in the
            longer an exclusive technique common in the traditional   printing process has become a technical problem.  As
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            industrial applications but has gradually become a popular   scaffolds provide sufficient structural support without
            method utilized in the medical field for various purposes.    hindering the normal growth and functional performance
                                                         1-3
            3D  bioprinting  technology  allows  for  not  only  accurate   of cells, a fine design at both micro and macro scales is
            construction of complex biological tissue structures, but   required so that the scaffolds can provide suitable growth
            also accurate positioning and construction at the cellular   environments for cells and achieve morphological and
                4
            level.  With the continuous innovation and advancement   functional consistency of the constructed biological tissue.
            of 3D bioprinting technology, researchers are able to   In addition, there has been a rising demand for using
            construct finer bionic structures and create more realistic   artificial intelligence (AI)-based automatic correction and
            in vitro models.  These models can be used not only to   proofreading in 3D printing. Given the high-precision
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            study the development and treatment of diseases,  but   requirements, any small errors that occur during the 3D
            also for drug screening, personalized medicine, and other   printing process may have an adverse effect on the final
            fields, bringing great potential for medical research and   result. 18-20  Therefore, it is of great significance to develop
            clinical practice.  Pancreas is an important endocrine and   automated programs and AI technologies to monitor and
                         6
            digestive organ of human body, and pancreatic diseases   correct the printing process in real time to ensure the
            have a profound impact on the quality of life and health of   precision and accuracy of printing. Personalization and
            the patients. As tumor has always been the focus of medical   convenience are the core concerns in the construction of in
            attention, the study involving  in vitro tumor models is   vitro tumor models.  However, tailoring the 3D models to
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            helpful to better understand the growth of tumor and the   individual needs and simplifying cumbersome operations
            effect of drug therapy. 7-10  In recent years, 3D bioprinting   are problems requiring continuous exploration. In addition,
            technology has been marked with a rapid progress, with   morphology and functionality of 3D-bioprinted tissues or
            the number of publications in this field continues to   organs is another focus throughout the fabrication process.
            increase, covering a wide range of fields and involving   In vitro tumor models are constructed to simulate not
            many countries and regions, including the United States,   only the growth process of the tumor but also the drug
            Canada,  China,  Russia,  Australia,  and  parts  of  Europe.   resistance process in order to recapitulate the real-life state
            In the past 5 years, there has been an increase in research   in clinical setting. 22-24  The practicality and effectiveness of
            projects related to bioprinting technology, bioscience, and   3D-bioprinted pancreatic islets and in vitro tumor models
            organ printing, and there has been a correlation between   have been repeatedly verified in several studies, which also
            the research.  This has therefore promoted international   supported their applications in clinical settings.
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            scientific and technological exchanges and created
            favorable conditions for the further development in this   This review explores in depth the key issues and
            field (Figure 1).                                  challenges  of  3D  bioprinting  in  the  construction  of
                                                               pancreatic islets and  in vitro  tumor models. In this
               In the process of constructing pancreatic islets and   paper, we review how 3D bioprinting is applied in the
            in vitro tumor model using 3D bioprinting technology,   construction of  in vitro functional pancreas and  in
            researchers encountered a series of challenges and   vitro tumor models, summarize the advantages and
            difficulties. 12-14  These challenges range from material   disadvantages  of  technological  development  in  previous
            selection, bioink development, stent design, automatic   studies, and summarize and discuss the development
            programmed proofreading, functional  maintenance, and   of 3D bioprinting technology combined with AI-based
            construction of personalized models. First of all, selecting   automatic programming. We believe the present review is
            degradable materials is the principal consideration.  The   of great significance for promoting the application of 3D
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            materials should possess sufficient mechanical strength   bioprinting technology in the medical field. On the basis
            and stability in the 3D bioprinting process, and they need   of continuous innovation and technological breakthroughs
            to  gradually  degrade  over  a  certain  period  of  time  to   achieved through in-depth exploration and discussion of
            provide support for cell growth and eventually allow for   the research progress and application prospects, more
            self-repair.  Therefore, the biocompatibility, degradability,   accomplishments  pertaining  to  the  construction  of
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            and bioactivity of the materials are important factors for   biologically functional and accurate model can be made
            consideration. Secondly, the development of bioinks for   possible. The development of this technology is expected to
            specific cell types is one of the challenges. The survival,   promote the innovation of medical science and technology,


            Volume 10 Issue 1 (2024)                       125                          https://doi.org/10.36922/ijb.1256
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