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International Journal of Bioprinting                                 Bioprinting organoids for toxicity testing



            Table 3. Continued...

             Author       Experimental   Study                           Drug name      Dosage   Usage
                          method
             Sarkar et al.   In vitro drug   Study G-2027-008: Evaluating the drug    Paclitaxel  1 μg/mL  Added to apical
             (2009) [10]  permeability  permeability of paclitaxel using pancreatic cancer       chamber, 24-
                                       cell lines and other tumor types                          hour treatment
             Yang et al. (2021)  Gene editing   Study H-2028-009: Assessing the gene-editing   CRISPR-Cas9  N/A  Transfection
             [8]          technology   effects of CRISPR-Cas9 in pancreatic cancer cell          of gene editing
                                       lines and other tumor types                               tools, 72-hour
                                                                                                 treatment
             Capula et al.   Cell–matrix   Study I-2029-010: Investigating the impact of    Albumin-bound   1 μg/mL  Added to cell–
             (2022) [9]   interaction  albumin-bound paclitaxel on cell-matrix interac-  paclitaxel  matrix culture
                                       tion using pancreatic cancer cell lines and other         medium
                                       tumor types

            realistic and accurate cell growth environment can be   the diseases. Besides,  in vitro pancreatic cancer models,
            created to provide a more reliable platform for drug efficacy   which can evaluate the efficacy of anti-cancer drugs,
            evaluation and disease mechanism research.         have been established with bioprinting.  Compared with
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                                                               traditional PDX animal models, in vitro bioprinted models
            4.3. Application of personalized 3D bioprinting    are associated with higher accuracy in evaluations, lower
            pancreatic tumors in the studies of anti-cancer drug   experimental costs, and lower ethical issues. In addition,
            resistance                                         in vitro pancreatic cancer drug resistance models that can
            Through bioprinting technology, some studies have   reveal the response of different drugs to tumors have been
            successfully constructed in vitro models that can simulate   established, providing a new platform for the study of drug
            tumor characteristics of patients. The personalized tumor   resistance mechanisms.  In summary, the application
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            model could be used to understand the drug resistance   of bioprinting facilitates the research and treatment of
            profile of each patient, 84-88  specifically, by testing the   pancreatic diseases, which in turn lays a strong foundation
            efficacy of a series of drugs and selecting the most suitable   for personalized medicine and drug development.
            drug for treatment. Technological breakthroughs in cell
            orientation, scaffold design,  etc. further improve the   4.4. Future outlook
            authenticity and reliability of bioprinted models (Figure 8).   3D bioprinting stands as a crucial technology for pancreatic
            Utilization of personalized 3D-bioprinted pancreatic   cancer modeling in future. Bioprinted tissue structure of
            cancer model in screening allows for more accurate   pancreatic cancer that can simulate the microenvironment
            prediction of a patient’s tolerance to anti-cancer drugs,   can be employed in the in-depth investigations on the
            which is helpful for the precise personalized treatment, and   pathogenesis, tumor growth, and treatment response.
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            brings new prospects for anti-cancer drug development   However, several limitations in the currently available
            and treatment strategy optimization. 89-92         3D-bioprinted  pancreatic  cancer  models await  to  be
               The animal models with bioprinted pancreas are   resolved. First of all, a balance needs to be struck between
            categorized into several types: genetic models, chemically   the complexity of the model and the biological similarity.
            induced  models,  syngeneic  models,  xenogeneic  models,   Modeling  the pancreatic  cancer microenvironment
            and PDX models. 93-96  Gene editing technology refers   requires an integration of multiple cell types, vascular
            to the use of specific enzymes or nucleic acid molecules   systems, and cell–matrix interactions, which remains a
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            to precisely add, delete, or replace the target gene, so   technical challenge.  Moreover, material selection  and
                                             97
            as  to  change  its  function  or  expression.   Gene  editing   cell culture are also key issues. Further research is needed
            technology can also be used to improve some diseases   to identify materials that are both biocompatible and able
            caused by environmental factors, including cancer. Genetic   to meet the requirements of mechanical properties, as
            models can be used to facilitate personalized treatment for   well as to figure out ways to maintain the stable growth
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            patients with pancreatic cancer. In addition, the in vitro   of cells in the model.  Future research can be carried
            pancreatic cancer model can better simulate the tumor   out from the following directions: First, more advanced
            microenvironment in vivo and allow for the visual analysis   3D bioprinting technologies, such as light curing, multi-
            of the progression and drug resistance of pancreatic cancer   material printing,  etc., should be explore to improve
            (Figure 9). Some studies have constructed genetic model   the accuracy and complexity of the model. Second, the
            that recapitulated the genetic characteristics of pancreatic   construction of  mutant  pancreatic  cancer  model  using
            diseases, providing a new way to study the mechanism of   gene editing technology should be attempted to study

            Volume 10 Issue 1 (2024)                       135                          https://doi.org/10.36922/ijb.1256
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