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International Journal of Bioprinting                                      3D-bioprinted meningioma model




            higher invasive ability, and higher level of difficulty   stromal cells can be created using this technology, enabling
            faced  in treatment compared to benign  meningiomas,    studies of the interactions and signal transduction between
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            malignant meningiomas require a comprehensive      different cell types during vascularization. 15-16  Moreover, 3D
            treatment approach, such as  surgery,  radiation therapy,   printing technology can be used to produce tumor models
            and chemotherapy.  However, given the complexity   containing varying cell types for drug screening, which
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            of meningioma locations and the varying degree of   can cater to drug exposure to different concentrations
            malignancy, treatment effectiveness among patients varies   and at different time points,  thus simulating the realistic
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            substantially. Thus, suitable  in vitro models for studying   sensitivity and resistance of tumor drugs.  Based on the
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            the molecular mechanisms of malignant meningiomas   growth characteristics of meningiomas in the intracranial
            and drug screening to aid in personalized treatments for   cavity, we adopted a 3D coaxial construction model with
            patients are urgently needed.                      freely  flowing  cavities  that  allows  sufficient  cell  self-
               Currently, established  meningioma cell  lines,   assembly and can reproduce in vivo features. This method
            including different subtypes such as malignant and benign   is  considered  a  promising  technique  for  tumor  model
            meningiomas, are studied under two-dimensional (2D)   construction. However, no studies have constructed a 3D
            culture conditions.  Conventional cell culture techniques   model for meningiomas. Therefore, developing an in vitro
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            involving  culture  media,  serum,  and  culture  plates  are   model for meningiomas using 3D printing technology is a
            typically used to maintain meningioma cell growth.   suitable and effective strategy.
            However, 2D culture of meningioma cells also has      In this study, we employed 3D coaxial bioprinting
            limitations and challenges. Under 2D culture conditions,   to  fabricate  a  3D  meningioma  model.  Our  bioprinted
            monolayer cells are forcibly flattened onto rigid surfaces,   construct features a fibrous core-shell structure, where
            lacking mutual contact between cells as well as uniform   the unobstructed architecture of the inner core allows cell
            exposure to nutrients and oxygen; thus, these conditions   clustering and fusion into cell fibers, ultimately forming
            fail to reflect the actual in vivo environment.  Moreover,   a complex 3D structure that resembles meningioma.
                                                7-8
            under 2D culture conditions, cells are usually in a static   The outer shell is composed of biocompatible alginate,
            state, which cannot fully simulate the microenvironment   providing a supportive substrate for the containment and
            and stress conditions  in vivo.  This phenomenon may   growth of the inner core cell fibers. We first characterized
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            lead to changes in cell metabolism and function, thereby   the structure of cell clustering within the inner shell and
            affecting their role in tumor development and treatment. In   assessed the effects of bioprinting on cell viability and
            addition, 2D cell culture of tumor cells is suitable for in vitro   proliferation. By using IOMM-Lee cells, we compared the
            cell biology experiments and initial drug screening, but it   expression levels of biological markers, cell invasion, and
            has a low tumor formation rate and lacks the complexity   epithelial–mesenchymal transition (EMT)-related protein
            of tumor tissue. In recent years, the application of three-  expression between 2D and 3D environments.
            dimensional (3D) printing technology has provided new
            possibilities for tumor research. In a 3D environment, cells    Additionally, we evaluated the tumorigenicity of
            not only possess 3D morphology but also undergo self-  cells under different conditions using a subcutaneous
            assembly through mutual contact between cells, better   xenograft mouse model. Overall, we have successfully
            recapitulating the true characteristics of in vivo tumors. 10-11    established an in vitro tumor model of meningioma that
            3D printing technology can accurately reproduce the   can faithfully recapitulate the biological characteristics and
            structure and physiological characteristics of tumor tissue,   microenvironment of this malignancy using 3D coaxial
            substantially reducing the time required for animal model   bioprinting technology (Figure 1).
            construction while increasing tumorigenicity.  This
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            method provides a more realistic in vitro research platform   2. Materials and methods
            for tumor research.                                2.1. Cell culture
               In recent years, 3D printing technology has been   The IOMM-Lee human meningioma cell line was
            extensively applied in the construction of  in  vitro   purchased from the American Type Culture Collection
            tumor models to emulate realistic tumor biology and   (ATCC). The cells were cultured in a 10 cm dish containing
            microenvironments. For instance, 3D printing technology   Dulbecco’s Modified Eagle Medium (DMEM; Gibco) with
            can  be  employed  to  manufacture  tumor spheroids   10% (v/v) fetal bovine serum (Gibco) and maintained at
            composed of multiple cell types,  thereby facilitating   37°C and 5% (v/v) CO . The medium was replaced every
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                                                                                 2
            investigations into the interactions and signal transduction   2 days, and the cells were observed for their condition
            between different types of cells. 13-14  Additionally,   and density. The collected cells were used for subsequent
            vascularized tumor models containing endothelial and   experiments.

            Volume 10 Issue 1 (2024)                       313                          https://doi.org/10.36922/ijb.1342
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