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International Journal of Bioprinting                                      3D-bioprinted meningioma model




            statistically significant, and a p-value of less than 0.01 was   3.3. Comparison of tumor biomarkers in 2D cultured
            considered highly significant.                     and 3D coaxial bioprinted constructs
                                                               Considering the influence of different growth environments
            3. Results                                         on tumor cell biology, we compared the expression of
            3.1. Production of 3D cell models using coaxial    tumor-related biomarkers in meningioma cells under 2D
            bioprinting technology                             and 3D culture conditions. The RNA expression levels
            To emulate the  in vivo 3D architecture and growth   of Ki67 and p53, both important indicators of tumor
            environment of meningioma cells under  in vitro    proliferative activity, and EGFR, which is associated with
            conditions, we employed coaxial bioprinting to generate   tumor angiogenesis and metastasis, were measured by RT-
            a 3D model of meningioma tumor tissue. In these    qPCR (Figure 3A). Immunofluorescence staining results
            3D-bioprinted constructs, the sodium alginate hydrogel   showed that the protein expression levels of Ki67, p53,
            served as the outer shell, while a high-density IOMM-  and EGFR in IOMM-Lee cells were significantly higher
            Lee cell suspension formed the inner core (Figure 1A).   in the 3D-bioprinted construct group than in the 2D
            The IOMM-Lee cells within the inner core underwent   group (Figure 3B–D). Thus, we concluded that 3D culture
            self-assembly and intercellular interactions without any   conditions, relative to traditional 2D culture conditions,
            biological material constraints, resulting in cell secretion   better approximate the tumor microenvironment in vivo
            of ECM and growth factors that closely resembled those   and can  better  reflect  tumor  biological  characteristics,
            of the  in vivo environment. The sodium alginate outer   including the proteome and genome.
            shell  permitted the  penetration of nutrient-rich  culture   3.4. EMT-associated changes in the invasive capacity
            medium into the inner core to provide essential materials   of cells in 3D coaxial bioprinted constructs
            for cell proliferation. With increasing culture time, the
            sodium alginate outer shell maintained its intact structural   Benign meningiomas  are generally  less  invasive and
            morphology and sustained the biological functionality of   can usually be completely surgically removed with a
            the cells. The bioprinted constructs were cultured in fresh   favorable  prognosis.  However,  malignant  meningiomas
            media for 10–14 days, with media replenished every 2–3   show high invasiveness and metastatic potential; thus, we
            days in accordance with the experimental requirements.  evaluated the change in invasiveness of IOMM-Lee cells in
                                                               3D-bioprinted structures using Transwell assays, and the
            3.2. Morphology and viability of cells in 3D coaxial   experimental protocol is illustrated in Figure 4A. The results
            bioprinted constructs                              of the cell invasion experiments showed that compared to
            Initially, we observed the morphological changes in inner   that of the 2D group, the invasiveness of IOMM-Lee cells
            core cells during culture under an ordinary microscope. We   in the coaxial core was significantly enhanced (Figure 4B
            found that IOMM-Lee cells in the bioprinted constructs   and C). In tumors, EMT is an important mechanism that
            formed cell aggregates, which transformed into spheroids   mediates the invasive metastasis of cancer cells from their
            around  day  3 and  then  formed fibrous structures  along   original site, with the upregulation of N-cadherin and
            the coaxial inner core, resembling the morphology of   matrix metalloproteinases being associated with EMT.
            solid tumors (Figure 2A). Furthermore, we observed that   RT-qPCR and Western blot results showed that the mRNA
            the 3D-bioprinted constructs of meningioma exhibited   and protein expression levels of N-cadherin, E-cadherin,
            high viability  in vitro with a low impact of the printing   and MMP9 were significantly increased in the 3D group
            process and crosslinking agents on cell status (Figure 2B).   (Figure  4D  and  E).  Taken  together, under  3D  culture
            On day 14, an increase in dead cells within the inner core   conditions,  tumors  exhibit  biological  characteristics  that
            was observed, likely due to hypoxia and reduced nutrient   are closer to those found in vivo and can better simulate
            penetration that resulted in increased cell necrosis (Figure   the process of tumor invasion.
            2C). SEM images showed that the 3D-bioprinted constructs
            provided support for cell spheroids in 3D space, enhancing   3.5. Assessment of in vivo tumorigenic potential in
            intercellular and cell–ECM interactions (Figure 2D).   cells cultured under 2D and 3D conditions
            Alamar Blue assays indicated that while IOMM-Lee cells   The tumorigenic capacity of IOMM-Lee cells under
            proliferated slower under 3D conditions, the generated   different  culture  conditions  was  assessed  using  a  nude
            tumor-like tissue could be used for target identification   mouse xenograft model (Figure 5A and B). Subcutaneous
            and drug screening under long-term  in vitro conditions   injection of a moderate number of cells resulted in visible
            (Figure 2E). Collectively, these results suggest that the 3D   nodules in three mice in the 2D group by day 7, whereas
            meningioma tissue generated via coaxial bioprinting is a   all six mice in the 3D group showed subcutaneous nodules,
            promising  tumor-like  tissue that closely resembles the   indicating a higher tumorigenic rate in the 3D condition
            morphology and structure of solid tumors.          (Figure 5C). At day 20, both the 2D and 3D groups

            Volume 10 Issue 1 (2024)                       316                          https://doi.org/10.36922/ijb.1342
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