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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        Potential of bioprinted intestine-on-chip

                                        models in advancing understanding of human
                                        coronavirus infections and drug screening



                                        Min-Hyeok Kim , Jeeyeon Lee , Chwee Teck Lim 2,3,4 , and Sungsu Park *
                                                                 2
                                                                                                  1,5
                                                     1
                                        1 School of Mechanical Engineering, Sungkyunkwan University (SKKU), Suwon, Republic of Korea
                                        2 Institute  for  Health  Innovation and  Technology (iHealthtech), National University of  Singapore,
                                        Singapore
                                        3 Department of Biomedical Engineering, National University of Singapore, Singapore
                                        4 Mechanobiology Institute, National University of Singapore, Singapore
                                        5 Department  of Biophysics,  Institute of Quantum Biophysics  (IQB), Sungkyunkwan  University
                                        (SKKU), Suwon, Republic of Korea
                                        (This article belongs to the Special Issue: Role of 3D Printing Processes in Medicine)

                                        Abstract

                                        Human coronaviruses, including severe acute respiratory syndrome coronavirus
                                        2 (SARS-CoV-2), contribute to both respiratory and gastrointestinal  symptoms,
                                        necessitating  a  comprehensive  approach  to  studying  viral  pathogenesis.  In  this
                                        context, bioprinted intestine-on-chip models offer a cutting-edge technology for
                                        closely replicating the tissue architecture and microenvironment of the human
                                        intestine, providing valuable insights into viral dynamics and host responses.
                                        Integration of intestinal organoids with organoid-on-chip technology enhances
            *Corresponding author:      the accuracy of modeling SARS-CoV-2 infection by means of improving cellular
            Sungsu Park                 differentiation and virus-binding receptor expression. Furthermore, bioprinting
            (nanopark@skku.edu)
                                        technology allows for automated fabrication, enabling high-throughput drug
            Citation: Kim M-H, Lee J, Lim   screening on the intestine-on-chip platform.  These advancements in bioprinted
            CT, Park S. Potential of bioprinted   intestine-on-chip models hold immense promise for advancing our understanding
            intestine-on-chip models in
            advancing understanding of   of coronavirus infection in the gut and accelerating drug development, ultimately
            human coronavirus infections   contributing to improved patient outcomes and public health measures.
            and drug screening. Int J Bioprint.
            2024;10(2):1704.
            doi: 10.36922/ijb.1704      Keywords: Intestine; Bioprinting; Organ-on-chip; Coronavirus; Drug screening
            Received: August 29, 2023
            Accepted: November 9, 2023
            Published Online: January 23, 2024
            Copyright: © 2024 Author(s).   1. Introduction
            This is an Open Access article
            distributed under the terms of the   Human coronaviruses, including severe acute respiratory syndrome coronavirus 2
            Creative Commons Attribution   (SARS-CoV-2), lead to a spectrum of respiratory illnesses, ranging from mild cold-like
            License, permitting distribution,
            and reproduction in any medium,   symptoms to severe diseases like severe acute respiratory syndrome (SARS), Middle
            provided the original work is   East respiratory syndrome (MERS), and coronavirus disease 2019 (COVID-19).
            properly cited.             Besides respiratory manifestations, these viruses can also induce gastrointestinal
            Publisher’s Note: AccScience   symptoms, such as diarrhea, nausea, and vomiting (Figure 1). Understanding the
            Publishing remains neutral with   mechanisms and consequences of gut infection holds direct clinical implications,
            regard to jurisdictional claims in
            published maps and institutional   offering valuable insights for targeted interventions to alleviate gastrointestinal distress,
            affiliations.               curb transmission through fecal shedding, and address potential long-term gut-related



            Volume 10 Issue 2 (2024)                       165                                doi: 10.36922/ijb.1704
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