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International Journal of Bioprinting                              Kidney hydrogel print for renal cancer model




            IT1,  P2RX6,  SGK2,  HIF1A-AS2, and  ADIRF-AS1 were   further modified for cell-laden bioprinting of different
            significantly upregulated. RUNX1 is a transcription factor   cells (like fibroblasts, immune cells, and endothelial cells)
            that is critical for hematopoiesis and has been reported to   for kidney cancer cell co-culture in the future.
            be involved in diverse developmental processes, including
            cell differentiation, proliferation, and apoptosis.  RUNX1   5. Conclusion
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            was upregulated in RCC tissues relative to normal   In this study, we developed a 3D cell culture substrate for
            tissues, and high RUNX1 expression leads to significantly   ACHN cellular growth by mixing 10% GelMA with various
            poorer clinical survival compared to patients with low   concentrations of kidney dECM powders, including 1
            expression. 56,57  Moreover, the inhibition of RUNX1 in   wt%, 2 wt%, and 3 wt%, to mimic the ECM components
            RCC cells can reduce cellular proliferation and viability.    in the TME of RCC. The GelMA stability, mechanical
                                                         57
            P2RX6 belongs to the family of P2X receptors, which are   properties, and printability were significantly improved
            ATP-gated ion channels that mediate rapid and selective   with the increase of dECM concentrations. Furthermore,
            permeability to cations. It has been found that the RCC   RNAseq results demonstrated that the 10% GelMA-2%
            tissues express significantly higher levels of P2RX6,   Kidney  treatment  could  significantly  enhance  cellular
            which  modulate   Ca -mediated  p-ERK1/2/MMP9      growth and metastasis, a finding in concordance with
                                2+
            signaling to increase RCC cell migration and invasion.    the  results  of  PCR  and  immunofluorescence  staining  of
                                                         58
            The SGKs participate in the regulation of diverse cellular   EMT-related markers. In addition, we found that the 10%
            processes, including osmoregulation, cell survival, sodium   GelMA-2% Kidney treatment could significantly promote
            homeostasis, cell proliferation, and invasion.  The SGK   the resistance of ACHN cells toward sunitinib, suggesting
                                                 59
            family comprises three members—SGK1, SGK2, and     that the 10% GelMA-2% Kidney treatment is a potential
            SGK3—with SGK2 being more highly expressed in the   preclinical RCC model for  in vitro drug screening and
            liver, kidney, and brain.  The upregulation of SGK2 has   development.
                               60
            been shown to promote RCC progression by mediating
            the phosphorylation of ERK1/2/AKT/PKB, indicating   Acknowledgments
            that SGK2 could be a potential prognostic marker for
            RCC patients.  Furthermore, KEGG enrichment analysis   None.
                       61
            showed that ACHN cells were enriched in the VEGF,
            HIF-1, and TGF-beta signaling pathways, all of which   Funding
            were significantly correlated with RCC progression and   This study was partly funded by the National Natural
            chemotherapy resistance. 62,63                     Science Foundation of China (Grant No. 12202387), the
               3D bioprinting technique has been widely applied in the   Natural Science Foundation of Zhejiang Province (Grant
            development of tumor models for investigation purposes.    No. BY23H180015), the Natural Science Foundation of
                                                         64
            For instance, our group has successfully created prostate   Ningbo (Grant Nos. 2022J216, 2022J212), the Foundation
            cancer models for the investigation of cell–cell interaction   of Ningbo Science and Technology Bureau (Grant No.
            and drug resistance,  and also summarized the application   2023Z193),  Ningbo  Medical  Science  and  Technology
                            65
            of 3D bioprinting in urological diseases.  Other research   Program (Grant No. 2020Y73), and the Zhejiang Medical
                                            66
            groups have also demonstrated that 3D-bioprinted tumor   Science and Technology Project (Grant No. 2020KY825).
            models for cholangiocarcinoma  and liver cancer  provide
                                                   68
                                     67
            platforms for more accurately assessing drug effectiveness.  Conflict of interest
               The cancer cells in 3D-bioprinted tumor model were   The authors declare that they have no financial and
            commonly laden in thin filaments with grid structure,   personal relationships with other people or organizations
            and all cells were in homogeneous contact with culture   that can inappropriately influence our work, and there is
            media, a growth pattern different from that in mold-casted   no professional or other personal interest of any nature or
            tumor models (which were commonly solid cylinder or   kind in any product, service, and/or company that could
            cube-like), where cells at varying locations in the tumor   be construed as influencing the position of the authors in
            model manifest different cellular behavior. The TME   this paper.
            is  a complicated  structure, containing growth factors,
            extracellular matrix, and non-cancer cells. Fortunately, 3D   Author contributions
            bioprinting is capable of simulating the TME architecture   Conceptualization: Kailei Xu
            in a co-culture model by printing various types of cells in   Formal analysis: Miaoben Wu, Hangyu Zhou, Jingying Hu,
            precise location. The bioink and nephron model developed   Zonghuan Wang
            in this study provide potential platform that could be


            Volume 10 Issue 2 (2024)                       291                                doi: 10.36922/ijb.1413
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