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International Journal of Bioprinting                            3D-bioprinted macrophage inflammation model




               There are currently several techniques available for in   integration of diverse cell types within a unified model.
            vitro disease modeling, including three-dimensional (2D)   The capability to generate patient-specific tissues enhances
            and three-dimensional (3D) culture models. 2D culture is   its applicability in comprehensively investigating disease
            the most utilized model, although poor cell differentiation,   mechanisms and devising personalized therapeutic
            unrealistic cell proliferation, decreased drug resistance,   strategies. Furthermore, 3D bioprinting plays a pivotal
            and inaccurate response to stimuli remain the significant   role in diminishing dependence on animal testing
            challenges.  2D culture also limits the number of cell types   and furnishes a realistic platform for drug evaluation,
                    3-5
            that can be co-cultured and cannot accurately represent the   thereby positioning itself as a forefront technology in
            complex microenvironment of human tissues.  3D culture   the progression of disease research and therapeutic
                                                 6
            is a more complex model that facilitates better cell-to-cell   advancement.  Several human cell types are currently
                                                                          9
            contact and intercellular signaling. 3D culture provides a   being researched using 3D-bioprinted models. 17,18
            more native cell environment and is becoming increasingly   Recent studies have established the feasibility of
            important in drug development and preclinical testing.   3D-bioprinted constructs of anti-inflammatory (M2)
            Protein expression patterns and intracellular junctions   macrophages as a novel approach for disease modeling
                                                                                                            19
            more closely resemble in vivo conditions compared to 2D   and tissue engineering applications.  There is, however,
                                                                                             20
            monolayer cultures. Moreover, 3D models play a valuable   a paucity of data related to modeling pro-inflammatory
            role in the clinical development process, allowing for better   (M1) macrophages. Recently, a bioprinted lung tissue
            characterization of cells and their microenvironments, as   model was developed to study inflammation and the
            well as drug response, efficacy, and toxicity. Comparatively,   use  of  viral  inhibitors.   At  the  time  of  writing,  this
                                                                                   21
            2D  culture  is  a  less  complex  and  less  expensive  option,   is  the  only  study  that  incorporated  M1  macrophage
            but 3D models provide more robust and relevant     polarization and investigated pathogenic biology while
            results, gradually becoming essential for advancing our   shedding light on the development of new therapeutic
            understanding  of  cellular  and molecular  mechanisms  in   anti-inflammatory  drugs.  The  objective  of the  present
            health and disease.                                study was to establish a 3D-bioprinted inflammation
               In the field of drug testing, there exist three distinct   model using the macrophage cell line THP-1, and within
            3D models:  scaffold-based cultures, non-scaffold-based   this model, evaluate the efficacy of ibuprofen (Ibu) as
            cultures such as organoids and cellular spheroids,   an anti-inflammatory agent. The outcomes of this study
            and tissue-engineered models utilizing bioprinting   will contribute to the advancement of knowledge in the
            technology.  Tissue-engineered models present several   field of 3D-bioprinted macrophage models and their
                     7-9
            benefits compared to their scaffold-based and non-  application in the study of inflammation.
            scaffold-based counterparts. First, tissue-engineered
            models more accurately replicate the natural organization   2. Materials and methods
            (cellular niche) and function of human tissues through   2.1. Cell culture
            cell culture techniques, providing a more physiologically   The  human leukemia  monocytic  cell line  THP-1
            relevant representation of human anatomy. 10,11  Second,   (courtesy of Prof. K. Schroder, Institute for Molecular
            these models facilitate the formation of complex and   Biosciences, University of Queensland, Australia) was
            functional cell–cell interactions, which play a critical   cultured in basal medium (BM) made of RPMI 1640
            role in proper tissue function and may not be attainable   Medium (Life Technologies, Australia) supplemented
            in scaffold-based or non-scaffold-based cultures.    with 10% (v/v) heat-inactivated fetal bovine serum (FBS;
                                                         11
            Third, tissue-engineered models afford a more realistic   Gibco , Australia) and 1% (v/v) antibiotic-antimycotic
                                                                    ®
            representation of drug response in human tissues, leading   (Gibco , Australia) at 37°C under 5% CO . The cells were
                                                                    ®
                                                                                                2
            to improved predictions of drug efficacy and toxicity. 12,13    differentiated into macrophages (M0) using phorbol
            Finally, tissue-engineered models can be tailored to   12-myristate 13-acetate (PMA; Sigma-Aldrich, USA). M0
            specific disease states  or therapeutic targets, enabling   were polarized into classically activated macrophages (M1)
            more targeted drug testing.  Thus, tissue-engineered   with lipopolysaccharides produced from  Escherichia  coli
                                    14
            models offer a more accurate representation of human   (LPS; Sigma-Aldrich, USA).
            tissues and are a valuable tool for drug discovery  and
            testing as they enable tissue-like structures to be created   2.2. Optimization of 3D bioprinting of THP-1 and
            in vitro. 15,16  The pre-eminence of 3D bioprinting as a tissue   evaluation of printability (Pr)
            engineering method for disease modeling is underscored   The  optimal  concentration  of  gelatin  methacryloyl
            by its aptitude for accurate reproduction of intricate   (GelMA; Gelomics Pty Ltd., Australia) was determined
            tissue structures, enabling precise customization and the   with a 55 ± 3% degree of functionalization for 3D


            Volume 10 Issue 2 (2024)                       399                                doi: 10.36922/ijb.2116
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