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International Journal of Bioprinting                            3D-bioprinted macrophage inflammation model




            assembly of cells, growth factors, and/or other bioactive   proliferating cells formed aggregates, and individual
            components.  This groundbreaking technology has    cells could not be identified.
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            found application in cancer modeling and served as
            a  robust  and reproducible  approach for  investigating   3.2. Optimization of macrophage (M0)
            novel anticancer drugs. 9,30,31  However, the exploration of   differentiation in 3D-bioprinted THP-1
            3D-bioprinted macrophages for simulating inflammatory   PMA is commonly used to differentiate THP-1 cells into
                                                               cells that mimic human monocyte-derived macrophages,
            conditions and responses is still in its infancy.     with characteristics of decreased proliferation and
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            Recent research has demonstrated the practicality of   increased cell attachment, phagocytosis, and expression
            3D-bioprinted structures consisting of polarized (M2)   of multiple macrophage markers and cytokines. 25,34-36
            macrophages as a fresh approach for disease modeling    Since  small  differences  in  culture  conditions,  including
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            and various applications in tissue engineering.  However,   PMA concentration, can affect the differentiation and
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            there is a significant scarcity of data when it comes   polarization of THP-1 cells, 37-39  it is essential to determine
            to modeling inflammation using pro-inflammatory    the most appropriate conditions for differentiation when
            (M1) macrophages. Recent advancements include the   using these cells as a model.
            development of a bioprinted lung tissue model aimed at
            studying inflammation and assessing the effectiveness of   The PMA dose response toward the M0 differentiation
            viral inhibitors.  The researchers integrated THP-1 cells   of THP-1 cells cultured in a 2D environment has been
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                                                                                   38-40
            into a multicellular model and measured the release of   extensively investigated.   However, the PMA dose
            pro-inflammatory  cytokines,  specifically  IL-1β  and  IL-  response of THP-1 cells in a 3D environment is not well
                                                               explored, as most of the research has focused on using a
            8, following LPS stimulation. Nevertheless, the study   fixed PMA concentration between 100 and 300 nM. 41-46  A
            falls short of providing a comprehensive exploration   previous research—the only study on the M1 polarization
            of macrophage polarization and does not address the   of 3D-bioprinted THP-1 cells—also used a fixed
            model’s capability to respond to external stimuli, such as   concentration of PMA (200 ng/mL= 324.2 nM).
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            anti-inflammatory  drugs.  The  current  study  developed
            a 3D-bioprinted macrophage model and assessed its     Here, M0 differentiation of THP-1 cells in 2D
            inflammatory response to bacterial endotoxin (LPS).   culture and 3D construct was quantified using different
            Additionally, the effectiveness of an anti-inflammatory   concentrations of PMA using flow cytometry (Figure 1d).
            drug (Ibu) in inhibiting the inflammatory response of the   The expression level of M0 marker, CD11b, and M1
            3D-bioprinted macrophages was investigated.        marker and CD80 was determined from live single cells
                                                               retrieved from 3D or 2D culture (Figure 1e and f). All
            3.1. Viability of 3D-bioprinted THP-1              PMA concentrations tested stimulated similar levels
            The printing pressure and speed for different      of CD11b expression in 2D culture. The 3D-bioprinted
            concentrations of GelMA are presented in  Figure 1b.   cells also responded to all PMA concentrations tested
            Macrophages are tissue resident cells, and most    with similar CD11b expression to that observed in
            inflammatory conditions impact connective tissues   2D culture (Figure 1e). Maeß et al. showed that PMA
            and resident organs, and as such, it is relevant that   concentrations higher than 25 ng/mL resulted in higher
            macrophages are tested for their ability to model   expression of M1-related genes (IL-1β, TNF-α, and IL-8)
            inflammatory  responses  in  an  environment  that   in 2D-cultured THP-1 cells and might mask the effect of
            resembles the native extracellular matrix, as is the case   subsequent stimuli. 38,39  Therefore, the influence of PMA
            with GelMA. Based on the optimal printability of the   on M1 polarization of 3D-bioprinted THP-1 cells was
            constructs (Pr = 0.9 to 1.1; Figure 1b), 7.5% and 10%   tested by quantifying the expression of the M1 surface
            (w/v) GelMA was used for cell printing. The viability of   marker CD80 (Figure 1f). The exposure of THP-1 cells
            THP-1 cells was quantified using live/dead imaging, as   with the higher dose of PMA resulted in increased
            shown in Figure 1a and c. Immediately after bioprinting   expression of CD80, and as such, 25 ng/mL PMA was
            with 7.5% (w/v) GelMA, THP-1 viability remained    used for M0 differentiation of 3D-bioprinted THP-1 cells.
            comparable  with  the  viability  of  cells  before  mixing   3.3. Role of 3D microenvironment in macrophage
            with the GelMA bioink (82 ± 5%). However, the higher   polarization
            concentration of bioink resulted in increased printing   Macrophages (M0) are equipped with a wide range of
            pressure and a significant decrease in THP-1 viability,   surface receptors that detect their environment and undergo
            as observed in the bioprinting of other cell types. 23,33    polarization.  Studies have shown that different properties
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            Cell viability at day 3 could not be quantified as the   of biomaterials and hydrogels, such as surface chemistry,
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            Volume 10 Issue 2 (2024)                       403                                doi: 10.36922/ijb.2116
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