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International Journal of Bioprinting                                      In vitro 3D pancreatic acinar unit




            epithelial cells surrounded by a thin basal lamina, stromal   3D biomimetic platforms, which fail to fully recapitulate
            tissue, and pancreatic stellate cells (PSCs).  The PSCs   the  native  compartmentalized  architecture  of  tumor
                                                1,2
            are stromal cells responsible for the intense desmoplastic   microenvironment, which is known to affect cell activity
            reaction occurring during the PDAC development.    and cancer-cell response to drugs. 5,22,23  Specifically, the
                                                         3,4
            Indeed, in healthy tissue, PSCs are characterized by high   glandular morphology has been mimicked by using different
            expression of both ectodermal and mesenchymal markers   techniques, 24-27  which however have limitations such as low
            and significant amount of retinoids such as vitamin A in   reproducibility, throughput, and shape fidelity.
                       5
            lipid droplets.                                       The present work focuses on the development of a
               Under the influence of inflammatory cues and cancer   3D  in  vitro model that resembles the functional unit of
            cells-derived factors, PSCs become active and assume   exocrine pancreas through melt-electrowriting (MEW).
            a myofibroblast-like phenotype capable of deregulating   MEW technology combines principles of conventional
            extracellular matrix (ECM) homeostasis. Typically, activated   electrospinning (solution electrospinning) with melt
                                           6
            PSCs surround the cancer cells and communicate with them   extrusion-based methods, 28,29  and it can be defined as
            via different cytokines and factors (i.e., interleukin [IL]-  a contactless 3D printing technique due to the longer
            6,  IL-1β,  and  transforming  growth  factor  beta  [TGF-β]),   distance between needle and print bed. Indeed, like solution
            through complex autocrine and paracrine signaling   electrospinning, a high voltage (HV) is applied between the
            pathways.  Therefore, the interplay between cancer and   nozzle and the collector to exert an electrostatic attraction
                   7-9
            stromal cells plays a key role in tumor evolution, promoting   on the molten material, and a so-called Taylor cone forms
            the pancreatic cancer progression by significantly affecting   at the nozzle tip. The electrical field forces the formation of
            gene expression patterns, metabolic activities, invasion/  a microscale polymer filament from the Taylor cone, which
                                                         10
            metastasis phenomena, and resistance mechanisms.    is deposited into a micrometer fiber on the collector. 28,29  Due
            However, the mechanisms implicated in the early stages   to the distance between nozzle and platform and the fiber
            of PDAC evolution, as well as the complex and dynamic   stretching induced by the electric field, the size of the extruded
            phenomena involved in the crosstalk between cancer   filament in MEW is about ten times lower than the filament
            epithelial and stromal cells, still remain unclear.  This lack of   diameter obtained by fused deposition modeling (FDM)
                                                11
            knowledge limits the possibilities of early PDAC diagnosis,   where the distance between nozzle and collector is minimal
                                                                                         30
            thereby resulting in a poor clinical prognosis. Indeed, the   (i.e., a few hundreds of microns),  thus resulting in a better
                                                                                            31
            number of patients undergoing surgical resection is below   resolution of the printed structures.  Compared to other
            10%, as most of clinical cases have spread metastases   extrusion-based techniques, such as 3D bioprinting, MEW
            at diagnosis. 12,13  Furthermore, the extremely complex   allows to achieve better resolutions, in terms of minimum
            bioarchitecture of the pancreatic tumor microenvironment   feature width, and higher geometrical accuracy due to the use
            (TME) affects the efficacy of drugs and causes the failure of   of thermoplastic polymers instead of cell-laden hydrogels. 32,33
            current therapeutic strategies that are inadequate to treat this   For these reasons, MEW was adopted in this work
            extremely aggressive cancer. 12,14  To improve the knowledge   to obtain microscale polycaprolactone (PCL) scaffolds
            of the disease with  the ultimate goal of performing early   mimicking the half structure of the pancreatic acinus
            diagnoses and designing effective therapies for enhancing   (Figure 1a and  b) having a resolution and size not
            patients’ prognosis, functional and reliable in vitro models   achievable with the 3D printing technologies available so
            need to be designed and fabricated. 15-20          far. The use of this synthetic thermoplastic polymer (PCL)
               For  many  years,  cancer  research  has  been  conducted   has been widely adopted in the fabrication of scaffolds as
            using two-dimensional cell cultures and animal models,   it is highly processable by electrospinning 34-36  and additive
            which poorly  recapitulate  the  biological  complexity  of   manufacturing, 37-40  and it is recognized to support cell
            the disease in humans. Recent efforts in creating more   attachment, migration, growth, and long-term cultures.
            representative preclinical  in vitro models have led to the   Then, MEW scaffolds were seeded with stromal cells
            development  of  experimental  replica  of  human  tissues  in   (human fibroblasts) (Figure 1c ) and HPDE (both healthy
                                                                                       i
            a  3D  environment  or  inside a  microfluidic chip  (organ-  HPDE and HPDE overexpressing  KRAS oncogene) to
            on-chip). PDAC-on-chip permits the recapitulation of the   develop the 3D models (Figure 1c ) having a biomimetic
                                                                                           ii
            physiological crosstalk between different cell phenotypes   geometry and cell distribution.
            and the high-throughput analysis,  but it is unable to mimic
                                      21
            the 3D complex gland morphology of the functional unit   2. Materials and methods
            of exocrine pancreas. Nevertheless, it remains a challenge   2.1. Cell culture
            to reproduce the microanatomy of the exocrine pancreas   Human pancreatic ductal epithelial cells (HPDE)—both
            (intended as 3D architecture and cellular composition) in   wild-type HPDE (HPDE-WT) and HPDE stably expressing

            Volume 10 Issue 2 (2024)                       414                                doi: 10.36922/ijb.1975
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