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International Journal of Bioprinting                               New challenges in liver tissue engineering




            Table 2. (Continued...)
             Alg and Gel   hiPSC-HLCs  Pneumatic   Square +   –   Increased cell density.                139
                                     extrusion  inner grid  –   Integrated cell morphology, proliferation, and functionality.
                                                         –   Upregulation of CYP1A2 in bioprinted HLC after APAP treatment.
             Gel, Alg and   HepaRG   Pneumatic   Rectangular  –   Maintenance of viability up to 3 weeks.  132
             Matrigel                extrusion  shape +   –   Increased levels of albumin production.
                                               inner grid  –   Increased resistance to aflatoxin B1-induced hepatotoxicity (chronic
                                                          treatment lasting 7 days).
                                                         –   Sensitive to doxorubicin-induced toxicity.
             GelMA       HepG2/C3A   Hollow    Dot array  –   Increased levels of albumin, A1AT, transferrin, and ceruloplasmin on   133
                                     capillary            day 30.
                                     and piston          –   Sustained expression of cytokeratin 18, ZO1, and MRP2 cellular
                                     system               proteins.
                                                         –   APAP treatment produced a decrease in cell metabolism and reduced
                                                          levels of albumin, A1AT, transferrin, and ceruloplasmin.
             Liver dECM,   HLCs,     Pneumatic   Hepatic   –   Increased viability 15 days after printing.  134
             Silk and Gel  HUVECs, and   extrusion  lobule shape  –   Upregulation of hepatic markers for HLC (albumin, phase I enzymes),
                         HSCs                             HUVEC genes (CD31 and vWF), and HSC (desmin) genes.
                                                         –   HLCs were organized in aggregates with HSCs and HUVECs in a
                                                          sinusoidal-like layer around them.
                                                         –   HSCs along HUVECs created a vascular network.
                                                         –   Hepatotoxicity was assessed by testing six different drugs, making this
                                                          co-culture more sensitive and better at predicting hepatotoxic events
                                                          than HLC monoculture.
             Liver fibrosis
             Gel and Alg  HCC (from   Pneumatic   Cube   –   Better viability than 2D culture.           135
                         donor tissue)  extrusion        –   HCC tumorigenic potential for individual patients, after in vivo
                                                          implantation on mice was confirmed by AFP expression and Ki67 for
                                                          proliferation rates.
                                                         –   Drug screening with four commonly used drugs in treatments showed
                                                          a dose-dependent pattern in almost every case.
             GelMA and   HepG2 cells  Digital   Hexagonal   –   Reduced viability and proliferation in GelMA constructs.  136
             porcine dECM            micromirror   shape  –   Higher expression of hepatic markers (ALB and AFP) on the dECM-
                                     device               based constructs than others.
                                     (DMD)               –   Study of fibrosis by exposure to different matrix stiffnesses, simulating
                                                          fibrotic scenarios (soft, medium and stiff). Stiff hydrogels were
                                                          associated with a significantly reduced expression of MKi67, ALB,
                                                          and AFP. CASP8 apoptotic markers were also upregulated for the stiff
                                                          matrix.
                                                         –   Genes related to angiogenesis (IGF2) and matrix metalloproteinases
                                                          (MMP2 and MMP9) were upregulated in stiff matrix, indicating
                                                          improved tumor progression (HCC).
             GelMA       Huh7, HepaRG,  Pneumatic   Cube and   –   Long-term viability (up to 28 days).  137
                         LX-2, and   extrusion  Square grid  –   Inducibility of metabolism enzymes
                         HUVECs                          –   HepaRG showed markers related to polarization with E-cad and
                                                          N-cad on the apico/lateral membranes, as well as functional
                                                          transporter MRP2.
                                                         –   Co-cultures of HepaRG and LX-2 cells allow detecting collagen
                                                          deposition and studying liver fibrosis.
             Novogel 2.0  PHHs, HSCs,   Pneumatic        –   Bioprinted constructs exhibit multicellular architecture of liver tissue.  140
                         HUVECs,     extrusion           –   HSCs exhibit quiescent states.
                                                         –   Chronic induction of fibrosis by methotrexate or thioacetamide for
                                                          up to 14 days resulted in increased collagen deposition and pro-
                                                          inflammatory cytokines.

                                                                                                    (Continued...)





            Volume 10 Issue 3 (2024)                       128                                doi: 10.36922/ijb.2706
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