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International Journal of Bioprinting                                 Bioprinting organoids for toxicity testing




            in terms related to metabolic liver diseases (Figure 5B).   of alteration of collagen I  (Figure  6E). This  finding was
            Furthermore, gene terms of cytoplasmic translation and   consistent with previous studies showing elevated αSMA
            mitochondrial oxidative phosphorylation were upregulated   by MPs in rats  and deteriorated lipid metabolism-related
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            (Figure 5C), consistent with the established ALD hallmark   oxidative stress in the liver of zebrafish by co-exposure of
            that was mitochondrial stress. 40                  MPs and TBBPA. 12
               Similarly, organoids derived from hiPSCs of        Mechanistically, liver disease-related terms by MPTA
            nonalcoholic steatohepatitis (NASH) patients exhibited   were closely correlated with the cell–substrate interaction-
            increased lipid accumulation, a hallmark of NASH,   related GO terms in the three levels of biology process, cell
            compared to those from healthy controls without inducer.    component, and molecular functions, like regulation of
                                                         39
            We upgraded patient iPSC-derived organoids from    cell–substrate adhesion, cell–substrate adhesion junctions,
            single  to  multicellular  compositions  and  from  naked  to   cell cadherin molecule binding, etc. (purple in Figure 6F).
            encapsulated hydrogel microsphere. Furthermore, the close   This speculated mechanism was exemplified by the in vivo
            interaction between ALD biomarkers and extracellular   and  in vitro findings that 1 μm MPs affected adhesion
            structural organization suggested that 3D microstructure   protein expression in endothelial cells and heterogeneous
                                                                          45
            contributed to the transcriptional characteristics of ALD   cell adhesion.  Specifically, the upregulation of inherited
            (Figure 5B).                                       metabolic disorder by MPTA (green in  Figure 6F) was
                                                               correlated with mitochondria-related GO terms in the
            3.5. MP-TBBPA complexes exhibited hepatotoxicity   three levels like ATP metabolic process, mitochondrial
            to ALD patient-derived DOs                         membrane part, and NADH dehydrogenase activity (green
            Given the experimental results obtained from the N_DOs   in  Figure 6F), which were hallmarks of metabolic liver
            model  indicating  that  MPTA  affected  a  relevant  more   diseases.  Therefore, these results suggested that MPTA
                                                                      46
            number of transcriptional genes compared to TBBPA and   resulted in liver diseases mainly by disrupting cell–cell/
            PS-MPs, this study opted to employ MPTA to examine the   matrix interactions and mitochondrial functions.
            hepatotoxicity associated with AC19_DOs in the context
            of cytotoxicity, transcriptomic, and functional toxicities   Further, we found that MPTA interrupted the
            (Figure 6A).                                       expression of ALD susceptibility-related genes in AC19_
                                                               DOs in a pathologically relevant manner (AC19_MPTA
               MPTA  did  not  impair  cell  viability  of  AC19_DOs   vs. AC19_ctrl,  Figure 6G) while not disrupting their
            at 600 ng/mL/100 nM with 3-day repeated exposure   expression in N_DOs (N_MPTA vs. N_ctrl, Figure 6G).
            (Figure 6B), consistent with the results obtained with   For example, ALD susceptibility-related genes (such
            N_DOs (Figure 4A). RNA-seq analysis revealed the   as  ALDH2 ) were specifically enhanced in AC19_DOs
                                                                        38
            significant differentiation of transcriptomic correlation   but not in N_DOs. Therefore, MPTA played a critical
            between AC19_MPTA and AC19_ctrl (Figure S5A and    role in regulating the  gene expression related  to  ALD
            S5B  in Supplementary File). Compared to AC19_ctrl,   susceptibility. Conversely, we analyzed the contribution
            MPTA upregulated 2865 genes and downregulated      of ALD susceptibility-related genes to MPTA
            2122 genes (Figure 6C;  Figure S5C  in Supplementary   hepatotoxicity by means of transcriptomic analysis.
            File), distinctly different from the transcriptional data   Transcriptome  comparison of  AC19_MPTA against
            based on the N_DOs model that showed only a small   AC19_ctrl represented the MPTA hepatotoxicity (Group
            number of genetic changes (Figure 4C). The DEGs were   MPTA); AC19_DOs against N_DOs represented the ALD
            involved in the ribosome, mitochondrial functions,   susceptibility-related genes (Group models) (Figure S5F
            antioxidant activity, cell–substrate junction, and   in Supplementary File). Approximately 80% of DEGs in
            extracellular matrix components (Figure S5D and S5E in    the terms of Group models overlapped with Group MPTA
            Supplementary File).                               (Figure S5G and S5H in Supplementary File), indicating a
               We clustered the DEGs between AC19_MPTA and     major contribution of ALD susceptibility-related genes to
            AC19_ctrl into the disease-specific database DisGeNET.   MPTA hepatotoxicity. Therefore, these results suggested
            The results showed that inherited metabolic disease, biliary   that MPTA led to hepatotoxicity probably by regulating
            tract disease, and hepatitis were significantly upregulated   gene expression related to ALD susceptibility.
            (Figure  6D).  Functional  analysis  by  immunostaining
            corroborated results of the RNA-seq analysis that MPTA   4. Conclusions
            aggravated neutral lipid accumulation, impaired bile   In this study, we delineated the hepatotoxicity of PS-MPs
            acid  transport,  and caused hepatic  fibrosis associated   and  endocrine  disruptor  TBBPA  using  hiPSC-derived
            with upregulation of αSMA and F-actin despite the lack   DOs with healthy and ALD genetic backgrounds. The


            Volume 10 Issue 3 (2024)                       256                                doi: 10.36922/ijb.1403
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