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International Journal of Bioprinting                          hNVU chip for brain modeling and drug screening




            suggests that the penetration of the drug may be caused by   monotherapy could lead to the development of multidrug
            the destruction of BBB.                            resistance in the treatment of brain tumors. 63

            3.4.3. The drugs show genotoxicity in both the BBB   3.4.4. The drugs repress glycolysis
            and brain regions in the hNVU chip                 Disruption to glucose metabolism is a significant
            Subsequently,  we  investigated  the  effects  of  5-FU  and   characteristic of brain tumors, accompanied by an increase
            vorinostat on gene expression in the brain region and BTB   in glycolytic metabolism. 22,64,65  In this study, we examined
            at their respective therapeutic concentrations. First, we   the effects of 5-FU and vorinostat on glucose metabolism
            analyzed the impact of these two drugs on the genes in the   in the hNVU model (Figure 6F). Within the hNVU,
            brain region to evaluate their therapeutic efficacy against   endothelial cells, astrocytes, and neural stem cells primarily
            tumors (Figure 6E). 5-FU significantly upregulated the gene   relied on glycolysis, while neurons predominantly utilized
            expression of its target genes TYMS and P53, decreased the   aerobic respiration with acetate metabolism.  Upon
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            expression of the EC marker gene CD31, and upregulated the   administration  of  these  two  chemotherapeutic  drugs,
            pericyte marker gene αSMA. Importantly, 5-FU disrupted   there was a significant decrease in glycolytic metabolism,
            the expression of tubulin, a neuronal marker, indicating   as evidenced by the downregulation of key intermediates
            its  destructive effect  on  neurons  and establishing its  role   in  glycolysis  (Glyceraldehyde-3-phosphate  [GAP],
            in cognitive impairment. In terms of treatment prognosis-  dihydroxyacetone phosphate [DHAP], 3-phosphoglycerate
            related genes, only the tumor suppressor gene (PTEN) and   [3PG]). However, the changes in aerobic respiration
            P53 displayed significant upregulation, while the metastasis-  with acetate metabolism were not substantial, except for
            associated gene COL4A1 and cell cycle regulatory protein   the notable upregulation of an intermediate metabolite
            CDK4 did not exhibit significant changes. 57,58    called citrate. These findings indicated that these
                                                               chemotherapeutic drugs have major impact on glycolysis,
               Vorinostat specifically targets HDAC family genes, with
            HDAC1 being significantly overexpressed in glioma, making   suggesting potential effects on endothelial cells or astrocytes.
            it a crucial therapeutic target and prognostic marker for   Furthermore, 5-FU significantly disrupted the metabolism
            glioma. 59-61  Vorinostat effectively downregulated the gene   of the neurotransmitter intermediate glutamate, while
                                                               vorinostat  had a minimal effect. This suggested that
            expression of HDAC1 and HDAC11 (Figure 6E). In addition,   5-FU may influence neurotransmitter transmission and
            vorinostat did not impact the expression of the EC identity   the development of the neurocognitive system, while
            gene  CD31 and reduced the pericyte marker gene  αSMA,   vorinostat has limited impact on these processes.
            an indication of its potential to suppress angiogenesis in
            brain tumors. In contrast to 5-FU, vorinostat did not disrupt   The findings in this study were focused on cellular
            the expression of tubulin, a neuron marker gene, effecting   toxicity, BBB permeability, gene expression, and energy
            minimal cytotoxicity toward neurons. These findings align   metabolism. Compared to 5-FU, vorinostat exhibits
            with clinical research highlighting lower neurotoxicity and   therapeutic effects on brain tumors while having relatively
            diminished neurocognitive effects associated with vorinostat-  lower neurocognitive toxicity. Therefore, our hNVU chip
            based chemotherapy.  Regarding treatment prognosis-  provides a reliable model platform for the comprehensive
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            related genes, the tumor suppressor genes PTEN and P53 were   study of the therapeutic effects of chemotherapeutic
            upregulated, while the cell cycle regulatory protein CDK4 and   drugs at multiple levels, facilitating the screening of brain
            metastasis-associated gene  COL4A1 were downregulated.   tumor medications.
            These observations are consistent with clinical investigations
            demonstrating that vorinostat treatment prolongs patient   4. Conclusion
            survival and improves overall prognosis. 62        We developed a sandwich parallel structure hNVU chip
               Then, we analyzed the effects of these two drugs on the   that  incorporates  a  functional  BBB,  brain  region,  and
            genes associated with drug and nutrient transport channels   perfusion system. Compared to previous NVU simulation
            in the BBB (Figure S19 in Supplementary File). The research   techniques, our hNVU chip offers several advantages: (i)
            results revealed that 5-FU upregulated the expression   The 3D co-culture of five essential cell types (endothelial
            of  the glucose  transporter protein  Glut1.  Additionally,   cells,  pericytes,  astrocytes  [or  astrocytoma],  microglia,
            both  drugs  significantly  downregulated  the  expression   and  NPCs)  better  replicates  the  cellular  components  of
            of genes related to barrier permeability function, such as   pediatric brain tumors and enables cell communication
            LAT1,  EAAT1,  CX30, and  CX43, indicating a significant   between the BBB and brain region. (ii) The multilayer
            disruptive effect on barrier function. Furthermore, the   parallel structure allows for easy quantitative and real-
            notable upregulation of the multidrug resistance gene P-gp   time observation within the chip. (iii) The design of
            by vorinostat provides additional evidence that its use as a   four channels facilitates specialized nutrient  supply  and


            Volume 10 Issue 3 (2024)                       354                                doi: 10.36922/ijb.1684
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