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International Journal of Bioprinting                                         Bioprint micro breast cancer




            in alisertib’s effect on the proliferation of ER+/HER2-   findings, particularly in the resistance of PMCaTs to 5-FU
            cells (MCF-7) and triple-negative cells (MDA-MB-231).    during invasion and the prediction of in vivo drug response,
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            The similar response at lower drug concentrations in   offered significant insights into the model’s applicability for
            our study suggests a drug-resistant characteristic in the   therapeutic evaluation. These findings provide statistical
            bioprinted tissues, potentially masking differences between   evidence supporting the utility of PMCaTs in assessing
            cell  types.  While the  exact  mechanism behind  this drug   drug effectiveness and resistance patterns, enhancing the
            resistance has not been systematically investigated, we   model’s relevance for preclinical studies.
            predict that the native-like structure, combined with
            the  microenvironment—encompassing  CAFs   and        To further elucidate the model’s predictive accuracy
            microvasculature—may  contribute  to it.  However,  it is   and therapeutic potential, more comprehensive future
            worth noting that the results from the PMCaTs more closely   quantitative studies need to be designed. These studies are
            matched the outcomes from the phase 2 clinical trials,   expected to not only validate the preliminary findings but
            which indicated the responsiveness of ER+/HER2- cells   also expand our understanding of the utility of PMCaTs
            to alisertib. This suggests that our PMCaTs may have the   across a wider range of cancer treatment scenarios.
            potential to predict drug responses seen in clinical settings.    4. Conclusion

               Our preliminary findings, which align with outcomes
            from human clinical trials, underscore the potential of our   The utilization of established cancer cell lines provides a
            PMCaTs model as a significant advancement in cancer   robust foundation for advancing cancer research. A distinct
            research. This comparative analysis is crucial, as it not   advantage of our methodology is that it can rival models
            only validates the model’s fidelity to native-like tumor   made with primary cells in predicting in vivo conditions.
            characteristics but also indicates its promising capacity   Crucially, this is achieved while mitigating the challenges
            for  predicting  human  drug responses.  The retrospective   of sample variability. Furthermore, our approach leverages
            matches  to clinical  outcomes highlight the  model’s   the more abundant resource of established cancer cell lines
            relevance and applicability, setting a foundation for its use   compared  to  primary cells.  The  vast  existing  profile data
            in preclinical evaluations.                        associated with these cell lines complement our approach,
                                                               enhancing the depth and reliability of our models. Although
               However, these observations are based on initial data   further optimization and rigorous validation of the PMCaT
            and the forward-predictive power of our PMCaT model   model remain essential, we believe that as we progress, our
            for drug responses warrants further exploration. To fully   method has the potential to influence the methodologies of
            harness the potential of our model in aligning with clinical   therapeutic research and drug testing in oncology.
            realities and enhancing patient treatment strategies, future
            work will concentrate on optimizing drug concentrations   Acknowledgments
            for  more  accurate  predictions.  Additionally,  conducting
            more extensive quantitative studies is essential to verify the   Not applicable.
            reliability of PMCaTs in drug response prediction, aiming
            to bridge the gap between experimental modeling and   Funding
            clinical application effectively.                  This project was funded by the Peabody Foundation, Inc.,

               Collectively, our study presents a comprehensive   the Anthony and Constance Franchi Fund for  Pediatric
            investigation into the  capabilities  of the DVDOD   Orthopaedics, the  Massachusetts  General  Hospital
            bioprinting technique in constructing PMCaTs with a   Department of Orthopaedic Surgery, and University of
            focus on breast cancer. The results span both quantitative   Miami  Medical  Center  and  Jackson  Memorial  Hospital
            and non-quantitative aspects, contributing to a holistic   Department of Orthopaedics.
            understanding of the potential of 3D bioprinted models.
            Non-quantitative analyses, including viability and   Conflict of interest
            structure under fluorescent microscopy, morphology and   Dr. Brian E. Grottkau is the founder of 3D Biotherapeutics,
            proliferation patterns, establishment of PMCaTs with   Inc. Dr. Yonggang Pang and Zhixin Hui declare no conflict
            microvasculature, and the dynamics of drug penetration,   of interest.
            underscored the technique’s efficacy in replicating intricate
            in vivo-like tumor environments. These findings highlight   Author contributions
            the  successful  incorporation  of  heterogeneous  cell
            populations and the formation of hypoxia zones, which   Conceptualization:  Yonggang Pang, Brian E. Grottkau,
            are crucial for modeling cancer’s complexity. Quantitative   Zhixin Hui


            Volume 10 Issue 3 (2024)                       569                                doi: 10.36922/ijb.2911
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