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International Journal of Bioprinting                               Pregabalin impact on 3D neuronal models




            progenitor cells was gained by specifically addressing the   for neuropharmacological research mark a significant
            impact of pregabalin on Zic1.                      advancement in the understanding and application of
               The alteration of Zic1 gene expression observed in this   this technology. We have demonstrated the versatility and
            study suggests the potential disruption of regulatory pathways   efficacy  of  3D  bioprinting  in  creating  complex  neuronal
            governing neural development. Zic1, as a critical player in   architectures. The ability to maintain high viability in both
            the  early  stages  of  brain  development,  can  influence  the   pregabalin-treated and untreated cortical neurons post-
            expression of downstream target genes, thereby modulating   bioprinting is a promising outcome. This suggests that
                                                               the bioprinting process does not seem to adversely affect
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            the fate and differentiation of neural progenitor cells.  On   the fundamental viability or morphology of the neurons.
            the other hand, pregabalin exposure induced non-significant   The successful expression of neuronal markers TUJ1 and
            alteration in the expression of Lhx6, Emx2, Gsx2, and Nkx2-  TBR1  post-printing further supports  the potential  of
            1 in ECNs. In earlier research, it was found that the functional   this technology to study drug interactions with neurons,
            traits  of  the  neuronal  progeny  of  progenitors  in  the  adult   offering a more nuanced understanding than traditional
            CNS are heavily influenced by the genetic specifications of   2D cultures. The distribution of cells across different
            the progenitors’ embryos by Nkx2-1. 70
                                                               layers within the 3D structures, as observed through
               Pregabalin’s impact on neural activity and oscillations   Z-stack  imaging,  highlights the technique’s capability  to
            can be understood through its interaction with various   replicate the spatial heterogeneity of neural tissue. This
            neural pathways and receptors.  Our MEA data indicated   aspect  is  particularly  relevant  for  neuropharmacological
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            that upon initial treatment of primary cortical  neurons   applications, where the 3D context can significantly
            with pregabalin, there is a transient increase in neural   influence drug efficacy and neuron–drug interactions.
            activity  and  oscillations,  followed  by  a  gradual  decrease   Therefore, our study extends the utility of high-throughput
            over time. This phenomenon can be attributed to several   3D bioprinting beyond simple model creation,  suggesting
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            factors related to the drug’s mechanism of action.  its potential for exploring complex neuropharmacological
                                                               questions, such as drug penetration, diffusion, and the
               The initial reduction in calcium influx caused
            by pregabalin binding to the α2δ subunit 72,73  may   specific targeting of neuronal subtypes.
            paradoxically trigger  a compensatory  response in  the   Our study not only demonstrates the successful
            neural  network, resulting in  increased activity and   application of high-throughput 3D bioprinting in
            oscillations.  Neurons  might  attempt  to counteract  the   neuropharmacology but  also  highlights the  potential of
            decrease in neurotransmitter release by increasing their   this technology to revolutionize our approach to drug
            firing rate, which could contribute to the observed initial   discovery and evaluation. By continuing to refine and
            increase in neural activity. However, as the drug’s effects   expand upon this method, we can anticipate significant
            become more established and calcium channel inhibition   strides in our understanding and treatment of neurological
            continues, the neural network adapts to the altered calcium   conditions, moving closer to the realization of more
            dynamics. This adaptation involves the normalization of   effective and personalized therapeutic strategies.
            neurotransmitter release and synaptic activity, ultimately   Our research resulted in significant insights into
            leading to a decline in neuronal activity and oscillations   the consequences of pregabalin exposure during early
            observed shortly after treating the neurons with the drug.  brain development, addressing a crucial gap in the
               Additionally, pregabalin’s modulation of potassium   literature. It also demonstrates that a 3D  in vitro model
            channels and other neurotransmitter systems, such as   based on ultrashort self-assembling peptides and high
            the inhibition of excitatory amino acid transporters, 72,73    throughput  robotic  3D  bioprinting  technology  can
            could also play a role in the initial increase and subsequent   be efficiently used in the field of neuropharmacology.
            decrease of neural activity. These secondary mechanisms   Maintenance of regional identity in the forebrain requires
            might contribute to the initial response and the subsequent   transcription factors encoded by Gad67, Otp, Zic1, Nkx2-
            adaptation observed over time.                     1, NhIh2, Emx2, Gsx2, Dlx2, Olig2, and Lhx6. Pregabalin
                                                               administration to ECNs significantly and non-significantly
               Notably, the response of neurons to pregabalin can   altered the expression of some of these genes via either
            vary based on the specific neural circuitry and dosage of   their upregulation or downregulation. These early results
            pregabalin,  warranting  further  research  to  gain  a  more   warrant more research to validate the safety of pregabalin
            comprehensive understanding of the temporal dynamics   during pregnancy. By elucidating pregabalin’s impact
            of pregabalin’s effects on neuronal activity.
                                                               on gene regulation and neuronal activity, we provide
               The results of our study employing high-throughput   essential knowledge for clinicians. Awareness of these
            3D robotic bioprinting to fabricate cortical neuron models   risks is pivotal for informed decision-making when

            Volume 10 Issue 4 (2024)                       420                                doi: 10.36922/ijb.3010
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