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International Journal of Bioprinting                               Pregabalin impact on 3D neuronal models




            considering pregabalin therapy during pregnancy, thereby   fixed 10 µM used in this study, will be crucial for obtaining
            safeguarding fetal neurodevelopment. In this study, we   a comprehensive understanding of pregabalin’s impact on
            primarily focused  on neurons from  time-mated  Swiss   neuronal development in diverse contexts.
            mice embryos. While informative, animal models may not
            perfectly mirror human physiological responses. Although   5. Conclusion
            the neurodevelopmental processes differ between mice   In this study, we used 3D culturing and high-throughput
            and humans, many key genetic and molecular pathways   robotic  3D  bioprinting  technologies  to understand the
            are highly conserved. In  in vitro research on brain   effects of pregabalin on the development of primary
            development and related diseases, no single model, device,   cortical neurons in mouse embryos. The aim was to
            method, or platform has yet achieved full recapitulation   demonstrate how pregabalin therapy affects embryonic
            of the brain’s natural microenvironment. Recent studies
            have highlighted the capacity of 3D models to mimic   cortical forebrain neurons that control cognitive, neural,
            complex tissue architectures and microenvironments   and behavioral functions. No significant alteration in the
            more accurately than traditional  2D cultures, leading to   morphogenesis of ECNs after pregabalin exposure was
            more  physiologically  relevant  data and  potentially more   observed. Nonetheless, when we examined the effects of
            predictive models for human responses. 75–77  This shift   pregabalin on the expression of various genes involved
            could revolutionize drug screening processes by allowing   in the differentiation of cortical neurons, significant
            for the assessment of pharmacological responses in models   changes in gene expression were observed. The reported
            that exhibit higher fidelity to human tissues, thereby   alterations may affect the differentiation and function of
            potentially reducing the failure rate of drugs in clinical   cortical forebrain neurons, leading to the development of
            phases. Moreover, as regulatory agencies increasingly   abnormalities in the brain. Moreover, MEA recordings
            recognize the limitations of animal models in predicting   unveiled a dynamic change in neuronal activity following
            human outcomes, the development of 3D bioprinted tissue   exposure to pregabalin. We demonstrated the effectiveness
            constructs presents a promising alternative. 78    of high-throughput 3D bioprinting techniques in
                                                               creating complex, 3D models that closely mimic the  in
               Our work contributes to these transformative    vivo environment. The use of 3D bioprinting promises
            potentials by providing foundational knowledge and   to revolutionize neuropharmacological research in the
            methodologies that can be applied to the creation and   future, by supporting fully automated processes and
            utilization of 3D-bioprinted tissues. The implications for   avoiding human error. Additionally, 3D bioprinting
            neuropharmacology, particularly in evaluating the effects   enables more precise drug evaluations and better
            of neuroactive substances within a 3D setting, pave the   personalized therapeutic interventions. While this study
            way for future innovations that may indeed replace more   offers valuable insights into the impact of pregabalin on
            traditional preclinical models, offering a more ethical,   neuronal  development using a mouse  model, findings
            accurate, and cost-effective approach to drug development   from complementary research involving different animal
            and disease understanding.                         models,  diverse  genetic  backgrounds,  and  extended
               Although  current  innovative  3D  cellular  models   exposure periods could potentially support the conclusions
            have provided valuable insights, it is anticipated that the   of  the  study and  enhance  its  applicability to  clinical
            convergence of sophisticated microfluidics, advances   scenarios involving human pregnancies and pregabalin
            in materials science, and stem cell engineering will lead   use. We believe that the important findings of this study
            to  the  creation  of  multifunctional  platforms  that  more   will be considered for future therapeutic interventions
            accurately mimic the complexities of the brain’s biology.    when using pregabalin during pregnancy.
                                                         79
            Additionally, a fundamental obstacle faced in tissue
            growth, including brain tissue, lies in the constrained   Acknowledgments
            diffusion of nutrients and waste products over distances.    Charlotte A.E. Hauser and Sherin Abdelrahman
                                                         80
            Understanding these limitations is crucial, as it will   acknowledge KAUST’s support. The authors would
            inform the direction of future research in the  field of   like to acknowledge Christian M. Nefzgar, the Institute
            neurobiology. Exploring pregabalin’s effects on gene   for Molecular Bioscience, and the University of
            expression,  neuronal viability,  and morphogenesis
            provides a foundational understanding that is relevant   Queensland, Australia.
                                81
            to human neurobiology.  Further studies are warranted   Funding
            to study the long-term effects of pregabalin. Clinical
            validation through studies involving pregnant women and   This project was financially support by Ministry of
            in vitro studies of varied dosing regimens, apart from the   education under project number 1-441-120.

            Volume 10 Issue 4 (2024)                       421                                doi: 10.36922/ijb.3010
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