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International Journal of Bioprinting                                 3D bioprinting for organoid-derived EVs




            implants for bone regeneration and joint organoids   cancer development and precision oncology, facilitating
            that mimic natural joint tissues, offering effective   the discovery of patient-specific drugs. 90
            treatment options. 52,85,86  Moreover, 3D bioprinting has   Despite the challenges associated with conventional
            been instrumental in creating tumor models and brain   PDO models, the application of 3D bioprinting has shown
            organoids for personalized drug screening and disease   promise  in  enhancing  organoid  culture  and addressing
                    10
            modeling.  For example, embedded 3D bioprinting and   existing limitations, ultimately paving the way for more
            photo-crosslinkable bioinks were invented to create brain-  accurate and sophisticated models in precision medicine
            like co-culture constructs with heterogeneous neuronal   (Figure 3).
            populations, demonstrating their potential for neuronal   2.4. Applications of 3D bioprinting of organoids in
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            differentiation and modeling neurological diseases.    studying inflammation
            This innovative approach has led to the development of   Organoids, particularly those generated through 3D
            bioprinted brain organoids for individual drug screening   bioprinting, have emerged as valuable tools for studying
            in neurological diseases. 88                       inflammatory diseases and cancer immunotherapy. By
               In cancer research, acoustically bioprinted patient-  incorporating immune  cells,  stromal  cells, and other
            derived microtissues have been developed to model cancer   relevant cell types into organoid models, the complex
            invasion and predict treatment responses in colorectal   cellular interactions and microenvironments observed
                                                               in autoimmune diseases can be recapitulated. These
            cancer  patients,  showcasing  the  personalized  and   models enable the exploration of disease mechanisms,
            predictive capabilities of 3D bioprinting.  Flores-Torres   such as the impact of specific genes and signaling
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            et al. established bioprinted tumor models to maintain the   pathways in inflammation, and facilitate the screening of
            PDO of gastric adenocarcinoma using hydrogels composed   potential therapeutic interventions.  Table 3 summarizes
            of alginate and gelatin.  Additionally, bioprinted iPSC-  the  literature  related  to  3D  bioprinting  organoids  and
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            derived cancer tissues offer opportunities to study early   inflammatory diseases.





































            Figure 3. Potential applications of patient-derived organoids (PDOs). PDOs can be derived from surgically resected tumor tissue, tumor biopsies, or
            normal tissue surrounding the tumor. By incorporating various types of cells into bioinks for 3D bioprinting, multiple consistent PDOs can be produced.
            These PDOs can be utilized to establish disease models through gene editing or used as platforms for personalized medicine due to their personalized
            origin. Abbreviations: ECM, extracellular matrix; iPSC, induced pluripotent stem cell.


            Volume 10 Issue 5 (2024)                       104                                doi: 10.36922/ijb.4054
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