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




            Table 3. Application of studying inflammation with 3D-bioprinted organoid culture platforms.
             Disease model        Cell type used            Key findings                                Ref.
             Inflammatory bowel disease   Caco-2 and HT29 (colon cancer cells) Development of 3D-bioprinted colitis-like condition model to   91
                                                            evaluate the barrier function of anti-inflammatory drugs
             Rheumatoid arthritis   EA.hy 926 (vascular endothelial   Established 3D co-culture pannus model to screen anti-  92
                                  cells); MH7A (synovial fibroblasts)  rheumatoid arthritis drugs.
             Intestine toxicity and   Adult human intestinal   Development of 3D-printed human intestinal tissues that   93
             inflammation         myofibroblasts; human intestinal   mimic physiological barrier function to test compound-induced
                                  epithelial cells; Caco-2  toxicity
             Type 1 diabetes mellitus  Murine islet β-cells  Development of bioink comprising GelMA, ECM, and PRP to   94
                                                            enhance pro-angiogenic and immunoregulatory function for
                                                            3D-printed islet organoid
             Type 1 diabetes mellitus  Rat islet            Incorporation of islets into HAMA/pECM hydrogel bioink to   95
                                                            study vascularization and inflammatory response of 3D-printed
                                                            islet organoids
             Immune-driven brain aging  Cortical organoid derived from   Development of human brain organoid microphysiological   96
                                  hESCs                     analysis platform that perfuses primary monocytes from
                                                            different age groups into human cortical organoids
             Microglia-mediated   Neuro-2a neuroblast cells; HMC3   3D printing tubular brain organoid platform co-cultured with   97
             neuroinflammation    human microglia           microglia to test neuroinflammation after opioid exposure
             Abbreviations: 3D, three-dimensional; dECM, cellularized extracellular matrix; GelMA, gelatin methacryloyl; hESCs, human embryonic stem cells;
             pECM, pancreatic extracellular matrix; and PRP, platelet-rich plasma.




               One of the notable applications of 3D bioprinting is the   regenerative medicine research.  Recent advancements
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            creation of intestinal organoids for  studying IBD. These   in 3D bioprinting techniques, such as the development
            organoids can model the impaired interaction between   of the BATE technique by Jonathan  et al., have enabled
            epithelial cells and the microbiome, which is crucial for   the creation of centimeter-sized gastrointestinal tissues
            understanding IBD pathogenesis. By co-culturing these   with self-organizing features, enhancing the scalability
            organoids with immune cells and microbes, it is possible   and applicability of bioprinted organoids in various
            to  identify  the pathological  mechanisms driving  IBD,   research areas. 83
            including  the  contributions of  microbial dysbiosis and   Rheumatoid arthritis is characterized by inflammation
            immune responses to disease progression. 98,99  Deng et al.   in joint tissue, particularly by the formation of pannus,
            developed an innovative intestinal organ culture system   which is an inflamed fibroblastic tissue in the joint
            designed to mimic the regenerative process of proliferative   that leads to increased angiogenesis.  Pannus plays a
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            crypts following intestinal epithelial injury.  Additionally,   crucial role in RA pathogenesis by contributing to joint
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            the  researchers  isolated  crypt  cells  from  patients  to   destruction through leukocyte  infiltration,  synovial
            produce PDOs and compared the physiological differences   membrane proliferation, and neovascularization. To better
            between normal and disease states.  PDOs derived from   understand the 3D properties of pannus and explore
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            disease states have shown reduced mRNA transcript levels   potential treatments, 3D bioprinting technology has been
            of tight junction markers, increased cell death, reduced   adopted to fabricate 3D pannus tissue using synovial
            proliferation,  and  impaired  differentiation  abilities.    fibroblasts, vascular endothelial cells, and hydrogels, in
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            Furthermore, organoids from Crohn’s disease patients   order to replicate the complex structure of pannus. Such
            exhibit unique transcriptomic and secretomic signatures,   3D-printed pannus models hold promise for future drug
            revealing disease-specific mechanisms and responses.    screening research, offering a more accurate representation
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            To  overcome  the  limitations  of  current  3D  culture   of the disease environment for testing and developing
            systems, bioprinting techniques have been explored to   new therapies. 92
            create 3D intestinal tissues composed of human primary
            intestinal epithelial cells and myofibroblasts. These   Inflammatory diseases, such as autoimmune uveitis,
            bioprinted  tissues  exhibit  physiological  barrier  function   involve complex interactions between immune responses
            and responses to toxicity and inflammation, offering new   and retinal  tissues.  The  development  of  3D-bioprinted
            opportunities for drug discovery, disease diagnosis, and   retinal  organoids  is particularly significant  for  studying


            Volume 10 Issue 5 (2024)                       105                                doi: 10.36922/ijb.4054
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