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International Journal of Bioprinting                                3D bioprinting for nanoparticle evaluation




            the 3D-bioprinted model allows for the creation of more   focused on assessing the dose-dependent toxicity of CuO
            physiologically relevant structures, which can provide   NPs by examining cell viability, contractile function,
            more accurate assessments of drug effects.         and gene expression related to mitochondrial biogenesis

               The authors also demonstrated the induction of a   and apoptosis pathways. The 3D bioprinting process was
            colitis-like condition in their 3D-printed model by treating   used to construct cardiac microtissues that closely mimic
            it with dextran sodium sulfate (Figure 7A).  Histological   the  structural  and  functional  properties  of  human  heart
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            analysis showed significant epithelial disorganization,   tissue. The bioprinted tissues included iPSC-derived
            indicative of colitis, thereby validating the model’s ability   cardiomyocytes and human cardiac fibroblasts, creating a
            to mimic disease conditions accurately. This is crucial   complex tissue environment. CuO NPs were coated with
            for studying the efficacy of anti-inflammatory drugs in a   bovine serum albumin to simulate protein adsorption
            controlled, reproducible environment. Furthermore, the   in vivo, which stabilizes the NPs and enhances the
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            study compared the barrier function of the 3D-printed   reliability of experimental results.  CuO NP exposure
            constructs with traditional 2D monolayer cultures. The   resulted in significant cytotoxicity in the bioprinted
            transepithelial electrical resistance (TEER) measurements   cardiac tissues. Viability assays indicated a median lethal
            revealed that the 3D-printed models provided more   dose  (LD )  of  7.176  µg/mL,  with  complete  cell  death
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            reliable  data  on barrier  function,  maintaining  higher   observed at 100 µg/mL. Notably, the contractile force of
            physiological relevance over time compared to 2D cultures   the  tissues  significantly decreased  at  10 µg/mL  after  48
            (Figure 7B). This is a significant finding, as barrier integrity   hours, highlighting the impact of CuO NPs on cardiac
            is a critical factor in evaluating the therapeutic potential of   function. Interestingly, the beating frequency of the tissues
            anti-inflammatory drugs. The researchers also assessed the   was not significantly affected up to the 10 µg/mL dose,
            impact of albumin nano-encapsulated drugs, specifically   suggesting that the electrical signaling pathways related to
            roxadustat and caffeic acid phenethyl ester, on the barrier   contraction remained intact at lower NP concentrations.
            function of the 3D-printed colitis model. They observed   Gene expression analyses provided further insights into
            that these nano-encapsulated drugs were effective in   the  mechanisms of  CuO  NP  toxicity. The  study  found
            maintaining barrier integrity, as indicated by stable TEER   dose-dependent increases in markers of mitochondrial
            values. This suggests that the 3D-printed model can   biogenesis, such  as peroxisome proliferator-activated
            be an effective tool for evaluating the efficacy of nano-  receptor gamma coactivator 1-alpha (PCG-1α) and
            encapsulated therapies, which are increasingly important   NADH dehydrogenase 1 (NDI), indicating mitochondrial
            in the treatment of inflammatory diseases. 101     damage. Additionally, significant upregulation of caspase
                                                               3 and caspase 8 suggested that apoptosis in the cardiac
            8. Three-dimensional bioprinted                    tissues was mediated primarily through the extrinsic death
            toxicity models                                    receptor pathway. The use of 3D-bioprinted cardiac tissues
                                                               offers several specific advantages over traditional models.
            Understanding the toxicity of NPs is crucial to ensuring   For example, it allows for more accurate replication of
            their safe application in biological systems. 102–104  Toxicity   cell-cell and cell-matrix interactions, providing a realistic
            studies investigate how NPs interact with cellular   assessment of cellular behavior and response. Additionally,
            environments, affecting cell survival, proliferation, and   the integration of force measurement capabilities enables
            function. Nanoparticle toxicity can lead to cell damage,   direct evaluation of changes in tissue contractility, which
            inflammatory responses, and long-term biocompatibility   is crucial for understanding the impact of toxicants on
            issues. 105–107  Three-dimensional bioprinting technology   cardiac health. Miller et al.’s study presents significant
            offers a novel method for toxicity evaluation by mimicking   methodological advancements in utilizing bioprinting
            more realistic tissue structures compared to traditional   technology to evaluate NP toxicity. This approach provides
            2D cultures.  This approach allows for a more accurate   a robust tool for precisely assessing the effects of NPs on
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            analysis of the long-term effects and bioaccumulation   human tissues and establishes a solid foundation for future
            of NPs. 109,110                                    toxicological research. 112
            8.1. Three-dimensional bioprinted human            8.2. Organoid-based bioprinting for toxicological
            cardiac tissue model for evaluating copper oxide   evaluation of silver nanoparticles
            nanoparticle toxicity                              Gerbolés et al.  studied the application of 3D bioprinting to
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            The study by Miller et al.  utilized advanced bioprinting   create organoid-based scaffolds for long-term toxicological
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            technology to create human-induced pluripotent stem   investigations of NPs (Figure 8). This approach aims to
            cell (iPSC)-derived cardiac microtissues for evaluating   simulate  the exposure  of lung  cells to  NPs,  providing
            the toxicity of copper oxide (CuO) NPs. This research   a more accurate model for nanotoxicological studies


            Volume 10 Issue 5 (2024)                        19                                doi: 10.36922/ijb.4273
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