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3D-printed bioreactors for in vitro modeling and analysis
           provided opportunities to investigate the tissue    mechanisms  of the metastasis of breast cancer
           physiology and the role of each tissue in the       cells to bone marrow . In the study, transparent
                                                                                   [40]
           pathogenesis of osteoarthritis.                     PDMS  chambers  for  cell  growth  casted  from  a
                                                               3D-printed  mold  (Rostock  MAX  V2  Desktop
           2.1.4 3D-printed bioreactor for testing of          printer) were separated from the media reservoir
                 therapeutics
                                                               by a membrane. 3D-printing of this geometrical
           3D-printed bioreactors are also useful in the clinical   design enabled frequent monitoring of interactions
           translation and commercialization of standardized   between cancer cells and the bone matrix in vitro
           cell-based products for cell-based therapies and drug-  and eliminated the need to take bone metastasis
           testing. A reusable material jetted (Objet Connex 350)   samples from patients.
           fluidic device incorporated a porous polycarbonate    Another study demonstrated  the  use of a
           membrane not only enabled molecular transport and   perfusion-type liver organoid model using a
           drug migration through the membrane (Figure 1B      sinusoidal liver lobule on a chip 3D-printed by SLA
           and C) but also indicated drug susceptibility of    (Cellbricks  bioprinter)  with  polyethylene  glycol
           mammalian cells . Moreover, collecting analytes     and gelatin containing bio-inks . Cells cultured
                           [34]
                                                                                             [37]
           while simultaneously measuring the release stimulus   within  the  liver  organoid  model  revealed  high-
           was also possible with this 3D-printed bioreactor .   yield protein expression compared to monolayer
                                                        [13]
           Electrodes and other additional functionalities     cultures.  This  in  vitro model  in  3D-printed
           such as membrane inserts and fluidic interconnects   bioreactor  ensured hepatocyte  functionality  and
           were integrated to ensure signal detection and flow   could  be  modified  to  accommodate  nutritional
           control. A compact ready-to-use material extruded   supply for larger tissue models to explore the
           (MakerBot Replicator 2X) cartridge containing assay   mechanistic  properties.  The organ-on-a-chip
           reagents was integrated with genetically engineered   systems could also be personalized by integrating
           sentinel cells and interfaced with a custom-developed   additional systems to emulate the complexities of
           smartphone  Tox-App  for  rapid  quantification  of   an organ. To design a 3D arterial thrombosis model,
           cellular toxicity .                                 anatomical  models  were  obtained  from  imaging
                         [35]
                                                               scans and converted  into  a printable  3D model.
           2.1.5 3D-printed bioreactor for organ-on-chip       The  molds  for  chips  with  miniaturized  healthy
                 applications
                                                               and  stenotic  vasculatures  were  then  developed
           An organ-on-a-chip device fabricated  by 3D-        using a Perfactory 3 SLA 3D-printer with PIC100
           printing  aims  to  assemble  organ  models  in  3D   resin.  The vascular structures incorporated on-
           specific  architecture  on  a  microfluidic  chip.  By   chip successfully mimicked vessel environments,
           virtue of precise geometrical features attained by   showing  human  blood  flow  at  physiologically
           3D-printing coupled with controlled flow dynamics   relevant  conditions  and  with  artificially  induced
           and  imaging  compatibility  of  microfluidics,  a   thrombosis .  Another system non-invasively
                                                                         [38]
           continuous perfusion model had been developed       interfaced a 3D-printed microfluidic device with
           to imitate the blood-brain barrier environment .    a  porcine  kidney  model  to  isolate  and  profile
                                                        [36]
           This setup consisted of a porous membrane that      biomarkers from whole organs in real-time. From
           allowed coculture of different cell types across the   the cortex of the kidney, relevant metabolic and
           membrane  and a 3D-printed  cell  insert module     pathophysiological  biomarkers  were  transported
           that accommodated cell monolayers which formed      to  the  microfluidic  device  by  virtue  of  the  fluid
           a fully  functional  closed-loop  perfusion model.   flow in the microchannel. Hence, the 3D organ-
           This 3D-printed bioreactor was able to overcome     on-a-chip could perhaps overcome the drawbacks
           the limitations faced by static culture models and   of whole organ structures . For a complex organ
                                                                                       [41]
           demonstrated the  synergy  between microfluidics    model,  a  multi-channel  perfusion-type  chamber
           and 3D-printing . Similarly, a 3D bone-on-a-chip    was  developed  to  assess  endocrine  secretions,
                          [47]
           device used coculture strategies to study disease   due to their multiple inlet and outlet needs . The
                                                                                                       [39]
           86                          International Journal of Bioprinting (2020)–Volume 6, Issue 4
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