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International Journal of Bioprinting                                3D bioprinting technology for brain tumor




            3D-bioprinted scaffolds have also been used in tumor   fabrication systems for organ-on-a-chip have limitations
            vascularization  research. The 3D-bioprinted tumor   in creating tissue structures with a complicated 3D
            model, mimicking the in vivo TME, has contributed to   organization. The integration of 3D bioprinting with
            the search for 3D-bioprinted glioma stem cells in tumor   a chip has a synergistic effect on transforming  in vitro
            angiogenesis. A hydrogel scaffold containing glioma   models by incorporating physiological compositions into
            stem cells (GSC23) was constructed using a bioprinter.    a  controlled  extracellular environment.   For  example,
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            Traditional 2D suspension-cultured cells proliferated   3D-bioprinted vessels-on-chips are superior to cell-seeded
            dramatically but decreased after 5 days. Meanwhile,   structures and can be manipulated mechanically to evoke
            3D-bioprinted scaffold cells grew steadily over 10 days   a physiological response. 56
            and consistently increased the secretion of VEGFA, a   Microfluidic  organ-on-a-chip models control  the
            major stimulator of tumor angiogenesis, after 9 days. 83,84    organ microenvironment using living cells to simulate
            QThe  mRNA  levels  of  CD31,  VEGFR2,  HIF-1α,  and   organ-level functions  in vitro, including the lungs, liver,
            CD133, i.e., endothelial-specific makers of growth,   kidneys, and heart.  Moreover, a mini-brain tumor-on-
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            metastasis, and angiogenesis, are higher in 3D-cultured   a-chip was developed to mimic the  in vivo TME. These
            cells than in the suspension culture.  Regarding the   chips are useful tools for brain tumor research because
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            stemness of GSC23, the proportion of CD133+ cells in   they recapitulate the essential properties of a complicated
            3D-bioprinted scaffolds was remarkably higher than that   neural  environment.  The  GBM-on-a-chip  models  are
            in the 2D suspension culture.                      commonly based on microfluidic technology.  The major
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               The 3D monoculture GBM model mimics the         polymeric material used to manufacture microfluidic chips
            angiogenic process of GBM and has been used to study   is polydimethylsiloxane, which has advantages such as
            antiangiogenic therapy with bevacizumab. Although   transparency, biocompatibility, flexibility, and resolution.
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            antiangiogenic therapy delays the recurrence of GBM,   Although in vivo analyses are widely conducted to study
            the effects are transient due to drug resistance in many   brain tumors, several crucial factors diminish precision and
            patients.   In  general,  a  3D  GBM  model  for  GBM   reproducibility, such as species differences in physiological
                   86
            research is structured as a monoculture of GBM cell lines,   mechanisms.  The integration of 3D bioprinting and on-
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            including U118 (a human glioma cell line) or GSC23 cells   a-chip microfluidic platforms facilitates rapid assessment
            (a human glioma stem cell line). To closely mimic the   of the effects of mechanical forces, drug components,
            neovascularization of GBM, both cell types formed a GBM   and drug concentrations on cell growth and development
            cell morphology during monoculture encapsulated in a   through dynamic stress loading, growth factors, and
            gelatin-alginate-fibrinogen hydrogel using a multi-nozzle   drug stimulation. 41
            extrusion-based bioprinter.  3D-GSC23 and 3D-U118
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            cells exhibit neovascularization ability and secrete VEGFA   5.1. BBB-on-a-chip model
            proteins that promote angiogenesis and induce vascular   The BBB-on-a-chip model (BBBoC) system is an
            permeability. 87,88  Moreover, tubule-like structures are   important device for developing high-quality BBB models
            formed by 3D-GSC23, indicating their ability to promote   (Figure 3). The BBBoC is based on a microfluidic platform
            neovascularization by transdifferentiating into endothelial   composed  of  three  layers:  lid,  chamber,  and  perfusion
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            cells.  Xenograft models derived from 3D-GSC23 and 3D-  layers.  BMECs and astrocytes were co-cultured between
                87
            U118 cells displayed abundant blood vessels on the surface   the chamber and perfusion layers; this structure included
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            of tumors and secreted VEGFA in vitro. 87          silicon sheets and porous membranes.  This device uses
                                                               BMECs derived from human-induced pluripotent stem
            5. Tumor-on-a-chip model with 3D bioprinting       cells to achieve barrier tightness. Fluorescent images
            3D bioprinting technology has also been utilized for the   from immunostaining displayed high-level tight junction
            development of tumor-on-a-chip. Organs-on-a-chip   proteins (claudin-5 and ZO-1), 99,100  suggesting that
            is a well-established microfluidics-based technology   barrier integrity was well-established and maintained in
            that offers features that closely mimic the mechanical   microfluidic BBBoCs based on induced pluripotent stem
            and/or chemical  in vivo conditions of vasculature-like   cells. 98,101  BBB permeability was assessed using three small-
            structures. 89,90  By using organ-on-a-chip, the functional   molecule drugs: caffeine, cimetidine, and doxorubicin.
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            units of human tissues and organs can be reconstructed   The chip exhibited differential permeability to the
            ex vivo on microscopic cell and tissue culture platforms.    aforementioned molecules, similar to in vivo conditions.
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            These  platforms  incorporate  essential  components  such   The ability to closely reproduce permeability similar to
            as  multicellular  structures,  ECM,  and  physicochemical   the in vivo permeability of the BBB allows BBBoCs to be
            microenvironmental factors.  However, the main     used in small-molecule drug screening.
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            Volume 10 Issue 6 (2024)                       160                                doi: 10.36922/ijb.4166
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