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International Journal of Bioprinting                                3D bioprinting technology for brain tumor












































            Figure 3. Illustration of the blood–brain barrier (BBB)-on-a-chip (BBBoC) composed of brain microvascular endothelial cells (BMECs) and astrocytes.
            While providing the same desired flow rate, both cell types were inserted between the porous polycarbonate membranes of the chip. This system mimics
            the permeability of in vivo BBB conditions. Abbreviation: iPS cells, induced pluripotent cells.



            5.2. Brain tumor-on-a-chip for drug                CCRT with TMZ was distinct, depending on the resistance
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            treatment response                                 to  both treatments.  GBM-on-chips  with  extremely
            Microfluidic-based cancer models enable precise    aggressive tumor progression after CCRT reported higher
            biophysical  manipulation  by  simulating  the  oxygen   survival rates than those with low-to-moderate treatment
            gradient and replicating localized interactions between   resistance. 17,109  The decrease in the survival rate of the
            cancer and associated cells, such as angiogenesis 103,104    GBM-on-a-chip is positively correlated with patient overall
            (Figure 4). A patient-specific GBM chip was established   survival, suggesting that the GBM-on-a-chip is a feasible
            by printing GBM-211 cells isolated from aggressively   model for representing treatment resistance in patients. 20,110
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            invasive GBM into the environment.  The GBM-on-       In addition, the effects of DNA repair inhibition were
            a-chip displayed distinct drug sensitivities depending   evaluated  on  a  GBM-on-a-chip  using  two  DNA  repair
            on the type of bioink used. GBM-211 cells printed with   mechanism inhibitors,  O -benzylguanine (O BG) and
                                                                                     6
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            BdECM bioink were less reactive to cisplatin than collagen   methoxyamine (MX), with CCRT. O BG is a pseudosubstrate
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            bioink-printed cells, whereas they were more sensitive to   of O BG-methylguanine-DNA methyltransferase, and MX
                                                                  6
            tissue inhibitors of metalloproteinases-1, an anti-invasion   is a base excision repair pathway inhibitor. 111–114  Both O BG
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            agent, accompanied by obvious morphological changes.    and MX diminished the survival percentages of GBM-28-
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            The GBM-on-a-chip can reproduce the differences in   and GBM-37-on-chips, which were obtained during brain
            concurrent chemoradiation (CCRT) with TMZ, the current   tumor removal surgery before receiving CCRT and from
            standard of care for GBM, and the treatment resistance of   tumors following CCRT, respectively. In particular, the
            patients with GBM.  The survival rate of GBM-on-chips   GBM-28-on-a-chip  displayed  higher  sensitivity  to  these
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            printed with primary GBM cells from patients following   drugs. Among the two drugs and their combinations,
            Volume 10 Issue 6 (2024)                       161                                doi: 10.36922/ijb.4166
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