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International Journal of Bioprinting                                           3D-printed NAFLD model




















































            Figure 2. In vitro functional validation of 3D-printed liver tissue models. (A) Viability staining images of 3D-printed liver tissue on days 1 (A-1), 3 (A-2),
            5 (A-3), and 7 (A-4). (B) Viability statistics of 3D-printed liver tissue. (C) Images of hepatocyte clusters in microspheres (C-1 and C-2) and 3D-printed
            liver tissue (C-3 and C-4) at different time points. (D) Size analysis of hepatocyte clusters in microspheres and 3D-printed liver tissue at different time
            points. (E) Image of glycogen-stained 3D-printed liver tissue. (F) Bile duct staining image. (G and H) Immunofluorescence image of hepatic-specific
            protein expression in 3D-printed liver tissue: ALB (G) and CYP3A4 (H). (I and J) Analysis of hepatic-specific protein-encoding gene expression levels in
            3D-printed liver tissue: ALB (I) and CYP3A4 (J). Scale bar: 100 and 10 µm (E). **p < 0.01; ***p < 0.001.



            PAS staining was used to analyze the glycogen storage   relevant transport proteins, making it useful for detecting
            capacity of the 3D-printed liver tissue. The stain turned   the formation and function of bile canaliculi.  Figure 2F
            glycogen in the cells red, with deeper red indicating higher   reveals that after 7 days of culture, CDF was released into
            glycogen content. In  Figure 2E, extensive deep red areas   the bile canaliculi-like structures between cells in the liver
            were observed within the liver tissue, indicating significant   tissue model. According to the literature,  bile canaliculi
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            glycogen accumulation. Bile canaliculi are important   can form in vitro in human hepatocytes after 6–10 days of
            structures in liver tissue, formed by local invaginations   culture. In this study, evaluation on day 7 revealed that bile
            of the cell membranes of adjacent hepatocytes. On day 7,    canaliculi formed in the model, which is consistent with the
            CDFDA staining was used to observe the formation of   literature. To evaluate the hepatic function of 3D-printed
            bile canaliculi in the 3D-printed liver tissue. CDFDA,   liver tissues, immunofluorescence (IF) was employed to
            a nonfluorescent, nonpolar ester compound, enters   qualitatively  analyze  the  expression  of albumin  (ALB)
            hepatocytes and is hydrolyzed by intracellular esterases into   and cytochrome P450 3A4 (CYP3A4). Additionally, qRT-
            fluorescent CDF. CDF is transported to the bile canaliculi by   PCR was used to quantitatively assess the gene expression

            Volume 10 Issue 6 (2024)                       366                                doi: 10.36922/ijb.4312
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