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International Journal of Bioprinting                                           3D-printed NAFLD model




            levels of these two proteins. The immunofluorescence   3.3. Establishment of a 3D-printed NAFLD model
            results (Figure 2G and 2H) demonstrated that both ALB   An NAFLD model was established based on the
            and CYP3A4 were normally expressed in 3D-printed liver   3D-printed liver tissues. Notably, research reports on
            tissues, and a uniform distribution was observed. The qRT-  3D-printed NAFLD in vitro models are relatively limited.
            PCR quantitative analysis revealed that the gene expression   To investigate the time required to induce NAFLD,
            levels of ALB and CYP3A4 in 3D-printed liver tissues were   preliminary experiments were conducted to determine
            significantly greater than those in traditional 2D cultured   the optimal induction period. The results (Figure S2,
            hepatocytes (Figure 2I and 2J). Overall, 3D-printed liver   Supporting Information) indicated that the lipid droplet
            tissues were found to be superior to conventional 2D and   content in 3D-printed liver tissues rapidly increased
            3D hepatocyte models in both structure and function.   during the first 3 days of culture in the induction medium
            The 3D-printed liver tissues not only closely resembled   containing 600 or 900 μM FFAs and then gradually
                                                               stabilized. Therefore, further studies were conducted 3 days
            the morphology of in vivo liver tissues but also exhibited   post-induction. The accumulation of intracellular lipid
            significantly  enhanced  expression  of  functional  proteins.   droplets in the 3D-printed liver tissue model was studied
            These advantages are attributed to the 3D microenvironment   after 3 days of induction with NAFLD medium to evaluate
            provided by 3D printing technology, which better   the effect of NAFLD induction medium on lipid droplet
            simulates the tissue structure and function of the in vivo   accumulation. The experimental procedure is illustrated in
            liver,  particularly  its  vascular-like  functionality,  thereby   Figure 3A. The cells were cultured in an ordinary medium
            promoting cell-cell interactions and nutrient transfer   for the first 4 days and then transferred to the NAFLD
            and consequently enhancing hepatic function. Therefore,   induction medium on the fourth day. The experimental
            the  significant  structural  and functional  advantages of   results (Figure 3B and C) demonstrated that the control
            3D-printed liver tissues highlight their broad application   group exhibited only minimal lipid droplets, whereas
            potential in liver disease modeling and drug testing.  significant lipid droplet accumulation was observed in








































            Figure 3. Construction of the non-alcoholic fatty liver disease (NAFLD) model. (A) Experimental procedure for constructing the NAFLD model. (B)
            Analysis of lipid droplet accumulation in NAFLD models; ***p < 0.001. (C) Images of lipid droplet accumulation in the NAFLD model. (D) Impact of
            different free fatty acid (FFA) concentrations on hepatocyte viability. Scale bar: 200 µm.

            Volume 10 Issue 6 (2024)                       367                                doi: 10.36922/ijb.4312
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