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Using Spheroids to build 3D Bioprinted Tumor Microenvironment
           on any commercially available cell culture plate. Among   Evidenced  by their successful fabrications  of micro-
           them, agarose is the most widely utilized material due to its   molded  non-adhesive  agarose  hydrogels composed  of
           cost-effectiveness and ease of handling. Agarose could be   822 concave recesses (800 µm deep × 400 µm wide) ,
                                                                                                            [78]
           simply prepared, sterilized by autoclave, and solidified in   this technique is relatively high throughput with effortless
           only a few minutes after coating. In addition, polyHEMA   scale up capabilities.  Spheroid growth becomes easily
           is  recognized  as  an  effective  alternative  for  spheroid   accessible during culture. In contrast to the hanging drop
           formation. Briefly, a homogeneous polyHEMA solution   method, cell  medium change and drug administration
           can be obtained by dissolving polyHEMA powder in 95%   are more convenient  to accomplish without the  risk of
           ethanol at 65°C overnight, followed by a drying process at   disturbing  the  spheroids using  LOT and  non-adhesive
           room temperature and ethanol evaporation at temperature   hydrogel microwells.
           up to 37°C. The drying process could take days to weeks
           according  to  different  protocols [66-68] . Regardless of the   3.5. External force-driven methods
           preparation  time,  polyHEMA solutions can be stored   External  forces, such as electromagnetic  and acoustic
           at 4°C for up to 2 months , whereas agarose solution   forces, have  been applied  in generating  spheroids
                                  [68]
           cannot  be  lengthily  stored  because  repeated  heating   (Figure  2A-e).  The utilization of dielectrophoresis
           impairs the properties of agarose.                  (DEP), in the development of multicellular aggregation,
               Like agitation-based techniques, spheroids generated   was successfully  demonstrated  and optimized . DEP
                                                                                                       [48]
           by LOT on flat surfaces are revealed as irregularly shaped   functions by producing an external force on a dielectric
           and disorganized. Optimizations have been attempted in   particle  when it is subjected  to a non-uniform  electric
           increasing  amenability  to  high-throughput  applications.   field,  analogous  to  piezoelectric  materials.  Cells  could
           Ivascu  et  al. had conducted a systematic parametric   be guided by dielectrophoretic  forces to form clusters;
           study about optimal spheroid formation on polyHEMA-  however, the clusters could be damaged by mechanical or
           coated surface in terms of cell types, cell density, medium   hydrodynamic forces after the removal of electric field.
           additives, plate type (round bottom and conical shaped   Hence, a range of biomaterials, including but not limit
           bottom), and the presence of horizontal stirring . Twenty   to collagen, PEGDA, agarose, pluronic, and PuraMatrix,
                                                 [69]
           tumor  cell  lines  of  different  lineages  were  examined.   have been introduced for immobilizing  and stabilizing
           A series of medium additives with varied concentrations   the cell aggregates [79-81] .
           have been systematically screened for optimal spheroid   Magnetized  cells  could  be  obtained  by cell
           formation,  including reconstituted basement  membrane   internalization.  Magnetic  nanoparticles,  including
           (rBM), collagen type I and type IV, laminin, fibronectin,   magnetoferritin,  superparamagnetic  iron  oxide
           heparan sulphate proteoglycan and chondroitin sulphate.   nanoparticles and its cousin, gold, could be internalized
           Interestingly, the results reported the compact spheroid   into  cell  cytoplasm  through endocytosis,  or by
           formation  for all  the  cell  lines  with the addition  of   surface  functionalization .  As an  example  of surface
                                                                                    [82]
           2.5% rBM. In addition  to ECM-related  components,   functionalization, magneto-functionalized cell membrane
           methylcellulose is also validated as an additive support   was readily achieved with a combination of poly-L-lysine
           for compact, unisized spheroid formation .          mixed gold or iron oxide nanoparticles . Leveraging this
                                             [70]
                                                                                              [83]
                                                               newly  embedded  magnetic  capability,  magnetized  cells
           3.4. Non-adhesive hydrogel microwell                could be levitated and agglomerated to form spheroids
           Micro-molded microwells using non-adhesive hydrogels   when magnets are placed on the culture dish or using a
           have been proven as an effective alternative for spheroid   magnetic  lid [46,82,84] . Spheroids formed with magnetized
           formation.  Similar  to the  LOT, non-adhesive  materials   cells  demonstrated  a  negligible  adverse  effect  on  cell
           are  used in preventing  cell  adhesion to the  bottom  of   viability while accelerating spheroidization time. Diverse
           the microwell. A series of materials have been explored,   structures  and  sizes  of 3D cellular  aggregates  could
           such  as  agarose ,  polyethylene  glycol  diacrylate   be  achieved  through  the  adjustment  a  magnetic  field
                          [71]
           (PEGDA) , and PDMS .  Among them, agarose is        configuration . Urbanczyk et al. have investigated the
                                 [73]
                                                                          [85]
                   [72]
           most prevalently used for micro-molding [74-76] . Briefly, a   interaction of pancreatic β-cells with vascular endothelial
           microfeature mold is fabricated through soft lithography   cells in heterotypic pancreatic spheroid models using
           or rapid prototyping, a PDMS-negative  replicate  could   magnetic levitation in three different configurations. The
           be achieved subsequently. Thereafter, the agarose micro-  results identified that human umbilical vein endothelial
           mold  could  be obtained  by casting  into  the  PDMS   cells (HUVECs), which disassembles from the spheroids
           replicate . Micro-molds with an array of various patterns,   over time, spontaneously formed spheroids, highlighting
                  [75]
           for instance, flat surface or a conical shape with a rounded   this  significant  role  of  magnetic  levitation.  Magnetic
           bottom and hemispherical shape, have been demonstrated   levitation  could  enhance  the  stability  of  heterotypic
           in promoting spheroid formation (Figure  2A-d) [75,77] .   spheroids, facilitating HUVEC integration .
                                                                                                  [83]
           6                           International Journal of Bioprinting (2021)–Volume 7, Issue 4
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