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Using Spheroids to build 3D Bioprinted Tumor Microenvironment
                                  . Those notable  reports also
           cancer  drug screening [161,162]                    spheroids will then gradually fuse together and achieve
           detailed the challenges of current existing technologies   the specified pattern over time. This manual processing
           for assembling cell-favorable biomaterials with multiple   has shed light on a great possibility of generating tissue
           cell  types in complex  tissue microenvironment  as we   constructs  by  spheroidal  modular  assembly,  despite  its
           summarized in Figure 3.                             limited control and low throughput. For overcoming such
               Using spheroids as building blocks in facile    challenge,  several  bioengineering  strategies  have  been
           macro-sized  tissue construction has been  proposed [163] ,   exploited  for  spheroid  assembly,  potentiating  its  large-
           the most straightforward method in assembling these   scale functional tissue manufacturing with improvements
           spheroids is spontaneous fusion [164-167] . Fleming  et al.   in accuracy through a high-throughput manner.
           had reported a spheroidal fusion between unilluminated   Leveraging magnetic force, spheroids that are
           vascular  spheroids through  liquid-like  coalescence.   functionalized with magnetic nano/microparticles
           Specifically,  2  juxtaposed  spheroids  were  fused  when   can  be  assembled  into  specific  patterns  by  imposing
           positioned  close  enough, forming  a larger  spheroid   temporary  magnetic  fields [171-176] . An applied magnetic
           with preserved composite structural characteristics [168] .   field could accelerate the cell aggregation process, but
           These  features  have  legitimized  a  notion  of  suitability   the topology of the constructs is highly dependent on the
           for using spheroids as building modules in engineering   magnetic template [172,173] . In addition, the association of
           large-scale tissues for tissue regeneration and/or disease   magnetic particles is inevitable, and the linker involved
           modeling.  Early  studies  have  also  demonstrated  the   may  engender  safety  issues.  The  effects  of  magnetic
           feasibility  of assembling  spheroids through directed   nanoparticles on cell physiology and function, other
           fusion, achieving  microtissues with prescribed patterns   than fundamental cell viability and proliferation, should
           including honeycomb, rods, and tori [169,170] .  Briefly,   be considered before further involvement. Instead of
           spheroids are manually placed in a pre-designed mold/  magnetically labeling cells, an alternative usage is
           template  containing the prescribed topography.  These   paramagnetizing the cells.  Alahough a paramagnetic













































           Figure 3. Progress in establishing 3D tumor models via 3D bioprinting.

           14                          International Journal of Bioprinting (2021)–Volume 7, Issue 4
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