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Nephrotoxicity Testing with Bioprinted Renal Spheroids
           models. For head-to-head comparison, three parameters   the 3D bioprinted models were in good accordance with
           were used, including the inhibitory concentration leading   the previously published data. In other studies, reported
                                                                                  [17]
                                                                                                            [3]
           to 50% cell death (IC ), and the maximum and minimum   values were 5.72  µM , between 10 and 50  µM ,
                            50
                                                                          [18]
           response (E max , E ). As described in literature, clinically   or > 30  µM . It should be noted that  each of the
                         min
           relevant  cisplatin  concentrations  were  in  the  range  of   reported data was based on experiments on different cell
           10  µM . Based on this value, we prepared a dilution   types, treatment protocols, and readout methods. Thus,
                 [16]
           series  (c Cisplatin   =  0.075,  0.5,  1,  2,  4,  8,  16,  32,  64,  and   a quantitative  head-to-head  comparison would not be
           128 µM) for the treatment. Representative fluorescence   conclusive.  The  reported  values herein  indicated  that
           microscope  images of each  sample  type  are  shown in   the fabricated  3D models showed similar sensitivities
           Figure 2A. For both sample types, the mean absorbance   to cisplatin treatments as reported for other 3D models.
           of three replicates  for each  treatment  condition  was   In addition, a higher sensitivity compared to a 2D cell
           calculated relative to the Lysed Ctrl. The dose-response   culture of the same cell type under identical  treatment
           curves were derived using a pharmacological  dose-  conditions were found, which is consistent with previous
                                                                    [3]
           response fit function (see equation (1) in Supplementary   reports .
           File).  The 2  sample types showed distinct  curves and
           relations to  the treatment concentration (Figure 2B). 2D   3.4. Microscopic readout
           monolayers showed an IC 50 2D Ref.  = 17 ± 2 µM, with a   In addition to the chemical readout, we investigated
           maximum response of E max  = 95 ± 7% and E  = 15 ± 8%   whether microscopic observations of the cell
                                                min
           relative  to the Lysed Ctrl. A significant lower IC  was   morphology  could  be  used  to  assess  toxicity  effects
                                                     50
           found for treated  spheroid  arrays  compared  to  2D   in the 3D spheroids. With this, we aimed to achieve a
           monolayers, with  an IC 50 3D Spheroids  = 9 ± 3 µM and similar   higher sensitivity, compared to the chemical readout.
           values of E       max . The determined IC  values of   Cytotoxic  effects  could  become  detectable before cell
                     min and E
                                                 50
                        A























                         B


















           Figure 2. Head-to-head comparison. (A) 2D monolayers and 3D spheroid arrays, comprising of iREC cells. (B) Dose-response curves for
           a treatment with cisplatin.

           168                         International Journal of Bioprinting (2022)–Volume 8, Issue 2
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