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RESEARCH ARTICLE

           Bioprinting of a Hepatic Tissue Model Using Human-

           Induced Pluripotent Stem Cell-derived Hepatocytes for

           Drug-Induced Hepatotoxicity Evaluation


           Jianyu He 1,2,3,† , Jinglin Wang 4,5,† , Yuan Pang 1,2,3 , Hang Yu , Xueqian Qin , Ke Su , Tao Xu 1,2,3, *,
                                                                                           4
                                                                                  4,5
                                                                   4,5
           Haozhen Ren *
                         4,5,
           1 Biomanufacturing Center, Department of Mechanical Engineering, Tsinghua University, Beijing, 100084, China
           2 Biomanufacturing and Rapid Forming Technology Key Laboratory of Beijing, Beijing, 100084, China
           3 Key Laboratory for Advanced Materials Processing Technology, Ministry of Education, Beijing, 100084, China
           4 Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School,
           Hepatobiliary Institute of Nanjing University, Nanjing, 210008, China
           5 Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of
           Chinese Medicine, Nanjing, China
           †These authors have contributed equally to this work.

           Abstract: Three-dimensional (3D) bioprinting technology is an effective method for exploring the biological functions of
           hepatocytes by building biomimetic 3D microenvironments. Various hepatic tissue models have been developed for disease
           modeling, drug screening, and tissue regeneration using 3D bioprinting technology. Human-induced pluripotent stem cells
           (hiPSCs) are a promising cell source for the generation of functional hepatocytes for bioprinting. In this study, we introduced
           hiPSC-derived hepatocytes  (hiPSC-Heps)  as mature hepatocytes  for the bioprinting of a 3D hepatic  tissue model.  The
           3D-printed (3DP) model facilitated the formation of hiPSC-Hep spheroids with higher viability and proliferation than the
           commonly used non-printed sandwich-cultured model. hiPSC-Heps in the 3DP model exhibited higher mRNA expression of
           liver-specific functions than those in the two-dimensional-cultured model. Moreover, enhanced secretion of liver function-
           related  proteins, including  α-1-antitrypsin,  albumin,  and  blood  urea  nitrogen,  was  observed  in  the  3DP  model.  For  the
           evaluation of acetaminophen-induced hepatotoxicity, the 3DP model exhibited a favorable drug response with upregulation
           of the drug metabolism-related gene cytochrome P450-1A2 (CYP1A2). Overall, the bioprinted hepatic tissue model showed
           great biofunctional and drug-responsive performance, which could be potentially applied in in vitro toxicological studies.
           Keywords: 3D bioprinting; Human-induced pluripotent stem cell; Hepatocytes; Sandwich culture; Hepatic model;
           Acetaminophen; Drug-induced hepatotoxicity

           *Correspondence to: Haozhen Ren, Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical
           School, Hepatobiliary Institute of Nanjing University, Nanjing, 210008, China; renhaozhen1984@163.com; Tao Xu, Department of Mechanical
           Engineering, Tsinghua University, Beijing, 100084, China; taoxu@mail.tsinghua.edu.cn

           Received: February 18, 2022; Accepted: April 26, 2022; Published Online: June 14, 2022
           (This article belongs to the Special Issue: 3D Printing in tissue engineering)
           Citation: He J, Wang J, Pang Y, et al., 2022, Bioprinting of a Hepatic Tissue Model Using Human-Induced Pluripotent Stem Cell-derived
           Hepatocytes for Drug-Induced Hepatotoxicity Evaluation. Int J Bioprint, 8(3): 581. http://doi.org/10.18063/ijb.v8i3.581

           1. Introduction                                     biomaterials  provides  an  effective  method  for
           Three-dimensional (3D) bioprinting is an emerging and   reconstruction of the native cellular microenvironment
                                                                                                       [1]
           promising technology  for the construction  of  in vitro   for  cell  growth  and  biofunction  maintenance . Cells,
           tissue and organ models. Incorporation of biocompatible   biomaterials, and growth factors can be spatially arranged
           © 2022 Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution License, permitting distribution and
           reproduction in any medium, provided the original work is cited.
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