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Vessel-on-a-Chip for Antiangiogenic Drug Screening
           pause perfusion culture, one needs to: (i) Turn off the   stent, a perfusion system was then set up for antiangiogenic
           peristaltic pump; (ii) fasten the Robert clamps of inlet   drug screening. Guided by rheological tests, the printability
           and outlet separately; (iii) pull out the needles from the   of coaxial bioprinting is discussed. The significance of the
           injection stoppers at both ends, and vice versa. A quickly-  inserted stent was also demonstrated by the mechanical,
           separable perfusion chip is then obtained without the risk   swelling, and perfusion tests. Afterward, diffusion analysis
           of bacterial contamination. Side needles are applied at the   proved the barrier function of the endothelialized vessel.
           very start of perfusion to fill the cavity with medium and   As a proof of concept, HUVECs encapsulated in hydrogel
           exhaust gas. In addition, compared to microfluidic chips,   constructs showed an excellent proliferation rate, good
           our chip more closely mimics the vascular environment   cell morphology, and expression of certain functional
           in the human body with a larger-scale and higher flow   markers. Finally, images and videoclips of HUVEC
           rates, which greatly expands its possible applications.  sprouting and bevacizumab-screening test revealed the
               Nevertheless,  the  present  study  still  has  room  for   reliability of this perfusion system. We believe that this
           improvement. Even though this system provided a long-  proposed biofabrication process and its application may
           term perfusion capability,  the  hydrogel bulk  containing   open up a new approach for the construction of vessel-on-
           VEGF limited the subsequent culture  duration.  Since   a-chip and offer an accessible tool for vascularization and
           VEGF would certainly permeate into the culture medium   pharmaceutical research.
           gradually, the stimulus to HUVECs sprouting toward the
           bulk would dissipate after several days. Introducing tumor   Acknowledgments
           cells, which can secrete VEGF persistently, might be a good   The authors would like to thank Dr. Dengke Zhao, Dr. Xixia
           solution. Instead of  VEGF-containing, applying tumor-  Liu and Mr Haina Ji in School of Mechanical Engineering,
           cell-laden GelMA to cast into a hydrogel bulk enveloping   Zhejiang University, for the assistance of mechanical,
           endothelialized vessels would realize a tumor-cell-HUVEC   rheological properties tests and real-time sprouting
           coculture system, which would transform this antiangiogenic   monitoring, and Hangzhou Putai Technology Co., Ltd. for
           drug screening model into a more specific tumor model. In   the assistance of coaxial nozzle ceramic printing.
           addition, the improvement of coaxial bioprinting process
           can  bring  deeper  significance  to  biological  applications.   Funding
           For example, three-layer coaxial bioprinting of endothelial
           cells layer and smooth muscle cells layer would make these   This work was sponsored by the National Key Research
           vessels more biologically representative.           and Development Program of China (2018YFA0703000),
               Furthermore, the drug screening model we established   National  Natural  Science  Foundation  of  China  (No.
           in this study has great potential for the future studies.   U1909218, T2121004), Adjunct Talent Fund of Zhejiang
           Based on the vessel-on-a-chip approach, our perfusion   Provincial People’s Hospital, China Postdoctoral Science
           system cannot only be regarded as an antiangiogenic drug   Foundation (No. 2021M702818).
           screening model, but also serve as an effective tool to model   Conflict of interest
           interactions between various cells/organoids by changing
           the perfusion liquid, encapsulated cells in the tube, or bulk   The authors declare no conflicts of interest.
           containing substances/biological reagents. For example,
           to explore the effects of anti-inflammatory compounds on   Author contributions
           coagulation and thrombosis could be another application   Conceptualization: Yong He, Chaoqi Xie
           scenario of this model. In addition, based on the advantage   Investigation: Zeming Gu, Mingjun Xie, Shang Lv
           of coaxial bioprinting process, biofabrication of hydrogel   Methodology: Zeming Gu, Mingjun Xie
           tubes with variable-diameter or complex shapes would   Formal analysis: Zeming Gu, Nian Liu
           simulate a particular vascular microenvironment or a   Visualization: Zeming Gu, Jing He, Yuanrong Li, Yuanbo
           disease model.  Adopting more than one vessel in one   Zhu
           chip with different perfusion liquids would also meet   Writing – original draft: Zeming Gu
           the requirements of some  in vitro models. Moreover,   Writing – review & editing: Yong He, Jianzhong Fu, Hui
           connecting several perfusion chips in series with one-way   Lin
           flow would further provide a platform for investigating the
           effects of upstream secretions on downstream components.  References

           5. Conclusion                                       1.   Cherrington  JM,  Strawn  LM,  Shawver  LK,  2000,  New
           In summary, we coaxially bioprinted HUVEC-laden         Paradigms for the Treatment of Cancer: The Role of Anti-
           GelMA tubes and cultured them to form endothelialized   Angiogenesis Agents. Adv Cancer Res, 79:1–38.
           biomimetic blood vessels. With the assistance of a PCL      https://doi.org/10.1016/s0065-230x(00)79001-4

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