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International Journal of Bioprinting                       Three-dimensional bioprinting in toxicological research


                                                               devices. Several studies declare that these techniques could
                                                               produce spheroid within 24 – 72 h  .
                                                                                           [56]
                                                                 Several papers accentuate the important role of spheroids
                                                               in toxicology studies. Penzes et al. examined the toxic effect
                                                               of primycin-sulfate in 2D and 3D HepG2 and hNHEPSco-
                                                               cultured with fibroblasts in 1:4 ratio. They used V-shaped
                                                               plates to form aggregates within 24 h and observed that the
                                                               level of primycin-sulfate induced cell death was lower than in
                                                               2D cultures. Furthermore, the non-toxic level of primycin-
                                                               sulfate treatment resulted in an increased expression of
                                                               IL-11 and IL-24 . Bell  et  al. used ultra-low attachment
                                                                            [57]
                                                               plates to create spheroids from primary human hepatocytes
                                                               and observed that the spheroids are suitable for modeling
                                                               of drug-induced liver injury (DILI). They found that bile
                                                               acid accumulated on chlorpromazine treatment and viral
                                                               infection enhanced trovafloxacin-induced toxicity .
                                                                                                      [37]
            Figure  3. The micropatterned co-cultures. In these co-cultures, the   7. Organoid
            hepatocytes placed in individual islets on a plate, and then fibroblasts
            or endothelial cells were seeded around them. Image created with   An organoid is  “a collection  of organ-specific  cell  types
            BioRender.com.                                     that develops from stem cells or organ progenitors and
                                                               self-organizes through cell sorting and spatially restricted
            6. Spheroids                                       lineage commitment in a manner similar to in vivo” [58,59] .
            Spheroids are 3D spherical cellular aggregates in which a   Studying the development and the diseases of human
            cell-cell interaction is formed, permitting the observation   organs using in vivo experiments is challenging due to the
            of their morphology and polarity. It is known that in   significant interspecies differences between animal models
            spheroids made of the HepG2/C3A cell line, a canaliculi-  and humans. A better understanding of the biological role
            like structure can be observed and bile acid production is   of extracellular matrix and mapping of the regulation of
            detectable too [44,45] . Spheroids could be generated in both   signaling pathways in the microenvironment of stem cells
            scaffold-based and scaffold-free ways, but the structure is   have been made possible in the development of organoid
            divided into three shells in each case. The outer shell is the   culture systems. The terms of organoid include a wide
            proliferation zone where the cell proliferation potential   range of different systems, but Fatehullah et al. set forth
            is the highest; the quiescent zone is located at the inner   the most accurate definition of the term so far; they define
            side where the cells are at rest; and the innermost side,   “an organoid as an  in vitro 3D cellular cluster derived
            the core, has a zone of necrotizing cells because nutrients   exclusively from primary tissue, embryonic stem cells,
            and oxygen cannot reach there. Their maintenance of   or induced pluripotent stem cells (iPSC), capable of self-
            spheroids is simple, and they can be generated from   renewal and self-organization and exhibiting similar organ
            many cell types. Spheroids are involved in many drug   functionality as the tissue of origin” .
                                                                                           [60]
            development methods, especially tumor spheroids      In the human body, cells are present in a highly
            used in cancer research, which offer more insights into   complex microenvironment, and many synchronized
            tumor biology due to their biosimilarity to solid tumors   signaling interactions  result  in a proper development,
            in  vivo with regard to cell morphology, proliferation,   regulation, and maintenance of cell phenotype and
            oxygenation, nutrient uptake, waste excretion, and   function.  Furthermore,  cells  in  tissues  are  affected  by
            drug uptake. Since the geometric localization of cells is   signaling effector molecules, nutrients, and waste products
            crucial for proper function, the spheroid models can be   along different concentration gradients. This phenomenon
            applied in toxicology tests, so they can serve as suitable   is mimicked by some 3D culture systems where cells are
            pharmacological tools [38,46-55] .
                                                               at the center of an aggregate or organoid and they have
              Spheroids can be produced in different ways, such   less access to media factors, as opposed to 2D systems.
            as using of ultra-low attachment plates, hanging drop   The development of physiological, biochemical, and
            technique, magnetic levitation and magnetic 3D printing,   biomechanical microenvironments by 3D techniques
            spinner flasks, matrix encapsulation, matrix-on top and   can affect cell proliferation, differentiation, cell survival,
            matrix embedding, microcarriers beads, and microfluidic   morphogenesis, cell migration, and mechano-reactions.


            Volume 9 Issue 2 (2023)                        202                      https://doi.org/10.18063/ijb.v9i2.663
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