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International Journal of Bioprinting                         Bioprinting of PDAC microtissues for drug screening


            5-year survival rate of <8% . PDAC, which has a complex   stable cell growth environment, thereby causing nutrition
                                 [3]
            surrounding anatomical structure, is hidden in the human   inadequacy and a lack of gas and waste exchange. On the
            body. Most of the patients reach middle and late stage by   other hand, the position of hydrogel beads prepared by
            the time of diagnosis, and the tumor can only be surgically   superhydrophobic array was not fixed, which might cause
            resected  in  <20%  of  the  patients [4,5] .  Drug  therapy  thus   sample loss and other problems in the subsequent liquid
            plays  a  major  role  in  the  treatment  of  PDAC.  However,   exchange process.
            the development outcome of drug therapy for pancreatic   3D bioprinting has great advantages in building complex
            cancer is still far from ideal although a gradual increase of   tissue models using accurately controlled assembly of
            research funding’s were allocated annually to develop drugs   cells, hydrogels and active molecules to form specific
            for treating pancreatic cancer. Furthermore, the ineffective   structures [22-24] . Herein, we established stroma-tunable
            drug prediction ability of preclinical PDAC model impedes   PDAC models by printing cell-laden gelatin methacryloyl
            the development of novel drug treatment .
                                            [6]
                                                               (GelMA)  hydrogel beads  through the dot  extrusion
              The pancreatic cancer microenvironment is composed   printing (DEP). As shown in  Figure  1, GelMA hydrogel
            of parenchymal cancer cells, diversiform stromal cells,   beads were facile printed and supported pancreatic cancer
            and non-cellular components, such as extracellular matrix   cells (BxPC-3) and stromal cells to form a dense tumor-
            (ECM) and cell secreted factors [7-9] . A  line of clinical   stroma microtissue, which reproduced the characteristics
            evidence has shown that it is difficult to treat PDAC because   of stromal microenvironment and ECM component
            of low cure rate and poor prognosis, which are closely   in vivo. The printed GelMA beads were biocompatible and
            related to the unique bioarchitecture of the cancer [10,11] . In   in reduced volume, which are conducive to nutrient uptake
            the  PDAC development  process,  pancreatic  cancer  cells   by encapsulated cells and waste excretion. In the co-culture
            promoted a large number of cancer-associated fibroblasts   session, we observed that tumor spheroids acquired
            (CAFs)  formed  by activating the matrix components,   enhanced proliferation and the normal fibroblasts were
            mainly pancreatic stellate cells (PSCs), scattered around the   activated and transformed to CAF phenotype. Further,
            acinar follicle. The activated stromal components further   in the chemotherapeutic drug (gemcitabine) treatment,
            contribute to excessive ECM deposition, and eventually   tumor-stroma PDAC models had a stronger drug resistance
            lead to pancreatic cancer cells being embedded in a dense   when compared with the mono-cultured tumor. The
            fibrous barrier [12-14] . This unique tumor-stroma niche   engineered PDAC microtissue with stromal cellular barrier
            regulates  complex  crosstalk  between  pancreatic  cancer   formed in 3D GelMA beads is useful for studying cancer
            cells and CAFs, and further promotes the progression and   drug resistance and the underlying molecular mechanisms,
            drug resistance of pancreatic cancer cells [15,16] . Therefore,   and it is an effective in vitro drug screening platform for
            building  in vitro biomimetic PDAC models to outline   pancreatic cancer drug therapy research.
            key tumor-stroma features will facilitate the cancer drug
            development.                                       2. Materials and methods
              Three-dimensional (3D) cultured tumor spheroids   2.1. Cell culture
            provide key structural features of biomimetic  in vivo
            solid tumors, including tight cell-cell, cell-ECM physical   Human pancreatic cancer cell line (BxPC-3) and normal
            contactions, similar pH/nutrient/oxygen gradients, and   human dermal fibroblast cells (NHDFs) in this work were
            abundant cell communication, as well as exhibit different   kindly provided by Hangzhou Regenovo Biotechnology Co.,
            responses to drugs better than 2D cultured cells, and have   Ltd. For cells cultivation, BxPC-3 and NHDFs were cultured
            been widely used in the screening of anti-tumor drugs   in RPMI-1640 and Dulbecco’s modified Eagle’s medium
            in recent years [17-19] . For example, João F. Mano’s research   (DMEM; Gibco, USA), respectively. About 10% (v/v)
            group engineered heterogeneous PDAC spheroids to   fetal bovine serum (FBS; Excell Bio, China) and 1% (v/v)
            mimic PDAC-stroma features by co-culturing tumor   penicillin/streptomycin (Thermo, USA) were supplemented
            and stromal cells using ultra-low adhesion plate .   into the above-mentioned basic medium. Cells were cultured
                                                        [20]
            Recently, they further reported a novel “cancer-on-a-bead”   at 37°C under 5% CO , and passaged at 3-day intervals.
                                                                                2
            platform which produced hydrogel beads encapsulating   2.2. Material preparation
            tumor and stroma cells by superhydrophobic surfaces .
                                                        [21]
            The generated cancer models processing tumor-stroma   GelMA was provided by Hangzhou Regenovo
            bioarchitectures and ECM microenvironments had an   Biotechnology Co., Ltd. The selected concentration of
            increased drug resistance performance. However, there   GelMA was 8% (w/v) and the concentration of lithium
            were some shortcomings: the limited growth space of   phenyl-2, 4, 6-trimethylbenzoylphosphinate (LAP; Sigma
            ultra-low adhesion plate could not provide a long-term and   Aldrich, USA) was 0.5% (w/v). GelMA and photoinitiator


            Volume 9 Issue 3 (2023)                         2                       https://doi.org/10.18063/ijb.v9i3.676
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