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International Journal of Bioprinting                                     Bioprinting of a multicellular model


            concentration of interstitial cells in the bio-ink was   The survival of SW480 cells was observed using confocal
            1.5 × 10 /mL. The diameter of the inner ring of the 3D   microscopy. Green indicates live cell, and red indicates
                   6
            printing-M was 7 mm, the diameter of the outer ring was   cell death. As can be clearly seen from the images, a high
            10 mm, and the thickness was 8 mm (Figure 2). Extrusion   activity of >90% was maintained by day 10 (Figure 4).
            3D bioprinting is used to construct stable 3D bioprinted   The  viability  of  macrophage  and  HUVEC  cells  in
            models of colorectal cancer in high throughput.    3D hydrogel structure after 3D printing is shown in
                                                               Figure S1. Ki67 immunofluorescence was used to observe
            3.2. Morphological characteristics of 3D bioprinted   the proliferation of SW480 cells in the 3D printing-S on
            colorectal cancer model
                                                                   th
                                                               the 7   day, and Ki67 expression was strongly positive
            Under a low-power light microscope, the 3D bioprinted   in the model (Figure  5). SW480  cells proliferated well
            colorectal cancer model remained stable from days 1 to 10.   in the 3D bioprinted model. This suggests that the 3D
            SW480 cells were stable in the bioprinted tissue under high   bioprinted model can provide a good environment for
            magnification, and no tumor cell was observed. As shown   the growth of colorectal cancer cells. CCK-8 was used
            in Figure 3, from days 1 to 10, the SW480 cells in the 3D   to detect the proliferation of SW480 CRC cells in the
            bioprinted tissue gathered into clusters, and the SW480   three models. Cell proliferation was measured on days
            cell clusters became increasingly larger. On the 10  day,   1, 3, 5, 7, and 10, respectively (Figure  6). The values
                                                     th
            dense cell aggregates were scattered in the 3D bioprinted   measured on the 1   day were taken as the baseline
                                                                                st
            colorectal cancer tissues.                         values, and the values measured on the following 4 days
            3.3. Cell proliferation and survival in 3D bioprinted   were standardized according to the values measured on
                                                                   st
            colorectal cancer model                            the 1  day. In terms of proliferation, we compared the
                                                               proliferation of three groups at days 1, 3, 5, 7, and 10,
            The  3D  printing-S  and  3D  printing-M  models  were   with three biological replicates in each group. We found
            stained using calcein AM and PI to assess cell survival.   no statistical difference in proliferation between the three
                                                               groups at days 1, 3, and 5. On day 7, there was a statistical
                                                               difference between the 3D printing-S group and the 3D
            A
                                                               printing-M group (P = 0.022). On day 10, there was a
                                                               statistical difference between the 3D printing-S group
                                                               and the 3D printing-M group (P=0.034). There was no
                                                               significant difference in the proliferation between the 3D
                                                               culture group and the 3D printing-S group at days 1, 3,
                                                               5, 7, and 10.
            B                                                    As shown in Figure 7, after 10 days of 3D bioprinting,
                                                               SW480  cells, macrophage M2, and HUVEC-T/T were
                                                               stably present in the 3D printing-M, which proved that
                                                               the colorectal cancer multicellular model we constructed
                                                               is stable.
                                                               3.4. HE staining of frozen sections of 3D bioprinted
                                                               multicellular colorectal cancer model
            C
                                                               HE  staining  of  frozen  sections  of  3D  printing-M
                                                               requires embedding, freeze curing, conventional paraffin
                                                               embedding, sectioning, fixation, staining, and sealing with
                                                               neutral gum. Tumor and interstitial cells were observed in
                                                               two parts under a microscope. HE staining characterized
                                                               the pathological characteristics of the tumor cell cluster in
            Figure  3. High-magnification images of three-dimensional (3D)   the 3D bioprinted colorectal cancer model, and multiple
            bioprinted single-cell colorectal cancer model on day 1 and day 10   nuclei in the tumor cell cluster could be clearly seen,
            in vitro (A). High-magnification images of tumor cells in 3D bioprinted   indicating that it was composed of many cells (Figure 8A).
            multicellular  colorectal  cancer  model  on  day  1  and  day  10  in vitro   Simultaneously, the pathological characteristics of
            (B). High-magnification images of interstitial cells on day 1 and day 10
            in vitro in a 3D bioprinted multicellular colorectal cancer model (C). Scale   interstitial cells in the 3D printing-M were observed
            bars: 40 µm.                                       (Figure 8B).


            Volume 9 Issue 3 (2023)                        384                         https://doi.org/10.18063/ijb.694
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