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International Journal of Bioprinting                                     Bioprinting of a multicellular model



            A                       B                          pathway and EGFR receptor tyrosine inhibitor resistance
                                                               pathway kinase inhibitor resistance, and significant
                                                               enrichment of downregulated genes was associated with
                                                               metabolic pathways and ribosome pathways. Upregulated
                                                               hub genes between the 3D printing-S group and 2D culture
                                                               include ITGAM, IL1B, FCGR2A, and CYBB, as shown in
                                                               Table 4 and Figure 11.

            Figure  8. (A) HE staining of tumor tissues in frozen sections of 3D   3.6. Effects of antitumor drugs on the 3D printed
            bioprinted multicellular tissues. Scale bar: 40  µm. (B) HE staining of   SW480 model
            interstitial tissues in frozen sections of 3D bioprinted multicellular
            tissues. Scale bar: 15 µm.                         Seven  days after 3D bioprinting the models, six
                                                               concentration gradients were set to detect the sensitivity
            Table 3. Hub genes of differentially expressed genes in the   of the two drug screening models to 5-FU, oxaliplatin,
            3D-printed SW480 model compared with the sandwich   and irinotecan in the 3D printing-S group and 2D culture
            culture model.                                     group. The IC  value of SW480 cells for 5-FU in the 2D
                                                                          50
                                                               culture group was 12.79 µM, and that for SW480 cells in
                Upregulated DEGs      Downregulated DEGs       the 3D bioprinted group was 31.13 µM. The IC  of the 3D
                                                                                                    50
            Hub gene Function    Hub gene  Function            printing-S group was three times that of the 2D culture
            STAT1  Cell apoptosis, cell   JUN  Cell apoptosis, cell   group, which was more resistant to drugs. For oxaliplatin,
                   proliferation          proliferation and    the IC  of 2D culture group and 3D printing-S group
                                                                    50
                                          immune regulation    was 0.80 µM and 26.79 µM, respectively. For irinotecan,
            DDX58  Antiviral innate   ATF3  Cell apoptosis and cell   the IC  of 2D culture group and 3D printing-S group was
                   immune response        cycle regulation     10.45 µM and 16.73 µM, respectively. The dose-response
                                                                    50
            MX1    Antiviral response  DUSP1  Cell apoptosis, cell   curves of the three chemotherapy drugs are shown in
                                          proliferation        Figure 12A-C.
            IFIT3  Cell apoptosis, cell   FOSB  Cell apoptosis, cell
                   proliferation          proliferation and cell   Antitumor drug screening experiments for the
                                          differentiation      same chemotherapy drugs were performed on the 3D
            IFIT1  Viral replication   KLF6  Tumor suppression  printing-M group, and six concentration gradients
                   inhibition and                              were set as 0, 0.1, 1, 10, 50, and 100  µM in the pre-
                   translational                               experiment. The proliferation of tumor cells was detected
                   initiation
                                                               using CCK8 in the drug screening test. The results
            OAS1   Cell growth and cell  CXCL8  Inflammation regulation,   suggest that the 3D printing-M group was significantly
                   apoptosis              tumor migration,     resistant to chemotherapy. The CCK8 value measured
                                          invasion, angiogenesis
                                          and metastasis       at a concentration of 100  µM was similar to the CCK8
                                                               value measured at a concentration of 0.1 µm, indicating
            RSAD2  Lipid metabolism  NR4A2  Regulation of central
                                          dopamine neurongenesis   that high concentrations of chemotherapy drugs did not
            IFIH1  Inflammatory   SERPINE1 Fibrinolytic inhibition  significantly inhibit the proliferation of colorectal cancer
                   response                                    cells. Subsequently, we increased the drug concentration
            OASL   Immune response   CSF2  Granulocytes        gradients to 0, 0.1, 1, 10, 50, 100, 200, and 500 µM, and
                   regulation             and macrophages      the CCK8 value decreased but did not reach the median
                                          differentiation      inhibitory concentration under the condition of high drug
            ISG15  Cell signaling  CAV1   Tumor suppression and   concentration, indicating that colorectal cancer cells were
                                          lipid metabolism     significantly resistant to chemotherapy in the co-culture
                                                               system of tumor-associated macrophages M2, endothelial
            groups was 8532. The number of upregulated and     cells, and tumor cells (Figure 12D-F).
            downregulated genes was 4489 and 4043, respectively.   4. Discussion
            The upregulated genes of SW480  cells between  the
            multicellular model and single-cell model were mainly   The current status of drug screening models has prompted
            related to biological processes. There was little difference   us to develop a new antitumor drug screening model,
            in the cell composition between the two models. KEGG   which is economical characteristics and can be used for
            enrichment analysis indicated that the upregulated genes   high-throughput screening [31-33] . More importantly, drug
            were significantly enriched in the PD-L1/PD-1 checkpoint   screening should take into account the effect of the TME


            Volume 9 Issue 3 (2023)                        388                         https://doi.org/10.18063/ijb.694
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