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International Journal of Bioprinting                                     Bioprinting of a multicellular model



            Table 4. Hub genes of differentially expressed genes in   macrophage M2 to better explore the influence of the TME
            the 3D-printed multicellular model compared with the   on chemotherapy resistance.
            3D-printed SW480 model.
                                                                 After 1, 3, 5, 7, and 10 days of culture, calcein AM and
                   Upregulated DEGs      Downregulated DEGs    PI staining was used for assessing cell survival. The results
            Hub gene Function          Hub gene Function       showed that the 3D bioprinted tissue remained more than
                                                                                            th
                                                                                th
            ITGAM   Integrins mediate signaling   DDX58  Innate immune   95% active on the 10  day. On the 7  day of culture, Ki67
                    and cell adhesion          response        proliferation immunofluorescence staining of colorectal
            IL1B    Inflammation regulation, cell  OASL  Cell growth and   cancer cells was strongly positive, indicating that colorectal
                    apoptosis, cell proliferation   cell apoptosis  cancer cells had good adaptability in the 3D bioprinted
                    and cell differentiation                   model. We compared the proliferation of colorectal cancer
            FCGR2A macrophages cell surface   STAT1  Cell apoptosis,   cells in 3D culture, 3D printing-S, and 3D printing-M, and
                    receptor and phagocytosis   cell proliferation  the results showed that the proliferation rate of colorectal
                    and clearing of immune                     cancer cells in 3D printing-S was higher than that in the
                    complexes
            FCGR3A Immune regulation and   IFIT3  Cell apoptosis,   sandwich culture model. The proliferation rate of colorectal
                                                               cancer in the 3D printing-M was not inferior to that in the
                    antigen-antibody complex   cell proliferation
                    clearance                                  sandwich culture model (P<0.05).
            SPI1    Immune cell development  IFIT1  Viral replication   We established the multicellular colorectal cancer
                                               inhibition and   model using extrusion-based bioprinting. This extrusion-
                                               translational   based 3D bioprinting model has the advantages of being
                                               initiation
                                                               simple, convenient, rapid, and economical. In addition
            CCL2    Immune regulation and   OAS1  Cell growth and   to extrusion-based 3D bioprinting, there are other 3D
                    inflammatory response      cell apoptosis
            CD4     Immune regulation and   RSAD2  Lipid       bioprinting methods,  mainly including droplet-based
                                                               bioprinting, laser-based bioprinting, and photocuring-
                    antigen recognition        metabolism                     [36]
            CYBB    Cytophagy and phagocytize  MX1  antiviral   based  bioprinting .  Droplet-based  bioprinting  can  be
                    bacteria                   response        used to build models with high resolution, but this method
            FCGR2B  Regulation of antibody   MX2  antiviral    usually has high cell damage, and it is difficult to print
                    production by B-cells      response        biological materials with high viscosity, which affects the
            ITGB2   Immune regulation, signal   ISG15  Cell signaling  structural stability of 3D bioprinting. Laser-based 3D
                    transduction and cell                      bioprinting has been reported to produce high-resolution
                                                                              [37]
                    adhesion                                   tumor cell models . The laser-based 3D bioprinting is a
                                                               nozzle-free technique that avoids mechanical cell damage
                                                               and can even manipulate a single cell. In addition to more
            on tumor cells. To achieve this goal, we constructed a drug   available choices of printing materials, extrusion-based 3D
            screening multicellular model for colorectal cancer using   bioprinting has advantages over droplet-based bioprinting
            3D bioprinting. The 3D printing-M is a co-culture system   in terms of biological ink deposition rate and scale printing.
            of the TME and the tumor. In this study, to construct a   In addition, the 3D bioprinted model showed relatively
            3D printing-M, we first adopted a 3D concentric circle   high cell viability rate . But extrusion-based bioprinting
                                                                                [18]
            model with tumor cells and surrounding stromal cells in   usually has a relatively low resolution, which depends on
            the center, including tumor-associated macrophages M2   the diameter of the print nozzle and the characteristics
            and HUVEC-T cells.                                 of the biomaterial, and the resolution of extrusion-based
              Extrusion 3D bioprinting constructs items in high   bioprinting currently exceeds 100  µm [32,38] . However,
            throughput and involves lower cost. The extrusion 3D   compared with the extrusion-based bioprinting used in
            bioprinter allows coaxial printing with a double nozzle,   our study, laser-based bioprinting causes more damage
            which meets  the production requirements of the 3D   to cells. More importantly, it is expensive and difficult
            concentric circle model designed for the subject [34,35] .   to  operate.  Photocuring-based  bioprinting  has the  same
            To construct a 3D printing-M, tumor-associated M2   problems and needs further development.
            macrophages were selected as interstitial cells instead of   Immunofluorescence  staining  of  the  3D  printing-M
            monocyte THP-1  cells. The reason lies in THP-1 non-  showed that CDX2 of SW480, CD68 of M2 macrophages,
            adherent  cells,  which are  different  from  the  SW480  cell   and  CD31  of  endothelial  cells  were  strongly  positive
            line and endothelial cell. More importantly, we simulated   on the 10   day. The results confirmed that tumor cells,
                                                                       th
            tumor-related  macrophages  in the  human  body  using   macrophages M2, and endothelial cells could survive

            Volume 9 Issue 3 (2023)                        390                         https://doi.org/10.18063/ijb.694
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