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International Journal of Bioprinting                                    Biomimetic 3D printed glioma model



            transformation to neuron-like cells may reduce the   Ca  signaling pathway may be a new strategy for glioma
                                                                 2+
            proliferative capacity  of  glioma  cells  to  significantly   treatment .
                                                                       [65]
            inhibit tumor growth , and prolong the survival time of   Our results support the idea that the interactions
                             [35]
            patients . Thus, the effects of neurons on glioma cells are   between  neurons  and  glioma  cells  are  complex  and
                  [36]
            complex and should be further explored by in vivo and in   bidirectional . Ideally, new antiglioma therapies should
                                                                         [37]
            vitro experiments.                                 take  advantages  of  the  cell–cell  interactions  in  glioma
               Neurons cultured in the bioprinted glioma in vitro 3D   tissues to minimize the damage and improve the efficacy .
                                                                                                           [66]
            model showed a higher survival rate, more neurites and   For example, in clinical and research settings, noninvasive
            longer axons. After 1 day of culture, the reason for the low   brain stimulation (NiBS) involves applying magnetic or
            survival rate of neurons in both models may be attributed   electrical fields to modify neuronal activity  in order to
                                                                                                  [67]
            to the fact that neurons may be damaged in the process of   modulate the behaviors of glioma cells, so as to influence
            isolation and did not adapt to the 3D matrix materials in   the development of glioma. However, the mechanism of
            the initial stage. After 3 days of culture, with the adaptation   this treatment is still unclear and its efficacy is difficult to
            of neurons to 3D culture environment, the survival rate of   predict. The studies about the complex interactions between
            neurons in both models increased significantly (27.36% in   glioma cells and their surrounding neurons are urgently
            G/N and 17.47% in N), and the neurons showed a good   needed to  improve  the  understanding  and  therapies.
            spreading and presented a large number of neurites. After 5   Herein, the bioprinted glioma in vitro 3D model provides
            days of culture, neurons become apoptotic, resulting in the   a novel model to understand and utilize the complex
            decline of survival rate . During the 5 days of culturing, the   interactions between glioma cells and their surrounding
                             [37]
            significantly higher survival rate, more neurites and longer   neurons, and a two-way promotion relationship between
            axons of neurons in G/N than in G indicates that glioma   glioma cells and neurons around them in the early stage of
            cells may trigger synaptic differentiation and neuronal   glioma is shown, which will promote the development of
            process growth [38,39]  and increase the hyperexcitability of   new glioma treatment methods, such as NiBS.
            neural circuits [40-43] .
                                                                  The complex microenvironment of glioma includes
               Ca  is closely related to cell proliferation, neuronal   multiple cells and biochemical factors, which matters in
                 2+
            plasticity, and intracellular signal transduction [44-49] . Ca    the progression of glioma . In this study, we only included
                                                         2+
                                                                                   [5]
            can regulate cell behaviors of glioma cells, including cell   neurons and glioma cells, which results in an inconspicuous
            proliferation, migration, invasion and apoptosis [50-54] . Our   glioma invasion. Besides, cells like astrocytes and
            results indicated that neurons may promote the expression   microglia support the survival and function of neurons ,
                                                                                                           [68]
            of Ca  in glioma cells, which is possibly related to the   and the lack of these cells leads to the imbalance of the
                2+
            extracellular K  during neuronal activity , but needs to be   microenvironment of the model; therefore, the survival
                       +
                                            [17]
            verified by further experiments. During the development   time of the model is short and then, the neuron death
            of glioma, Ca  activates ERK/MAPKs  and  PKA       occurs. However, since 3D printing can produce complex
                        2+
                                             [55]
                                                        [56]
            pathways of glioma cells and promotes glioma cells to   structures containing multiple materials, it is promising to
            produce synaptic plasticity required for migration and   integrate other cells and biochemical factors in this model
            invasion , so as to promote glioma progression , which   to make it closer to natural glioma tissue to solve existing
                   [57]
                                                  [44]
            may further explain that GL261 cells around neurons in   problems and provide more accurate pathological and
            our study have experienced neuron-like transformation   pharmacological models for glioma in the future.
            and increased in number when their intercellular Ca
                                                         2+
            concentration increased. On the other hand, the increase of   5. Conclusion
            Ca  in glioma cells may stimulate glioma cells to produce
              2+
            glutamate and release it to surrounding cells [58-60] , leading   In this study, a bioprinted glioma in vitro 3D model was
            to  the  excitotoxicity  and  the  enhancement  of  synaptic   constructed using a  step-by-step  bioprinting method to
            plasticity of surrounding neurons, which can further   reproducibly and better control the spatial relationship
            explain that neurons near GL261 cells in our study show   between glioma cells and neurons in natural human glioma
            more neurites and longer axons. In addition, the increase   tissue. Our findings indicated that the proposed bioprinted
            of glutamate caused by the increase of Ca  can further   glioma  in vitro 3D model is better suited to mimic the
                                               2+
            stimulate the growth of adjacent glioma cells [61,62] . All these   state  of glioma encapsulated  by neurons  found  in vivo.
            evidences, combined with our results, indicate that one of   In the bioprinted glioma  in vitro 3D model, the glioma
            the ways that neurons promote glioma progression is to   cells around neurons showed larger number, neuron-like
            promote the expression of Ca  in glioma cells , leading   morphology, and higher intracellular Ca  concentration.
                                                                                                2+
                                    2+
                                                 [63]
            to the deterioration of glioma . Therefore, targeting   An  appropriate  amount  of  glioma cells  was  found  to
                                      [64]
            Volume 9 Issue 4 (2023)                         11                          https://doi.org/10.18063/ijb.715
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