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International Journal of Bioprinting                                3D bioprinting for translational toxicology




               Three-dimensional bioprinting also holds great promise   inefficient, and reliant on intricate fluidic connections.
            for the development of high-throughput, precision drug-  Furthermore, most biomimetic organ chips fail to replicate
            screening assays. Utama et al.  engineered a bioprinting   the 3D growth environments of native tissues or support
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            platform capable of fine-tuning cell number, spheroid   the construction of heterogeneous tissue structures,
            diameter, and hydrogel “cup” geometry to mass-produce   impeding accurate simulation of dynamic blood flow and
            embedded multicellular spheroids, as shown in Figure 4C.   heterogeneous cellular distributions at the microscale level
            Impressively, this method maintained over 98% cell viability   in organ systems. 151
            while yielding spheroids whose proliferation, apoptotic   The rapid development of 3D bioprinting, leveraging
            profiles, and stem-cell marker expression closely matched
            those of manually assembled controls. Notably, the model   versatile bioink materials, diverse printing techniques,
            exhibited a size-dependent drug response: larger spheroids,   and flexible 3D design capabilities, has proven to be a
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            owing to diffusion gradients, displayed significantly   transformative solution to overcome these challenges.
            elevated half-maximal inhibitory concentration values,   This technology enables the fabrication of intricate 3D
            and variations in cup dimensions directly influenced   structures and the  seamless  integration of  biomimetic
            pharmacodynamic readouts. These findings offer new   structural and functional units, offering a more streamlined
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            insights into modeling solid-tumor chemoresistance with   method for fabricating complex tissue and organ models.
            high fidelity. Concurrently, Matsusaki et al.  utilized inkjet   To date, 3D bioprinting has found successful application
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            bioprinting to fabricate layered 3D liver‐tissue microarrays   in the fabrication and functional modeling of organ-on-a-
            featuring endothelial-hepatocyte heterotypic architecture;   chip systems for various organs, including the heart, liver,
            their automated workflow provides a scalable paradigm   kidney, tumor tissues, and nervous system. 19,152–154
            for preclinical toxicology screening. Although current 3D   In the context of organ-on-a-chip fabrication, 3D
            constructs remain imperfect in replicating native tissue   bioprinting commonly employs the following two
            diffusion dynamics, vascularization, and chemical gradient   methodological approaches: the two-step method and the
            formation, ongoing optimization of physicochemical   one-step method. The former entails the separate fabrication
            parameters and microenvironmental design is poised   of microfluidic chips, followed by the printing of biological
            to surmount these limitations and yield more clinically   tissues  or  micro-organoids  onto  the  pre-assembled
            relevant in vitro drug‐screening platforms.        chips. 155,156  While this approach utilizes 3D bioprinting for
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               To enhance the simulation of  in vivo physiological   certain processes, it is labor-intensive and exhibits limited
            environments, researchers  have  employed microfluidic   reproducibility. Conversely, the one-step method integrates
            networks to maintain and connect microtissues and organ   the entire fabrication process, simultaneously printing
            units, thereby enabling the development of “organ-on-a-  both biomimetic structural units and biological functional
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            chip”  devices.  By  incorporating  microfluidic  perfusion   units, providing a more integrated and efficient solution.
            channels, these chips can recreate vascular systems,   Widely utilized bioprinting techniques for organ-on-a-
            dynamic cellular culture environments incorporating   chip systems encompass inkjet printing, extrusion-based
            mechanical and chemical stimuli, and nutrient and oxygen   printing, and photocuring-based printing.
            exchange  under  controlled  concentration  gradients.  The   In the realm of organ-on-chip engineering, 3D printing
            specific  features  and  applications  of  organ-on-a-chip   technologies have demonstrated exceptional versatility
            technology will be discussed in the following section.   and manufacturability, enabling the precise reconstruction
            3.3.2. Functional integration of                   of complex biological interfaces. In the context of renal
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            organ-on-a-chip technology                         physiology and functional assessment, Lin et al.  optimized
            The application of 3D bioprinting in advanced organ-  ECM composition and fugitive‐ink formulations to co-print
            on-a-chip devices serves as a potent tool for improving   vascularized proximal tubules within a highly permeable
            the biological relevance of disease models and drug   hydrogel  matrix,  establishing  a  closed‐loop  perfusion
            testing platforms. Recent advancements in organ-on-a-  circuit. This platform not only facilitated functional co-
            chip research, including the integration of bioprinting   culture of proximal-tubule epithelial and endothelial cells
            technologies, have effectively addressed numerous   but also quantified active albumin/glucose reabsorption
            limitations  inherent  to  traditional  microfluidic  chip   and recapitulated high-glucose-induced endothelial injury,
            fabrication. Conventional methods, such as lamination   thereby offering a high-fidelity system for renal physiology
            and molding, are labor-intensive, expensive, and ill-suited   studies and nephrotoxicity assessment. For liver function
            for fabricating intricate 3D structures. 149,150  Additionally,   modeling and drug testing applications, Fritschen et al.
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            cell seeding in microchannels typically relies on manual   developed an innovative, high-throughput 3D bioprinting
            operations or syringe pumps, which are cumbersome,   platform that integrates drop-on-demand bioprinting

            Volume 11 Issue 4 (2025)                       110                            doi: 10.36922/IJB025210209
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