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International Journal of Bioprinting                                3D bioprinting for translational toxicology




            developed an enzymatic graphene-polylactic acid (PLA)   Programme, over 100,000 new synthetic chemicals are
            electrode by embedding horseradish peroxidase directly   introduced into the ecological cycle annually, yet a mere
            into the printed structure, enabling hydrogen peroxide   0.1% are subject to comprehensive toxicity evaluation.
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            detection down to 11.1 μM. Similarly, Lee et al.  utilized   Existing  in vitro  detection  technologies  are limited  by
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            FDM technology to fabricate a carbon black-PLA three-  their inability to simulate essential aspects of the air–liquid
            electrode system, incorporating multiwalled carbon   interface and reconstruct chronic exposure effects.  This
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            nanotube surface modifications to extend the glucose   inability to accurately  predict  the  bioaccumulation  and
            detection range to 1–100 mM (R  = 0.9813). This sensor   transgenerational toxicity of substances such as particulate
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            was seamlessly integrated with a liver-on-chip platform,   matter and persistent organic pollutants presents substantial
            providing a real-time solution for drug toxicity assessment,   challenges for ecological risk assessment. In the realm of
            as shown in Figure 6D. Guo et al.  further advanced the   food  safety,  foodborne  pathogenic  toxins  (e.g.,  aflatoxin
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            field by fabricating nickel ferrite/PLA grid substrates via   B1), illegal additives, and microplastic contamination
            FDM printing and coupling them with carbon quantum   collectively lead to direct global economic losses
            dot-based fluorescent probes to construct a magnetoelastic   annually. 181,182  Traditional detection methods, which rely
            biosensor, as shown in  Figure 6E. This device achieved   on animal testing coupled with high-performance liquid
            ultrasensitive  detection  of  α2-macroglobulin  at   chromatography, are characterized by low throughput,
            0.506 ng/mL. The dual-mode magnetic-optical signal   high costs, and ethical concerns. Nanotoxicology research
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            conversion mechanism offers an innovative tool for early   introduces even greater scientific complexities.  They
            diagnosis of diabetic nephropathy.                 exhibit  unique  properties, such as  surface  plasmon
                                                               resonance and quantum size effects, capable of inducing
               In summary, 3D printing technologies demonstrate
            substantial potential for advancing the development of   non-dose-dependent toxicities (e.g., mitochondrial
                                                               autophagy dysfunction).  However, conventional  in
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            biosensors and diagnostic devices. From low-cost, rapidly   vitro models fail to replicate key features such as tissue
            manufactured bioreactors to highly sensitive biosensors,   penetration and the dynamic interactions between NPs
            these  innovations  can  be  effectively  integrated with   and biological barriers, thereby limiting their effectiveness
            printed tissue models and organ-on-a-chip systems to   in accurately predicting nanotoxicological outcomes. 185,186
            enable real-time monitoring, dynamic regulation, and
            high-throughput analysis of cellular and tissue functions.   Three-dimensional bioprinting technology provides a
            The convergence of these technologies augments the   revolutionary solution to these challenges by enabling the
            biomimicry and applicability of organ-on-a-chip systems   construction of biomimetic structures across multiple scales
            while unlocking new opportunities for drug development,   (resolution of 1–200 μm), regulating dynamic perfusion
            disease modeling, and personalized medicine.       (shear stress of 0.1–20 dyn/cm²), and reconstructing
                                                               heterogeneous  microenvironments  (co-localization  of
            4. Applications in organ-specific toxicology       3+ cell types). 187,188  This technology has significantly
                                                               advanced toxicological research across key target organs,
            Toxicological testing systems comprise four fundamental   including the liver (metabolic toxicity), kidney (excretory
            domains as follows: drug safety assessment, food   toxicity), lungs (inhalation toxicity), cardiovascular system
            contaminant screening, environmental toxicity analysis,   (functional toxicity), intestines (absorption toxicity), and
            and evaluation of the biological effects of nanomaterials.   skin (contact toxicity), as shown in Figure 7 and Table 3.
            Technological advancements in these areas hold strategic   This section systematically explores the application of
            importance for public health safety and sustainable   3D bioprinting in toxicology, highlighting its technical
            development. In drug development, preclinical models’   breakthroughs from structural biomimicry to functional
            predictive power is limited, causing around 30% of   integration. Furthermore, clinical relevance validation
            drug  candidates  to  fail  due  to  uncontrollable  toxicity   data  are  provided  to  support  the  scientific  rationale  for
            or  adverse  effects,  and resulting  in huge annual global   substituting traditional methods with 3D bioprinting
            economic losses.  2D cell models, lacking the tissue-  approaches. By bridging the gap between in vitro models
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            specific microenvironment—such as the ECM topology   and in vivo physiology, 3D bioprinting holds the potential
            and multicellular interaction networks—are inadequate   to redefine toxicological testing systems, creating
            for accurately simulating the dynamic interplay between   pathways for more accurate, efficient, and ethically
            drug metabolism and toxicity.  Consequently, critical   sound methodologies.
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            toxic  phenotypes,  including  hepatotoxicity  and  QT
            interval  prolongation,  show  high  false  negative  rates.    4.1. Liver toxicology
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            Environmental toxicology encounters even more significant   The liver, as the central organ for xenobiotic metabolism,
            challenges. According to the United Nations Environment   accounts for over 90% of phase I and II detoxification

            Volume 11 Issue 4 (2025)                       114                            doi: 10.36922/IJB025210209
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