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International Journal of Bioprinting                                3D bioprinting for translational toxicology




            columns onto the strain gauge to serve as grafts, they   4.5. Intestinal toxicology
            increased the contraction force of the EHT and directed   As the primary site for drug absorption and metabolism,
            its self-assembly along the strain gauge. Additionally,   the small intestine is critical in toxicological testing,
            the researchers incorporated a wireless multi-channel   facilitating the evaluation of substance absorption
            electronic system to continuously monitor the contraction   efficiency and potential gastrointestinal toxicity.  The
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            force of the EHT, enabling the observation of both acute   development of 3D-printed intestinal models, which
            and chronic drug effects on the myocardium. The study   accurately mimic the crypt-villus architecture, has
            demonstrated that the developed tissue-sensor platform   markedly improved the physiological relevance of these
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            could serve as a test model for drug-induced cardiotoxicity,   models. For instance, Madden  et al.  presented a 3D
            validating its potential through the observation of acute   primary human intestinal tissue model constructed using
            and chronic effects of drugs such as isoproterenol,   Organovo’s 3D NovoGen bioprinting system, as shown in
            nicardipine,  and  doxorubicin.  This  platform  provides   Figure 7F. The model utilizes bioprinting technology to
            real-time monitoring of myocardial contraction force   create a bilayered structure composed of primary human
            and rhythm, providing more accurate data on drug effects   intestinal epithelial cells and intestinal myofibroblasts,
            compared to traditional 2D cardiac models.         effectively recapitulating key features of native intestinal
                                                               tissue, including epithelial polarization, tight junctions,
               In the realm of material toxicology, Miller  et al.    and specialized cell types. The engineered 3D intestinal
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            employed advanced 3D bioprinting technology to     tissue exhibits functional expression of cytochrome
            fabricate iPSC-derived cardiac microtissues for evaluating   P450 enzymes (e.g., cytochrome P450 3A4, cytochrome
            the toxicity of copper oxide (CuO) NPs. 3D bioprinting   P450 2C9), with demonstrated metabolic activity and
            was used to construct cardiac microtissues with structural   inducibility. It also possesses physiologically relevant
            and functional properties that closely resemble human   barrier properties, enabling discrimination between
            cardiac  tissue. These  bioprinted tissues included iPSC-  compounds with high and low permeability, and exhibits
            derived cardiomyocytes and human cardiac fibroblasts,   functional expression of key drug transporters such as
            thus creating a complex tissue environment. CuO NPs   P-glycoprotein and breast cancer resistance protein. In
            were coated with bovine serum albumin to mimic  in   toxicity assessments, the model responds to nonsteroidal
            vivo protein adsorption, thereby stabilizing the NPs and   anti-inflammatory drug-induced (e.g., indomethacin) and
            enhancing the reliability of experimental outcomes. The   tumor necrosis factor alpha-induced barrier disruption
            study found that exposure to CuO NPs led to significant   and cytotoxicity, supporting its utility for predicting drug
            cytotoxicity in the bioprinted cardiac tissues, as viability   safety and efficacy, rendering it particularly suitable for
            assays indicated a median lethal dose of 7.176 μg/mL and   ADME/toxicological studies.
            complete cell death at 100 μg/mL. Tissue contraction
            force was notably reduced at 10 μg/mL, underscoring   In another study, researchers utilized advanced
            the impact of CuO NPs on cardiac function. Gene    biomanufacturing techniques to create three distinct
            expression analysis further elucidated the mechanisms   intestinal barrier models: (i) a manually constructed
            of CuO NP toxicity, revealing a dose-dependent increase   model comprising Caco-2 and HT-29 cells on a collagen
            in markers of mitochondrial biogenesis and significant   bed, (ii) a manually constructed model featuring Caco-
            upregulation  of  caspase  3  and  caspase  8,  suggesting   2/HT-29 layers on an human dermal fibroblast collagen
            that apoptosis in cardiac tissues is primarily mediated   layer, and (iii) a 3D-bioprinted model incorporating
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            through the extrinsic death receptor pathway. Compared   both cell layers.  These models were rigorously tested to
            to traditional models, 3D-bioprinted cardiac tissues offer   evaluate their capacity to simulate functional intestinal
            significant advantages, such as an enhanced replication   membranes. Results indicated that while all models
            accuracy of cell-cell and cell-matrix interactions, thereby   successfully replicated the structure and function of the
            offering  authentic  assessments  of  cellular  behavior   intestinal  barrier,  the  3D-bioprinted  intestinal  model
            and responses. Additionally, the integration of force   exhibited superior epithelial barrier integrity, tight
            measurement capabilities enables direct evaluation of   junction  formation,  microvilli  development,  and  mucus
            changes in tissue contraction force, which is crucial for   production. Notably, in ibuprofen exposure experiments,
            understanding the impact of toxins on cardiac health.   the  3D-bioprinted  model  yielded  more  predictive
            These findings indicate that 3D bioprinting technology   responses, highlighting its potential as a reliable in vitro
            offers a powerful and precise tool for cardiac toxicology   tool for drug toxicity testing.
            research, aiding in the elucidation of toxicity mechanisms   In the field of food safety testing, the innovative
            and the development of safer materials.            application  of  mimicking  “intestinal  microvilli”  has



            Volume 11 Issue 4 (2025)                       120                            doi: 10.36922/IJB025210209
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