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International Journal of Bioprinting                               Bioprinted liver dECM/GelMA tumor model




            1. Introduction                                    been used, they cannot fully replicate the complex ECM
                                                               in vivo, which is a crucial microenvironment for cells.
                                                                                                            29
            Cancer  is  a  pervasive  global  public  health  challenge,   The ECM is a complex and dynamic network that provides
            significantly impacting human life and well-being. In   essential  structural  support  and  significantly  influences
            recent  years,  effective treatments  for cancer  include   various cellular functions, 30–33  including proliferation,
                                                                                                            34
            surgical resection,  radiotherapy,  and chemotherapy.    migration,  differentiation, 36,37  and signal transduction. 38,39
                                       3,4
                                                         5,6
                           1,2
                                                                       35
            Nevertheless, the 5-year survival rate of patients remains   Consequently, accurately simulating or reconstructing the
            suboptimal. On one hand, current treatments fail to achieve   ECM in vitro is critical for developing tumor models that
            a complete cure. On the other hand, our understanding of   closely mimic physiological conditions. 40,41
            the complex mechanisms and characteristics of tumors
            remains incomplete, hindering the development of effective   Decellularization technology offers a promising
                             7,8
            therapies  and drugs.  Currently, preclinical research on   method to selectively eliminate cellular components
            anticancer drugs heavily relies on two-dimensional (2D)   from tissues or organs while retaining the essential ECM
            cell and animal models. However, the simplicity of 2D cell   components, biological functions, and structural integrity.
            models and the limitations of animal experiments, such   This advanced technique has significantly broadened the
            as long timelines, limited reproducibility, and high costs,   use of ECM materials in the biomedical field. 42,43  However,
            hinder the development of effective tumor treatments. 9–11    decellularized ECM (dECM)-based bioinks suffer from
            Thus, there is an urgent need for sophisticated models   suboptimal  printability  due  to  inadequate  mechanical
            that accurately simulate three-dimensional (3D) solid   properties, unstable thermo-responsive behavior, and
            tumors  in vivo. Such models hold great promise for   variable rheological properties, which limit their broader
                                                                                       44,45
            facilitating more comprehensive tumor research,    application in 3D bioprinting.
            improving pharmacological evaluations, and accelerating   In this study, we aimed to tackle the challenges posed by
            drug development.                                  the limited printability of dECM-based bioinks while also
                                                               developing an optimized bioink derived from liver tissue
               The emergence of 3D cell culture technology has
            revolutionized the advancement of  in vitro tumor   that demonstrates superior 3D printability. Our formulation
                                                               not only improved printability but also exhibited excellent
            models. Within a 3D culture system, the establishment   biocompatibility and favorable interactions with HepG2
            of an extracellular matrix (ECM) and the incorporation   cells, a liver cancer cell line. To comprehensively evaluate
            of diverse signals that mimic the growth characteristics   the physical and biological attributes of our bioink,
            of tumor cells are of utmost importance. 12–15  Through   we conducted a series of assessments encompassing
            the implementation of 3D culture, tumor models can be   morphology  analysis,  rheological  characterization,
            meticulously crafted by manipulating the properties of the   degradation evaluation, swelling behavior analysis, 3D
            matrix or scaffold, thereby facilitating the investigation of   printability testing, and cytotoxicity analysis.
            morphogenesis, angiogenesis, invasion, pharmacology,
            and  other  tumor-related  attributes. 16,17   Consequently,   2. Materials and methods
            3D  bioprinting  emerges  as  a  promising  approach  for
            the construction of standardized 3D tumor models. By   2.1. Materials
            harnessing the capabilities of 3D printing technology,   Gelatin, methacrylic anhydride, sodium dodecyl sulfate,
            bioprinting enables the seamless integration of cells   and ciprofloxacin were purchased from Aladdin Reagent
            and biological materials, layer by layer, resulting in the   Co., Ltd. (China). The porcine liver was procured from
            generation of tissue-like structures. 18,19        Mankouxiang Ecological Farming Cooperative Co., Ltd.
                                                               (China). Cell Counting Kit (CCK)-8 and Dulbecco’s
               Natural  hydrogels  like  fibrinogen,  cellulose,  Modified Eagle Medium were obtained from Keygen
            chitosan, alginate, and hyaluronic acid are extensively   Biotech Corp., Ltd. (China). The bicinchoninic acid kit
            used as bioinks in bioprinting for their controllable   was purchased from Shanghai Biyuntian Biotechnology
            mechanical properties and excellent biocompatibility. 20–23    Co., Ltd. (China). The DNA kit was obtained from Cwbio,
            Bioprinting significantly enhances the reproducibility and   China; the glycosaminoglycan (GAG) kit from Genmed,
            standardization of 3D tumor models, making it ideal for   China; and the collagen kit from Chondrex, United States of
            preclinical research. 24,25  3D-bioprinted tissues help reduce   America (USA). Paclitaxel (PTX) and doxorubicin (DOX)
            model variability, improve the consistency and reliability   were purchased from Solarbio Science and Technology
            of drug screening data, and lower the risk and cost of drug   Co., Ltd. (China). Calcein-acetoxymethyl/propidium
            screening. 26–28  However, establishing a tumor model relies   iodide and acridine orange/ethidium bromide reagent kits
            on  critical  cellular,  biochemical,  and  mechanobiological   were obtained from Solarbio Science and Technology Co.,
            cues. Although both natural and synthetic polymers have   Ltd. (China).

            Volume 11 Issue 4 (2025)                       393                            doi: 10.36922/IJB025160142
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