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International Journal of Bioprinting                                        Printed organoids for medicine




            which can generate multiple gradients simultaneously and   ganglion cell activity. This approach not only validated
            with higher precision, further improving the ability to   developmental patterns of inner retinal signaling but also
            control organoid development. 191–193              revealed critical insights into early-stage neural organoid
                                                               modeling of retinal degeneration. The findings underscore
            5.2. Sensory accessories for real-time monitoring  the technology’s utility in dissecting disease mechanisms
            Incorporating sensors into 3D printed accessories   through dynamic, cell-type-specific observations. Both
            allows non-invasive monitoring of organoid physiology,   studies leverage liquid metal’s mechanical adaptability to
            including metabolic activity, electrical signals, and   overcome the limitations of rigid conventional electrodes,
            mechanical strain. 194                             yet their designs diverge to address distinct challenges.

            5.2.1. Biosensors for metabolite detection         Park’s approach emphasizes scalability and dynamic
            Printable  conductive  materials,  like  carbon  nanotubes   stability for cardiac electrophysiology, whereas Lee’s work
            and graphene oxide, can be integrated into scaffolds to   prioritizes  submillimeter  precision  for  neural  circuit
            create electrochemical sensors.  For instance, a glucose-  interrogation. This complementary framework establishes
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            sensitive sensor printed within a pancreatic islet organoid   a modular toolkit for organoid electrophysiology, enabling
            scaffold continuously monitored insulin secretion in   researchers to tailor electrode configurations to specific
            response to glucose challenges, providing real-time data for   experimental demands. Integration with multimodal
            diabetes research. 196,197  Similarly, lactate sensors in printed   sensing  technologies  could  further  advance  applications
            brain  organoid  cultures  correlated  metabolic  activity   in organ development studies, disease progression
            with neuronal network maturation, offering insights into   modeling, and personalized medicine, paving the way
            neurodevelopmental  disorders. 196,198  These biosensors   for unprecedented insights into biological systems at
            have the potential to revolutionize the field of organoid   the organoid scale. The elucidation of brain function in
            research by providing real-time, non-invasive monitoring   neural organoids necessitates precise electrophysiological
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            of organoid function, which can help to better understand   monitoring of neuronal activity.  To this end, 3D-printed
            the underlying mechanisms of disease and develop more   microelectrodes, coated with biocompatible  polymers,
            effective treatments.                              have been engineered to penetrate cerebral organoids,
                                                               enabling the detection of action potentials and synaptic
            5.2.2. Electrophysiological probes for             connectivity.  A pioneering study by Acha et  al.
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            neural organoids                                   employed printed multi-electrode arrays (MEAs) to
            Traditional organoid research has been constrained by the   systematically map electrical signals in cortical organoids.
            limitation  of  surface-level  signal  acquisition,  rendering   Their findings revealed spontaneous network oscillations
            the spatiotemporal dynamics of internal physiological   resembling those observed in fetal brain development,
            activities inaccessible, which is a critical drawback,   underscoring the utility of these systems in modeling
            particularly in cardiac and neural organoid studies. To   neurodevelopmental  dynamics. 203-205  The  research
            address this challenge, Park et al.  developed a soft   introduced shell-like MEA  configurations analogous
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            bioelectrode platform based on liquid metal 3D printing.    to electroencephalography caps, designed to interface
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            This  system  enables  customizable  geometric  parameters   with the surface of neural organoids while enabling 3D
            (height, diameter) to accommodate diverse organoid   spatiotemporal recording. This design not only facilitated
            structures while maintaining mechanical compliance   non-invasive longitudinal monitoring of neuronal firing
            comparable  to  biological  tissues.  This  compatibility   but also demonstrated a statistically significant increase in
            prevents mechanical damage to cardiac organoids    action potential generation following external stimulation.
            during contraction or fluidic movement, enabling stable,   Crucially, the biocompatible architecture preserved
            long-term monitoring. The electrode array further   organoid viability, thereby supporting prolonged in vitro
            facilitates simultaneous electrophysiological monitoring   studies of neurodevelopmental processes.
            of  32  organoids,  successfully  capturing  drug-induced   A novel microfabrication technique has further
            electrophysiological responses. This scalable capability   advanced this field by addressing the mechanical
            establishes a robust platform for high-throughput drug   constraints  of  traditional  MEAs.  By depositing  material
            screening and disease modeling.                    layers over a sacrificial template and strategically releasing

               Lee  et al.  extended the potential  of liquid metal   internal  stresses, researchers constructed  vertically
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            microelectrodes through high-resolution 3D printing. By   protruding cantilever microelectrodes.  These slender
            precisely embedding electrodes into specific inner layers of   beams extend over 200 µm from their base, allowing
            retinal organoids, the researchers achieved spatiotemporally   deep penetration into organoid interiors. This innovation
            controlled electrophysiological recordings of retinal   enables the recording of local field potentials from deeply

            Volume 11 Issue 4 (2025)                        85                            doi: 10.36922/IJB025190184
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