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3.2. Organoids from the musculoskeletal system    networks, and decellularised gastric extracellular matrix,
                                                              all constructed via bioprinting.  The highly vascularised
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            Bone  tissue  is  a  crucial  organ  in  the  human  body,   approach  achieved  through 3D  bioprinting  provides  a
            responsible  for  various  important  functions.   Due  to
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            its inherent structural  complexity  and diverse  cellular   superior simulation of  the tumor microenvironment.  In
            composition,  developing  bone  organoids  is  extremely   addition, the decellularised gastric extracellular matrix
            challenging.   However,  3D  printing  technology  can   provides a suitable microenvironment for gastric cancer
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            reconstruct these complex structures. 47,48  For example,   organoids, facilitating the study of tumor-extracellular
                                                              matrix interactions. Similarly, using 3D bioprinting,
            Zhang  et  al.  developed a Haversian-simulated bone   patient-derived glioblastoma cells, vascular endothelial
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            structure scaffold, which includes cortical and cancellous   cells,  and brain tissue decellularized  extracellular matrix
            bone structures, as well as Haversian and Volkmann tubes.   were printed to form a tumor-matrix concentric ring
            3D bioprinting integrates cells into specific bone tissue   structure.  These tumor organoids maintain a radial
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            structures, providing a clear direction for the development   oxygen gradient, reflecting the structural properties of
            of bone organoids. A team led by Prof Jiacan Su at Shanghai   natural tumors  (Figure  4). Importantly, the development
            University mixed inorganic hydroxyapatite with organic   of these specific malignant tumor organoids offers
            polymers to create a bioink, which was printed using   great potential for patient treatment. High-throughput
            digital light processing (DLP)-based 3D bioprinting to   culture of tumor organoids is essential for evaluating and
            create a bone organoid scaffold.  This study showed that   developing anti-tumor drugs. At present, Matrigel is the
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            the resulting construct provides functional mechanical   primary matrix material used for tumor organoid culture;
            support, supports long-term cell culture, and exhibits self-  however, its limited mechanical properties and variability
            mineralization ability both in vitro and in vivo. After in vivo   in tumor models present challenges. 3D bioprinting offers
            cultivation, the organoids further developed and displayed   a more suitable microenvironment, enabling repeatable
            a trabecular bone structure  (Figure  3). This study offers   and high-throughput cultivation of tumor organoids.
            a clear strategy for developing bone organoids using 3D   Research has shown that colorectal cancer organoids can
            bioprinting, influencing the development of bone tissue-  grow successfully in composite bioinks, allowing for the
            related biomedical research. In another study, the hydrogel   generation of large numbers of organoid microspheres for
            microspheres  encapsulating bone marrow mesenchymal   anti-tumor drug screening. 55
            stem cells were prepared in batches through the DLP-based
            bioprinting technology. These microspheres were cultured   In this section, we have discussed the development
            in the cartilage-forming medium for 3 weeks, leading to   of  various  organoids  by  3D  bioprinting.  The  role  of  3D
            the development of osteo-callus organoids.  The in vitro   bioprinting technology in organoid development is also
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            development pattern of these osteo-callus organoids   highlighted. The accuracy and flexibility of 3D bioprinting
            resembles natural endochondral ossification. When used to   are crucial in enhancing organoid structures, creating ideal
            repair large bone defects in vivo, the osteo-callus organoids   microenvironments for organoid growth, high-throughput
            accelerate  in situ  bone  regeneration.  3D  bioprinting   cultivation, and enabling the scaling-up of organoids.
            provides a desirable strategy for the preparation of bone-  4. Harnessing three-dimensional
            related organoids, which not only simulate the structure
            and developmental patterns of bone tissue but also facilitate   bioprinting for organoid development
            the large-scale production of bone-related organoids.  Various organoids have been integrated with 3D bioprinting
                                                              to develop different tissues and organs. The precision
            3.3. Tumor organoids
                                                              and flexibility of 3D bioprinting play an important role
            Tumors have long been a major medical challenge, seriously   in improving organoid structures, creating optimal
            threatening human life and health. Recent research has   microenvironments for organoid growth, facilitating high-
            shown that tumor organoids derived from patients retain a   throughput cultivation, and enabling organoid enlargement.
            high fidelity to the original tumors, providing an excellent   In this section, we review the advantages of 3D bioprinting
            model for personalized treatment and the study of tumor   in organoid development, including the optimization
            pathology.  However, limitations in tumor organoid   of organoid structure and function, the vascularization
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            development persist, including the lack of  important   of organoids, and strategies for enhancing organoid
            extracellular matrix components, the challenge of simulating   development and application through 3D bioprinting.
            unique physiological microenvironments, and the need for
            high-throughput culture systems. The application of 3D   4.1. Optimization of organoid structure and function
            bioprinting aims to address these issues. For example, one   via three-dimensional bioprinting
            study developed a vascularized organoid model composed   One of the key features of organoids is their ability to
            of patient-derived gastric cancer organoids, endothelial   simulate the structures and functions of real tissues.  These
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            Volume 1 Issue 1 (2025)                         5                            doi: 10.36922/OR025040004
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