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factors, and cultivation conditions among various labs lead   inadequate internal energy supply and developmental
            to inconsistencies in organoid quality and functionality,   delays.  Methods, such as sectioning organoid spheroids
                                                                   149
            affecting the reproducibility of organoid studies and   attempt to address these issues; however, organoids may still
            limiting their application in clinical settings. Ethical   struggle to replicate complex neuronal circuits and specific
            issues are another major obstacle in organoid technology   cell types, limiting studies on neurodegenerative diseases,
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            development. The generation of certain organoids requires   such as Alzheimer’s disease.  Similarly, in 3D bone
            the use of hESCs or other ethically contentious cell sources,   organoids, the lack of a replicable in vivo stress environment
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            potentially leading to ethical and legal controversies.   hinders the modeling of bone formation.  Vascularization
            Lastly, the high cost and technical complexities of organoid   remains a significant challenge, as continuous blood supply
            technology pose significant barriers to its widespread   is essential for organoid development.
            application.                                        These innovations enhance organoid development by
               In summary, despite the immense potential of organoid   mimicking human tissues, offering new opportunities
            technology in various organ applications, it still faces   for disease modeling and drug screening. As the field
            numerous limitations in model complexity, maturity   evolves, it promises to translate breakthroughs into clinical
            and functionality, cellular heterogeneity, environmental   applications that improve human health.
            simulation,  biocompatibility  and  transplantation,
            standardization and reproducibility, and ethical issues.   Acknowledgments
            These limitations hinder the further development of   None.
            organoid technology and restrict its widespread application
            in clinical and research settings. Future research must   Funding
            continuously improve cultivation conditions, optimize   The work was supported by the National Natural Science
            organoid structures, introduce new cell types, and enhance   Foundation of China (No. 82472488), the Natural Science
            organoid functionality to overcome these challenges and   Foundation for Distinguished Young Scholars of Zhejiang
            further advance organoid technology in various organ   Province (No. LR25H060001), and High – level Innovation
            applications.                                     Team of Wenzhou’s “Ouyue Talent Plan” (No. 2024R3003).

            6. Conclusion and perspectives                    Conflict of interest
            Establishing in vitro disease models and cell culture systems   The authors declare no conflicts of interest.
            is crucial for investigating tissue and organ diseases. While
            simple models yield favorable results in drug testing  Author contributions
            and clinical trials, their effectiveness is limited by the   Conceptualization: Yuxin Jin, Qizhu Chen
            complexity of diseases, species variability, and individual   Visualization:  Bo Li, Hao Zhou, Ouqiang Wu, Longhui
            genetic differences, are impeding clinical research progress.   Gong, Xinfeng Zheng, Linjie Chen
            Organoid technology offers a solution by creating 3D cell   Writing–original draft: Yuxin Jin, Qizhu Chen
            models that mimic tissue architecture and replicate organ   Writing–review & editing:  Yuxin Jin, Qizhu Chen, Zitian
            functions, making them a promising tool in contemporary   Zheng, Yuting Huang, Dilhana S. Badurdeen, Kai
            biomedical research.                                 Chen, YikunChen, Sunren Sheng, Shengdan Jiang,
               Organoids retain the genomic characteristics of their   Aimin Wu
            tissue progenitor cells and hold significant potential for
            regenerative medicine, particularly for transplantation.    Ethics approval and consent to participate
                                                          147
            However, genetic variations among patients, such as tumor   Not applicable.
            heterogeneity,  pose  challenges  to  developing  effective,
            personalized treatments. In addition, organoid cultures  Consent for publication
            using engineered matrices often exhibit lower efficiency   Not applicable.
            than traditional extracellular matrices, limiting their
            application in tumor organoid models. 148         Availability of data
               The complexity of human tissues results in single stem   Not applicable.
            cell-derived  organoids  only  partially  replicating  original
            organ characteristics. For example, in 3D cultures of  References
            brain organoids, neural progenitor cells differentiate and   1.   Nguyen NT, Shaegh SA, Kashaninejad N, Phan DT. Design,
            proliferate on the surface, forming suspended spherical   fabrication and characterization of drug delivery systems
            structures. This enclosed environment can lead to    based on lab-on-a-chip technology.  Adv  Drug Deliv Rev.


            Volume 1 Issue 2 (2025)                         21                                doi: 10.36922/or.8262
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