Development of a Humanized 3D Bioprinted Model for Studying Kidney Fibrosis and Drug Response

 

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https://storage.unitedwebnetwork.com/files/1099/6a06f62c42dfcd5caee157a017612644.pdf
Development of a Humanized 3D Bioprinted Model for Studying Kidney Fibrosis and Drug Response

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Carlos
Mota
Carlos Mota c.mota@maastrichtuniversity.nl Maastricht University Department of Complex Tissue Regeneration Maastricht Netherlands *
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Chronic kidney disease (CKD) is a global health burden, often culminating in kidney fibrosis, a pathological process marked by excessive extracellular matrix (ECM) deposition and progressive loss of renal function. Fibrosis primarily affects the tubulointerstitium, disrupting homeostasis between tubules, capillaries, and surrounding tissue. Current in vivo and 2D in vitro models fail to recapitulate the complexity of human kidney fibrosis, limiting therapeutic development. There is a pressing need for physiologically relevant humanized 3D models that align with the 3Rs principles and enable disease progression studies and drug screening.

We developed a perfusable 3D bioprinted model of the renal tubulointerstitium using primary human renal proximal tubule epithelial and fibroblast cells encapsulated in a hydrogel composed of decellularized and partially digested extracellular matrix (ddECM) derived from porcine kidney tissue. The mechanical properties of the hydrogel were modulated via vitamin B2 crosslinking. Fibrosis was induced using transforming growth factor-β1 (TGF-β1), and the anti-fibrotic effects of pirfenidone (PFD), a drug approved for pulmonary fibrosis, were evaluated. Gene expression analysis and immunostaining were performed to assess ECM remodeling, cellular differentiation, and drug response.

The bioprinted model successfully mimicked the renal tubulointerstitium and demonstrated progressive fibrotic changes, including increased Young’s modulus, upregulation of fibrotic markers (FN1, VIM2, ACTA2, COL1A1, COL3A1, COL4A1), and collagen I, III, IV deposition. Morphological comparison with human fibrotic tissue confirmed structural resemblance. PFD treatment resulted in downregulation of LOX, SMAD1, and VIM2, along with reduced ECM protein accumulation. However, no significant impact on epithelial-mesenchymal transition or myofibroblast differentiation was observed via α-SMA staining.

This humanized 3D bioprinted model offers a physiologically relevant platform for studying kidney fibrosis and evaluating anti-fibrotic therapies. It overcomes limitations of conventional models, enabling mechanistic insights and high-throughput drug screening for future CKD treatment strategies.

Kewords