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Bio-Design and Manufacturing  2025 Vol.8 No.5 P.724-741

http://doi.org/10.1631/bdm.2400390


A hyaluronic acid-enhanced 3D-bioprinted osteosarcoma model reveals mechanisms of tumor metastasis and chemoresistance


Author(s):  Hangyu Zhou (周航宇), Miaoben Wu (邬淼犇), Zekai Ding (丁泽铠), Wei Su (苏炜), Hankang Jiang (姜涵康), Kaixuan Chen (陈凯旋), Yibing Wu (吴屹冰), Enxing Yu (於恩兴), Yuye Huang (黄瑜烨), Qinghua Song (宋庆华) & Kailei Xu (徐开垒)

Affiliation(s):  Center for Medical and Engineering Innovation, The First Affiliated Hospital of Ningbo University, Ningbo 315010, China; more

Corresponding email(s):   huangyy63@mail2.sysu.edu.cn, fyysongqinghua@nbu.edu.cn, xukailei@zju.edu.cn

Key Words:  Bioinks · Cell-laden · Collagen · Gelatin methacryloyl (GelMA) · Hypoxia


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Hangyu Zhou (周航宇), Miaoben Wu (邬淼犇), Zekai Ding (丁泽铠), Wei Su (苏炜), Hankang Jiang (姜涵康), Kaixuan Chen (陈凯旋), Yibing Wu (吴屹冰), Enxing Yu (於恩兴), Yuye Huang (黄瑜烨), Qinghua Song (宋庆华) & Kailei Xu (徐开垒). A hyaluronic acid-enhanced 3D-bioprinted osteosarcoma model reveals mechanisms of tumor metastasis and chemoresistance[J]. Journal of Zhejiang University Science D, 2025, 8(5): 724-741.

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author="Hangyu Zhou (周航宇), Miaoben Wu (邬淼犇), Zekai Ding (丁泽铠), Wei Su (苏炜), Hankang Jiang (姜涵康), Kaixuan Chen (陈凯旋), Yibing Wu (吴屹冰), Enxing Yu (於恩兴), Yuye Huang (黄瑜烨), Qinghua Song (宋庆华) & Kailei Xu (徐开垒)",
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%A Hankang Jiang (姜涵康)
%A Kaixuan Chen (陈凯旋)
%A Yibing Wu (吴屹冰)
%A Enxing Yu (於恩兴)
%A Yuye Huang (黄瑜烨)
%A Qinghua Song (宋庆华) & Kailei Xu (徐开垒)
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A1 - Hankang Jiang (姜涵康)
A1 - Kaixuan Chen (陈凯旋)
A1 - Yibing Wu (吴屹冰)
A1 - Enxing Yu (於恩兴)
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Abstract: 
Osteosarcoma, an aggressive bone cancer found most often in children and adolescents, remains difficult to treat, and little improvement in survival rate has been observed over recent decades. The tumor microenvironment (TME), especially the extra cellular matrix (ECM), is a critical factor determining cancer progression and chemotherapy resistance, yet traditional 2D models generally fail to replicate its properties. Recent development of 3D-bioprinted tumor models has facilitated improved simulation of the complexity of the TME, but specific models involving bioinks tailored to osteosarcoma remain underdevel oped. Gelatin methacryloyl (GelMA) is a common bioink that can rapidly gel and contains Arg-Gly-Asp (RGD) sequences. However, it lacks collagen’s triple-helix structure that is essential for ECM–cell communication. Hyaluronic acid (HA) is a macromolecule that is aberrantly expressed in osteosarcoma by mechanisms that remain largely unexplored. In this study, we developed a composite bioink containing GelMA, collagen, and HA, and applied it to 3D bioprint an in vitro osteosarcoma model. We found that HA significantly enhanced osteosarcoma cell proliferation and chemoresistance, as well as the expres sion of epithelial–mesenchymal transition and cancer stem cell markers. Furthermore, we found that HA abundance was positively correlated with hypoxia and angiogenesis signaling pathways, and this occurred mainly via upregulation of hypoxia-inducible factor-1α (HIF-1α) and vascular endothelial growth factor A (VEGFA) expression, thereby contributing to increased chemoresistance. Overall, our study provides a protocol for building in vitro realistic 3D-bioprinted models for studying osteosarcoma, highlights the role of HA in osteosarcoma progression, and offers a platform for developing new che motherapy treatments.

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