4.6 Review

3D Bioprinting: An Enabling Technology to Understand Melanoma

Journal

CANCERS
Volume 14, Issue 14, Pages -

Publisher

MDPI
DOI: 10.3390/cancers14143535

Keywords

3D printing; bioprinting; disease models; melanoma; skin equivalents

Categories

Funding

  1. Engineering and Physical Sciences Research Council (EPSRC) Doctoral Prize Fellowship [EP/R513131/1]
  2. Department of Mechanical, Aerospace and Civil Engineering, University of Manchester
  3. ExceptionalWomen in Engineering Scholarship
  4. PortugalUK Bilateral Research Fund (PARSUK/FCT)
  5. Wellcome Trust Intermediate Clinician Scientist Fellowship [110078/Z/15/Z]
  6. Cancer Research UK [C5759/A27412]
  7. Rosetrees Trust Young Investigator Award [825648]

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Melanoma, a potentially fatal cancer, has been increasing in incidence over the past 50 years due to excessive sun exposure and ultraviolet radiation. With the highest incidence in people of European descent and the aging population, melanoma is influenced by various clinical and epidemiological factors such as sex, ethnicity, UV exposure, anatomic site, and age. Although improvements in targeted and immunotherapies have led to better survival rates, advancing our understanding of melanoma biology and disease progression is crucial for improving clinical outcomes. The development of three-dimensional human skin equivalents using biofabrication techniques, like bioprinting, offers a promising approach to unravel the complexity of melanoma and associated risk factors. These 3D skin models can serve as a platform for personalized and therapeutic testing.
Simple Summary Melanoma is a form of skin cancer that has increased in incidence in the last few decades. The main environmental risk factor is exposure to ultraviolet radiation (UVR). It is the fifth most common cancer in the UK, with a 17% mortality rate. There are new melanoma therapies that show improvement in patient survival; however, there is a significant proportion of patients who do not respond to approved treatments, for whom there are no second line therapies. Developing safe new therapies without significant side effects for patients is a pressing clinical challenge; 3D skin equivalents allow for disease modelling and systematic and safe drug testing for skin cancer. This paper reviews recent advances in creating 3D skin and cancer models for effective drug screening for melanoma. Melanoma is a potentially fatal cancer with rising incidence over the last 50 years, associated with enhanced sun exposure and ultraviolet radiation. Its incidence is highest in people of European descent and the ageing population. There are multiple clinical and epidemiological variables affecting melanoma incidence and mortality, such as sex, ethnicity, UV exposure, anatomic site, and age. Although survival has improved in recent years due to advances in targeted and immunotherapies, new understanding of melanoma biology and disease progression is vital to improving clinical outcomes. Efforts to develop three-dimensional human skin equivalent models using biofabrication techniques, such as bioprinting, promise to deliver a better understanding of the complexity of melanoma and associated risk factors. These 3D skin models can be used as a platform for patient specific models and testing therapeutics.

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