TY - JOUR KW - Biological models KW - biomaterials KW - Experimental models of disease KW - Stem-cell research KW - translational research AU - Min Jae Song AU - Russ Quinn AU - Eric Nguyen AU - Christopher Hampton AU - Ruchi Sharma AU - Tea Soon Park AU - Céline Koster AU - Ty Voss AU - Carlos Tristan AU - Claire Weber AU - Anju Singh AU - Roba Dejene AU - Devika Bose AU - Yu-Chi Chen AU - Paige Derr AU - Kristy Derr AU - Sam Michael AU - Francesca Barone AU - Guibin Chen AU - Manfred Boehm AU - Arvydas Maminishkis AU - Ilyas Singec AU - Marc Ferrer AU - Kapil Bharti AB - Age-related macular degeneration (AMD), a leading cause of blindness, initiates in the outer-blood-retina-barrier (oBRB) formed by the retinal pigment epithelium (RPE), Bruch’s membrane, and choriocapillaris. The mechanisms of AMD initiation and progression remain poorly understood owing to the lack of physiologically relevant human oBRB models. To this end, we engineered a native-like three-dimensional (3D) oBRB tissue (3D-oBRB) by bioprinting endothelial cells, pericytes, and fibroblasts on the basal side of a biodegradable scaffold and establishing an RPE monolayer on top. In this 3D-oBRB model, a fully-polarized RPE monolayer provides barrier resistance, induces choriocapillaris fenestration, and supports the formation of Bruch’s-membrane-like structure by inducing changes in gene expression in cells of the choroid. Complement activation in the 3D-oBRB triggers dry AMD phenotypes (including subRPE lipid-rich deposits called drusen and choriocapillaris degeneration), and HIF-α stabilization or STAT3 overactivation induce choriocapillaris neovascularization and type-I wet AMD phenotype. The 3D-oBRB provides a physiologically relevant model to studying RPE–choriocapillaris interactions under healthy and diseased conditions. BT - Nature Methods DA - 2023-01 DO - 10.1038/s41592-022-01701-1 IS - 1 LA - en N2 - Age-related macular degeneration (AMD), a leading cause of blindness, initiates in the outer-blood-retina-barrier (oBRB) formed by the retinal pigment epithelium (RPE), Bruch’s membrane, and choriocapillaris. The mechanisms of AMD initiation and progression remain poorly understood owing to the lack of physiologically relevant human oBRB models. To this end, we engineered a native-like three-dimensional (3D) oBRB tissue (3D-oBRB) by bioprinting endothelial cells, pericytes, and fibroblasts on the basal side of a biodegradable scaffold and establishing an RPE monolayer on top. In this 3D-oBRB model, a fully-polarized RPE monolayer provides barrier resistance, induces choriocapillaris fenestration, and supports the formation of Bruch’s-membrane-like structure by inducing changes in gene expression in cells of the choroid. Complement activation in the 3D-oBRB triggers dry AMD phenotypes (including subRPE lipid-rich deposits called drusen and choriocapillaris degeneration), and HIF-α stabilization or STAT3 overactivation induce choriocapillaris neovascularization and type-I wet AMD phenotype. The 3D-oBRB provides a physiologically relevant model to studying RPE–choriocapillaris interactions under healthy and diseased conditions. PY - 2023 SP - 149 EP - 161 T2 - Nature Methods TI - Bioprinted 3D outer retina barrier uncovers RPE-dependent choroidal phenotype in advanced macular degeneration UR - https://www.nature.com/articles/s41592-022-01701-1 VL - 20 Y2 - 2023-02-02 SN - 1548-7105 ER -