AccScience Publishing / IJB / Online First / DOI: 10.36922/IJB025430434
RESEARCH ARTICLE
Early Access

Pilot study of 3D bioprinted tumor model for investigating electroporation-based therapies

Franca Scocozza1 Silvia Pisani2,3,4* Aleksandra Evangelista3 Ferdinando Auricchio1 Michele Conti1,5 Bice Conti2,3 Marco Benazzo3,4
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1 Department of Civil Engineering and Architecture, University of Pavia, 27100 Pavia, Italy
2 Department of Drug Sciences, University of Pavia, 27100 Pavia, Italy
3 Department of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy
4 Department of Clinical-Surgical, Diagnostic, And Pediatric Sciences - Integrated Unit of Experimental Surgery, Advanced Microsurgery, And Re-generative Medicine, University of Pavia, Via Ferrata 9, 27100 Pavia, Italy
5 IRCCS Policlinico San Donato, Computer Simulation Laboratory, San Donato Milanese, Italy
Received: 21 October 2025 | Accepted: 3 December 2025 | Published online: 16 December 2025
(This article belongs to the Special Issue Advanced Strategies in 3D Bioprinting for Disease Modelling)
© 2025 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Head and neck squamous cell carcinomas (HNSCC) are aggressive malignancies with poor prognosis and limited therapeutic options. Electrochemotherapy (ECT), combining short electric pulses with chemotherapeutic agents to enhance intracellular drug uptake, has shown clinical potential but still requires physiologically relevant in vitro models for protocol optimization and mechanistic studies. Here, we present a pilot study introducing a 3D bioprinted in vitro HNSCC model specifically designed for electroporation testing. Structures were fabricated using a composite hydrogel of 8% sodium alginate and 4% gelatin (w/w), crosslinked with CaCl₂ at 0.5%, 1%, and 2% to modulate mechanical properties. Uniaxial compression testing confirmed elastic moduli spanning the physiological tumor stiffness range, with the 1% CaCl₂ formulation providing optimal mechanical and handling characteristics (42.96 ± 19.89 kPa). Hypopharyngeal carcinoma FaDu cells (5×10⁶/mL) embedded in three-layer structures (thickness: 1.05 mm) maintained 75–80% viability over 21 days and formed tumor-like spheroids (mean diameter: 303 ± 113 µm), reflecting native tumor architecture. Electroporation with 8 pulses at 200 V for 100 µs efficiently permeabilized the membrane without additional cytotoxicity, as evidenced by propidium iodide internalization. PD-L1 expression was preserved and upregulated in 3D spheroids compared to 2D controls, supporting the platform’s relevance for immuno-oncology studies. Compared to other 3D HNSCC models, our system integrates mechanical tuning, electroporation compatibility, and immune-related biomarker expression, enabling functional validation of electric-field–mediated intracellular delivery. This proof-of-concept platform demonstrates structural fidelity, long-term cell viability, and high reproducibility, offering a scalable, human-relevant tool for preclinical optimization of ECT and other electrically based therapies, bridging the gap between conventional 2D cultures and complex in vivo models.

Keywords
Head and neck cancer
Bioprinting
3D cancer model
FaDu cancer cells
Electroporation.
Funding
The work reported in this publication was funded by the Italian Ministry of Health, RC-2021 grant #08053922 “Nano-Electro-Chemo-Immuno Therapy (NECIT) to enhance head and neck cancer treatment”. This study was also supported by the Italian MIUR and the University of Pavia within the “Dipartimenti di Eccellenza 2023–2027” program, as well as by the Ministry of Enterprise and Made in Italy.
Conflict of interest
The authors declare they have no competing interests.
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International Journal of Bioprinting, Electronic ISSN: 2424-8002 Print ISSN: 2424-7723, Published by AccScience Publishing