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 Guided By:- 
Prof. P. V. Devrajan 
 By:- 
Ashish Singh Rajput 
14PHP2003 
M.Pharm(Pharmaceutics) 
Institute of Chemical Technology, Mumbai. 
1
Contents 
•Introduction 
•Design and Fabrication 
•Microfabricated Organ Models 
Lungs on Chip 
Liver on chip 
Gut Epithelium on chip 
Cardiac System on chip 
•Contibution in Drug development process. 
•Challenges 
•Bibliography. 
2
 Introduction:- 
 Multiorgan micro-devices are in-vitro set up of animal cells to simulate the same physiological 
environment and study the effect of drug on different cells and organs. 
 These systems are capable of simulating human metabolism. 
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 The devices have the potential to predict potential toxic side effects with higher accuracy before a drug 
enters the expensive and time consuming phase of clinical trials. 
 Since single organ devices are testing platforms for tissues that can later be combined with other 
tissues within multi-organ devices 
 Multi-organ micro-devices can be seen as physical representations of Physiologically based 
pharmacokinetic models in which the organs are represented by an actual compartment. 
 Devices could be a way for the development of individualized medicine. 
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Human PBPK model showing different Organs.
Why use microfluidics? 
The science of manupulating small amounts of fluids in 
Microfabricated hollow channels. 
 Sample savings – nL of enzyme, not mL 
 Faster analyses – can heat, cool small volumes quickly 
 Integration – combine lots of steps onto a single device 
 Novel physics – diffusion, surface tension, and surface effects dominate 
This can actually lead to faster reactions! 
6
 Device Development and Fabrication:- 
 Photolithography is a core microfabrication technique used to transfer microscale patterns to 
photosensitive materials by selective exposure to optical radiation. 
 A silicon wafer is spin coated with a thin uniform film of a photosensitive material 
( Photoresist ) 
 Photomask with a pattern defined covers the photosensitive material. 
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 Exposure of the photoresist to high-intensity UV light through the photomask which protects 
some regions and exposes others based on the design of the pattern. 
 Soft lithography involves fabrication of elastomeric stamps using liquid prepolymer of PDMS is 
cast against the pattern of photoresist. 
 the PDMS stamp is inked with protein solution, dried and brought in conformal contact with a 
surface for a period ranging from 30 s to several minutes
9 
 Upon removal of the stamp, a pattern is generated on 
the surface that is defined by the raised structure of the stamp. 
 In 3d Cell culture different ECM gel , Hydrogels and 
Agarose are used as base mould which enable them to 
grow equivallently in all direction. 
PDMS:Poly dimethylsiloxane 
ECM : Fibronectin, collagen
 Microfabricated Organ Models:- 
 Lungs on Chip 
 Liver on chip 
 Gut Epithelium on chip 
 Cardiac System on chip 
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 Lungs on chip:- 
 The device is made using human lung and blood vessel cells and it can predict absorption of 
airborne nanoparticles and mimic the inflammatory response triggered by microbial pathogens. 
 Human lung alveolar pithelial cells are cultured at an air–liquid interface on one side while 
human lung capillary endothelial cells are grown on the opposite side . 
 Human lung-on-a-chip device consists of two PDMS microfluidic channel layers separated by a 
thin (10 mm), flexible, ECM-coated PDMS membrane with micro engineered pores (10 mm in 
diameter) that mimics the alveolar–capillary interface of the living lung
12 
• Three PDMS layers are aligned and irreversibly 
bonded to form two sets of three parallel 
microchannels separated by a 10-mm-thick 
PDMS membrane containing an array of 
through-holes with an effective diameter of 10 
mm. 
• After bonding, PDMS etchant is flowed through 
the side channels. Etching of the membrane 
layers produces two large side chambers to 
which vacuum is applied to cause mechanical 
stretching. 
• Actual lung- on-a-chip microfluidic device can 
be seen on Fig. E
13 
Casting 
PDMS 
Membrane 
Pre 
polymered 
the layers 
Photolithography 
of microchannels 
Coat with the binding 
layer and incubate at 
65 “c overnight 
Bound 
irreversibly 
with the two 
layers 
Etching the 
membrane 
with TBAF 
& NMP 
Apply 
Hydrostatic 
Pressure 
&Vaccume 
Run the 
etchant 
solution 
Upper 
chamber is 
Alveolar 
chamber 
Lower 
chamber 
Blood flow Workflow
14 
A Microfluidic device was used to model the airway 
architecture to simulate abnormal obstruction of 
airways and to study the effect of liquid propagation 
and rupture on the alveolar epithelial cells lining the 
alveoli. 
 The two layer device was designed to allow 
controlled mechanical stretching of the 
endothelial–epithelial bilayer, mimicking the 
mechanical cues present in the lung during 
breathing.
15
Liver on Chip 
 Liver and kidney are the major organ responsible for detoxification of toxins and 
metabolism of drug. 
 Organ to organ interaction often seen with liver which change the metabolite of drug. 
 The Co-culture pattern of Rat primary hepatocytes and stromal cells improved various 
liver-specific functions which were very close to actual liver physiology. 
 The functional unit of the liver, the acinus, produces different set of proteins depending 
on the locations within the unit as per the O2 gradient in tissue. 
16
17 
Liver and Kidney 
Interaction 
(Liver cell 
models HepaRG 
was used) 
Ca+2 release in 
Kidney 
Active metabolite 
shows Anticancer 
activity 
Liver and Kidney 
Interaction 
(Liver cell line 
HepG2/C3a was 
used) 
Less Bioactivation of 
Drug and 
Perturbation in cell 
differentiation 
Ifosfamide activated by CYP450) 
(Ifosfamide activated by CYP450) 
Less Ca+2 
release. 
Some special types of liver 
cells are responsible for 
bioactivation of drug
 GIT on Chip 
 The in vivo environment of the GI tract is extremely complex consisting of circular 
tissues and metered length. 
 The lumen is separated by several layers of tissues containing mucosa, muscle, and 
blood vessels. 
 The inside lining of the epithelial layer is covered with villi, which increase the 
absorptive surface area. 
 The two major in vitro methods for predicting drug absorption are the Caco-2 model 
and the parallel artificial membrane permeability assay (PAMPA).They mainly test the 
permeability of drugs based on passive diffusion. 
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19 
 The Caco-2 cell monolayer model was able to predict the 
absorption coefficient of rapidly and completely absorbed 
drugs, while the prediction for slowly and incompletely 
absorbed drugs were inaccurate. 
 Sung et al. developed a novel hydrogel microfabrication 
method to create collagen scaffold mimicking the shape of 
intestinal villi, and cultured Caco-2 cells into a 3- 
dimensional villi shape. 
 Using this 3D villi scaffold, permeability coefficients were 
measured and were shown to be closer to in vivo values than 
the conventional 2D model.
 Heart On chip 
 The Muscular Thin Film (MTF) assay measures contractile stresses generated by 
anisotropic muscular tissue engineered on top of a deformable elastic thin film. 
 The contractility of the engineered tissue is derived from the observation of the three-dimensional 
(3D) deformations of MTFs 
 The assay has been employed for evaluating contractility and tissue structure from 
multiple tissues . 
 The microdevice has a heated metallic base for maintaining physiological temperatures, 
transparent top for optically recording MTF deformation and embedded electrodes for 
electrical field stimulation of the tissue 
 
20
21 
An MTF chip was brought from the incubator and placed in the 
aluminum chamber. 
The polycarbonate top was tightly fastened creating a fluidic seal 
between the top and PDMS coated MTF chip. 
The Infusions of 10 ml at a flow rate of 1 ml /min were employed 
for complete flush out of the system. 
Microtissues were electrically stimulated at 2 Hz with 10– 15 V of a 
bipolar square pulse of 10 ms duration to stimulate membrane 
depolarization. 
After completion of contractility experiments, MTF chip is 
immunostained for nuclei, actin, and sarcomeric Actin to directly 
compare the stress generated by each tissue on the chip relative to 
its sarcomere organization.
 Cost effective drug discovery 
 Predicting Drug efficacy and Toxic side Effects. 
 Testing drug Interaction & combinations. 
 Predicting the bioavailability of Drug. 
 Drug specific treatment and Individualized medicine. 
22
1) Development of suitable Culture Media. 
 Typical cell culture media contain a mixture of defined nutrients dissolved in a buffered 
physiological saline solution. 
 Cell-cultures are designed to mimic the relevant in vivo environment. A temperature of 
37 °C relevant to body temperature, and a controlled humidified gas mixture of 5% CO2 
and 95% O2 are the standard physical conditions. 
 Media depends upon the organ and cells because each organ is specific in terms of 
nutrients intake . 
E.g.- The Promo Cell Skeletal Muscle Cell Growth Medium is a low-serum (5% V/V) 
medium optimized for the expansion of human skeletal muscle cells. 
23
 One media could not be suitable for two different type of cells so it is very hard to select 
the commom media in multiorgan devices. 
E.g.- The tissues were stimulated with TGF-ß1, . TGF-ß1( transforming growth factor 
beta ) supported the growth of A549 lung cells, but inhibited the growth of HepG2/C3A 
liver cells. 
 This response highlights the difficulty of finding a common medium with growth 
factors that support the viability of all cell types. 
 Some common culture medias are 
Low serum (5% v/v )or Serum free medium 
Fetal bovine Serum 
ES cult Basal medium (Marketed Product) 
24
Cell Sources:- 
 Primary human cell , such as skin , 
skeletal muscle , and blood ,are 
relatively easy to obtain. Acquisition of 
others, such as neurons, is more 
problematic . 
 In such cases investigators are often 
limited to cadaver tissue as a cell source. 
 Alternative methods like iPPC culture, 
stem cells propagation and 3D cell 
culture best suited for culture of cell and 
highlights the importance of novel in 
vitro platforms for developing new 
therapies 
25 
Induced 
Pluirepotent 
cell culture 
technique 
Methods 
to cell 
culture 
Genetic 
Engineering 
3D cell 
culture 
Techniques 
Stem cell 
propagation
 Bibliography:- 
 A. Agarwal, J.A. Goss, A. Cho,M.L.McCain, K.K. Parker,Microfluidic heart on a chip for higher 
throughput pharmacological studies, Lab Chip (2013). http://dx.doi.org/ 10.1039/c3lc50350j. 
 
 A.E. Schaffner, J.L. Barker, D.A. Stenger, J.J. Hickman, Investigation of the factors necessary for 
growth of hippocampal neurons in a defined system, J. Neurosci. Methods Methods 62 (1–2) 
(1995) 111–119 
 
 B. Ataç, I.Wagner, R. Horland, R. Lauster, U. Marx, A.G. Tonevitsky, et al., Skin and hair on-a-chip: 
in vitro skin models versus ex vivo tissue maintenance with dynamic perfusion, Lab Chip 13 
(18) (2013) 3555–3561. http://dx.doi.org/10.1039/ C3LC50227A. 
 
 B. Subramanian, D. Rudym, C. Cannizzaro, R. Perrone, J. Zhou, D.L. Kaplan, Tissue-engineered 
three-dimensional in vitro models for normal and diseased kidney, Tissue Eng. A 16 (9) (2010) 
2821–2831. http://dx.doi.org/10.1089/ ten.TEA.2009.0595 
26
 D. Huh, B.Matthews, A.Mammoto,M.Montoya-Zavala, Reconstituting organ-level lung functions on a chip, Science 
(2010) 1662–1668. 
 
 D. Huh, H. Fujioka, Y.-C. Tung, N. Futai, R. Paine, J.B. Grotberg, et al., Acoustically detectable cellular-level lung injury 
induced by fluid mechanical stresses in microfluidic airway systems, Proc. Natl. Acad. Sci. 104 (48) (2007) 18886. 
 
 D. Huh, G.A. Hamilton, D.E. Ingber, From3D cell culture to organs-on- chips, Trends Cell Biol. 21 (12) (2011) 745–754. 
http://dx.doi.org/10.1016/j.tcb.2011.09.005 
 
 Esch MB, Smith AST, Prot J-M, Oleaga C, Hickman JJ, Shuler ML. How multi-organ micro-devices can help foster drug 
development. Adv. Drug Deliv. Rev. 2014;69-70:158-69. doi:10.1016/j.addr.2013.12.003. 
 
 Esch MB, King TL, Shuler ML. The role of body-on-a-chip devices in drug and toxicity studies. Annu. Rev. Biomed. Eng. 
2011;13:55-72. doi:10.1146/annurev-bioeng-071910-124629. 
 
 E. Brauchle, H. Johannsen, S. Nolan, S. Thude, K. Schenke-Layland, Design and analysis of a squamous cell carcinoma in 
vitro model system, Biomaterials 34 (30) (2013) 7401–7407. http://dx.doi.org/10.1016/j.biomaterials.2013.06.016. 
27
 Esch MB, Sung JH, Yang J, et al. On chip porous polymer membranes for integration of gastrointestinal tract epithelium with 
microfluidic “body-on-a-chip” devices. Biomed. Microdevices 2012;14(5):895-906. doi:10.1007/s10544-012-9669-0. 
 
 J.H. Sung, Microscale 3-D hydrogel scaffold for biomimetic gastrointestinal (GI) tractmodel, Lab Chip 11 (3) (2011) 389–392. 
 
 J. Pusch, M. Votteler, S. Göhler, J. Engl, M. Hampel, H. Walles, K. Schenke-Layland, The physiological performance of a three-dimensional 
model that mimics the microenvironment of the small intestine, Biomaterials 32 (30) (2011) 7469–7478. 
http://dx.doi.org/10.1016/j.biomaterials.2011.06.035. 
 
 K. Wong, J.M. Chan, R.D. Kamm, Microfluidic models of vascular functions, Annu. Rev. Biomed. Eng. 14 (1) (2012) 205–230. 
 
 K. Schimek,M. Busek, S. Brincker, B. Groth, S. Hoffmann, R. Lauster, et al., Integrat- ing biological vasculature into a multi-organ-chip 
microsystem, Lab Chip 13 (18) (2013) 3588. http://dx.doi.org/10.1039/c3lc50217a. 
 
 M.B. Chen, S. Srigunapalan, A.R.Wheeler, C.A. Simmons, A 3Dmicrofluidic platform incorporatingmethacrylated gelatin hydrogels to 
study physiological cardiovascu- lar cell–cell interactions, Lab Chip 13 (13) (2013) 2591–2598. http://dx.doi.org/ 10.1039/c3lc00051f. 
 
 M.B. Esch, D.J. Post, M.L. Shuler, T. Stokol, Characterization of in vitro endothelial linings grown within microfluidic channels, Tissue 
Eng. A 17 (23–24) (2011) 2965–2971. 
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29 
Thank You

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Multiorgan microdevices

  • 1.  Guided By:- Prof. P. V. Devrajan  By:- Ashish Singh Rajput 14PHP2003 M.Pharm(Pharmaceutics) Institute of Chemical Technology, Mumbai. 1
  • 2. Contents •Introduction •Design and Fabrication •Microfabricated Organ Models Lungs on Chip Liver on chip Gut Epithelium on chip Cardiac System on chip •Contibution in Drug development process. •Challenges •Bibliography. 2
  • 3.  Introduction:-  Multiorgan micro-devices are in-vitro set up of animal cells to simulate the same physiological environment and study the effect of drug on different cells and organs.  These systems are capable of simulating human metabolism. 3
  • 4.  The devices have the potential to predict potential toxic side effects with higher accuracy before a drug enters the expensive and time consuming phase of clinical trials.  Since single organ devices are testing platforms for tissues that can later be combined with other tissues within multi-organ devices  Multi-organ micro-devices can be seen as physical representations of Physiologically based pharmacokinetic models in which the organs are represented by an actual compartment.  Devices could be a way for the development of individualized medicine. 4
  • 5. 5 Human PBPK model showing different Organs.
  • 6. Why use microfluidics? The science of manupulating small amounts of fluids in Microfabricated hollow channels.  Sample savings – nL of enzyme, not mL  Faster analyses – can heat, cool small volumes quickly  Integration – combine lots of steps onto a single device  Novel physics – diffusion, surface tension, and surface effects dominate This can actually lead to faster reactions! 6
  • 7.  Device Development and Fabrication:-  Photolithography is a core microfabrication technique used to transfer microscale patterns to photosensitive materials by selective exposure to optical radiation.  A silicon wafer is spin coated with a thin uniform film of a photosensitive material ( Photoresist )  Photomask with a pattern defined covers the photosensitive material. 7
  • 8. 8  Exposure of the photoresist to high-intensity UV light through the photomask which protects some regions and exposes others based on the design of the pattern.  Soft lithography involves fabrication of elastomeric stamps using liquid prepolymer of PDMS is cast against the pattern of photoresist.  the PDMS stamp is inked with protein solution, dried and brought in conformal contact with a surface for a period ranging from 30 s to several minutes
  • 9. 9  Upon removal of the stamp, a pattern is generated on the surface that is defined by the raised structure of the stamp.  In 3d Cell culture different ECM gel , Hydrogels and Agarose are used as base mould which enable them to grow equivallently in all direction. PDMS:Poly dimethylsiloxane ECM : Fibronectin, collagen
  • 10.  Microfabricated Organ Models:-  Lungs on Chip  Liver on chip  Gut Epithelium on chip  Cardiac System on chip 10
  • 11. 11  Lungs on chip:-  The device is made using human lung and blood vessel cells and it can predict absorption of airborne nanoparticles and mimic the inflammatory response triggered by microbial pathogens.  Human lung alveolar pithelial cells are cultured at an air–liquid interface on one side while human lung capillary endothelial cells are grown on the opposite side .  Human lung-on-a-chip device consists of two PDMS microfluidic channel layers separated by a thin (10 mm), flexible, ECM-coated PDMS membrane with micro engineered pores (10 mm in diameter) that mimics the alveolar–capillary interface of the living lung
  • 12. 12 • Three PDMS layers are aligned and irreversibly bonded to form two sets of three parallel microchannels separated by a 10-mm-thick PDMS membrane containing an array of through-holes with an effective diameter of 10 mm. • After bonding, PDMS etchant is flowed through the side channels. Etching of the membrane layers produces two large side chambers to which vacuum is applied to cause mechanical stretching. • Actual lung- on-a-chip microfluidic device can be seen on Fig. E
  • 13. 13 Casting PDMS Membrane Pre polymered the layers Photolithography of microchannels Coat with the binding layer and incubate at 65 “c overnight Bound irreversibly with the two layers Etching the membrane with TBAF & NMP Apply Hydrostatic Pressure &Vaccume Run the etchant solution Upper chamber is Alveolar chamber Lower chamber Blood flow Workflow
  • 14. 14 A Microfluidic device was used to model the airway architecture to simulate abnormal obstruction of airways and to study the effect of liquid propagation and rupture on the alveolar epithelial cells lining the alveoli.  The two layer device was designed to allow controlled mechanical stretching of the endothelial–epithelial bilayer, mimicking the mechanical cues present in the lung during breathing.
  • 15. 15
  • 16. Liver on Chip  Liver and kidney are the major organ responsible for detoxification of toxins and metabolism of drug.  Organ to organ interaction often seen with liver which change the metabolite of drug.  The Co-culture pattern of Rat primary hepatocytes and stromal cells improved various liver-specific functions which were very close to actual liver physiology.  The functional unit of the liver, the acinus, produces different set of proteins depending on the locations within the unit as per the O2 gradient in tissue. 16
  • 17. 17 Liver and Kidney Interaction (Liver cell models HepaRG was used) Ca+2 release in Kidney Active metabolite shows Anticancer activity Liver and Kidney Interaction (Liver cell line HepG2/C3a was used) Less Bioactivation of Drug and Perturbation in cell differentiation Ifosfamide activated by CYP450) (Ifosfamide activated by CYP450) Less Ca+2 release. Some special types of liver cells are responsible for bioactivation of drug
  • 18.  GIT on Chip  The in vivo environment of the GI tract is extremely complex consisting of circular tissues and metered length.  The lumen is separated by several layers of tissues containing mucosa, muscle, and blood vessels.  The inside lining of the epithelial layer is covered with villi, which increase the absorptive surface area.  The two major in vitro methods for predicting drug absorption are the Caco-2 model and the parallel artificial membrane permeability assay (PAMPA).They mainly test the permeability of drugs based on passive diffusion. 18
  • 19. 19  The Caco-2 cell monolayer model was able to predict the absorption coefficient of rapidly and completely absorbed drugs, while the prediction for slowly and incompletely absorbed drugs were inaccurate.  Sung et al. developed a novel hydrogel microfabrication method to create collagen scaffold mimicking the shape of intestinal villi, and cultured Caco-2 cells into a 3- dimensional villi shape.  Using this 3D villi scaffold, permeability coefficients were measured and were shown to be closer to in vivo values than the conventional 2D model.
  • 20.  Heart On chip  The Muscular Thin Film (MTF) assay measures contractile stresses generated by anisotropic muscular tissue engineered on top of a deformable elastic thin film.  The contractility of the engineered tissue is derived from the observation of the three-dimensional (3D) deformations of MTFs  The assay has been employed for evaluating contractility and tissue structure from multiple tissues .  The microdevice has a heated metallic base for maintaining physiological temperatures, transparent top for optically recording MTF deformation and embedded electrodes for electrical field stimulation of the tissue  20
  • 21. 21 An MTF chip was brought from the incubator and placed in the aluminum chamber. The polycarbonate top was tightly fastened creating a fluidic seal between the top and PDMS coated MTF chip. The Infusions of 10 ml at a flow rate of 1 ml /min were employed for complete flush out of the system. Microtissues were electrically stimulated at 2 Hz with 10– 15 V of a bipolar square pulse of 10 ms duration to stimulate membrane depolarization. After completion of contractility experiments, MTF chip is immunostained for nuclei, actin, and sarcomeric Actin to directly compare the stress generated by each tissue on the chip relative to its sarcomere organization.
  • 22.  Cost effective drug discovery  Predicting Drug efficacy and Toxic side Effects.  Testing drug Interaction & combinations.  Predicting the bioavailability of Drug.  Drug specific treatment and Individualized medicine. 22
  • 23. 1) Development of suitable Culture Media.  Typical cell culture media contain a mixture of defined nutrients dissolved in a buffered physiological saline solution.  Cell-cultures are designed to mimic the relevant in vivo environment. A temperature of 37 °C relevant to body temperature, and a controlled humidified gas mixture of 5% CO2 and 95% O2 are the standard physical conditions.  Media depends upon the organ and cells because each organ is specific in terms of nutrients intake . E.g.- The Promo Cell Skeletal Muscle Cell Growth Medium is a low-serum (5% V/V) medium optimized for the expansion of human skeletal muscle cells. 23
  • 24.  One media could not be suitable for two different type of cells so it is very hard to select the commom media in multiorgan devices. E.g.- The tissues were stimulated with TGF-ß1, . TGF-ß1( transforming growth factor beta ) supported the growth of A549 lung cells, but inhibited the growth of HepG2/C3A liver cells.  This response highlights the difficulty of finding a common medium with growth factors that support the viability of all cell types.  Some common culture medias are Low serum (5% v/v )or Serum free medium Fetal bovine Serum ES cult Basal medium (Marketed Product) 24
  • 25. Cell Sources:-  Primary human cell , such as skin , skeletal muscle , and blood ,are relatively easy to obtain. Acquisition of others, such as neurons, is more problematic .  In such cases investigators are often limited to cadaver tissue as a cell source.  Alternative methods like iPPC culture, stem cells propagation and 3D cell culture best suited for culture of cell and highlights the importance of novel in vitro platforms for developing new therapies 25 Induced Pluirepotent cell culture technique Methods to cell culture Genetic Engineering 3D cell culture Techniques Stem cell propagation
  • 26.  Bibliography:-  A. Agarwal, J.A. Goss, A. Cho,M.L.McCain, K.K. Parker,Microfluidic heart on a chip for higher throughput pharmacological studies, Lab Chip (2013). http://dx.doi.org/ 10.1039/c3lc50350j.   A.E. Schaffner, J.L. Barker, D.A. Stenger, J.J. Hickman, Investigation of the factors necessary for growth of hippocampal neurons in a defined system, J. Neurosci. Methods Methods 62 (1–2) (1995) 111–119   B. Ataç, I.Wagner, R. Horland, R. Lauster, U. Marx, A.G. Tonevitsky, et al., Skin and hair on-a-chip: in vitro skin models versus ex vivo tissue maintenance with dynamic perfusion, Lab Chip 13 (18) (2013) 3555–3561. http://dx.doi.org/10.1039/ C3LC50227A.   B. Subramanian, D. Rudym, C. Cannizzaro, R. Perrone, J. Zhou, D.L. Kaplan, Tissue-engineered three-dimensional in vitro models for normal and diseased kidney, Tissue Eng. A 16 (9) (2010) 2821–2831. http://dx.doi.org/10.1089/ ten.TEA.2009.0595 26
  • 27.  D. Huh, B.Matthews, A.Mammoto,M.Montoya-Zavala, Reconstituting organ-level lung functions on a chip, Science (2010) 1662–1668.   D. Huh, H. Fujioka, Y.-C. Tung, N. Futai, R. Paine, J.B. Grotberg, et al., Acoustically detectable cellular-level lung injury induced by fluid mechanical stresses in microfluidic airway systems, Proc. Natl. Acad. Sci. 104 (48) (2007) 18886.   D. Huh, G.A. Hamilton, D.E. Ingber, From3D cell culture to organs-on- chips, Trends Cell Biol. 21 (12) (2011) 745–754. http://dx.doi.org/10.1016/j.tcb.2011.09.005   Esch MB, Smith AST, Prot J-M, Oleaga C, Hickman JJ, Shuler ML. How multi-organ micro-devices can help foster drug development. Adv. Drug Deliv. Rev. 2014;69-70:158-69. doi:10.1016/j.addr.2013.12.003.   Esch MB, King TL, Shuler ML. The role of body-on-a-chip devices in drug and toxicity studies. Annu. Rev. Biomed. Eng. 2011;13:55-72. doi:10.1146/annurev-bioeng-071910-124629.   E. Brauchle, H. Johannsen, S. Nolan, S. Thude, K. Schenke-Layland, Design and analysis of a squamous cell carcinoma in vitro model system, Biomaterials 34 (30) (2013) 7401–7407. http://dx.doi.org/10.1016/j.biomaterials.2013.06.016. 27
  • 28.  Esch MB, Sung JH, Yang J, et al. On chip porous polymer membranes for integration of gastrointestinal tract epithelium with microfluidic “body-on-a-chip” devices. Biomed. Microdevices 2012;14(5):895-906. doi:10.1007/s10544-012-9669-0.   J.H. Sung, Microscale 3-D hydrogel scaffold for biomimetic gastrointestinal (GI) tractmodel, Lab Chip 11 (3) (2011) 389–392.   J. Pusch, M. Votteler, S. Göhler, J. Engl, M. Hampel, H. Walles, K. Schenke-Layland, The physiological performance of a three-dimensional model that mimics the microenvironment of the small intestine, Biomaterials 32 (30) (2011) 7469–7478. http://dx.doi.org/10.1016/j.biomaterials.2011.06.035.   K. Wong, J.M. Chan, R.D. Kamm, Microfluidic models of vascular functions, Annu. Rev. Biomed. Eng. 14 (1) (2012) 205–230.   K. Schimek,M. Busek, S. Brincker, B. Groth, S. Hoffmann, R. Lauster, et al., Integrat- ing biological vasculature into a multi-organ-chip microsystem, Lab Chip 13 (18) (2013) 3588. http://dx.doi.org/10.1039/c3lc50217a.   M.B. Chen, S. Srigunapalan, A.R.Wheeler, C.A. Simmons, A 3Dmicrofluidic platform incorporatingmethacrylated gelatin hydrogels to study physiological cardiovascu- lar cell–cell interactions, Lab Chip 13 (13) (2013) 2591–2598. http://dx.doi.org/ 10.1039/c3lc00051f.   M.B. Esch, D.J. Post, M.L. Shuler, T. Stokol, Characterization of in vitro endothelial linings grown within microfluidic channels, Tissue Eng. A 17 (23–24) (2011) 2965–2971. 28