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Cell characteristics/ function 2D 3D References Cell shape Single layer Multiple layers Edmondson et al., 2014 Morphology Sheet-like flat and stretched cells in monolayer From aggregate/spheroid structures Edmondson et al., 2014 Polarity Partial polarization More accurate depiction of cell polarization Antoni et al., 2015 Stiffness High stiffness Low stiffness Baker and Chen, 2012 Migration Only one mechanism Diverse cell migration strategies Pampaloni et al., 2007 Petrie and Yamada, 2012 Adhesions Represent exaggerated stages of dynamic in vivo Generate adhesions comparable with 3D adhesion in vivo Cukierman et al., 2002 Proliferation Tumor cells grown in monolayer faster than in 3D spheroids Similar to the situation in vivo Antoni et al., 2015 Gene expression/ protein expression Often display differential gene/protein levels compared with in vivo models Gene and protein expression in vivo to be present in 3D models Ravi et al., 2015 Ghosh et al., 2005 Drug sensitivity Cells are more sensitive to drugs in contrast to 3D cells Cells are more resistant to anticancer drugs compared with 2D cells Loessner et al., 2010 Karlsson et al., 2012 Cell-cell interaction Limited In vivo-like Li and Cui., 2014 Table 1. The differences of biological function and cellular characteristics in 2D and 3D systems
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Strengths References Cells cultured in 3D system can represent a more physiological microenvironment. Vinci et al., 2012 As compared with 2D cultures, 3D cell cultures more accurately simulate normal Antoni et al., 2015 cell morphology, proliferation, migration, cell-cell and cell-ECM interactions. Edmondson et al., 2014 3D cell culture is flexible, cost effective and controllable, as well as a high-throughput platform. Nickerson et al., 2007 Several 3D models can monitor and control physiological conditions: temperature, Murakami et al., 2008; Li and Cui., 2014; pH, oxygen concentration, metabolites and growth factors. Worthington et al., 2015 Limitations References In vivo complex and physiological microenvironment not to be replicated. Friedl et al., 2012; van Duinen et al., 2015 Poor reproducibility for some biomimetic scaffolds. Antoni et al., 2015 Some available 3D models to be more time and expensive. Vinci et al., 2012 Quality of imaging interfering with 3D scaffold size, material transparency and microscope depth. Antoni et al., 2015 Table 2. Strengths and limitations of 3D cell culture models
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Methods Advantages Disadvantages References MCS cultures High-throughput assay
Best suited for cancer
research
Reproduces tissue-like
organization
Co-culture possibleHigh shear stress
Size of spheroid limiting
Limited flexibilityAchilli et al., 2012
Asthana and Kisaalita., 20123D cell culture
using RWVLow fluid-shear environment
Inherent flexibility
Easy manipulation of culture
conditions
Randomized gravitational
vectorsPotential length of time
ExpensiveBarrila et al., 2010
Hjelm et al., 2010
Unsworth et al., 1998
Hammond and Hammond, 2001Organotypic epithelial
raft culturesFlexibility
Suit studying epitheliotropic
or fastidious virusesExpensive
Time consuming and
laboriousOzbun and Patterson, 2014
Chow, 2015
Andrei et al., 2010Scaffold/matrix-
based cultureQuiet incorporates growth
factors
Good extracellular support
Easy to set up
Available for co-culturesExpensive
Limited in removing cellsKim, 2005
Breslin and O'Driscoll, 2013Microfluidic 3D
cell cultureThe ability to co-culture cells
in a spatially controlled
manner
Generation of and control
over (signaling) gradients
The integration of
perfusion/flowExpensive special equipment
Requirement for high sensitive
analytical methods
Difficulty to maintain long term
flow stability The limited size and low number of cellsvan Duinen et al., 2015 Breslin and O'Driscoll, 2013 Li and Cui, 2014 3D perfusion
cell cultureOvercomes diffusional
limitations
Controllable shear stimulates
cell functions
Can control physiological
chemostatic conditions
Generates gradients of
oxygen, growth factorsHigh cost Li and Cui, 2014 3D cell culture by
magnetic levitationDoes not induce an
inflammatory response by
the cultured cells
Nontoxic
Suitable for co-culture
Simple, flexible and effectiveExpensive Souza et al., 2010
Tseng et al., 2013Table 3. The advantages and disadvantages of different 3D culture models used for human virology
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3D models Devices, scaffolds, technical demands References MCS cultures Microfluidics
Hanging drop
Pellet culture
Spinner flask culture
Liquid overlay culture
Rotating-wall-vessel bioreactorsLin and Chang, 2008
Kelm et al., 2003
Achilli et al., 20123D cell culture using
rwvRotating-wall-vessel bioreactors Antoni et al., 2015 Organotypic epithelial
raft culturesThe dermal equivalent is composed of natural dermal elements
(collagen matrix with fibroblasts) or a synthetic dermal matrix
maintained on a rigid supportFang et al., 2006
Andrei et al., 2010Scaffold/matrix-
based cultureNatural polymers: such as hydrogel, collagen, Matrigel, laminin,
gelatin, hyaluronate, chitosan
Synthetic polymers: such as polycaprolactone, polyethylene glycol,
polyurethanes and polyanhydridesLee et al., 2008
Haycock, 2010Microfluidic 3D cell
cultureCell patterning inside a hydrogel, exploiting the microfluidic properties
and differences in viscosity and pressure
96 microfluidic culture chambers integrated underneath a microtiter
plate Microfluidic hanging drop network
Dynamically perfused chip-based bioreactor platformBischel et al., 2013
Frey et al., 2014
Atac et al., 2013
Trietsch et al., 2013
van Duinen et al., 20153D perfusion
cell cultureStirred-suspension culture reactors
Rotating-wall-vessel bioreactors
Hollow fiber bioreactors
Direct perfusion bioreactorsJasmund and Bader, 2002
Martin and Vermette, 2005
Morin et al., 2003
Zhao and Ma, 2005
Li and Cui, 20143D cell culture by
magnetic levitationConsisting of gold nanoparticles, magnetic iron oxide nanoparticles
and filamentous bacteriophageSouza et al., 2010
Haisler et al., 2013Table 4. Devices, scaffolds and technical demands for different 3D cell culture
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Viruses 3D models Cell types Application in virology References hpv Organotypic raft cultures Primary human
keratinocytesHPV-cancer/other virus
interaction HPV propagation and
infection
HPV life cycle
Evaluating the efficacy of
HPV therapyMole et al., 2009 Fang et al., 2006 Andrei et al., 2010 hiv Organotypic raft cultures Gingival keratinocytes
Primary human
keratinocytesEffect of antiretroviral drugs
on primary gingival
epithelium
Evaluation of multi-targeted
drugsIsrar et al., 2010 Balzarini et al., 2013 hcv 3D/RFB
3D/RWV
Scaffold-based 3D culturesFLC4 cells
Huh-7 cells
HuS-E/2 cell/ Huh-7.5 cellsHCV replication and infection
The life cycle of HCV
Evaluation of anti-HCV drugsMurakami et al., 2008
Sainz et al., 2009
Aly et al., 2009hev RWV bioreactors PLC/PRF/5 cells The viability of virions
HEV replicationBerto et al., 2013 hsv Organotypic raft cultures Immortalized HaCaT
keratin-ocytes
Human keratinocytes
Primary human
keratinocytesHSV-1 infection, replication
and spread
Study of antiviral agentsHukkanen, 1999
Visalli et al., 1997
Balzarini et al., 2013vzv Organotypic raft cultures
Tissue-like assemblies
models using RWV bioreactorPrimary human
keratinocytes
Human neural
progenitor cellsEvaluation of antiviral
compounds
VZV infectionAndrei et al., 2005
Goodwin et al., 2013AdV Multicellular spheroid model
Organotypic raft cultures
3D organoidsPrimary human
keratinocytes
HEK-293 cellsAdenovirus mutants
Adenovirus vectorsNoya et al., 2003
Wang et al., 2014NoV RWV bioreactors Int-407 cells
Caco-2 cellsVirus replication Straub et al., 2007
Straub et al., 2011Table 5. Studies of human viruses using 3D cell culture models
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