Introduction The comprehension of biological mechanisms in bones has a pivotal role in the development of successful clinical treatments

Introduction The comprehension of biological mechanisms in bones has a pivotal role in the development of successful clinical treatments. dendrite length over time, stop proliferating, exhibit dendritic morphology, upregulate alkaline phosphatase (ALP) activity, and express the osteocyte marker dental matrix protein 1 (DMP1). On the contrary, cells cultured at lower density proliferate over time, do not upregulate ALP and express the osteoblast marker bone sialoprotein 2 (BSP2) at all timepoints. Our work reveals that microengineered systems create unique conditions to capture the major aspects of osteoblast differentiation into osteocytes with a limited number of cells. We propose that the microengineered approach is a functional strategy to create a patient-specific bone tissue model and investigate the individual osteogenic potential of the patient bone cells. bone model 1. Introduction The comprehension of biological mechanisms in bones has a pivotal role in the development of successful clinical treatments. The developing field of bone engineering aims to take advantage of the innate repair capacity of this tissue (O’Brien, 2011), but the variability in the outcome of the products is one of the main limitations for their clinical translation. For example, the individual heterogeneous response in newly formed bone tissue formation leads to drastic changes in the scaffold design (Reznikov et al., 2019). models can explore the impact of individual response in tissue engineering products, but they require a bone cell source representing the phenotype variability. Osteoblasts experience marked transitional stages during bone formation, involving changes in cell morphology and gene expression. Osteoblasts express ALP to provide phosphate ions and initiate the mineralization process (Chai et al., 2012). They also secrete osteocalcin (OCN), bone sialoprotein 2 (BSP2), and osteopontin (OPN) until the end of the mineralization phase (Franz-Odendaal et al., 2006). When osteoblasts turn to a more mature phenotype, they reduce ALP expression, become embedded in a mineralized matrix and form an interconnected network of osteocytes (Boukhechba et al., 2009). During this transition, osteoblasts upregulate characteristic proteins as E11 and dentin matrix protein 1 (DMP1) (Atkins et al., 2011). The expression of sclerostin (Sost gene) is usually associated with the final stage of osteocyte differentiation (Bonewald, 2011; Prideaux et al., 2016). However, osteoblasts can have three other possible fates but the mechanism regulating this transition is not clearly understood yet: they can become bone-lining cells (inactive osteoblasts), undergo apoptosis, or transdifferentiate into chondroid-depositing cells (Dallas and Bonewald, 2010). Gene expression profiles (Boukhechba et al., 2009; Sun et al., 2017) and immunohistochemistry stainings (Uchihashi et al., 2013; Sun et al., 2015; McGarrigle et al., 2016) in traditional 3D culture systems showed that this ITGAE expression of osteoblast and osteocyte markers corresponded to the expression at the same differentiation stages (Franz-Odendaal et al., 2006). In this context, bone tissue models are a prerequisite tool for answering specific questions of cell biology, where minimal platforms are mandatory for effective research on human tissue function (Wittkowske et al., 2016; Pirosa et al., 2018; de Wildt et al., 2019). While traditional tissue engineering aims to recapitulate whole organs systems. For example, the use of optically transparent materials allowed A2AR-agonist-1 the monitoring of osteoblast motility in a confined 3D environment A2AR-agonist-1 (Movilla et al., 2018). The results of this study elucidated the effect of ECM degradation and its architecture on osteoblast migration, by applying growth factor gradients or interstitial fluid flow (Del Amo et al., 2018). Moreover, the culture chamber geometries facilitate the reproduction of 3D organ-level structures. Microengineered devices highlighted how a 3D microvasculature integrates with the mineralized bone tissue microenvironment and enhances osteogenic differentiation of cells in the surrounding tissue construct (Bertassoni et al., 2014; Jusoh et al., 2015). Organ function relies on the presence of biomechanical and biochemical stimuli. Mechanical, electrical, and chemical stimuli can simultaneously stimulate cells cultured in organ-on-chip systems (Zhang et al., 2018). The use of compartmentalized culture environments promotes the selective application of those stimuli to different cell types. A 2D microfluidic platform with osteoclasts and osteocytes cultured in individual compartments was key to observe the cross-talk between mechanically stimulated osteocytes, osteoclast precursors and unstimulated osteocytes (You et al., 2008; Middleton et al., 2017). In general, microfabrication techniques applied to cell biology aims to develop advanced human disease models by the inclusion of pathological factors. For example, organ-on-a-chip systems with an decellularized bone matrix or an osteo-cell conditioned extracellular matrix (ECM) have recreated the interplay between cancer and endothelial cells with A2AR-agonist-1 the bone matrix in metastatic colonization (Bersini et.