TY - JOUR KW - animal alternative KW - bone marrow KW - Bone Remodeling KW - disease modeling KW - human microfluidic culture KW - organ-on-a-chip KW - xeno-free 3D in vitro system AU - Nina Stelzer AU - Melanie-Jasmin Ort AU - Kristian Händler AU - Emely Bortel AU - Ioanna Maria Dimitriou AU - Martin Textor AU - Georg N. Duda AU - Janosch Schoon AU - Uwe Marx AU - Uwe Kornak AU - Annika Winter AU - Bernhard Hesse AU - Stefanie Donner AU - Sebastian Hardt AU - Oliver Klein AU - Simon Reinke AU - Malte Spielmann AU - Sven Geißler AB - We developed a human Bone-on-a-Chip (BOAC) model that integrates autologous primary immune and bone cells on native human bone substrates within a xeno-free, perfused environment. In contrast to existing models, which focus primarily on hematopoietic or stromal compartments, our system recapitulates key aspects of functional bone remodeling and enables the maintenance of mature immune cells (up to 42 days), with preserved functional responsiveness at defined time points during culture. Dynamic flow and sequential cell seeding facilitated osteoclast-mediated resorption, osteoblast-driven matrix formation, and the maintenance of donor-specific immune profiles over extended culture periods. The balance between bone cell activity and immune cell persistence was further optimized by controlled temperature modulation. The BOAC model preserves key features of bone and bone marrow physiology, including extracellular matrix formation, soluble factor signaling, and cellular heterogeneity. The bone scaffold provides a physiologically relevant 3D architecture derived from decellularized human trabecular bone. Single-nucleus RNA sequencing confirmed the presence of major donor-specific immune and bone cell populations. This 3D human in vitro system provides a robust platform for translational research and personalized medicine. BT - Advanced Science DO - 10.1002/advs.202518224 IS - n/a LA - en N2 - We developed a human Bone-on-a-Chip (BOAC) model that integrates autologous primary immune and bone cells on native human bone substrates within a xeno-free, perfused environment. In contrast to existing models, which focus primarily on hematopoietic or stromal compartments, our system recapitulates key aspects of functional bone remodeling and enables the maintenance of mature immune cells (up to 42 days), with preserved functional responsiveness at defined time points during culture. Dynamic flow and sequential cell seeding facilitated osteoclast-mediated resorption, osteoblast-driven matrix formation, and the maintenance of donor-specific immune profiles over extended culture periods. The balance between bone cell activity and immune cell persistence was further optimized by controlled temperature modulation. The BOAC model preserves key features of bone and bone marrow physiology, including extracellular matrix formation, soluble factor signaling, and cellular heterogeneity. The bone scaffold provides a physiologically relevant 3D architecture derived from decellularized human trabecular bone. Single-nucleus RNA sequencing confirmed the presence of major donor-specific immune and bone cell populations. This 3D human in vitro system provides a robust platform for translational research and personalized medicine. EP - e18224 T2 - Advanced Science TI - A 3D Human Bone and Bone Marrow-on-a-Chip Model for In Vitro Bone Remodeling and Immune Cell Maintenance UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/advs.202518224 VL - n/a Y2 - 2026-07-10 SN - 2198-3844 ER -