Fibrosis has been characterized as a global health problem
and
ranks as one of the primary causes of organ dysfunction. Currently,
there is no cure for pulmonary fibrosis, and limited therapeutic options
are available due to an inadequate understanding of the disease pathogenesis.
The absence of advanced in vitro models replicating
dynamic temporal changes observed in the tissue with the progression
of the disease is a significant impediment in the development of novel
antifibrotic treatments, which has motivated research on tissue-mimetic
three-dimensional (3D) models. In this review, we summarize emerging
trends in preparing advanced lung models to recapitulate biochemical
and biomechanical processes associated with lung fibrogenesis. We
begin by describing the importance of in vivo studies
and highlighting the often poor correlation between preclinical research
and clinical outcomes and the limitations of conventional cell culture
in accurately simulating the 3D tissue microenvironment. Rapid advancement
in biomaterials, biofabrication, biomicrofluidics, and related bioengineering
techniques are enabling the preparation of in vitro models to reproduce the epithelium structure and operate as reliable
drug screening strategies for precise prediction. Improving and understanding
these model systems is necessary to find the cross-talks between growing
cells and the stage at which myofibroblasts differentiate. These advanced
models allow us to utilize the knowledge and identify, characterize,
and hand pick medicines beneficial to the human community. The challenges
of the current approaches, along with the opportunities for further
research with potential for translation in this field, are presented
toward developing novel treatments for pulmonary fibrosis.