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PERSPECTIVE


            Creation of a vascular system for organ manufacturing



                                           *
            Libiao Liu and Xiaohong Wang
            Center of Organ Manufacturing, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China


            Abstract: The creation of a vascular system is considered to be the main object for complex organ manufacturing. In
            this short review, we demonstrate two approaches to generate a branched vascular system which can be printed using
            rapid prototyping or bioprinting techniques. One approach is constructing mathematical tree models on the basis of hu-
            man physiological characteristics and calculating the  model using constrained constructive optimization to obtain
            three-dimensional (3D) geometrical structures. The rules of the branching of the vessel tree were extracted from the
            literature. Another approach is using computer-aided design models to build a multi-scale vascular network including
            arteries, veins,  and capillaries. A 3D vascular template  with both synthetic scaffold polymer and cell/hydrogel  was
            created in our group, using a double-nozzle, low-temperature deposition technique. Each of the approaches holds prom-
            ise in producing a vascular system.
            Keywords: vascular system, three-dimensional (3D) modeling, branching rule, constrained constructive optimization,
            hybrid architecture


            *Correspondence to:  Xiaohong Wang, Center  of Organ Manufacturing, Department of Mechanical Engineering, Tsinghua University,
            Beijing 100084, China; Email: wangxiaohong@tsinghua.edu.cn
            Received: April 30, 2015; Accepted: June 21, 2015; Published Online: July 2, 2015
            Citation: Liu L B and Wang X H, 2015, Creation of a vascular system for organ manufacturing. International Journal of Bioprinting,
            vol.1(1): 77–86. http://dx.doi.org/10.18063/IJB.2015.01.009.

            1. Introduction                                    low stability,  and poor efficiency [13] .  Decellularized
            C      omplex  organ  failures are the first cause of   types [14] .  Rapid prototyping (RP)  techniques,  also
                                                               matrices are hard  to  repopulate  with  multiple cell
                   mortality all over the world despite advances
                                                               named  as additive  manufacturing  (AM),  solid

                   in interventional, pharmacological,  and  sur-
                         [1]
            gical therapies . Clinically, orthotopic organ trans-  freeform fabrication  (SFF), or 3D printing (3DP)
                                                               cannot solve all the difficulties in  generating  a
            plantation is greatly limited by the issues of  donor   vascular network  with  all the multi-scale  features of
                                        [2]
            shortage and immune rejections .  Over the last  two   large arteries, arterioles, capillaries, venules, and large
            decades, the creation of branched vascular systems has   veins.
            attracted significant attention, both from the scientific   Currently,  RP  (AM,  or  3DP)  techniques  are  the
            and  clinical areas.  However,  it is  still a formidable   prevailing tools for defining macro- or microenviron-
            challenge to build a three-dimensional (3D) branched   ment for cell cultures [15–20] . There is an increasing in-
            vascular system,  mimicking  the native  vascular   terest in  the use of RP techniques for cell-laden  hy-
            systems in complex organs, such as the liver, the heart,   drogel or solution manipulation. However, most of the
            and  the  kidney, with traditional or  existing    existing RP techniques are mainly used for the mani-
            manufacturing techniques [3–11] . For example, cell sheet   pulation  and  analysis  of one  or  two  cell  types  in  a
            techniques face problems of rescuing tissues with in-  construct,  which are  machine  dependent  and  signifi-
            creased thicknesses above 80 µm [12] . Cell encapsula-  cantly time consuming [15–20] . The least progress made
            tion techniques encounter problems of capsule loss,   in complex organ manufacturing is the  development


            Creation of a vascular system for organ manufacturing. © 2015 Libiao Liu, Xiaohong Wang. This is an Open Access article distributed under the
            terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), permitting
            all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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