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International Journal of Bioprinting                              Bioprinted organ-on-a-chip with biomaterials




            1. Introduction                                    on-a-chip, involving the loading of organoids onto
                                                               microfluidic platforms. An organ-on-a-dish represents
            Research into new drug development and disease     another 3D  in vitro model, involving the removal of
            mechanisms is currently underway, driven by the    human tissue for cultivation in a dish. This model
            growing  interest in  health  and  the  advancements  in  the   facilitates straightforward observation of physiological
            pharmaceutical and biomedical engineering fields.  These   phenomena by utilizing actual tissues, including all cells
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            studies require a suitable test model for drug validation or   and the extracellular matrix (ECM) that constitute organs.
            mechanistic confirmation. Animal testing, a conventional   However, an organ-on-a-dish presents challenges in terms
            approach, relies on predicting clinical outcomes based   of control owing to the accumulation of cellular waste
            on observed similarities with clinical trials.  However,   products, low repeatability, and the occurrence of hypoxia,
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            the drawbacks of animal testing are notable, including   resulting in frequent partial necrosis. 11,13  Conversely, an
            its high cost and the inability to comprehensively reflect   organ-on-a-chip is a device wherein cells are encapsulated
            human pathophysiology owing to the genetic variations   in a microfluidic platform featuring precisely fabricated
            across species.  Additionally, ethical considerations tied   chambers and channels. This model has gained substantial
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            to respect for life underscore the need for a thoughtful   attention for its ability to replicate organ-level functions.
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            examination of the current practices.  Therefore, an   Notwithstanding its relative simplicity compared to native
            imperative has emerged for the identification and   tissues and organs, an organ-on-a-chip effectively mimics
            implementation of substitutes for animal models in the   human physiology and disease. Its ease of manipulation
            realm of pharmaceutical and biomedical studies.    contributes to high accuracy as a drug testing platform. 14
               To overcome these limitations, a range of in vitro models   Several factors must be considered in fabricating a
            has emerged, leveraging the synergies of biotechnology   precise organ-on-a-chip, including biomaterials, cell
            and microtechnology to emulate key aspects of human   types, humanized designs, and biofabrication methods 15,16
            physiology.  A notable advancement in this domain is   (Figure 1B). The selection of appropriate biomaterials is
                     5,6
            the establishment of a human cell-based  in vitro model   essential because these biomaterials possess varied physical
            designed to faithfully recapitulate the microenvironment   properties based on their molecular structure, providing
            of human organs. The significance of tissue- or organ-  the ECM necessary for structural support in an organ-on-
            specific microenvironments cannot be overstated, as they   a-chip.  Additionally, organ-targeted cells and simplified
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            profoundly influence cell–cell interactions and maturation   human-like structural characteristics must be considered
            processes.  The utility of these in vitro models extends across   to accurately reflect the structural specificity and function
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            diverse fields, finding applications in critical areas such as   of organs on an organ-on-a-chip. 16
            drug-screening and pathology research.  A fundamental   Traditional manufacturing methods, such as
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            categorization  of  in vitro  models  delineates  them  into   photopatterning,  lithography,  soft  lithography,  and  self-
            two-dimensional (2D)  and  three-dimensional (3D)   assembly, have been used for several years to fabricate
            models. While the 2D models offer ease of manipulation   microfluidic devices  and organ-on-a-chip  platforms.
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            and facilitate high-throughput drug screening, their   However, these traditional methods are time-consuming
            limitations become evident in the inability to concurrently   and expensive  owing to  their  complexity,  manual
            support the growth of multiple cell types and accurately   procedures, and challenges associated with introducing
            replicate specific physiological phenomena such as 3D   new  designs  or  modifications.   Material  diversity  may
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            arrangements and cell–cell crosstalk.  In response to these   also be limited, and compatibility issues with cells may
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            limitations, 3D  in vitro models have been developed to   arise, especially when specific materials like silicon wafers
            provide an environment that closely mirrors the physical   are used. 19
            and biochemical conditions within the actual human body.
                                                                  The recent development of 3D bioprinting technology
               Representative 3D in vitro models include organoids,    has  led  to  a  shift  away  from  traditional manufacturing
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            organs-on-a-chip,  and organs-on-a-dish  (Figure 1A).    methods for producing organ-on-a-chip.  When utilizing
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            Organoids are 3D cell clusters wherein stem cells   3D printing, multiple cells can be encapsulated on the
            self-organize under specific conditions, comprising   platform in a single step and within a short period,
            multiple  organ-specific  cell  types  and  effectively   achieving precise 3D biomimetics that enable preclinical
            reflecting  physiological  characteristics.  Genetically  analysis with a higher degree of predictive power.  In
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            manipulatable  and  well-suited  for  organ  development,   comparison to traditional manufacturing technologies, 3D
            organoids face challenges in implementing organ-specific   bioprinting offers advantages such as an unlimited design
            microenvironments, such as fluid flow. 10,12  Therefore, recent   scope, freedom to make design changes, the capability to
            research on organoids has primarily employed organoids-  produce  complex  geometries, and  reduced  waste.  This

            Volume 10 Issue 1 (2024)                        21                          https://doi.org/10.36922/ijb.1972
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