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




            role in unraveling the complexities of the human body.   For the fabrication of an in vitro model, it is imperative
            Accordingly, this review highlights examples of organs-  to mimic the multilayer structure of the skin. Several
            on-a-chip that successfully mimic skin, blood vessels, and   models reflecting this aspect have been developed over
            kidneys, shedding light on their biological implications.   the years. An in vitro skin model comprising dermal and
            Moreover, a detailed exploration of disease-on-a-chip   epidermal layers was developed in the 1980s, primarily
            replicating organ-specific diseases is presented. To   aiding research in the medical treatment of skin.  Widely
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            provide a comprehensive overview, Table 3 summarizes   adopted in clinical dermatology and wound healing
            these examples.                                    studies, this model has also proven to be a valuable
            3.1. Skin                                          alternative to animal experiments in the development
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            The skin, constituting the largest part of the human body,   of cosmetics and pharmaceuticals.  Efforts to precisely
            serves as a vital barrier that separates internal and external   mimic human skin have led to studies integrating various
            body parts, safeguarding it from environmental factors.   cells, multilayer structures, and appendages within a
            The human skin comprises the epidermis and dermis. The   single platform. 101,102  Recent advancements include the
            epidermis acts as a barrier to protect the internal organs   establishment of blood vessel channels within an in vitro
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            from external contaminants and provides waterproofing.   skin model, serving application in angiogenesis research
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            It  is  primarily  composed  of  keratinocytes.  In  contrast,   and disease models.  Moreover, active attempts have been
            the dermis functions to position skin appendages and is   made  to  establish  connections  with  other  organs  using
            a vascularized structure primarily comprising fibroblasts   3D bioprinting. 85,104  Unlike conventional manufacturing
            that refine the ECM. 95-98                         methods, 3D bioprinting enables precise layer-by-layer

            Table 3. Various organs-on-a-chip
             Target organ  Biomaterials   Cell type           Printing method  Main outcome         Reference
             Skin       Collagen          Murine fibroblasts (NIH-  Laser-assisted bio-  First multicellular 3D structure   85
                                          3T3), human keratinocyte   printing  of skin using laser-assisted
                                          (HaCaT)                             bioprinting
             Skin       Skin dECM, adipose   Human dermal fibroblast, hu-  Extrusion-based   Creation of the vascularized   90
                        dECM, vascular dECM  man epidermal keratinocyte,   bioprinting  skin model and application to
                                          human subcutaneous pread-           diabetes for the first time
                                          ipocyte, human endothelial
                                          cell (HUVEC)
             Vasculature  Gelatin         HUVEC               Stereolithography  Development of new bioprint-  91
                        methacrylate (GelMA)                                  ing technology to create a
                                                                              double-ring structure
             Vasculature  Vascular dECM   HUVEC, human smooth   Extrusion-based   Fabrication of the three-layer   92
                                          muscle cell (HSMC)  bioprinting     structure of the artery using
                                                                              triple-coaxial printing and
                                                                              application to atherosclerosis for
                                                                              the first time
             Kidney     Gelatin-fibrin extracel-  Human renal proximal tubu-  Extrusion-based   Dual-channel fabrication of   93
                        lular matrix hydrogel  lar epithelial cell (HRPTEC),   bioprinting  endothelialization and epithe-
                                          human primary glomerular            lialization; mimicking kidney
                                          microvascular endothelial cell      filtration function
                                          (GMEC)
             Kidney     Kidney dECM, alginate  Human bone marrow mesen-  Extrusion-based   Provides optimal simulation   94
                                          chymal stem cell, HRPTEC,   bioprinting  of glomerular/proximal tubule
                                          HUVEC                               cross-sections with dual chan-
                                                                              nels via coaxial printing
             Liver      Liver dECM, gelatin  Primary human hepatocyte,   Extrusion-based   Creation of 3D sinusoidal struc-  27
                                          human stellate cell, HUVEC  bioprinting  ture using various primary liver
                                                                              cells and application to fibrosis
             Placenta   GelMA, fibronectin  Human mesenchymal stem   Extrusion-based   The first production of a multi-  157
                                          cell, trophoblast   bioprinting     layer placenta model using 3D
                                                                              bioprinting
            Abbreviation: dECM: decellularized extracellular matrix.


            Volume 10 Issue 1 (2024)                        28                          https://doi.org/10.36922/ijb.1972
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