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




            of the cell types found within the sinusoidal structure,   the adoption of automated bioprinting technologies and
            and a multilayer sinusoid structure was crafted via 3D   advanced control systems is imperative for increasing
            extrusion-based bioprinting, with gelatin serving as the   efficiency and obtaining consistent results.
            sacrificial material. Furthermore, the model included a   Given that liver diseases often exhibit variations
            microfluidic channel to simulate blood flow within the   among individuals, influenced by genetics and lifestyle
            sinusoidal structure. Key liver fibrosis characteristics, such   choices, the creation of a personalized 3D bioprinted
            as collagen accumulation, apoptosis, and the expression of   liver model is imperative.  To achieve this goal, the
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            liver fibrosis-specific markers, were effectively replicated   development of 3D bioprinting technology capable of
            in this model. The study is significant as it accurately   effectively utilizing individual liver-derived stem cells is
            mimicked  various  liver  functions  by  realistically   crucial. Such technology would enable the creation of liver
            replicating the sinusoidal structure and liver-specific   models that closely mimic the mechanisms underlying
            microenvironment using LdECM bioink and advanced 3D   the onset and progression of liver diseases. Thus, 3D
            bioprinting technology, applying this model to simulate   bioprinted liver models that leverage liver-derived cells are
            liver fibrosis. Nevertheless, it is important to note that   urgently required. These customized in vitro models can
            liver fibrosis involves interactions among multiple organs,   significantly reduce both preclinical and clinical expenses
            indicating the potential for enhancing this in vitro model   by  contributing  to  the formulation  of personalized
            via interconnections with other organ compartments.   treatment and prevention strategies.
            Nonetheless, this study provided a valuable testing platform
            for liver fibrosis drugs, paving the way for the development   3.5. Other organs
            of industries specializing in liver disease treatments and   As previously mentioned, 3D bioprinting can be described
            further research in this field.                    as the spatial distribution of living cells in a defined
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               While  liver  models  have  been  developed  using  3D   pattern.  Due to the ability to create organ-specific
            bioprinting and various hydrogels, including LdECM   microenvironments using a variety of cells with precision
            bioink, to effectively replicate numerous liver functions   at the anatomical level, this manufacturing technology has
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            in vitro, there are multiple aspects requiring further   enabled the fabrication of various organ-on-a-chip.  In
            refinement and application. A recent advancement by   this section, we discuss examples and the latest trends in
            Taymour  et  al.  involves  the  creation  of  a  practical  co-  organ-on-a-chip for various organs, in addition to the skin,
            culture system with independently adjustable segments for   vessels, kidneys, and liver, which were mentioned in earlier
            various cell types via core-shell bioprinting.  Although   sections.
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            this approach has achieved the assembly of multiple liver   The nervous system comprises central and peripheral
            cell types within a 3D platform, closely mirroring the liver   nervous  tissue,  regulating  various  body  functions,
            microenvironment, challenges remain in constructing   including  motor,  cognitive, and  autonomic  functions.
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            an intact liver-specific structure. Notably, current 3D   Most nervous system diseases are irreversible, leading to
            bioprinting  technology  faces  limitations  in  producing   permanent disability, and viable solutions remain elusive.
            intricate and diverse-sized vascular mimetics, including   Consequently,  the  fabrication  of  nervous  system-related
            cells, within a single platform, restricting its ability to   organs-on-a-chip is imperative. In pursuit of this objective,
            generate a flawless sinusoidal structure.  Furthermore,   LináKong et al. strategically placed a spinal cord spheroid
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            given  that  various  liver  diseases  can  manifest  complete   using magnetic nanoparticles, successfully exerting
            pathological mechanisms by interfacing with other organ   control over the direction of neuron generation from the
            compartments through vascular mimetics, developing   spinal cord spheroid-on-a-chip through magnetism.  The
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            a 3D bioprinting technology capable of producing   significance of the study lies in the controlled directionality
            functional vascular mimetics of varying sizes, as required,   of neurons achieved via a novel 3D bioprinting method
            is imperative. 143                                 using magnetism. However, it is  noteworthy that the

               The liver operates within a dynamic environment; thus,   resulting structure was relatively simple and did not fully
            to replicate its functions, a chamber must be created to   replicate  the  diverse  cell  types  constituting  the  nervous
            emulate factors such as blood flow, fluid dynamics, and   system. Additionally, to accurately simulate the function of
            mechanical stresses.  Subsequently, this chamber can be   the entire nervous system, considerations must extend to
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            integrated with a 3D-printed liver model to enhance the   the integration with other organs, such as muscles.
            authenticity of the liver model. Additionally, advanced   The cardiovascular system comprises the heart and an
            hydrogels such as dECM bioink, which can effectively   intricate network of blood vessels responsible for circulating
            replicate the liver microenvironment while maintaining a   blood throughout the body.  Within this system, vascular
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            high level of accuracy, must be investigated.  Moreover,   conduits and myocardial tissues exhibit a high degree of
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            Volume 10 Issue 1 (2024)                        35                          https://doi.org/10.36922/ijb.1972
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