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PERSPECTIVE


            A perspective on 4D bioprinting



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                                                           2,3
            Jia An , Chee Kai Chua  and Vladimir Mironov
            1  Singapore Centre for 3D Printing, School of Mechanical and Aerospace Engineering, Nanyang Technological Univer-
             sity, Singapore
            2  Renato Archer Information Technology Center, Campinas, Sao Paulo, Brazil
            3  The Laboratory of Biotechnological Research, 3D Bioprinting Solutions, Kashirskoe Roadway, 68/2, Moscow, Rus-
            sian Federation


            Abstract: 3D bioprinting has been invented for more than a decade. A disruptive progress is still lacking for the field to
            significantly move forward. Recently, the invention of 4D printing technology may point a way and hence the birth of
            4D bioprinting. However, 4D bioprinting is not well defined and appear to have a few distinct early forms. In this article,
            a personal perspective on the early forms of 4D bioprinting is presented and a definition for 4D bioprinting is proposed.
            Keywords: 4D printing, bioprinting, additive manufacturing, rapid prototyping, tissue engineering.

            *Correspondence to: Jia An, Singapore Centre for 3D Printing, School of Mechanical and Aerospace Engineering, Nanyang Technological
            University, Singapore; Email: anjia@ntu.edu.sg

            Received: October 22, 2015; Accepted: November 2, 2015; Published Online: November 5, 2015
            Citation: An J, Chua K C and Mironov V, 2016, A perspective on 4D bioprinting. International Journal of Bioprinting, vol.2(1): 3–5.
            http://dx.doi.org/10.18063/IJB.2016.01.003.

            1. Introduction                                    per  we would only be able to discuss some early
            T                                [1]               pose a definition that unifies them.
                                                               forms of 4D bioprinting and based on which we pro-
                  he technology of  3D bioprinting has been in-
                  vented for more than a decade . A disruptive
                  progress is still lacking for the field to signifi-
            cantly  move forward. Recently, the invention of 4D   2. Approaches and Definition
            printing technology  may point a way.  4D printing   Figure 1  shows three current approaches in 4D bio-
            technology  is invented by  Massachusetts Institute of   printing. They are distinct from each other. The first
            Technology (MIT) and the fourth dimension refers to   approach strictly follows MIT’s concept of 4D print-
                                                               ing, in which a substrate material (e.g., smart biopo-
                [2]
            time . The main difference from 3D printing is that it   lymer or  responsive hydrogel), upon stimulus, folds
            involves  a programmed  shape  change over the post-   into a pre-defined  3D  configuration, and the printed
            printing time. 4D bioprinting is believed to be an ex-  cell or tissue  materials simply follow the folding  of
            tension of 4D printing into biomedical science and en-  the  substrate  and  form  into  a  desired  shape .  The
                                                                                                      [6]
            gineering. However, in the current literature, there is   second approach is kind of “in vivo 4D bioprinting”. A
            hardly  a report on applying MIT’s 4D printing tech-  3D printed polymer medical device is implanted first
            nology to biomedical applications. Indeed, the phrase   and then accommodates the growth of tissue or organ
            of “4D bioprinting” can be found in a few recent re-  over the postsurgical period . When the tissue or or-
                                                                                       [7]
            views [3−5] , but all  briefly  mention  it without giving   gan becomes stronger and stronger, the medical device
            further detailed  information. At the time of writing,   gradually breaks and is absorbed by the body. In this
            4D bioprinting is still more of a thing-to-be rather than   approach, the growth of the tissue could be seen as the
            a well-established matter of fact. Therefore in this pa-  stimulation. The third approach involves on-demand

            A perspective on 4D bioprinting. © 2016 Jia An, et al. This is an Open Access article distributed under the terms of the Creative Commons Attribu-
            tion-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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