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In vitro pre-vascularization strategies for tissue engineered constructs–Bioprinting and others

                                  Table 1. Characteristics possessed by each of the five techniques described
                                                             Bioprinting  Microfluidics  Micropatterning  Wire molding  Cell-sheet
            Vascularization of thick 3D tissue
            Control of tube dimensions
            Control of network architecture
            Perfusable networks
            Multicellular vascularized tissue
            Suitability for in vitro models
            Tubulogenesis through self-assembly
            Ability for vascularized tissue to be harvested for downstream experiments

            and  stacking  only  requires  slight  thermal  treatment   With the increasing flow of research into bioprint-
            which  does  not  significantly  harm  the  cells.  Thirdly,   ing technology, it is not surprising that the technology
            the ability to form thick layers of vascularized tissue   has  experienced  a  rapid  boost  in  development.  Bio-
            and control over the orientation of vascular networks   printing technology now allows us to print multicellu-
            has been demonstrated using cell sheet technology.     lar  constructs  with  high  precision  which  mimics  the
                                                               hierarchal  architecture  of  native  tissue.  It  also  pos-
            4. Conclusion
                                                               sesses  the  ability  to  fabricate  perfusable  3D  micro-
            In vitro vascularization techniques play a critical role   channel networks within bulk tissue which is particularly
            in the advancement of tissue engineering. In the field   useful in our efforts to achieve in vitro vascularization.
            of  regenerative  medicine,  scientists  have  identified   Compared  to  other  technologies  like  photolithogra-
            vascularization as a key hurdle that needs to be over-  phy, bioprinting is young in terms of its development,
            come. To date, the variety of tissue-engineered prod-  thus it has the potential to be improved significantly
            ucts  successfully  translated  for  clinical  use  has  been   and  to  find  new  applications  in  the  years  ahead.
            limited to thin avascular tissue due to the inability of   We  believe  that  bioprinting  represents  the  future  of
            current technology to incorporate functional vascular   tissue engineering and could potentially evolve into be-
            networks  into  thick  tissue  constructs.  The  ability  to   coming the gold-standard of biofabrication technology.
            fabricate physiologically accurate in vitro tissue mod-
            els has also been hindered by the lack of effective in   Conflict of Interest and Funding
            vitro vascularization techniques. Although 2D vascu-  No conflict  of  interest  was  reported by all authors.
            lar  models  have  been  successfully  fabricated  and   Y.Z.  acknowledges  the  Tier-1  Academic  Research
            proven  their  efficacy,  thick  3D  vascular  models  re-
            main  elusive.  Today,  biologists  and  engineers  are   Funds  from  the  Singapore  Ministry  of  Education
            working hand in hand to develop working techniques   (RGC  1/14),  the  A*STAR  Industrial  Robotics  Pro-
            for in vitro vascularization. We have described several   gramme (1225100007) and the SHS-NTU/017/2016.
            enabling  techniques  being  developed  today  which   References
            show  promising  signs  of  being  able  to  achieve  this
            goal. Each of these techniques has its own unique ca-  1.   U.S.  Department  of H ealth  &  Human  Services,  2015,
            pabilities which make it particularly suitable for cer-  Organ  donation  statistics,  viewed  on  October  2,  2016,
            tain applications, such as for fabricating 3D perfusable   <http://www.organdonor.gov/statistics-stories/statistics.html>
            networks  within  a  tissue  construct  (bioprinting,  cell   2.   Langer  R and  Vacanti  J  P,  1993,  Tissue  engineering.
            sheet  engineering),  for  controlled  branching  patterns   Science, vol.260(5110): 920–926.
            and vessel diameter (micropatterning, wire molding),   http://doi.org/10.1126/science.8493529
            and  for  fabricating 2D in  vitro vascular models (mi-  3.   Hüsing  B,  Bührlen  B,  Gaisser  S,  et  al.  2003,  Human
            crofluidics, wire molding). Table 1 shows a compiled   tissue-engineered  products:  today’s  markets  and  future
            checklist  of  characteristics  possessed  by  the  5  tech-  prospects. Science and Technology: 1–58.
            niques covered in this review. Admittedly, there are other   4.   Sakaguchi  K,  Shimizu  T  and  Okano  T,  2015,  Con-
            approaches being applied to achieve in vitro vascula-  struction of three-dimensional vascularized cardiac tissue
            rization such as electrospinning [71]  and  cell-accumula-  with cell sheet engineering. Journal of Controlled Rele-
            tion [72]  which were not covered in this review but also   ase, vol.205: 83–88.
            demonstrate potential for future development.          http://dx.doi.org/10.1016/j.jconrel.2014.12.016

            14                           International Journal of Bioprinting (2017)–Volume 3, Issue 1
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