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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        Challenges and perspectives of liver tissue

                                        engineering: From cell therapy to bioprinting



                                        Julio Rodríguez-Fernández , M. Teresa Donato 2,3,4 , Gloria Gallego-Ferrer *,
                                                               1
                                                                                                     1,5
                                        and Laia Tolosa *
                                                     2,5
                                        1 Center for Biomaterials and Tissue Engineering (CBIT), Universitat Politècnica de València,
                                        Valencia, Spain
                                        2 Experimental Hepatology Unit, Health Research Institute La Fe (IISLAFE), Valencia, Spain
                                        3 Departament of Biochemistry and Molecular Biology, Faculty of Medicine, Universitat de València,
                                        Valencia, Spain
                                        4 Biomedical Research Networking Center on Hepatic and Digestive Diseases (CIBER-EHD),
                                        Valencia, Spain
                                        5 Biomedical  Research Networking  Center on Bioengineering,  Biomaterials  and Nanomedicine
                                        (CIBER-BBN), Valencia, Spain
                                        (This article belongs to the Special Issue: Innovative Tissue and Diseases Models - Novelties in Bioprinting/3D
                                        Bioprinting)


                                        Abstract
                                        Liver tissue engineering offers a remarkable tool for toxicological screening
                                        and an approach to disease modeling, and provides an alternative solution to
                                        liver transplantation in treating end-stage liver diseases. As the liver is a highly
            *Corresponding authors:     specialized multicellular organ, distinctive features such as diversity of cell types,
            Laia Tolosa                 extracellular matrix composition, and three-dimensional architecture must be taken
            (laia_tolosa@iislafe.es)    into consideration in recapitulating its physiology. Here, we review the current
            Gloria Gallego-Ferrer       developments in liver tissue engineering approaches, focusing on their application
            (ggallego@ter.upv.es)
                                        to liver disease modeling and treatment, with special emphasis on bioprinting for
            Citation: Rodríguez-Fernández   high-throughput analysis. We also discuss the challenges encountered and the likely
            J, Donato MT, Gallego-Ferrer   future developments in the area.
            G, Tolosa L. Challenges and
            perspectives of liver tissue
            engineering: From cell therapy
            to bioprinting. Int J Bioprint.   Keywords: Liver; Bioprinting; Disease modeling; Hepatotoxicity;
            2024;10(3):2706.            Regenerative medicine
            doi: 10.36922/ijb.2706
            Received: January 10, 2024
            Accepted: February 26, 2024
            Published Online: March 29, 2024  1. Introduction
            Copyright: © 2024 Author(s).
            This is an Open Access article   As the biggest internal organ in the human body, the liver plays a key role in more than
            distributed under the terms of the   500 different functions, such as protein synthesis (i.e., albumin, transferrin), metabolism
            Creative Commons Attribution   of carbohydrates, proteins and lipids, and detoxification of endogenous and foreign
            License, permitting distribution,
            and reproduction in any medium,   compounds. These functions can be altered by different disorders such as congenital
            provided the original work is   metabolic diseases, toxic injury, viral infections, metabolic dysfunction-associated
            properly cited.             steatotic liver disease (MASLD, formerly known as non-alcoholic fatty liver disease),
            Publisher’s Note: AccScience   or hepatocellular carcinoma (HCC). The incidence of hepatic diseases is increasing
            Publishing remains neutral with   worldwide and presents high morbidity and mortality rates.  Despite the intensive
                                                                                          1
            regard to jurisdictional claims in
            published maps and institutional   research in this area, there are limited therapies available in the clinical setting, and
            affiliations.               the only effective treatment for end-stage liver disease is liver transplantation, which is



            Volume 10 Issue 3 (2024)                       116                                doi: 10.36922/ijb.2706
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