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     International
                                                                         Journal of Bioprinting
                                        REVIEW ARTICLE
                                        Vascularization strategies for human skin tissue
                                        engineering via 3D bioprinting
                                        Arvind Kumar Shukla , Dongjun Lee , Sik Yoon , Minjun Ahn *, and
                                                                                3,4
                                                                                            5
                                                                       2
                                                          1
                                        Byoung Soo Kim *
                                                      1,5
                                        1 School of Biomedical Convergence Engineering, Pusan National University, Yangsan, Republic
                                        of Korea
                                        2 Department of Convergence Medicine, Pusan National University College of Medicine, Yangsan,
                                        Republic of Korea
                                        3
                                        Department of Anatomy and Convergence Medical Sciences, Pusan National University College
                                        of Medicine, Yangsan, Republic of Korea
                                        4 Immune Reconstitution Research Center of Medical Research Institute, Pusan National University
                                        College of Medicine, Yangsan, Republic of Korea
                                        5 Medical Research Institute, Pusan National University, Yangsan, Republic of Korea
                                        (This article belongs to the Special Issue: 3D Printing for Tissue Engineering and Regenerative Medicine)
                                        Abstract
                                        The skin is composed of many cells that are organized into different layers and
                                        connected by dense and complex vascular networks.  This creates a dynamic
                                        microenvironment in which cells interact within the matrix. Significant advancements
                                        have been made in this field over the past decade, and various strategies have been
                                        developed for accelerating and enhancing skin regeneration. The primary challenge for
                                        successful skin grafts is the integration of the functional vasculature, which can supply
                                        essential nutrients and oxygen to cell-laden structures and damaged native tissues.
                                        An inadequate vascular network can lead to ischemia, which can cause slow wound
            *Corresponding authors:
            Minjun Ahn (mjahn@pusan.ac.kr)  healing—particularly in the case of chronic skin conditions. Therefore, blood vessel
            Byoung Soo Kim              formation remains one of the most significant obstacles that skin tissue engineering
            (bskim7@pusan.ac.kr)        must overcome to create vascularized skin tissue substitutes with specific living cells.
                                        Technological advances can augment effective vascularization. The three-dimensional
            Citation: Shukla AK, Lee D, Yoon
            S, Ahn M, Kim BS. Vascularization   (3D) bioprinting platform is a promising technology that allows precise deposition of
            strategies for human skin tissue   living cells and bioactive materials. The application of this technology to skin tissue
            engineering via 3D bioprinting.    engineering can provide solutions for augmenting pre-vascularization in engineered
            Int J Bioprint. 2024;10(3):1727.
            doi: 10.36922/ijb.1727      in vitro skin models and in vivo skin substitutes. This review presents the significance of
                                        skin vascularization in in vitro modeling and in vivo wound healing. Various strategies
            Received: August 31, 2023
            Accepted: November 20, 2023  and related applications involving 3D bioprinting technology are introduced for
            Published Online: January 28, 2024  the biofabrication of enhanced vascularized skin in vitro and in vivo, followed by a
            Copyright: © 2024 Author(s).   discussion of their limitations and future research directions.
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: Vascularization; Angiogenesis; Human skin; Biofabrication;
            License, permitting distribution,   3D bioprinting; Regenerative medicine
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   The skin accounts for 15% of an individual’s total body weight and covers an area
                                                                                                            1,2
                                              2
            affiliations.               of  1.8 m . It is the largest organ in the body and has several essential functions.
            Volume 10 Issue 3 (2024)                        86                                doi: 10.36922/ijb.1727





