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REVIEW ARTICLE

           3D printing of hydrogel composite systems: Recent

           advances in technology for tissue engineering



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           Tae-Sik Jang , Hyun-Do Jung , Houwen Matthew Pan , Win Tun Han , Shengyang Chen ,
                                                                 1
           Juha Song 1*
            School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore
           1
            Liquid Processing & Casting Technology R&D Group, Korea Institute of Industrial Technology, Incheon, Republic of
           2
           Korea
           Abstract: Three-dimensional (3D) printing of hydrogels is now an attractive area of research due to its capability to
           fabricate intricate, complex and highly customizable scaffold structures that can support cell adhesion and promote cell
           infiltration for tissue engineering. However, pure hydrogels alone lack the necessary mechanical stability and are too easily
           degraded to be used as printing ink. To overcome this problem, significant progress has been made in the 3D printing of
           hydrogel composites with improved mechanical performance and biofunctionality. Herein, we provide a brief overview of
           existing hydrogel composite 3D printing techniques including laser based-3D printing, nozzle based-3D printing, and inkjet
           printer based-3D printing systems. Based on the type of additives, we will discuss four main hydrogel composite systems in
           this review: polymer- or hydrogel-hydrogel composites, particle-reinforced hydrogel composites, fiber-reinforced hydrogel
           composites, and anisotropic filler-reinforced hydrogel composites. Additionally, several emerging potential applications
           of hydrogel composites in the field of tissue engineering and their accompanying challenges are discussed in parallel.
           Keywords: hydrogel composites; 3D printing; tissue engineering

           *Correspondence to:  Juha Song, School of Chemical and Biomedical Engineering, Nanyang Technological University, 70 Nanyang Drive,
           637457, Singapore; songjuha@ntu.edu.sg
           #The co-authors have equally contributed to the manuscript

           Received: September 30, 2017; Accepted: November 22, 2017; Published Online: January 19, 2017
           Citation: Jang T-S, Jung H D, Pan H W, et al., 2018, 3D printing of hydrogel composite systems: Recent advances in
           technology for tissue engineering. Int J Bioprint, 4(1): 126. http://dx.doi.org/10.18063/IJB.v4i1.126

           1. Introduction                                     has been multiple attempts to replicate the complexity
                                                               of anatomical systems in the human body for tissue
           Since the advent of the first three-dimensional (3D) printing   replacement and regeneration which requires complete
           system, formerly known as additive manufacturing or rapid   restoration of 3D anatomical geometry [2,4] . However,
           prototyping, in 1986, the manufacturing industry has   without artificial or transplant supports, rapid and extensive
           undergone significant transformations, requiring now less   reconstruction of vital organs in the human body remains a
           time, energy, and producing less waste with the ability   daunting challenge in tissue engineering .
                                                                                               [5]
           to directly fabricate 3D prototypes from computer-aided   3D printed scaffolds play an essential role in supporting
           designs [1–3] . This fascinating ability to create 3D structures   cell adhesion and promoting cell infiltration within their
           has already taken fabrication technology to a new level,   porous matrix . Moreover, during the tissue reconstruction
                                                                          [6]
           especially in the field of tissue engineering. Over the past   process, scaffolds are able to provide mechanical support
           two decades, with the development of medical imaging   against stressful environments of the human body
           technologies, such as ultrasound, magnetic resonance   maintaining sufficient space for the tissue reconstruction
                                                                           [7]
           imaging (MRI), and computed tomography (CT), there   and remodeling . Currently, the most widely used scaffold
           3D Printing of hydrogel composite systems: Recent advances intechnology for tissue engineering.© 2018 Jang T-S, et al.. This is an Open Access article
           distributed under the terms of the Creative Commons Attribution-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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