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The arrival of commercial bioprinters – Towards 3D bioprinting revolution!




























                                   Figure 3. Growth in commercial bioprinting companies over the years
           with a partnership with a client who has a tissue/organ   partnered with Invetech (Australia) to launch their
           model of interest. All these companies are based on   bioprinting system-Novo Gen MMX Bioprinter™ in
           their unique value proposition of providing bioprinting   2009.
           services or partnerships for manufacturing of functional   Organovo had their first breakthrough in 2010 when
           tissues. In the following section 2.2, we have highlighted   working with a grant from National Institutes of Health
           all the bioprinting companies (in alphabetical order)   (NIH); the company successfully bioprinted fully
                                                                                                            [59]
           which are currently in operation to our knowledge. The   cellular blood vessels using only primary human cells .
           detailed specifications of printer dimensions, nozzle   Organovo’s ExVive™ 3D Bioprinted Human Liver
           diameter, build volume, resolution of printing, materials   Tissue Models debuted in 2014. The tissues demonstrate
           that can be printed, additional interesting features   histological and functional similarity to the native liver
           have been duly summarized in a table (Table 2). High-  with consistent expression of albumin, ATP and CYP3A4
           resolution images of these printers have been included   activity up to 28 days [31] . The tissue model has been
           in Figures 4–6 (courtesy of the companies). We have   used to demonstrate the clinical effect of drugs such as
           also included a chronological order of important events/  Valproic acid and Monocrotaline . In 2016, Organovo
                                                                                           [60]
           technological advancements in the field of bioprinting   launched ExVive™ Human Kidney Tissue, a fully 3D
           (Figure 7) which shows the tremendous progress made   bioprinted human tissue consisting of an apical layer
           just under two decades. Lastly, we have also summarized   of polarized primary renal proximal tubule epithelial
           the current challenges and future innovations which   cells (RPTECs), supported by a collagen IV-rich
           could be integrated with a bioprinter. We hope this   tubulointerstitial interface of primary renal fibroblasts
           review will benefit uninitiated researchers who want   and endothelial cells. ExVive™ Human Kidney Tissue
           to venture into the exciting and revolutionary world of   exhibits in vivo like barrier function, expression of renal
           bioprinting as well as those experienced researchers who   transporters and secretion of important enzyme gmma-
           may not be aware of the sheer number of the companies   glutamyltransferase (GGT) [43] . This bioprinted kidney
           in bioprinting.                                     tissue when exposed to the drug Cisplatin releases

           2.1  the case Study of the industry Pioneer-        kidney injury biomarkers as well as depicts transporter-
           Organovo                                            dependent (OCT2) drug uptake.
                                                                Apart from commercial tissues, Organovo also offers
           In 2003, Boland et al. patented the first ink-jet tech-  two kinds of partnerships: custom tissue partnerships
           nology for printing viable cells. The team subsequently   (co-develop in vitro tissues for drug screening, disease
           secured a US$ 5 million National Science Foundation   modelling and therapy) as well as technology access
           (NSF) grant [59]  which led to their first major patent on   partnerships (access to their NovoGen Bioprinter  to
                                                                                                          TM
           Novo Gen MMX Bioprinter™ (Figure 5B) platform       experts on a specific tissue/disease model). To date,
           soon after in 2005. The first 3D bioprinting company,   Organovo has inked significant multi-year collaborations
           Organovo came into existence in 2007 [59] . Organovo   with Merck (drug screening)  and with world’s largest
                                                                                       [61]
           6                           International Journal of Bioprinting (2018)–Volume 4, Issue 2
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