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International Journal of Bioprinting                                 3D bioprinting for organoid-derived EVs




                                                       extracellular matrix (dECM), and biomolecules including signaling molecules. (B) Four main 3D printing methods are inkjet bioprinting, laser-assisted bioprinting, extrusion bioprinting, and
                                                               bioprinting applications due to their biocompatibility and
                                                     Figure 2. Overview of bioink composition, common bioprinting methods, and their applications. (A) The main elements of bioinks are cells, support materials like hydrogel, polymers like decellularized
                                                         photocuring bioprinting. (C) The applications of 3D bioprinting range from tissue construct printing and disease model establishment to drug testing and delivery. Schematic created with BioRender.
                                                               customizable characteristics.
                                                                  Current methodologies focus on optimizing bioink
                                                               formulations to enhance printability, structural integrity,
                                                               and cell-matrix interactions. Additionally, incorporating
                                                               bioactive molecules like growth factors (e.g., transforming
                                                               growth factor beta [TGF-β], bone morphogenetic
                                                               protein  [BMP],  vascular  endothelial  growth  factor
                                                               [VEGF]) and extracellular matrix (ECM) proteins or
                                                               peptides (e.g., RGD) into bioinks significantly improves
                                                               cell behavior, tissue regeneration, and functionality.
                                                               These multifunctional bioinks represent a significant
                                                               breakthrough,  enabling  the  fabrication  of  complex
                                                               functional tissues and organs. 32
                                                                  The selection  of appropriate cell  types,  particularly
                                                               stem cells, is crucial in bioprinting organoids to ensure
                                                               the functionality and relevance of the resulting tissue
                                                               model. Stem cells, known for their self-renewal and
                                                               pluripotency, offer significant therapeutic potential.
                                                                                                            33
                                                               Patient-derived cells, including stem cells, primary cells,
                                                               and induced pluripotent stem cells (iPSCs), are commonly
                                                               used in bioprinting to create organoids that mimic the
                                                                                             34
                                                               characteristics of the target tissue.  Additionally, the
                                                               incorporation of multiple cell types, such as epithelial cells,
                                                               stromal cells, and immune cells, in bioprinted organoids
                                                               enables the replication of the complexity of native
                                                               tissues, facilitating the study of cell-cell interactions and
                                                               disease processes.
                                                                  Researchers have explored diverse bioink formulations
                                                               to enhance the functionality of bioprinted organoids. For
                                                               example, the use of decellularized extracellular matrix
                                                               (dECM) bioinks has gained interest due to their ability to
                                                               create a more natural microenvironment that enhances
                                                               cellular function. These dECM hydrogels, derived from
                                                               various tissues, have been instrumental in reconstructing
                                                               organs and structures such as tumors, hearts, muscles,
                                                               arteries, nerves, corneas, and bones. 35
                                                                  Therefore, the development of appropriate bioinks,
                                                               the selection of suitable cell types, and the optimization of
                                                               bioink formulations are essential considerations in the 3D
                                                               bioprinting of organoids to ensure the functionality and
                                                               relevance of the resulting tissue model.  When choosing
                                                                                               36
                                                               an  appropriate  bioink,  the  printer  type  and  bioprinting
                                                               approach should also be considered.

                                                               2.2.2. Current methodologies used in 3D
                                                               bioprinting organoids
                                                               3D bioprinting technologies have revolutionized tissue
                                                               engineering and precision medicine by enabling the precise
                                                               fabrication of complex multicellular structures both  in
                                                               vitro and in vivo. Among the widely used 3D bioprinting

            Volume 10 Issue 5 (2024)                       100                                doi: 10.36922/ijb.4054
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