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International Journal of Bioprinting                               Liver printing: from structure to application

















































            Figure 8. Vascularization of bioprinted liver tissue. (A) 3D printing of functional hepatic tissues via a perfusable vascular network. Adapted with permission
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            from Fang et al.  (B) Schematic representation of the core–shell bioprinted triple culture liver model. Adapted with permission from Taymour et al.
            (C) Schematic representation of multi-material extrusion bioprinting strategies and “one-to-two-” channeled tissues encapsulated in polydimethylsiloxane
            (PDMS) connected with polyurethane (PU) tubes. Observation of transplanted tissues after establishing anastomosis; the carotid artery and jugular vein
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            display arterial clip slip and establishment of blood perfusion. Scale bar: 1 cm. Adapted with permission from Liu et al.  (D) Pre-vascularized hepatic
            hydrogel carriers. (E) Hepatocytes exhibit albumin (ALB) promoter activity after implantation in mice. (F) Hydrogel carriers infiltrated with host blood.
            Scale bars: 40μm XX. Adapted with permission from Grigoryan et al.  Abbreviations: CK18, Cytokeratin 18; GCAB, granular cell aggregate-based
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            biphasic bioink; HUVECs, human umbilical vein endothelial cells. Figure 8D: scale bar: 1 mm; Figure 8E: scale bar: 50 μm.


            by adding edible dyes that absorb blue light into hydrogels,   diameter  of  a  cell).  Photopolymerization-based  printing
            allowing the hydrogels to cure under high-resolution blue   methods can enhance printing precision and speed, but
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            light exposure.  This method enabled the construction of   current printing resolutions are still limited to around 300
            complex vascular structures within the hydrogels (Figure   μm. Hence, further innovation in manufacturing strategies
            8D). After implantation in chronically injured mice for   is warranted to overcome these resolution limitations. 169
            14 days, functional hepatocytes remained viable and
            displayed blood infiltration (Figure 8E and F). However, as   5.2. Bile duct formation
            mentioned earlier, extrusion-based bioprinting methods,   The bile duct system comprises a complex network of
            including coaxial printing, are limited by resolution and   ducts starting from the Hering duct and ending at the
            can only print vessels with diameters exceeding 200 μm.   ampulla of Vater in the duodenum, primarily responsible
            Even with the FRESH system, the diameter of the lumens   for  transporting bile from  the  liver  to  the  intestinal
            can only be refined to approximately 100 μm, resulting   lumen.  Bile contains cholesterol, bile pigments, bile acids,
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            in relatively low resolution (approximately 10 times the   phospholipids, and bicarbonate, and its functions include

            Volume 10 Issue 5 (2024)                       139                                doi: 10.36922/ijb.3819
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