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International Journal of Bioprinting                  3D bioprinting of full-thickness skin with a rete ridge structure




            agents, such as genipin, to preserve the initial structure,   Ki67. Furthermore, exposure of the rete ridge FTSE to UV
            emphasizing the ongoing need for innovation in     radiation resulted in sustained protein expression in the
            materials science to support the development of    valley owing to the structural characteristics of the rete
            bioprinting technologies. Furthermore, as previously   ridge. Consequently, the proposed method for fabrication of
            stated, the height of the rete ridge structure decreases   FTSE with rete ridge structure in this study, based on preset
            as individuals age, resulting in a variable degree of UV   extrusion bioprinting technology, indicates considerable
            damage to the skin depending on the extent of aging   promise for generating in vitro skin models that can serve
            and the rate of aging progression. As demonstrated in   as an alternative to animal experiments and ex vivo human
            our previous study,  the pattern of the extruded strands   skin models for physiological investigation and testing the
                            23
            can be regulated by modifying the precursor cartridge or   safety and efficacy of drugs and cosmetics. By achieving a
            altering the viscosity of the applied bioink. Additionally,   more accurate replication of the topographical complexity
            as illustrated in Figure S3, Supporting Information, the   of the skin, more sophisticated studies on skin biology and
            structure of the fabricated rete ridge exhibits a variety of   drug testing can be conducted, thus advancing our efforts
            architecture depending on the applied pressure during   toward the goal of replicating human tissue structures in
            the preset extrusion bioprinting process. By leveraging   the laboratory.
            these parameters, it will be possible to fabricate FTSEs
            with diverse structures of the rete ridge and to investigate   Acknowledgments
            the damage by UV irradiation on the width and depth of
            the rete ridge. Furthermore, it has been established that   None.
            the skin is composed of heterogeneous microstructures,
            including the epidermis, dermis, capillaries, hypodermis,   Funding
            and other cells. Mimicking these heterogeneous     This research was supported by the National Research
            microstructures in native tissue is crucial for the   Foundation of Korea (NRF) grant funded by the Ministry
            development of  in vitro tissue models with high tissue   of Education (NRF-2017R1A6A1A03015562) and the Tech
            functionality.  In addition to the rete ridge structure   University of Korea Sabbatical Year Research Grant (2023).
                       42
            proposed in this study, further research is required to
            develop highly functional skin models that can serve   Conflict of interest
            as alternatives to ex vivo skin biopsy samples or animal
            experiments. This can be accomplished by implementing   W.-S.Y., J.-H.S., P.A. Marinho, I.J., and S.J. are employed by
            various heterogeneous  tissue structures in  the skin   and shareholders of T&R Biofab. The remaining authors
            through the use of 3D bioprinting technology.      declare no conflicts of interest.

            5. Conclusion                                      Author contributions

            In this study, we introduced a technique for fabricating   Conceptualization: Songwan Jin, Paulo Andre Marinho
            FTSEs with rete ridge, microstructures present in the dermal-  Formal analysis: Songwan Jin, Jae-Hun Kim
            epidermal interface of the human skin, using 3D bioprinting   Funding acquisition: Won-Soo Yun
            technology. Specifically, by employing the furrowing of   Investigation:  Ilho Jang, Jae-Hun Kim, Misun Kim,
            printed dermis bioink and preset extrusion bioprinting   Younhwa Nho, Seunghyun Kang
            technique in this rete ridge FTSE fabrication process, we   Methodology:  Songwan  Jin,  Ilho  Jang,  Misun  Kim,
            successfully engineered a dermis layer featuring narrow   Jin-Hyung Shim
            and deep fissure structures. The design and optimization of   Project administration: Songwan Jin
            the precursor cartridge for the preset extrusion bioprinting   Writing – original draft:  Ilho Jang, Jae-Hun Kim, Paulo
            process were conducted through the CFD method,        Andre Marinho
            validating the predictive capability of this method in   Writing – review & editing: Songwan Jin, Won-Soo Yun,
            anticipating the cross-sectional structure of printed strands   Jin-Hyung Shim, Paulo Andre Marinho
            accurately. Subsequently, by seeding keratinocytes onto the
            dermis layer containing fissure structures and culturing   Ethics approval and consent to participate
            them under ALI conditions, we achieved the successful   Not applicable
            fabrication of FTSE incorporating rete ridge structure.
            The rete ridge FTSE exhibited prominent formation of   Consent for publication
            the  stratum  corneum and  confirmed  robust  expression
            of key markers, including COL17, ITGA6,  ITGB1, and   Not applicable


            Volume 10 Issue 5 (2024)                       499                                doi: 10.36922/ijb.3961
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