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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        Emerging frontiers in 3D bioprinting: Harnessing

                                        decellularized matrix bioink for advancements in
                                        musculoskeletal tissue engineering



                                        Peilin Li 1† id , Xixin Li 1† id , Guosheng Tang 2 id , Zongke Zhou 3 id , and Zeyu Luo *
                                                                                                       3 id
                                        1 State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research
                                        Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology,
                                        Sichuan University, Chengdu, Sichuan, China
                                        2 Guangzhou Municipal and  Guangdong Provincial Key Laboratory of  Molecular Target
                                        and Clinical Pharmacology, the NMPA and State Key Laboratory of Respiratory Disease, School
                                        of  Pharmaceutical  Sciences  and  the  Fifth  Affiliated  Hospital,  Guangzhou  Medical  University,
                                        Guangzhou, Guangdong, China
                                        3  Department of Orthopedics, West China School of Medicine, West China Hospital, Sichuan
                                        University, Chengdu, Sichuan, China
                                        (This article belongs to the Special Issue: Advancements in 3D Printing, Microfluidics, and their Integrated
                                        Applications)


                                        Abstract

                                        The musculoskeletal system plays a pivotal role in maintaining posture, safeguarding
                                        organs, facilitating flexible movement, and supporting cellular metabolic functions,
                                        thereby enabling active participation in various aspects of life. Conventional
                                        treatment modalities, such as autologous and allogeneic transplantation, face
            † These authors contributed equally   significant challenges, including donor scarcity, complications, rejection, and
            to this work.
                                        infection.  The emergence of three-dimensional (3D) bioprinting technology,
            *Corresponding author:      coupled with bioink sourced from the decellularized extracellular matrix (dECM),
            Zeyu Luo (luozy@wchscu.edu.cn)
                                        offers a promising approach for repairing and regenerating musculoskeletal tissue.
            Citation:  Li P, Li X, Tang G,    This  article  meticulously  examines  common methods  of  musculoskeletal  tissue
            Zhou Z, Luo Z. Emerging frontiers   bioprinting, the properties and functions of dECM, techniques for preparing dECM
            in 3D bioprinting: Harnessing
            decellularized matrix bioink for   bioinks, recent advancements, and applications of dECM bioinks in 3D printing of
            advancements in musculoskeletal   musculoskeletal  tissues  (e.g.,  heart,  skeletal  muscle,  tendon,  interfaces  between
            tissue engineering.         tissues, bone, and cartilage). The review concludes by delineating current research
            Int J Bioprint. 2024;10(5):3418.
            doi: 10.36922/ijb.3418      limitations, aiming to catalyze future investigations in this domain.
            Received: April 13, 2024
            Accepted: June 24, 2024     Keywords: 3D bioprinting; Decellularized extracellular matrix; Bioink;
            Published Online: August 21, 2024
                                        Musculoskeletal; Tissue engineering
            Copyright: © 2024 Author(s).
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,   1. Introduction
            and reproduction in any medium,
            provided the original work is   The musculoskeletal system, encompassing bones, muscles, cartilage tissue (articular
            properly cited.             cartilage, intervertebral discs, meniscus), tendons, ligaments, and blood vessels, is
            Publisher’s Note: AccScience   crucial for maintaining posture, protecting organs, facilitating flexible movement, and
            Publishing remains neutral with   supporting cellular metabolic functions. Maintaining good musculoskeletal health is
            regard to jurisdictional claims in
            published maps and institutional   essential for people to move with flexibility, work efficiently, and participate actively in
                                                     1,2
            affiliations.               all aspects of life.  The World Health Organization (WHO) reports that musculoskeletal


            Volume 10 Issue 5 (2024)                        68                                doi: 10.36922/ijb.3418
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