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Digital light processing based 3D printing for medical applications
           and  antibacterial  activity  of  antibiotics.  Thus,   can also mix or print multi-drug layers to control
           DLP-based 3D printing provides a rapid method       drug release. Adding drugs at fixed points on drug
           for  disease  modeling.  Especially  for  precision   delivery vectors can control the time of drug release
           medicine, high throughput drug screening is very    to achieve the purpose of accelerating or delaying
           important. The disease model based on patient’s     drug  release.  Printing  different  drug  layers  can
           cell can get an accurate screening result. Besides   make drugs release at intervals according to their
           drug screening, the researches of cancer models     structural  characteristics.  Changing  3D  printing
           can provide new solutions for cancer therapy.       can make drug release at intervals according
             Developing a drug, it is required to study its    to their structural  characteristics .  The  filling
                                                                                               [72]
           absorption,  metabolization,  excretion,  optimal   degree of the printed preparation can accurately
           dosage,  and  toxicity.  Most  measurements  are    customize personalized drugs containing different
           carried  out in  the  traditional  2D monolayer     dosages. Liu et al. fabricated microhydrogels with
           culture system, which cannot simulate the natural   predesigned shapes and sizes to carry drugs. The
           3D  tissue  microenvironment.  Hence,  the  results   microhydrogels are small enough to be injected
           are greatly  different  between the  in vivo and  in   through a 1-mL syringe in a noninvasive way .
                                                                                                            [10]
           vitro tests .  Artificial  tissue  fabricated  by  3D   Tao  et al. encapsulated PDA nanoparticles  into
                     [69]
           printing can simulate the state of the tissue in vivo   the  microhydrogels  (Figure  4A).  Then,  the
           more effectively  and can quickly and cheaply       microhydrogels are injected  into the location  of
           carry  out  pharmacological,  toxicological,  and   bacterial infection to improve tissue recovery .
                                                                                                            [73]
           pharmacokinetic  studies, so as to reduce the       The 3D printed implants can act as drug delivery
           losses caused by pharmacodynamic, and toxicity      systems.  The  3D  printed  post-operative  filler
           problems found only in animal or clinical trials [14,70] .   of drug-loaded  gene  drugs for patients  with
           The 3D printed liver and kidney tissues have been   glioma,  which can continuously  release  drugs
           applied to testing drug metabolism. For example,    to eliminate  residual tumor cells and avoid
           Ma et al. studied drug metabolism by their printed   recurrence  of tumors .  Xu  et  al.  encapsulated
                                                                                    [74]
           hepatic  model.  Treating  the  biomimetic  hepatic   RGFP966  nanoparticle  into  3D  printed  nerve
           model with an inducer, they characterized  the      conduits to improve nerve regeneration and repair
           expression levels of CYP which includes several     (Figure 4B) . Taking theophylline as the model
                                                                          [75]
           key  enzymes  for  drug  metabolism.  They  found   drug, Hossam  et  al. used PEGDA at  various
           significant  increases  in  three  key  enzymes.  The   concentrations  to fabricate  tablets (Figure  4C).
           positive response indicated that the inducer can be   Then, they studied the release of theophylline from
           cleared by liver.                                   the printed tablets. The DLP-based 3D printing is
           5.2 Drug delivery                                   flexible in fabricating personalized drug delivery
                                                               systems by changing printed structure, polymer
           As  a manufacturing technology, DLP-based           concentration,  and printer parameters,  including
           3D printing technology can also be used in the      light intensity and wavelength and exposure time.
           preparation  of the  drug delivery  system with     Therefore,  this printing  technology  has great
                                                                                                       [44]
           customized  dosages, shapes, sizes,  and  release   potential in fabricating personalized drugs .
           ways.  In  2015,  the  FDA  approved  a  3D-printed   Taking advantage of DLP-based 3D printing
           drug to accurately control the structure and dosage   technology, printed products can significantly save
           of the drug. Through 3D printing technology, the    the drug discovery time and cost and accelerate the
           tablet is constructed  in microporous structures,   accuracy of drug screening. Meanwhile, the printed
           which will dissolve immediately  after oral         tissues or cancer models formed by the patient’s own
           administration.  Patients  who  have  difficulties   cells could be used for precision medicine. Last but
           in swallowing can easily take the tablet . This     not least, the DLP-based 3D printed drugs or drug
                                                  [71]
           technology also encourages the development of 3D    carriers  can  be  designed  with  specific  structures,
           printed drug delivery system. The delivery system   precise dosages, and personalized release ways.

           22                          International Journal of Bioprinting (2020)–Volume 6, Issue 1
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