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Software for bioprinting
                                                               cell types). The ability of stem cells to produce
                                                               a large number of cells is the second reason for
                                                               using them [27,28] . Scaffold-based 3D models can be
                                                               generated by seeding cells or embedding cells in
                                                               a hydrogel matrix or on a prefabricated scaffold.
                                                               Widely  used materials  for scaffolds include
                                                               decellularized  extracellular  matrix components
                                                               and  many  synthetic  and natural  biomaterials.
                                                               Bioprinting technologies can be potentially useful
                                                               for the fabrication of a wide variety of tissues such
                                                               as composite tissues, vascular tissues, lung, neural,
                                                               pancreas, brain, bone, cancer, cardiac,  cartilage,
                                                               heart valve, liver, retinal, skin, and others [1-5,7,8,15,25] .
                                                               In addition, there are different goals of using
                                                               bioprinting in pharmaceutical researches such
                                                               as developing drugs against cancer and other
                                                               diseases [13-17] .
                                                                 Vascularization  in  3D  printed  tissues  is
           Figure 1. The schematic diagram of the research     challenging  and is the current subject of
           and manufacturing fields of the bioprinting  [1-26] .  active  research and  it  still  remains  as unsolved
                                                               problem [3,12] . Vascularization plays a crucial role in
           manufacturing is the printing of multiple scaffolds   tissue viability for its survival and growth and for
           for bioprinting and tissue engineering which may    drug delivery. Bioprinting of vascular constructs,
           be  both biodegradable  and non-biodegradable,      such as bioprinting  of physiologically  relevant
           bioprinting of some critical parts for drug delivery   tissues, can be performed using scaffold-based
           systems and tissue reconstruction.                  or scaffold-free  approaches.  These  approaches

           2 Living cells printing                             produce the same results as in the case of the
                                                               bioprinting of physiologically relevant tissues .
                                                                                                           [29]
           There are several fields in the printing of living    There are two main approaches for arranging
           tissue. Physiologically, relevant  tissues are      cells  in 3D patterns:  Top-down fabrication  or
           often  printed,  in  addition  to  other  purposes, for   bottom-up fabrication . Top-down  fabrication
                                                                                    [30]
           pharmaceutical researches. For example, in Peng et   means  that  cells  co-arranged  with biomimetic
           al. , the authors reported that three-dimensional   scaffolds with tissue  maturation  in a  bioreactor.
             [12]
           (3D)  tissue  models  could  mimic  native  tissues   Bottom-up fabrication means secretion of a matrix
           quite closely. The authors had adopted scaffold-    by cells  themselves  instigated  by temporary
           free and scaffold-based approaches to the creation   support [31,32] .
           of models and demonstrated  that the 3D tissue        As an example of the early progress that can
           models could simulate the physiological response    be considered, as bioprinting is the first bioprinted
           of natural tissue to drug.                          skin  created  in  2009  by  Lee  et  al. [6,30] . They
             Scaffold-free 3D models can be generated          presented  a  method  of  creating  multi-layered
           from cells,  often from stem cells  which are       engineered tissue composites that consist of human
           self-assembled into neotissues through cadherin-    skin  fibroblasts  and  keratinocytes,  which  mimic
           mediated  adhesion using exogenous scaffold         skin layers. It could be useful for drug testing
           support. Stem  cells  are  suitable option  and     and modeling of diseases. Another opportunity of
           commonly  used because  of their  pluripotency      using skin in bioprinting is wound healing with
           (opportunity  to  differentiate  into  many  different   the 3D bioprinting of skin .
                                                                                       [33]
           42                          International Journal of Bioprinting (2020)–Volume 6, Issue 3
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