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Applications of 3D bioprinted iPSCs
           sequences were used for the non-integrated          molecules  used for reprogramming  fall  under
           expression of the transcription genes that enable   the  category of epigenetic  events  regulators,
           episomal plasmid DNA replication in dividing        mesenchymal-epithelial    transition  inhibitors,
           cells .   Polycistronic   expression   plasmids     metabolic  pathway modulators, wingless and
               [36]
           generates transgene-free and vector-free iPSCs      integration  site growth factor (WNT) signal
           with limited genomic integration, but this method   pathway modulators, regulators of cell death, and
           requires multiple transfections [37,38] .           senescence pathways .  These small molecules
                                                                                   [48]
                                                               alone or in combination can substitute exogenous
           2.3 mRNAs and miRNAs                                transcription  factors.  Using valproic  acid,  a

           Human  primary  fibroblasts  were  reprogramed  by   Histone  deacetylase  inhibitor  improved  the
           introducing synthetic modified mRNAs coding for     reprogramming efficiency to 100-fold compared to
           reprogramming proteins. MicroRNAs like miRNA-       the transcription factor mediated reprogramming
                                                                      [49]
           367/302s  are  used  to  reprogram  human  primary   method .  Another histone  methyltransferase
           fibroblasts into iPSCs . The mRNA transfection      inhibitor  compound,     BIX-01294     activated
                                [39]
           is foot print free reprogramming.  The capped       calcium  channels  in the  cell  membrane,  and
           mRNAs  coding  for  a  6-factor  modified-mRNA      improve reprogramming efficiency by increasing
           referred to  as 5fM O  mod-mRNAs was used  in       the expression of October 4 and Klf4 [50,51] . In 2013,
                             3
           fibroblasts to make iPSCs . Yamanaka factors and    Hou  et al. replaced  all transcription factors and
                                   [40]
           the miRNA-367/302s act synergistically to increase   made chemical induced iPSCs of mouse embryo
           the efficiency of transfection . It has been reported   fibroblasts  using  the  small  molecules  VC6TFZ
                                     [41]
                                                                                                            [52]
           that microRNAs such as miR-294, miR-291-3, and      and 2i but the reprogramming was incomplete .
           miR-295 can replace  c-myc transcription factor     Optimizing the use of small molecules to enhance
           and help to generate homogeneous populations of     reprogramming  will  definitely  help  to  generate
           iPSC colonies . Downregulation of let-7 miRNA       safer and higher quality  iPSCs for clinical  use
                        [42]
           upregulates the expression of target genes of c-myc   without the risk of genomic integration and tumor
           and Lin-28 to promote cell reprogramming [43,44] .  induction.
                                                                 The advantages  and limitations  of these
           2.4 Reprogramming proteins                          reprogramming  methods are summarized  in

           This method allows the direct  introduction  of     Table 1.
           the  recombinantly  expressed reprogramming         3 Sources of iPSCs for bioprinting and  cell
           factors to cells .  This method  mitigates  the     differentiation  strategies  of  iPSCs  to  different
                          [49]
           risks associated with the introduction of viral and   cell lineages
           external  DNA and harmful chemicals  into the
           cells . The reprogramming proteins Oct4, Sox2,      The iPSC technology allows the use of autologous
               [46]
           Klf4, and c-Myc were successfully delivered         cells  derived from the patients  to be used in
           into adult somatic  cells  with the help of cell    regenerative medicine. The iPSC cell lines have
           penetrating  peptides (CPP).  The cationic  amino   been derived from a variety of cells namely neuronal
           acid rich CPPs are capable  of penetrating  the     progenitor cells, keratinocytes, hepatocytes,  B
           cell  membrane barrier and deliver  the exogene-    cells,  fibroblasts,  hepatocytes,  gastric  epithelial
           free  reprogramming  proteins  directly  inside  the   cells, muscles, adipocytes, and adrenal glandular
           cells .  This method enables the production of      cells.  The  reprograming  efficiency  varies
               [47]
           foot print-free iPSCs.                              among the type of cells used depending on the
           2.5 Small molecules                                 developmental origins and the epigenetic status.
                                                               Multiple  studies  showed  that  the  efficiency  of
           Reprogramming  can be achieved  using small         reprogramming  of keratinocytes  is better  than
           molecules  by  epigenetic  modifications . Small    fibroblasts [53-55] . The difference in the efficiency is
                                                 [48]
           62                          International Journal of Bioprinting (2020)–Volume 6, Issue 4
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