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Applications of 3D bioprinted iPSCs


























           Figure 3. Workflow of three-dimensional bioprinting of peripheral nerve tissue for treatment of peripheral
           nerve injury. Sciatica is the pain due to the injury to the largest nerve in the body. Extreme case of sciatica
           needs surgical intervention and if possible, regenerative therapy. The autologous peripheral tissues can
           be collected from the patient, reprogram to induced pluripotent stem cells and differentiate to peripheral
           nerve tissue progenitors or peripheral neurons, then bioprint using a suitable scaffold material, allow the
           maturation of the bioprinted tissue in a bioreactor and transplant to the patient to repair and regenerate
           the injured nervous tissue.

           its products, the cells should be free from any     2019, Kim et al. successfully developed a pancreatic
           genetic  integration  of foreign DNA materials      tissue-derived (pdECM)-bioink to provide the
           in the iPSC genome. mRNA-based, episomal,           pancreatic  tissue-specific  microenvironment  to
           and  recombinant  protein-based  introduction  of   bioprint the human iPSC-derived pancreatic islet
           transcription factors eliminate the risk of genomic   cells. The study used decellularized porcine pancreas
           integrations or aberrations in the iPSCs, which is   to provide the extra cellular matrix support for the
           an important step toward using the iPSCs for cell-  growth of the cells . Biotechnology companies
                                                                                  [98]
           based therapies in patients [93-95] .               such as Cellheal and Celprogen are working toward
                                                               to bioprint the functional pancreatic tissues for
           4.2.1 Type 1 diabetes mellitus (T1DM) treatment                     [99]
           by the replacement of pancreatic beta cells         diabetic treatment .
                                                               4.2.2 Reproductive system disorders
           T1DM is known to be associated with the immune-
           mediated destruction of insulin producing pancreatic   Ovarian failure is a major cause of infertility
           β-cells [96,97] . Effective treatment of T1DM is a long   worldwide [100,101] . Functional 3D printed ovarian
           pending requirement in diabetes care. Islet cell    tissues would be a boon for infertility treatment. In
           transplantation is a traditional method of managing   2017, Laronda et al. reported that the 3D bioprinted
           T1DM, but the transplanted islets are rejected by the   ovary using porous gelatin scaffold material could
           host immune system. Bioprinted islets encapsulated   support the growth and maturation of printed
           in a suitable biocompatible material have been      ovarian follicles in laboratory conditions. The lab-
           emerged as a treatment  method to  tackle this      grown ovary is tested in a sterilized mouse model
           immune rejection. Biofabrication of 3D constructs   and found to be functional. The bioprosthetic ovary
           of  patient-derived  iPSCs  differentiated  to  insulin-  used scaffold materials such as gelatin and gelatin
           producing pancreatic islet cells can potentially be an   methacrylate for bioprinting [102] . The  structural
           allogeneic source of cells for T1DM treatment. In   features  of  the  scaffold  material  such  as  pore

           66                          International Journal of Bioprinting (2020)–Volume 6, Issue 4
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