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International Journal of Bioprinting                                      3D-printed bioelectronic devices




            cellular activity. In this context, bioelectric scaffolds that   micropillar electrodes  and elastic  microwires  to record
            can apply physiological ES to cells have been developed   electrophysiological  signals  and  contractile  functions.
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            to investigate the underlying mechanisms of ES-mediated   The DIW-based 3D printing  method has allowed the
            cellular responses and induce tissue regeneration in vitro   fabrication  of  high-aspect-ratio  micropillars  by  tuning
            or in vivo.                                        the height, electrochemical properties, and elasticity of
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               For  instance,  a  DIW  3D-printed PLA scaffold   the electrodes.
            containing bismuth ferrite (BFO) nanoparticles was   5. Conclusion and future perspectives
            developed to construct a 3D cellular environment for
            neural tissue engineering (Figure 6A).  In this scaffold,   3D printing has emerged as a state-of-the-art manufacturing
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            the physiological level of ES applied to stem cells induced   technology in the biomedical field, offering patient-specific
            cell alignment toward BFO lines. Similarly, a conductive   customization through low-cost and efficient fabrication
            and biodegradable scaffold made of polycaprolactone   processes. 148–151  Diverse printing techniques and materials
            and MWCNTs was 3D-printed using DIW for bone       have enabled the construction of functional devices
            tissue regeneration (Figure 6B).  Following scaffold   tailored to individual needs. These bioelectronic devices
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            implantation at the bone defect site, exogenous ES was   can be seamlessly integrated into biological systems and
            applied using a transcutaneous electrical stimulator. The   applied to patient care. However, challenges persist as
            combination of conductive PCL/MWCNT scaffolds with   3D-printed models strive to achieve an ideal match with
            ES promotes angiogenesis and mineralized bone tissue   the human body in terms of mechanical, chemical, and
            formation.                                         functional aspects. In this section, the current challenges in
                                                               3D-printed applications in medicine and future directions
               Various types of sensors have been integrated into tissue
            engineering platforms to monitor biological functions in   are discussed.
            real  time.  An  instrumented  cardiac  microphysiological   For practical application of wearable and implantable
            device incorporating soft strain gauge sensors, electrical   devices,  there  are several  key considerations,  including
            interconnects, and eight independent cell culture wells was   biocompatibility,  long-term  stability,  sensitivity,
            fabricated using DIW multi-material 3D printing.  This   and measurement accuracy. The device should be
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            device enabled the measurement of contraction strength   biocompatible to avoid chronic immune responses and to
            and beat rate in drug–dose response studies within an in   ensure stable physiological biosignal monitoring during
            vitro environment over a long testing period. Another   long-term biointegration. Devices with high mechanical
            cardiac microphysiological platform combined 3D-printed   flexibility and stretchability should be designed for stable






























            Figure 6. 3D-printed tissue-engineered scaffolds. (A) 3D-printed scaffolds for stimulating human adipose-derived mesenchymal stem cells.  Reproduced
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            with permission from Wiley . Copyright © 2021 Wiley. (B) 3D-printed polycaprolactone (PCL)/multi-walled carbon nanotubes (MWCNTs) scaffolds with
            electrical stimulation (ES) for bone tissue regeneration.  Reproduced with permission from Springer Nature. Copyright © 2021 Springer.
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            Volume 10 Issue 6 (2024)                       105                                doi: 10.36922/ijb.4139
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