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     International Journal of Bioprinting                                3D-bioprinted multicellular lung organoids
            the printed constructs.  However, the requirement for   structures within the lung model. The inclusion of vascular
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            photo-crosslinkable materials in SLA limits the range of   networks not only improves cell viability but also enhances
            usable bioinks.  In addition, the high cost and complexity   the overall functionality of the bioprinted lung tissue.
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            of laser-based systems can be a barrier to widespread   To facilitate widespread adoption and practical
            adoption.  The scalability of these methods for large-scale   application, the bioprinting process must be both scalable
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            tissue production also remains a challenge. 93     and reproducible. This entails standardizing bioink
            3.4. Three-dimensional lung bioprinting and        formulations, printing parameters, and  post-processing
            its considerations                                 steps to ensure consistent and reliable results across
            When developing a lung model using 3D bioprinting,   different batches. Developing robust protocols for bioink
            several critical considerations must be taken into account   preparation, bioprinting, and subsequent tissue maturation
            to  ensure  the  model‘s  functionality  and  relevance.  One   is  crucial  for  achieving  reproducibility.  Additionally,
            of the primary considerations is the selection of bioink,   integrating automated systems and real-time monitoring
            which must be carefully chosen to support cell viability,   during  the  bioprinting  process  can  further  enhance  the
            proliferation, and differentiation. 19,73  The bioink should   precision and consistency of the printed lung models. 75,96,97
            closely mimic the ECM of lung tissue, providing the
            necessary biochemical and mechanical cues for appropriate   4. Research on bioprinting-based 3D organ-
            cell  behavior,  including  attachment,  migration,  and   oid and tissue modeling
            differentiation into specific lung cell types. The bioink   Recently, there has been significant progress in utilizing
            composition often includes natural polymers like collagen,   3D bioprinting technology to replicate the structure and
            gelatin, and hyaluronic acid, which are known for their   function of lungs, thereby enhancing the ease of organoid
            biocompatibility and ability to promote cell growth.   creation. Krakos et  al. used EBB to  develop a  lab-on-a-
            The lung’s complex and hierarchical structure, with its   chip device that simulates the mechanical and biological
            branched airways and alveoli, poses a significant challenge   environment of the lung.  The researchers created six
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            for bioprinting. Precise control over the bioprinting   different hydrogel inks by varying the proportions of sodium
            process is essential to ensure that the printed structures   alginate, agar, chitosan, gelatin, and methylcellulose, and
            accurately replicate the native tissue‘s intricate geometry   optimized them with different bioprinting parameters.
            and functionality. This involves optimizing the printing   The hydrogel-based lab-on-chip composed of 3% sodium
            resolution and layer thickness to create detailed and   alginate, 7% gelatin, and 90% NaCl showed the highest
            functional lung models. Techniques such as multi-material   cell viability and had similar elasticity modulus values to
            bioprinting can be employed to print different cell types   biological tissues (0.060–0.512 MPa ) at 37°C conditions. 98
            and ECM components in a spatially controlled manner,
            closely  mimicking  the  heterogeneous  composition  of   While bioprinting has not yet fully simulated
            lung tissue. 74,95                                 lung structure, scaffolds have been developed that are
                                                               conducive to cell culture for use in  in vitro studies.
               Another important consideration is the mechanical   Gerbolés et al. created a hydrogel mixture by combining
            properties of the printed lung model. The lung tissue   Matrigel, porcine skin gelatin, and sodium alginate.
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            is subjected to cyclic stretching and relaxation during   To conduct  3D bioprinting of organoid-based scaffolds
            respiration, so the printed structures must exhibit similar   (OBST), the layered structure was based on 10% porcine
            mechanical behavior to native lung tissue. This requires   skin gelatin and 10% Matrigel, with variable proportions
            careful tuning of the bioink formulation and scaffold   of sodium alginate. Considering the viscosity to maintain
            design to achieve the appropriate elasticity and strength.   cell comfort, the sodium alginate concentration was fixed
            Incorporating materials that can undergo dynamic   at 2% at 35°C and the extrusion speed at 13 mm/s. The
            mechanical stimulation can help in replicating the   hydrogel mixture was then combined with Calu-3 cells, a
            physiological conditions of the lung, thereby enhancing the   human lung adenocarcinoma cell line, prior to bioprinting.
            functionality and longevity of the bioprinted lung model.  They reported that bioprinted Calu-3 cells treated with
               Furthermore, vascularization is a critical aspect of lung   colloidal toxic silver nanoparticles (AgNPs), known
            tissue engineering. The printed lung model must include   for their potential antitumor properties, exhibited half
            a perfusable vascular network to ensure the delivery of   maximal inhibitory concentration (IC ) values similar to
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                                                               toxicological studies conducted in mice.
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            nutrients and oxygen to the cells, as well as the removal of
            metabolic waste. This can be achieved through advanced   Urciuolo et al. demonstrated that a photosensitive
            bioprinting techniques that allow for the incorporation   polymer, 7-hydroxycoumarin-3-carboxylic acid (HCCA)-
            of  endothelial  cells  and  the  creation  of  microvascular   gelatin, can be added to Matrigel and subsequently
            Volume 10 Issue 6 (2024)                        7                                 doi: 10.36922/ijb.4092





