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International Journal of Bioprinting                                3D-bioprinted multicellular lung organoids





























            Figure 3. Improved structure of a lung organoid using 3D bioprinting. Traditional organoids generally consist of only alveolar type I (AT1) and alveolar
            type II (AT2) cells without extracellular matrix (ECM), resulting in a low similarity to the lung. On the other hand, 3D bioprinting-based lung organoid
            containing ECM and various cell types such as fibroblasts and vascular endothelial cells (ECs) has a high-degree resemblance to the organ. This diagram
            was created with BioRender.com.


            stable in shear recovery evaluation. This study highlights   recreate  these  intricate  networks.  Maintaining  perfusion
            the  potential  of  3D  bioprinting  in  creating  complex,   and ensuring the long-term culture of vascularized lung
            multi-cellular structures that are essential for accurately   organoids are additional challenges.  The development of
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            replicating lung physiology. 102                   bioreactors and dynamic culture systems that can provide
                                                               a continuous supply of nutrients and oxygen is essential for
               The field of 3D bioprinting for organoid and tissue   addressing these issues. Collaboration between biologists,
            modeling is poised for remarkable advancements, driven   engineers, and clinicians will be crucial for translating
            by ongoing research and technological innovation.   bioprinting advancements into clinical settings. Regulatory
            One promising direction is the integration of advanced   frameworks and ethical guidelines will need to evolve in
            bioinks, which can provide better support for cell viability   tandem with technological progress to ensure the safe and
            and functionality. These bioinks, enriched with growth   effective use of bioprinted tissues in regenerative medicine,
            factors, ECM components, and other biomolecules, could   drug testing, and disease modeling. 109
            significantly  enhance  the  complexity  and  functionality
            of bioprinted tissues. 103,104   In addition, the development   5. Conclusion
            of more sophisticated bioprinting techniques, such as
            light-assisted bioprinting,   volumetric bioprinting,    In summary, organoid and tissue modeling research
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            and microfluidics-assisted bioprinting,  can improve the   using  3D  bioprinting  has  shown  significant  progress  in
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            precision and resolution of tissue structures, enabling the   recreating complex tissue structures and modeling disease
            reproduction of complex vascular networks and organ-  environments. By applying bioprinting technologies, these
            specific microstructures. These advancements are crucial   studies overcome the limitations of conventional 3D tissue
            for overcoming current limitations in vascularization   modeling and pave the way for future innovations towards
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            and tissue complexity. The various bioprinting-based 3D   the bioprinting of therapeutic functional organs.
            lung modeling approaches are summarized in Table 1 and   However, many challenges remain, such as improving
            Figures 3 and 4.                                   the similarity and stability of bioprinted structures and
                                                               integrating functional vascular networks.  In addition,
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               Despite these advancements, several limitations and   significant improvements are needed in achieving uniform
            challenges remain in the development of vascularized lung   cell  distribution and  vascularization within  the  printed
            organoid models. Replicating the complex branching and   structures. Continued research and collaboration between
            hierarchical structure of native blood vessels is particularly   biomedical engineering, materials science, and clinical
            challenging. Current bioprinting techniques often struggle   disciplines are essential to resolve these challenges and
            to achieve the fine resolution required to accurately   fully realize the potential of bioprinting in medical science.


            Volume 10 Issue 6 (2024)                        9                                 doi: 10.36922/ijb.4092
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