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3D Bioprinted Organoids
           experiments, to screen potential drug targets for treating   with the structure of natural human corneal stroma by
           Alzheimer’s disease . In the past, the act of culturing   obtaining stem cells from the corneas of healthy donors
                            [74]
           brain-like  organs  often  produced  only  one  cell  type  of   and mixing them with gel (Figure 8A) . The pancreas
                                                                                                [77]
           interest  when transcription  factors  were  overexpressed,   is a relatively small organ, but its functional and
           rather than the multiple  cell  type structures found in   structural  complexity  have  always  made  it  difficult  to
           natural  tissues.  Therefore,  Mark  et  al.  used  a  multi-  make mechanistic breakthroughs. Kim et al. attempted
           material bioprinting technique in which they differentiated   to develop pancreatic tissue constructs enriched with
           on-demand  orthologous  regions  composed  of  neural   3D islets for use as a source to enhance key functions
           stem cells, endothelium, and neurons from a mixed class   of pancreatic tissue . The formation of lung organoids
                                                                               [78]
           of embryos overexpressing transcription  factors and   begins with the differentiation of hPSC into a stereotyped
           wild-type human induced stem cells (hiPSCs) . When   endoderm,  followed  by  differentiation  into  a  foregut
                                                  [75]
           conducting drug screening, a protocol that is simple to   endoderm, and finally into lung organoids. Recently, Han
           operate  and  highly  reproducible  is  required.  Recently,   et al. constructed the first lung organoids for the study
           researchers  printed  PCL  scaffolds  to  culture  brain-like   of  COVID-19  and  screened  therapeutic  agents .  In  a
                                                                                                       [79]
           organs and designed them into structures with favorable   previous report, Grigoryan et al. used stereolithography
           diffusion conditions for engineered flat brain organoids   as a 3D bioprinting technique to create a small 3D printed
           (efBOs)  (Figure  7B).  The  efBOs  were  fabricated  in  a   lung model with a multivessel network and “breathing”
           highly simplified manner. In addition, this was the first   function (Figure 8B) . Conventional breast organoid 3D
                                                                                [80]
           study to report the preparation of an in vitro model of   culture involves mixing dispersed mammary epithelial
           neural tissue with an intrinsic gyrus .             cells in an ECM matrix before gelling and subsequent
                                         [7]
                                                               self-organization into organoid structures [81,82] . However,
           4.7. Other organoids                                there is a large variation between batches of such
           The cornea possesses a complex structure. It is divided   fabricated  mammary  organoids.  To  address  this  issue,
           into five layers from anterior to posterior: the epithelial   John et al. reported the bioprinting of mammary organoids
           cell layer, preelastic layer, stromal layer, posterior elastic   in collagen with minimal variation from batch to batch
           layer,  and  endothelial  cell  layer.  Therefore,  culturing   (Figure  8C and D) .  More  recently,  more  bionic
                                                                                 [83]
           corneal organoids poses certain challenges. Considering   assemblies have been proposed based on the concept
           the complex spatial structure, bioprinting may have   of organoids. Professor Kunyoo Shin’s team at Pohang
           some  advantages.  Isaacson  et al.  designed  corneas   University of Science and Technology in South Korea

            A                                              B




























           Figure 7. (A) Schematic representation of the flow of human induced PSCs developing into forebrain cells. (B) Comparison of tissue core
           between regular brain organoids and efBOs. Immunohistochemical staining of NES and TUBB3 was performed to visualize cells. DAPI
           was used as counterstain. (Adapted with permission from Trevino AE, et al., Science, 367: eaay1645, Copyright 2020, The American
           Association for the Advancement of Science ) and (Adapted with permission from Theresa S P Rothenbücher et al., Biofabrication,
                                            [72]
           2021,13 011001, IOP Publishing Ltd ).
                                     [76]
           30                          International Journal of Bioprinting (2021)–Volume 7, Issue 3
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