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REVIEW ARTICLE

           Advances of 3D Printing in Vascularized Organ

           Construction


           Shenglong Li , Siyu Liu , Xiaohong Wang *
                                   2
                                                      2,3
                        1,2
           1 Department of Bone and Soft Tissue Tumor Surgery, Cancer Hospital of China Medical University, Liaoning Cancer
           Hospital and Institute, Shenyang, China
           2 Center of 3D Printing and Organ Manufacturing, School of Intelligent Medicine, China Medical University, Shenyang,
           China
           3 Center of Organ Manufacturing, Department of Mechanical Engineering, Tsinghua University, Beijing, China

           Abstract: In the past several decades, three-dimensional (3D) printing has provided some viable tissues and organs for
           repairing or replacing damaged tissues and organs. However, the construction of sufficient vascular networks in a bioartificial
           organ has proven to be challenging. To make a fully functional bioartificial organ with a branched vascular network that can
           substitute its natural counterparts, various studies have been performed to surmount the limitations. Significant progress has
           been achieved in 3D printing of vascularized liver, heart, bone, and pancreas. It is expected that this technology can be used
           more widely in other bioartificial organ manufacturing. In this review, we summarize the specific applications of 3D printing
           vascularized organs through several rapid prototyping technologies. The limitations and future directions are also discussed.

           Keywords: 3D printing; Vascularized organs; Organ manufacturing; Tissue engineering; Stem cells

           *Correspondence to: Xiaohong Wang, Center of 3D Printing and Organ Manufacturing, School of Intelligent Medicine, China Medical University,
           No. 77 Puhe Road, Shenyang North New Area, Shenyang 110122, China; wangxiaohong709@163.com or wangxiaohong@tsinghua.edu.cn

           Received: March 16, 2022; Accepted: May 24, 2022; Published Online: July 7, 2022
           (This article belongs to the Special Issue: Advances in the Application of Bioprinted Biomaterials in Tissue Engineering)
           Citation: Li S, Liu S, Wang X., 2022, Advances of 3D Printing in Vascularized Organ Construction. Int J Bioprint, 8(3):588. http://doi.
           org/10.18063/ijb.v8i3.588

           1. Introduction                                     advanced biotechnologies [3,4] . Especially, patient-specific
                                                               cells can be cultivated  in the laboratory  and combined
           Organ  is a  collection  of  tissues  that  structurally  form   with biomaterials for personalized  manufacturing
           a functional unit specialized  to perform one or more
           particular  functions. A  few typical examples of organs   and malfunctional  organ restoration.  This became the
           include sensory organs, internal organs, hollow organs,   prototype  for customized  organ engineering  in three-
           and support organs. Organ failure of liver, heart, kidney,   dimensional (3D) printing areas.
           and lung accounts for over millions  death  worldwide   Despite the improvement of the quality of human
           annually and has resulted in huge burden in health   life, the repair of organ defects caused by diseases,
           care.  There  is a booming demand of donors for organ   congenital  malformations,  and  traffic  accidents  has
           transplantation . For example, about 1.5 million patients   become a huge social burden, which forms a powerful
                       [1]
           in our country (China) who need to receive organ    driving  force  for the  development  of 3D printing  or
           transplants each year, but <1% of them can get suitable   manufacturing of human organs [5,6] . The principal target
           donors .  It  is  significantly  challenging  to  fulfill  the   of organ manufacturing lies in developing fully functional
                [2]
                                                                                                       [7]
           needs  for transplantation  just  from  human  donors.  To   bioartificial organs that are sustainable in vivo . Some
           solve the problem of organ shortage, great efforts have   parts of organs, such as the bone, skin, heart, and others,
           been made to create bioartificial organs with multiple cell   have been constructed . However, only a few of these
                                                                                  [8]
           types, biocompatible  materials (i.e.,  biomaterials),  and   studies  have  successfully  translated  the  bioartificial
           © 2022 Author(s). This is an Open-Access article distributed under the terms of the Creative Commons Attribution License, permitting distribution and
           reproduction in any medium, provided the original work is properly cited.
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