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International Journal of Bioprinting                         3D printing of smart constructs for precise medicine
































            Figure 1. Illustration of 3D-printed or -bioprinted smart constructs with various intelligent functions in response to external or internal stimuli and their
            biomedical applications for tissue regeneration, drug delivery, and diagnosis or monitoring.

            materials selected as the basal matrix. Even microcarriers
            of cells (e.g., micro-spheroids and  -cylinders) and cell
            aggregates  (composed  of  only  cells)  qualify  as  bioinks.
            However, to support cell viability and performance, bioinks
            should provide a friendly environment that optimally
            mimics the native microenvironment of the human body.
            Therefore, bioactive hydrogels that resemble the structure
            and composition of the natural extracellular matrix (ECM)
            are commonly used in bioinks (Figure 2). Based on their
            source, hydrogel bioinks can be divided into two categories,
            natural (e.g., collagen, gelatin, alginate, chitosan, cellulose,
            fibrin, and their derivatives) and synthetic bioinks (e.g.,
            polyethylene glycol (PEG) and Pluronic F127), which have
            been comprehensively reviewed .
                                     [19]
              In addition, the fabrication techniques designed for each
            biomaterial and bioink should be classified accordingly.
            Since cells are vulnerable to harsh manufacturing
            conditions, such as heat, moisture, pH, osmotic pressure,
            and irradiation, 3D printing techniques used for building
            structures using biomaterials might not be applicable   Figure  2.  A  schematic for categorizing prevalent 3D printing and
            for bioinks. 3D bioprinting, which is based on several   bioprinting techniques and distinguishing bioinks from biomaterial inks.
            conventional 3D printing techniques, has been developed
            to utilize bioinks to fabricate living constructs.  or polymerization) in a layer-by-layer manner to rapidly
                                                               construct 3D objects by following complex designs that
            2.2. General overview of conventional 3D printing   are  difficult  to produce  using  traditional  manufacturing
            techniques                                         approaches, such as milling, cutting, drilling, and

            3D printing, also known as additive manufacturing (AM)   lathing . Since its invention in the 1980s, 3D printing
                                                                    [20]
            or rapid prototyping, is a versatile fabrication technique   techniques have been applied to a broad range of domains,
            that can assemble a wide range of materials using   such as engineering, medicine, military, food industry, and
            various principles (e.g., deposition, binding, sintering,   education. Its distinctive advantages and vast demands in


            Volume 9 Issue 1 (2023)                        232                      https://doi.org/10.18063/ijb.v9i1.638
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