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International Journal of Bioprinting                     Decellularized  materials for bioprinting of liver constructs






































                           Figure 4. Concept of decellularization approaches based on chemical, physical, and enzymatic procedures.

            physiological features in 3D bioprinted constructs.   printed constructs in a culture medium for seven days, the
            Skardal et al. conducted an interesting study to fabricate   human hepatocellular carcinoma cells were able to produce
            liver  constructs  by implementing dECM/HA/gelatin   liver-specific functions (albumin and urea secretion).
            blended bioink utilizing an extrusion-based bioprinting   Interestingly, human bone marrow-derived mesenchymal
            approach [124] . To prepare bioinks, the authors used two-  stem cells showed an enhanced differentiation process
            crosslinker and two-stage polymerization chemistry. In the   (Figure 7). Yu  et al. prepared photo-crosslinkable bioink
            first approach, multi-arm polyethylene glycol acrylate (PEG   solutions using dECM derived from pig liver, gelatin,
            4-Arm) was used as crosslinker and (4-(2-hydroxyethoxy)   methacryloyl prepolymer, and lithium phenyl-2,4,6
            phenyl-(2-propyl) ketone as photoinitator. In the second   trimethylbenzoylphosphinate [126] . They used a custom-
            strategy, multi-arm polyethylene glycol acrylate (PEG   built digital light processing (DLP)-based scanningless and
            8-Arm) alkyne was used as a crosslinker. The pre-bioink   continuous 3D bioprinting system for the biofabrication
            was formed through the UV light irradiation and thiol-  of liver structures. Biopatterned constructs based on
            alkyne polymerization reaction. Liver spheroids comprised   hepatocytes derived from human induced pluripotent stem
            of  primary  human  hepatocytes, primary human  stellate   cells (hiPSCs) were cultured for seven days, and cell viability
            cells, and primary human Kupffer cells were encapsulated   and expression levels of cell-specific genes were evaluated.
            in the blended solution. For functional assessment,   Live/dead staining showed that biopatterned constructs
            bioprinted structures were maintained for 14 days. Using   were able to maintain viability throughout the experimental
            this model, the authors demonstrated that the printed   period. In addition, high-magnification bioimaging
            spheroids maintained consistent viability rate, and   confirmed the formation of clusters and hexagonal patterns
            recapitulated hepatic functions, such as albumin secretion   over seven days. Kim et al. prepared a composite bioink
            and urea synthesis.                                solution based on porcine liver-derived dECM, gelatin,
               Similarly, Lee  et al. developed 3D liver constructs   and hyaluronic acid [127] . The authors used multidispensing
            using porcine liver-derived decellularized material   bioprinting system equipped with a Nano master SMP-III for
            and polycaprolactone-based hybrid bioink solution   creating the micropatterns of primary mouse hepatocytes.
            supplemented with human hepatocellular carcinoma cells   Their  findings  demonstrated  that  introducing  dECM
            and human bone marrow-derived mesenchymal stem     microparticles into the composite bioink significantly
            cells [125] . The authors demonstrated that after incubating the   improved 3D printability and mechanical integrity. Overall

            Volume 9 Issue 3 (2023)                        346                          https://doi.org/10.18063/ijb.714
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