Page 379 - IJB-9-4
P. 379

International Journal of Bioprinting                                             Evolution of bioprinting



            3D hierarchical organizations with the aim of recreating   subjected [47] . The importance of dopants in hydrogels,
            multicellular tissues and organs was observed, and new   such as silica and zinc oxide in tricalcium phosphate
            developments in material transfer processes at micrometer   scaffolds, was also uncovered, and the dopants allowed
            and nanometer scales  were  seen .  In addition, the  key   faster cell proliferation compared to pure tricalcium
                                      [23]
            message  from  the  First  Annual  Charleston  Bioprinting   phosphate scaffolds [48] . In addition, printing of
            Symposium, organized by the Medical University of South   cardiac tissue with a combination of biomaterials and
            Carolina’s Bioprinting Research Center, demonstrated that   cardiomyocyte progenitor cells [49] , as well as the 3D
            despite many technological challenges, bioprinting which   printing of an aortic valve [49] , was tested, and good results
            was a rapidly evolving technology at that time is a feasible   were obtained.
            solution to organ shortage .
                                 [24]
                                                               3.2.3. Early achievements in bioprinting
               In 2007, articles concerning the huge potential of
            bioprinting and its possibilities in tissue engineering   In 2013, a bioabsorbable airway splint was created to
                                                               treat tracheobronchomalacia, a condition that makes
            began to surface [25,26] , and new symposia were held on the   some newborns difficult to breathe . Apart from that,
                                                                                            [50]
            subject . In 2008, owing to the emergence of new studies   the feasibility of manufacturing complex heterogeneous
                 [27]
            connecting bioprinting and bone regeneration and studies   tissue constructs containing multiple cell types was also
            on the use of hydroxyapatite in scaffolds, the importance of   demonstrated using inkjet printing technologies , and
                                                                                                       [51]
            exploring the use of bioprinting in bone regeneration was   with regard to laser-assisted bioprinting, successful 3D
            repeatedly highlighted [28-33] .
                                                               printing of a cellular construct with subsequent  in  vivo
               In 2009, a multi-drug implant containing isoniazid and   tissue formation was achieved for the creation of a skin-like
            timed-release rifampicin was developed using 3D printing   tissue consisting of different cell types forming a complex
            to treat bone tuberculosis, implying another important   pattern .
                                                                     [52]
            potential application of this technique . Direct printing   A very important milestone was represented
                                           [34]
            of living cells in alginate gel was also performed with an   by the bioprinting of a heterogeneous aortic valve
            inkjet printing system , and the recreation of skin grafts   using alginate-gelatin hydrogels, demonstrating that
                             [35]
            was achieved by printing collagen hydrogel precursors,   anatomically complex and heterogeneously encapsulated
            fibroblasts, and keratinocytes . Besides, the introduction   aortic valve hydrogel conduits could be fabricated
                                   [36]
            of light-curing inks [37,38]  and the successful bioprinting of   with 3D bioprinting [53] . The time most people saw
            microvasculature  and  also  vascular  tissue  without  the   the budding, real potential of hydrogels in the field of
                          [39]
            use of scaffolds  had catapulted bioprinting technique to   bioprinting is when the use of methacrylated gelatine
                        [40]
            a new height.                                      (GelMA)  started  to  gain  traction;  upon  exposure  to
               Throughout 2010, there was a continuous development   ultraviolet light, GelMA is able to increase its stiffness
            of high-performance laser printing of cells and    and swelling properties, which are the mechanical
            biomaterials , and the hydrogels were established as   properties conducive for bioprinting [54] . Another
                      [41]
            the materials of choice for the future development of   breakthrough in the development of bionic tissues and
            direct biofabrication techniques [42,43] . In addition, a 3D   organs is represented by the reproduction of a human ear
            microscale liver tissue analog was biofabricated to evaluate   that was achieved by 3D-printing a cell-seeded hydrogel
            pharmacokinetic profiles . In 2011, a bioprinter that was   matrix with an inductive coil antenna inside, which
                                [44]
            quite similar to the current inkjet printers was developed;   provides radiofrequency reception capability [55] .
            its mechanism was based on the layer-by-layer deposition   In 2014, a printing method was developed to build
            of customized ink in adherence to complex image data,   vascular channels  inside  the  printed  structures, which
            increasing the printer’s ability to mimic the conformation   allows cell viability to be maintained in thicker tissues,
            of tissue structures .
                           [45]
                                                               allowing the cells to grow and mature after printing [56-58] .
               In 2012, the possibility of using amniotic fluid-  Tumor recreations were also carried out for study. For
            derived cells in bioprinting was studied, with very   instance, HeLa cells were 3D-printed to generate an
            positive results in the treatment of wounds, in which the   in vitro cervical tumor model , and it was shown that the
                                                                                      [59]
            rate of angiogenesis was higher than that of the single   pressure and shape of the needle used in bioprinting could
            application of mesenchymal cells or fibrocollagen gel [46] .   affect cell viability . Furthermore, due to the complexity
                                                                             [60]
            The great importance of endowing 3D engineered tissues   of the composition of the extracellular matrix and its
            with perfused vascular channels is also demonstrated,   important role in cell development and survival, bioinks
            which solved the problem of nuclear necrosis to which   made of decellularized extracellular matrix were created
            densely populated tissues lacking such channels were   and became more tissue-specific .
                                                                                         [61]

            Volume 9 Issue 4 (2023)                        371                         https://doi.org/10.18063/ijb.742
   374   375   376   377   378   379   380   381   382   383   384