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International Journal of Bioprinting                                             Evolution of bioprinting



            3.2.4. Progression toward four-dimensional (4D)    rapid vascularization after patch application to the affected
            bioprinting                                        tissue, and enabling repair of infarcted areas .
                                                                                                  [77]
            During 2015, it was demonstrated that the tissue      A  technique  that  allows  the  creation  of  scaffolds
            construct made of soft hydrogels reinforced with high-  morphologically and structurally similar to the extracellular
            porosity microfiber networks had stiffness and elasticity   matrix by thermally induced autoagglomeration of
            comparable to that of articular cartilage tissue, providing   nanofibers and electro-spinning PLA and polycaprolactone
            a  basis  for  reproducing  tissue  constructs  with  biological   (PCL) nanofibers was developed . Furthermore, the
                                                                                           [78]
            and mechanical compatibility . Besides, the composition   importance of pore geometry and the effect it has on cell
                                   [62]
            of  a  bioink  containing  graphene  was  manipulated  to   behavior and function have been demonstrated, with 30°
            alter  a  range  of parameters  such as  adhesion,  viability,   and 60° scaffolds restoring ovarian tissue in sterilized mice,
            proliferation, and differentiation of mesenchymal cells to   which were able to produce offspring by natural mating .
                                                                                                           [79]
            neurological tissue due to its high conductivity .  The possibility of printing functional living components
                                                 [63]
               The use of alginate bioink with nanocellulose, which   with bacteria signifies the possibility of obtaining materials
            has excellent shear-thinning properties, as a matrix for the   that can perform different functions, as in the case of
            printing of cartilage tissue, was seen as a possibility , and   the 3D printing of bioinks with Acetobacter xylinum and
                                                    [64]
            another bioink composed of polyethylene glycol, sodium   Pseudomonas putida, capable of producing cellulose for
            alginate, and nanoclay with high cell strength and viability   medical use and degrading pollutants, respectively, at the
                                                                       [80]
            was also developed for the printing of cartilage tissue . A   same time . Separately, the development of a functional
                                                      [65]
            major breakthrough was the bioprinting of encapsulated   mouse  thyroid  gland  capable  of  normalizing  thyroxine
            primary neural cells into brain-like structures using   levels in the blood and regulating body temperature after
                                                                                                     [81]
            gellan gum as bioink , and hydrogels with adjustable   engraftment is another noteworthy achievement .
                              [66]
            mechanical properties through light irradiation were   In 2018, the refinement of bioprinting materials for
            becoming increasingly important .                  bone regeneration , as well as the study of possible
                                      [67]
                                                                              [82]
               During 2016, an integrated organ and tissue printer   combinations of hydrogels and their printing parameters
            was developed, capable of manufacturing stable human-  to obtain the best possible results continued [83,84] . The
            scale tissue constructs of any shape by printing cell-loaded   study of the tumor microenvironment and its role in cell
            hydrogels  together with biodegradable polymers ,   communication in cancer development continued, in order
                                                        [68]
            and in general, the printing of complex tissues with   to recreate this type of tissue as faithfully as possible using
            good  vascularization  was  increasingly  perfected [69,70] .   bioprinting technologies, and thus achieve more specific
                                                                                               [85]
            The combination of different hydrogels to optimize the   and realistic assays to combat the disease .
            properties of the printed structure as much as possible was   Bioprinting of a full-thickness human skin model was
            also gaining importance .                          achieved using skin-derived extracellular matrix composite
                               [71]
                                                                     [86]
               A 3D biomimetic liver model that mimics the     bioinks . New studies on the use of graphene in 3D printing
            characteristic morphological organization of liver cells   of neural tissue showed that it promoted axonal growth
            for use in disease replication and early drug detection   and remyelination after peripheral nerve injury, with great
                                                                                                        [87]
            was successfully developed . A bioprinting method to   potential for preclinical and clinical applications . In
                                  [72]
            create 3D human renal proximal tubules in vitro that are   addition, research on producing transplant-ready corneal
            completely embedded within extracellular matrix and   prostheses has begun; although a suitable final structure
            housed in perfusable tissue chips was also developed;   has not yet been achieved, obtaining bioprinted keratocytes
            the viability of these bioprinted tubules was successfully   with high cell viability was the successful first step toward
                                                                      [88]
            maintained for more than 2 months [73,74] .        this goal . The bioprinting of oligodendrocytes together
                                                               with precisely and concretely printed spinal neuronal
               The use of sound waves as “acoustic tweezers” has been   progenitor cells also opened the door to the reconstruction
            explored for precise and non-invasive manipulation of   of functional axonal connections in areas of tissue damage
            single and whole cells to create two-dimensional (2D) and   in the central nervous system .
                                                                                      [89]
            3D structures . In vivo monitoring of bioprinted tissues   In 2019, pH-driven gelation control was found to provide
                       [75]
            using sensors, such as non-invasive electronic readout of   20-µm filament resolution, a porous microstructure that
            contractile stresses and drug responses of cardiac tissues,   enables rapid cell infiltration and microvascularization,
            was first started in 2017 .
                               [76]
                                                               and mechanical strength for vasculature fabrication and
                                                                                              [90]
               The impression quality of cardiac tissue was improved   perfusion in cardiac tissue regeneration . The printing of
            by pre-vascularizing it  prior  to implantation, achieving   cellularized human hearts with a natural architecture was

            Volume 9 Issue 4 (2023)                        372                         https://doi.org/10.18063/ijb.742
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