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International Journal of Bioprinting                                         3D printed edible bird’s nests



            to  phospholipids,  demonstrating  that  the engineered and   components from the feeding layer and the loading capacity
            natural EBN regulated lipid metabolism to varying degrees.   of the receiving layer, with attention to possible loss during
            These outcomes might add weight to previous findings that   this process. Second, we used laboratory cell culture in this
            EBN intake could inhibit high fat diet-induced oxidative   proof-of-concept study, while in future scale-up scenarios,
            stress and insulin resistance, potentially attenuating the   bioreactors and related facilities are required for maintaining
            coagulation effects of high-fat diets in vivo [37,38] .   high viability of large cell numbers. Third, culturing of either
               The KEGG enrichment analysis revealed the metabolic   primary or immortalized cells of multiple species could be
            mechanism differences between the two groups. As shown   compared, taking into account the production (e.g., cost,
            in  Figure  5K,  the  serum  metabolic  pathways  (P  <  0.05   manufacturing) issues. Last but not the least, discussions on
            and pathway impact >0) influenced by our new approach   legal and ethical issues associated with the TeeBN should
            mainly focused on metabolism, organismal system, and   be further developed such as what food safety monitoring
            human diseases pathways, with lipid metabolism, glycan   systems should be established to ensure the quality of
            biosynthesis and metabolism, nervous system, and   TeeBN products, and how to label TeeBN products that
            infectious disease (viral) significantly upregulated.   can accurately describe features of the product and protect
                                                               consumers from misleading advertisement.
               Overall, the data indicated that the intake of TeeBN had
            highly similar effects compared with the natural EBN-I, from   4. Conclusion
            a metabolomics perspective. The only detectable differences
            were limited to a few aspects, such as lipid metabolism [37,39] .   Our  study  demonstrated  a  prototype  of  substitutes  for
            These findings again proved our assumption that TeeBN   natural EBN based on in vitro culture of epithelial cells in
            had the potential to provide a comparable nutritional value   3D-printed matrices,  inspired  by the  tissue engineering
            as natural EBN, while preventing the huge environmental   technology that grows human tissue cells in biomaterials
            costs rendered by wild harvesting.                 scaffolds.  We  focused on  evaluation  of the  viability  and
                                                               secretion functionality of epithelial cells in the engineered
               Our study resonates with recent works in the field of   matrices, termed as the feeding layer, which ensured the
            cellular agriculture, represented by cell-based meat, which   production of nutritional factors mimicking the natural
            “grows” animal-based products from mammalian cell   process  carried  out  in  the  salivary  gland  of  the  birds.
            culture instead of harvesting from live animals . In 2020,   We also highlighted that such factors could smoothly
                                                 [40]
            Singapore approved the world’s first cell-cultured chicken   diffuse from the feeding layer to a receiving layer with
            for sale, which is seen as a landmark moment for the future   well-defined, food-scale components. The final products
            lab-grown meat industry . Based on the production   preserved the main ingredients traditionally assumed to be
                                 [41]
            process of TeeBN, TeeBN products are expected to have   nutritional in natural EBN, including EGF and sialic acids,
            more market opportunities. For example, different from   while avoiding contamination of harmful microbial and
            cell-cultured meat production, living cells in fabricating   chemical substances. The engineered products had a similar
            TeeBN  only  serve  to  secrete  the  active  ingredients  from   metabolic profile as natural EBN in mice, thereby showing
            the feeding layer. The cells are excluded from the receiving   the potential to reduce or replace excessive farming of wild
            layer and do not become part of the final products. In   bird’s nests that is accompanied by huge environmental
            this regard, TeeBN would encounter fewer regulatory   and ecological costs. Further, biotechnological, ethical, and
            hurdles for premarket approvals than cell-cultured meat   legal investigations are required to accelerate development
            in many jurisdictions, even in the European Union, where   of such products toward commercialization.
            the authority has adopted possibly the most stringent
            regulations on novel foods globally . Moreover, the   Acknowledgments
                                           [42]
            manufacturing process of TeeBN will dramatically reduce
            the  risk  of  human–animal  disease  transmission and   We thank Ms. Ruoyu Mu and Mr. Zhencheng Liao for
            exposure  to  harmful  heavy  metals,  which  will  decrease   technical discussion on  in vivo  experiments and 3D
            public health and heavy metal poisoning risks. In addition,   printing, respectively.
            the open platform of the receiving layer allows for the easy
            addition  of  nutritional  ingredients  or  even  extra  flavor   Funding
            condiments, enabling more tailored services that satisfy   This study was funded by the Science and Technology
            consumers’ different demands.
                                                               Development Fund, Macau SAR (File no. 0060/2020/
               Toward a successful commercialization of TeeBN,   AGJ and 0097/2019/A2), Shenzhen-Hong Kong-
            future research can focus on several possibilities. The first   Macau  Science and  Technology  Program  Category C
            is on better control of the release kinetics of the active   (SGDX20201103092803014) of the Shenzhen Science


            Volume 9 Issue 5 (2023)                         12                          https://doi.org/10.18063/ijb.691
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