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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        Exosome-based bioinks for 3D bioprinting

                                        applications in tissue engineering and
                                        regenerative medicine



                                        Qian Wang , Yang Liu , Shuqing Zhang , Fan He , Tong Shi , Jizong Li *,
                                                 1†
                                                           1†
                                                                          1
                                                                                          3
                                                                                                    3
                                                                                  2
                                        Zhimin Wang *, and Jia Jia *
                                                               1,2
                                                   4
                                        1 School of Life Sciences, Shanghai University, Shanghai, China
                                        2 Sino-Swiss Institute of Advanced Technology, School of Micro-electronics, Shanghai University,
                                        Shanghai, China
                                        3 Shanghai Center of Biomedicine Development, Shanghai, China
                                        4 Shanghai-MOST Key Laboratory  of Health  and Disease  Genomics, Shanghai  Institute for
                                        Biomedical and Pharmaceutical Technologies (SIBPT), Shanghai, China
                                        (This article belongs to the Special Issue: 3D Printing for Tissue Engineering and Regenerative Medicine)
                                        Abstract

                                        Bioprinting is an emerging technology for tissue engineering and regenerative
                                        medicine. Despite its fast, accurate manufacture for tissues and organs  in  vitro,
                                        bioprinting has been seriously limited for biofabrication because of the restricted
                                        approaches to reproducing the extracellular matrix (ECM) with sufficient bioactivities
            † These authors contributed equally   for bioprinted cells. Exosomes are natural biological particles with proteins, lipids,
            to this work.
                                        or genetic materials. They have distinct properties and unique biological functions
            *Corresponding authors:     to manipulate cellular behaviors and cell fates, showing great potential to support
            Jizong Li (jizongli@stcsm.sh.gov.cn)  cells for bioprinting. Here, we reviewed the recent progresses of exosome-advanced
            Zhimin Wang
            (wangzhm@chgc.sh.cn)        bioprinting  for tissue  engineering  and  regenerative  medicine.  Firstly,  we  offer  an
            Jia Jia                     overview of the basics of exosomes and the current representative applications of
            (jiajia748@126.com)         exosomes in bone tissue engineering, immunological regulations, angiogenesis, and
                                        neural regenerations. Then, a brief introduction about the bioinks and the currently
            Citation: Wang Q, Liu Y, Zhang S,
            et al., 2023, Exosome-based bioinks   developed bioprinting methods is provided. We further give an in-depth review of the
            for 3D bioprinting applications in   biomedical applications of bioprinting with exosomes, majorly in bone engineering,
            tissue engineering and regenerative   vascular engineering, therapy of neuron injury, and skin regeneration.  We also
            medicine. Int J Bioprint, 9(6): 0114.
             https://doi.org/10.36922/ijb.0114  conclude with an outlook on the challenges of the unmet needs of bioprinting cells
                                        with correspondent ECM environments through bioprinting with exosomes.
            Received: April 4, 2023
            Accepted: May 12, 2023
            Published Online: July 7, 2023
                                        Keywords: Exosomes; Bioprinting; Bioinks; Regenerative medicine; Tissue
            Copyright: © 2023 Author(s).   engineering
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,   1. Introduction
            provided the original work is
            properly cited.             Bioprinting is derived from three-dimensional (3D) printing technology. It can apply
            Publisher’s Note: AccScience   cells, proteins, DNA, and other biological materials into personalized 3D models or
            Publishing  remains neutral with   3D biological functional structures through printing technology in vitro. Bioprinting
            regard to jurisdictional claims in
            published maps and institutional   operated  with  computer-assisted  designs  (CADs)  has  exhibited  the  potential  to
            affiliations.               reproduce the complexity of native tissues in terms of the mechanical properties, the



            Volume 9 Issue 6 (2023)                        110                         https://doi.org/10.36922/ijb.0114
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