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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        Bioprinting technology for the management

                                        of diabetic foot disease: Emerging applications,
                                        challenges, and prospects



                                        Fan Xu , Shunli Rui , Cheng Yang , Xiaoyan Jiang , Wei Wu , Xianlun Tang ,
                                                                    1
                                                        1
                                              1
                                                                                         2
                                                                                                      3
                                                                                 1
                                        David G. Armstrong , Yu Ma *, and Wuquan Deng *
                                                                1
                                                                                  1
                                                         4
                                        1 Department  of Endocrinology, School  of Medicine,  Chongqing  Emergency Medical  Center,
                                        Chongqing University Central Hospital, Chongqing 400014, China
                                        2 Key Laboratory for Biorheological Science and Technology of Ministry of Education, State and
                                        Local Joint Engineering Laboratory for Vascular Implants, Bioengineering College of Chongqing
                                        University, Chongqing 400030, China
                                        3 Chongqing  Key  Laboratory of  Complex Systems  and Bionic Control,  College of  Automation,
                                        Chongqing University of Posts and Telecommunications, Nan’an district, Chongqing 400065, China
                                        4 Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles,
                                        CA 90033, USA
                                        (This article belongs to the Special Issue: Bioprinting strategies for managing skin diseases and injuries)
                                        Abstract
                                        Most conventional therapies have limitations in the repair of complex wounds caused
                                        by chronic inflammation in patients with diabetic foot ulcers (DFUs). In response to
                                        the demand for more biotechnology strategies, bioprinting has been explored in
                                        the regeneration field in recent years. However, challenges remain regarding the
            *Corresponding authors:     structure of complex models and the selection of proper biomaterials. The purpose
            Yu Ma (81846846@qq.com)     of this review is to introduce the current applications of bioprinting technology
            Wuquan Deng                 in chronic diabetic foot wound healing. First, the most common application of
            (wuquandeng@cqu.edu.cn)
                                        bioprinting in producing skin equivalents to promote wound healing is introduced;
            Citation: Xu F, Rui S, Yang C, et al.,   second, functional improvements in the treatment of chronic and difficult-to-
            2023, Bioprinting technology for
            the management of diabetic foot   heal DFU wounds facilitated by bioprinting applications are discussed; and last
            disease: Emerging applications,   but not least, bioprinting applications in addressing unique diabetic foot disease
            challenges, and prospects. Int J   characteristics are summarized. Furthermore, the present work summarizes material
            Bioprint, 9(6): 0142.
            https://doi.org/10.36922/ijb.0142  selection and correlations between three-dimensional (3D) bioprinting and a variety
                                        of  biomimetic  strategies  for  accelerating  wound  healing.  Novel,  biotechnological
            Received: April 17, 2023    tools such as organoids for developing new biomaterials for bioprinting in the future
            Accepted: June 12, 2023
            Published Online: July 31, 2023  are also discussed.
            Copyright: © 2023 Author(s).
            This is an Open Access article   Keywords: Bioprinting; Wound; Skin; Diabetic foot disease; Biomaterial
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.             1. Introduction
            Publisher’s Note: AccScience   Bioprinting is an emerging technology with widespread applications in regenerative
            Publishing remains neutral with   medicine . In recent years, various types of scaffold materials and biomaterial inks
                                               [1]
            regard to jurisdictional claims in   have been developed for biomedical applications . Currently, bioprinting is used
                                                                                 [2]
            published maps and institutional
            affiliations.               not only for implants and treatment in vivo but also for model construction and


            Volume 9 Issue 6 (2023)                        222                        https://doi.org/10.36922/ijb.0142
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