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International Journal of Bioprinting                                         3D bioprinting for lung tissue
































            Figure  1.  Types of 3D bioprinting, including inkjet-based bioprinting, extrusion-based bioprinting, laser-assisted bioprinting, and other emerging
            technologies. Created with BioRender (www.biorender.com).
            a combination of these biomaterials with advanced 3D   extruded through a nozzle or a syringe, lithography
            bioprinting techniques proves highly promising.    bioprinting, and inkjet-based bioprinting, where small
                                                               droplets of bioink are deposited layer by layer. To achieve
            3. Macroscale 3D bioprinting                       the desired tissue morphology (especially the complex
            3.1. Macroscale 3D bioprinting techniques          respiratory system) in macroscale bioprinting, various
            Macrobioprinting application addresses the medical   factors need to be considered, including the biomaterial
            requirements to develop transplantable tissue structures   inks, the design of printing patterns, and the optimization
            that meet feasible anatomical dimensions on a      of printing parameters.
            macroscale . Macroscale 3D bioprinting focuses on     Macroscale 3D bioprinting for lung tissue involves
                     [25]
            creating larger and more complex tissue constructs (e.g.,   the fabrication of larger-scale structures that mimic the
            artificial trachea) that closely resemble natural tissues   architecture and functionality of native lung tissue .
                                                                                                           [31]
                                              [26]
            in terms of their macroscopic features . Macroscale   By accurately depositing material inks and creating
            bioprinting materials and strategies have shown significant   appropriate scaffolds, researchers can recreate the
            progress in TE, encompassing the overall shape, structure,   structural organization necessary for proper lung function
            and volume of printed biological tissues . Macroscale 3D   (Figure 2A). The construction of macroscale lung tissue
                                           [27]
            bioprinting involves the use of larger bioink formulations   can be deposited layer by layer using techniques like
            and printing strategies to create 3D structures . These   3D bioprinting or assembled into larger structures
                                                  [28]
            bioink materials need to possess biocompatibility,   to mimic the desired lung tissue architecture . This
                                                                                                      [32]
            biodegradability,  bioabsorbability,  and  printability.  technology facilitates precise deposition of biomaterials,
            The bioink also incorporates biomaterials, which act   such as hydrogels, in a controlled manner, enabling the
            as a support structure and provide cues for cell growth   construction of intricate structures that mimic the native
            and tissue formation. Commonly used biomaterials in   macroscale tissues . Macroscale 3D bioprinting for
                                                                              [33]
            macroscale bioprinting include hydrogels (e.g., alginate,   lung tissue holds promise for various applications and
            gelatin, or collagen) or synthetic polymers . In addition to   potentially transplantation in the future.
                                             [29]
            biomaterials, macroscale bioprinting allows for the printing
            of various cell types, including stem cells, differentiated   3.2. Macroscale 3D bioprinting for lung tissue
            cells, or a combination of multiple cell types . Macroscale   recapitulation and application
                                              [30]
            bioprinting employs different strategies to deposit bioink   3D spheroid bioprinting technology has the potential
            and  build  3D  structures.  The  most  common  methods   to create human lung tissues on a macroscale, utilizing
            include  extrusion-based  bioprinting,  where  bioink  is   biomaterial scaffolds, which can include the intricate


            Volume 9 Issue 6 (2023)                        438                          https://doi.org/10.36922/ijb.1166
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