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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Three-dimensional bioprinting of gelatin

                                        methacryloyl hydrogel with a tri-layered
                                        vascularized architecture for full-thickness

                                        skin regeneration



                                        Yichen Luo 1 id , Dan Li 2 id , Cai Lin 3 id , Xue Zhou 1 id , Jien Ma * , and Bin Zhang *
                                                                                        4 id
                                                                                                        1 id
                                        1  State Key Laboratory of Fluid Power & Mechatronic Systems, School of Mechanical Engineering,
                                        Zhejiang University, Hangzhou, Zhejiang, China

                                        2  Department of Electro-Hydraulic Technology and Equipment Research Center, Binhai Industrial
                                        Technology Research Institute of Zhejiang University, Tianjin, China
                                        3
                                        Department  of  Burn,  The  First  Affiliated  Hospital  of  Wenzhou  Medical  University,  Wenzhou,
                                        Zhejiang, China
                                        4  Department of Electrical Engineering, College of Electrical Engineering, Zhejiang University,
                                        Hangzhou, Zhejiang, China
                                        (This article belongs to the Special Issue: Advances in 3D Bioprinting)

                                        Abstract

                                        The skin is the largest organ of the human body and is the primary barrier against
            *Corresponding authors:     external  stressors.  However,  in  cases  of  severe  skin  damage  or  pathological
            Bin Zhang
            (zbzju@zju.edu.cn)          conditions, the body’s natural physiological repair mechanisms are often insufficient
            Jien Ma                     to support effective skin tissue repair and regeneration. Bioprinting, a form of three-
            (majien@zju.edu.cn)         dimensional (3D) printing technology, utilizes various biomaterials and cells to
                                        construct complex 3D structures, offering the potential to overcome the limitations
            Citation: Luo Y, Li D, Lin C, Zhou X,
            Ma J, Zhang B. Three-dimensional   of conventional tissue-engineered skin and to develop functional skin substitutes.
            bioprinting of gelatin methacryloyl   In this study, we developed a 3D bioprinter with excellent printing performance to
            hydrogel with a tri-layered   fabricate vascularized skin  substitutes.  Through methacrylic anhydride-mediated
            vascularized architecture for full-
            thickness skin regeneration.    modification of gelatin, we synthesized gelatin methacryloyl (GelMA) with varying
            Int J Bioprint. 2025;11(4):328-349.   degrees of substitution. The resulting GelMA hydrogel exhibited excellent mechanical
            doi: 10.36922/IJB025090069  properties, swelling ratio, porosity, and rheological properties. To create a hydrogel-
            Received: February 26, 2025  multicellular composite bio-ink, we adjusted the concentration of the GelMA solution
            1st revised: March 24, 2025  and co-cultured human immortalized epidermal cells, human foreskin fibroblasts, and
            2nd revised: April 14, 2025
            Accepted: April 15, 2025    human umbilical vein endothelial cells to optimize biological function. Importantly,
            Published online: April 16, 2025  by fine-tuning the printing parameters, the 3D extrusion-printed lines successfully
                                        fused into a continuous membrane, enhancing interlayer bonding and mechanical
            Copyright: © 2025 Author(s).
            This is an Open Access article   integrity. This process enabled the  construction of  a vascularized skin substitute
            distributed under the terms of the   with distinct reticular and papillary layers. In addition, the 3D-printed vascularized
            Creative Commons Attribution   skin was implanted into skin defect models established in BALB/c nude mice and
            License, permitting distribution,
            and reproduction in any medium,   New Zealand rabbits to  investigate  its regenerative capabilities.  These  findings
            provided the original work is   hold significant implications for the utilization of 3D-printed vascularized skin for
            properly cited.             improving skin injury repair, thereby advancing the field of skin tissue engineering.
            Publisher’s Note: AccScience
            Publishing remains neutral with
            regard to jurisdictional claims in   Keywords: Three-dimensional bioprinting; Gelatin methacryloyl; Skin injury;
            published maps and institutional   Vascularized skin
            affiliations.




            Volume 11 Issue 4 (2025)                       328                            doi: 10.36922/IJB025090069
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