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International Journal of Bioprinting                                        Printed organoids for medicine




            derived  cell  types,  can serve  as suitable  in vitro  hepatic   2.5.1. Structural recapitulation of glandular units
            models for drug efficacy testing and studies on liver   Glandular tissues, characterized by intricate acinar-ductal
            metabolism.  Moreover, these hydrogels can be viewed   networks, demand bioprinting strategies that mimic their
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            as compliant with good manufacturing practices for   branched  morphology.  For  salivary  glands,  magnetically
            expanding liver cells and organoids, offering a safer   guided 3D bioprinting enables precise assembly of epithelial
            alternative to basement membrane extracts derived   spheroids using iron oxide nanoparticles, replicating
            from tumorigenic cell lines commonly used in research.   acinar-ductal  polarity  and  neural  responsiveness. 85,86
            Despite challenges such as weak mechanical properties   Similarly, coaxial microfluidic bioprinting generates cell-
            and limited printability that impede the direct use of   laden  microfibers  and  tubules,  bypassing  xenogeneic
            dECM hydrogels as bioinks, various modifications to   matrices  like Matrigel to create  hierarchical ductal
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            both the dECM and the bioprinting process have been   systems.  In sweat gland regeneration, GelMA-printed
            implemented to address these issues. Challenges in scaling   pore-structured matrices (300 µm diameter) guide
            up and manufacturing dECM hydrogels include undefined   epidermal progenitors to self-organize into lumenized
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            manufacturing standards, variable production methods   glands, a process absent in non-printed controls.  These
            affecting reproducibility, and considerations for animal-  findings underscore the critical role of bioprinted scaffolds
            derived sources, such as variability, harvesting conditions,   in dictating morphogenesis through topographical and
            and bioburden reduction.                           mechanical cues.
               Bioprinted  hepatorganoids  have  demonstrated  2.5.2. Functional maturation and secretory capacity
            remarkable progress in recapitulating hepatocytic   Functional maturation of bioprinted glands relies on
            functions, including albumin secretion, cytochrome   dynamic biochemical signaling and perfusion. For
            P450 activity, and bile canaliculi formation. 77,78  These   endocrine glands, the encapsulation of stem cell-derived
            advancements hold significant potential for disease   β-cells within alginate/gelatin scaffolds has been shown
            modeling, pharmaceutical development, and regenerative   to restore glucose-responsive insulin secretion in diabetic
            therapies. 79,80   Nevertheless, challenges persist, including   models.  Another pancreatic organoid demonstrated
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            the need for diverse fabrication techniques, real-time   that mouse insulinoma 6 β-cell constructs, printed
            monitoring of drug responses in perfusion cultures, the   using  the  freeform  reversible  embedding  of  suspended
            ability to replicate intricate microenvironments of live   hydrogels technique and embedded in vascularized
            sinusoids, and the achievement of long-term functional   hydrogels, exhibited glucose-stimulated insulin secretion
            stability (>30 days)  in vitro. Despite these hurdles,   under perfusion, achieving a 4.6-fold increase in
            3D bioprinting remains a groundbreaking strategy   insulin output compared to static cultures.  In salivary
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            for hepatorganoid engineering. Advances in machine   glands, magnetically assembled organoids demonstrate
            learning-guided parameter optimization and perfusion   acetylcholine-responsive fluid secretion, mirroring native
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            bioreactors are addressing these limitations, enhancing the   neuroepithelial interactions.
            scalability of hepatorganoids for transplantation. 78,81,82  Bioink design is pivotal for maintaining cell viability
            2.5. Recapitulation of glandular properties via    and glandular functionality. Chitosan-based bioinks
            bioprinting                                        blended with polycaprolactone or glycine methacrylate
            Glandular organoids, such as pancreatic islets and salivary   enhance printability and mechanical strength while
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            glands, demand precise biomaterial cues to maintain   supporting acinar cell proliferation.  Shear-thinning
            secretory functions and ductal morphogenesis. The ability   nanocellulose-alginate composites enable high-resolution
            of 3D bioprinting to spatially define cellular architectures   printing of cartilage-like structures, with chondrocyte
            and  ECM  microenvironments  has  revolutionized  the   viability exceeding 86% after 7 days, a principle adaptable
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            engineering of glandular tissues, enabling precise   to glandular applications.  These advancements highlight
            replication  of  secretory  epithelia,  ductal  networks,   the interplay between bioink rheology, crosslinking
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            and functional polarization.  In parallel, bioprinting   kinetics, and glandular morphogenesis.
            technology  has  successfully  recreated  branching  ductal   A critical challenge lies in mimicking the dynamic
            networks in mammary and prostate organoids using   ECM remodeling of native glands, which regulate cell
            hyaluronic acid-based bioinks functionalized with growth   differentiation through stiffness gradients and protease-
            factor gradients.  Recent advances highlight its potential   sensitive linkages.  Recent work leveraging 4D bioprinting
                         6,84
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            in reconstructing salivary, pancreatic, and mammary   with enzyme-responsive polymers has enabled time-
            gland models with native-like secretory functions and   dependent ECM degradation, guiding self-organization of
            structural hierarchies.                            acinar and ductal structures. 46,93  Notably, 4D bioprinting

            Volume 11 Issue 4 (2025)                        74                            doi: 10.36922/IJB025190184
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