Abstract

Three-dimensional (3D) printing is well acknowledged to constitute an important technology in tissue engineering, largely due to the increasing global demand for organ replacement and tissue regeneration. In 3D bioprinting, which is a step ahead of 3D biomaterial printing, the ink employed is impregnated with cells, without compromising ink printability. This allows for immediate scaffold cellularization and generation of complex structures. The use of cell-laden inks or bio-inks provides the opportunity for enhanced cell differentiation for organ fabrication and regeneration. Recognizing the importance of such bio-inks, the current study comprehensively explores the state of the art of the utilization of bio-inks based on natural polymers (biopolymers), such as cellulose, agarose, alginate, decellularized matrix, in 3D bioprinting. Discussions regarding progress in bioprinting, techniques and approaches employed in the bioprinting of natural polymers, and limitations and prospects concerning future trends in human-scale tissue and organ fabrication are also presented.

Highlights

  • Tissue engineering is an emerging discipline, aimed at regeneration, repairing or building up of functional tissues or organs similar to human organs [1]

  • Recognizing the importance of such bio-inks, the current study comprehensively explores the state of the art of the utilization of bio-inks based on natural polymers, such as cellulose, agarose, alginate, decellularized matrix, in 3D bioprinting

  • Given the dependence of constructs’ cell differentiation, proliferation and mechanical characteristics on the bio-ink properties, it is anticipated that research into the utilization of biopolymers as natural polymers and polysaccharide-based polymers in the development of bio-ink formulations will increase

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Summary

Introduction

Tissue engineering is an emerging discipline, aimed at regeneration, repairing or building up of functional tissues or organs similar to human organs [1]. The use of bio-ink containing other biomaterials may provide additional mechanical support for the bioprinted cells, helping them to organize, migrate and differentiate autonomously to form functional tissues [7]. It is, possible to manufacture physiologically complex human heterogeneous tissues in a personalized manner. A consideration of these previous studies shows that most research in this area tends to focus on only natural-based hydrogels (i.e., either polysaccharide or protein based) In this regard, the present review discusses recent progress in the design and development of hydrogel-based, natural bio-inks for 3D bioprinting in tissue engineering and regenerative medicine, in a comprehensive manner. Tarheetdheanta translated to enable the estimation of the material amount needed to be extruded, which depends on the desired layer height and width in accordance with bio-ink shape (e.g., droplets or filaments) [39]

Cell and Bio-Ink Preparation
Bioprinting Process
Post-Bioprinting
Extrusion-Based Bioprinters
Droplet-Based Bioprinters
Laser-Assisted Bioprinters
Vat Polymerization-Based Bioprinters
Critical
Nozzle Orifice Size, Geometry and Applied Pressure
Printing Speed
Volumetric Flow Rate
Rheological Properties of Bio-Inks
Hydrogels and Tissue Engineering
Bio-Ink Crosslinking Ability
Bio-Ink Biocompatibility
Bio-Ink Cell Viability and Proliferation
Bio-Ink Printability
Hydrogel Water Content and Swelling Behavior
Hydrogel Diffusion and Solute Transportation
Hydrogel Degradability
Hydrogel Mechanical Properties
Polysaccharide-Based Bio-Inks
Multi-Component Bio-Inks
Recent Trends in Bioprinting and Bio-Inks
Findings
Future Trends and Conclusions
Full Text
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