Abstract

Significant progress has been made over the past few decades in the development of in vitro-engineered substitutes that mimic human skin, either as grafts for the replacement of lost skin, or for the establishment of in vitro human skin models. Tissue engineering has been developing as a novel strategy by employing the recent advances in various fields such as polymer engineering, bioengineering, stem cell research and nanomedicine. Recently, an advancement of 3D printing technology referred as bioprinting was exploited to make cell loaded scaffolds to produce constructs which are more matching with the native tissue. Bioprinting facilitates the simultaneous and highly specific deposition of multiple types of skin cells and biomaterials, a process that is lacking in conventional skin tissue-engineering approaches. Bioprinted skin substitutes or equivalents containing dermal and epidermal components offer a promising approach in skin bioengineering. Various materials including synthetic and natural biopolymers and cells with or without signalling molecules like growth factors are being utilized to produce functional skin constructs. This technology emerging as a novel strategy to overcome the current bottle-necks in skin tissue engineering such as poor vascularization, absence of hair follicles and sweat glands in the construct.

Highlights

  • Skin is the outermost protecting sheath of human body and is in direct contact with the external environment which makes it highly susceptible to injury

  • The best option of skin tissue engineering is the use of autografts though it is limited by the amount and size of available grafts besides other factors such as creation of a secondary wound and other risks (Zöller et al 2014)

  • We summarize the outcomes, challenges and future prospects of skin bioprinting

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Summary

Introduction

Skin is the outermost protecting sheath of human body and is in direct contact with the external environment which makes it highly susceptible to injury. The biomaterial itself should be biocompatible and should enhance cell attachment and migration They should be suitable for the incorporation of other materials and active agents that provide functional or structural support to the printed construct. To develop functional skin tissue using 3D bioprinting, it is necessary to allow the formation of vascularized constructs and the networking of them by anastomosis with host vasculature Towards this goal, Chen et al achieved to generate dense microvasculature in 3D hydrogels by encapsulating ECs and hMSCs in gelatin hydrogel (Chen et al 2012). The final goal of bioprinting technology is the construction of a fully functional skin equivalent with vascular channels and all necessary appendages (hair follicles, sweat glands, sebaceous glands) by the simultaneous printing of cells and other agents, subsequently transplanted and anastomosed with native blood circulation. In addition to the need of technical and outcome standardization, rigorous randomized controlled trials and long term follow up data are required to determine the potency and oncological risk

Compliance with ethical standards
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