To What Extent Can Tissue Engineering and 3D Bioprinting Be Used to Create Functional and Vascularized Human Organs?

Authors

DOI:

https://doi.org/10.62802/87vgra44

Keywords:

Organ Transplantation , Tissue Engineering, 3D Organ Bioprinting , Organ Donor Shortage , Immunosuppression , Rejection Risks , Transplant Waiting Lists , Patient Mortality Rates

Abstract

Organ transplantation, a cornerstone of modern medicine for more than 60 years, faces significant challenges due to limited organ donor availability, organ rejection, and immunosuppression risks. The increasing prevalence of diseases and longer life expectancy have intensified the demand for transplantation, leading to longer waiting lists and increased mortality rates. To address these issues, recent advances in tissue engineering and 3D bioprinting offer promising alternatives. While tissue engineering builds functional tissues from biomaterials and stem cells, 3D bioprinting organises cells layer by layer to create living organs. 3D bioprinting techniques are categorised as extrusion-based, inkjet, and laser-assisted methods. Extrusion-based bioprinting, the most common, uses pneumatic or mechanical systems to dispense bio-ink but struggles with high-viscosity bio-inks and cell viability. Inkjet bioprinting, which deposits bio-inks in droplets, achieves high cell viability but faces droplet consistency and heat sensitivity challenges. Laser-assisted bioprinting eliminates nozzle-related issues and provides high resolution but can damage bio-ink components due to shear forces. Despite these limitations, 3D bioprinting has significant potential to advance organ transplantation by developing functional human organs, thus addressing the critical organ shortage.

References

Fleck A. Infographic: The Organ Shortage Crisis in the U.S. [Internet]. Statista Infographics. 2022. Available from: https://www.statista.com/chart/27495/organ-donation-waiting-list-and-completed-transplants/ (Date accessed 19/09/23)

Parihar A, Pandita V, Kumar A, Paridhar DS, Puranik N, Bajpai T, et al. 3D printing: Advancement in biogenerative engineering to combat shortage of organs and bioapplicable materials. Regenerative Engineering and Translational Medicine. 2022;8(2):173-199. https://doi.org/10.1007/s40883-021-00219-w (Date accessed 16/09/23)

Xia Z, Jin S, Ye K. Tissue and organ 3D bioprinting. SLAS Technology: Translating Life Sciences Innovation. 2018 Feb 23;23(4):301-14. Available from: https://doi.org/10.1177/2472630318760515 (Date accessed 19/09/23)

Shinkar K, Rhode K. Could 3D extrusion bioprinting serve to be a real alternative to organ transplantation in the future? Annals of 3D Printed Medicine. 2022 May;7:100066. Available from: https://doi.org/10.1016/j.stlm.2022.100066 (Date accessed 22/09/23)

Bishop ES, Mostafa S, Pakvasa M, Luu HH, Lee MJ, Wolf JM, et al. 3-D bioprinting technologies in tissue engineering and regenerative medicine: Current and future trends. Genes & Diseases [Internet]. 2017 Dec;4(4):185-95. Available from: https://doi.org/10.1016/j.gendis.2017.10.002 (Date accessed 24/09/23)

Blaeser A, Duarte Campos DF, Puster U, Richtering W, Stevens MM, Fischer H. Controlling shear stress in 3d bioprinting is a key factor to balance printing resolution and stem cell integrity. Advanced Healthcare Materials. 2015 Dec 2;5(3):326-33. Available from: https://doi.org/10.1002/adhm.201500677 (Date accessed 24/09/23)

Xu HQ, Liu JC, Zhang ZY, Xu CX. A review on cell damage, viability, and functionality during 3D bioprinting. Military Medical Research. 2022 Dec 16;9(1). https://doi.org/10.1186/s40779-022-00429-5 (Date accessed 24/09/23)

Li N, Guo R, Zhang ZJ. Bioink formulations for bone tissue regeneration. Frontiers in Bioengineering and Biotechnology. 2021 Feb 5;9.

https://doi.org/10.3389/fbioe.2021.630488 (Date accessed 24/09/23)

Yu J, Park SA, Kim WD, Ha T, Xin YZ, Lee J, et al. Current advances in 3d bioprinting technology and its applications for tissue engineering. Polymers. 2020 Dec 11;12(12):2958. https://doi.org/10.3390/polym12122958 (Date accessed 24/09/23)

Xu T, Jin J, Gregory C, Hickman JJ, Boland T. Inkjet printing of viable mammalian cells. Biomaterials [Internet]. 2005 Jan;26(1):93-9. Available from: https://doi.org/10.1016/j.biomaterials.2004.04.011 (Date accessed 24/09/23)

Saini G, Segaran N, Mayer JL, Saini A, Albadawi H, Oklu R. Applications of 3d bioprinting in tissue engineering and regenerative medicine. Journal of Clinical Medicine. 2021 Oct 26;10(21):4966. Available from: https://doi.org/10.3390/jcm10214966 (Date accessed 26/09/23)

Ventura RD. An overview of laser-assisted bioprinting (LAB) in tissue engineering applications. Medical Lasers. 2021 Jun 30;10(2):76-81. https://doi.org/10.25289/ML.2021.10.2.76 (Date accessed 27/09/23)

Yu J, Park SA, Kim WD, Ha T, Xin YZ, Lee J, et al. Current advances in 3d bioprinting technology and its applications for tissue engineering. Polymers. 2020 Dec 11;12(12):2958. https://doi.org/10.3390/polym12122958 (Date accessed 27/09/23)

Types of Bioprinting. Diagram. faCellitate. [Internet] https://facellitate.com/what-are-the-types- of-3d-bioprinting-technologies/ (Date accessed 27/09/23)

Phillips PL, Wolcott RD, Cowan LJ, Schultz GS. 3 - Biofilms in wounds and wound dressing [Internet]. ScienceDirect. 2016 [cited 2023 Sep 29]. p.55-78. Available from: https://doi.org/10.1016/B978-1-78242-456-7.00003-9 (Date accessed 29/09/23)

O'Brien FJ. Biomaterials & scaffolds for tissue engineering. Materials Today. 2011 Mar;14(3):88-95.

https://doi.org/10.1016/S1369-7021(11)70058-X (Date accessed 29/09/23)

Tappa K, Jammalamadaka U. Novel biomaterials used in medical 3d printing techniques. Journal of Functional Biomaterials [Internet]. 2018 Feb 7;9(1):17. Available from: https://doi.org/10.3390/jfb9010017 (Date accessed 29/09/23)

Liu F, Wang X. Synthetic polymers for organ 3d printing. Polymers. 2020 Aug 7;12(8):1765. https://doi.org/10.3390/polym12081765 (Date accessed 29/09/23)

Maia J, Sobreiro-Almeida R, Cleymand F, Mano JF. Biomaterials of human source for 3D printing strategies. Journal of Physics: Materials. 2023 Jan 1;6(1):012002-2. https://doi.org/10.1088/2515-7639/acada1 (Date accessed 29/09/23)

Puertas-Bartolomé M, Mora-Boza A, García-Fernández L. Emerging biofabrication techniques: A review on natural polymers for biomedical applications. Polymers [Internet]. 2021 Apr 8;13(8):1209. Available from: https://doi.org/10.3390/polym13081209

Dippold D, Cai A, Hardt M, Boccaccini AR, Horch RE, Beier JP, et al. Investigation of the batch-to-batch inconsistencies of collagen in PCL-collagen nanofibers. Materials Science and Engineering: C. 2019 Feb;95:217-25. https://doi.org/10.1016/j.msec.2018.10.057 (Date accessed 29/09/23)

Scientists combined natural and artificial polymers to create materials with high biocompatibility [Internet]. www.Newswise.com. [cited 2023 Sep 29]. Available from: https://www.newswise.com/articles/scientists-combined-natural-and-artificial-polymers-to-create-materials-with-high-biocompatibility (Date accessed 29/09/23)

Gil-Castell O, Badia JD, Ontoria-Oviedo I, Castellano D, Sepúlveda P, Ribes-Greus A. Polycaprolactone/gelatin-based scaffolds with tailored performance: In vitro and in vivo validation. Materials Science and Engineering: C [Internet]. 2020 Feb 1;107:110296. Available from: https://doi.org/10.1016/j.msec.2019.110296 (Date accessed 29/09/23)

Azarudeen RS, Hassan MN, Yassin MA, Thirumarimurugan M, Muthukumarasamy N, Velauthapillai D, et al. 3D printable polycaprolactone-gelatin blends characterized for in vitro osteogenic potency. Reactive and Functional Polymers [Internet]. 2020 Jan 1 [cited 2023 Sep 29];146:104445. Available from: https://doi.org/10.1016/j.reactfunctpolym.2019.104445 (Date accessed 29/09/23)

Mir A, Lee E, Shih W, Koljaka S, Wang A, Jorgensen C, et al. 3D Bioprinting for vascularization. Bioengineering (Basel, Switzerland). 2023 May 18;10(5):606-6. https://doi.org/10.3390/bioengineering10050606 (Date accessed 22/10/23)

Carmeliet P, Jain RK. Angiogenesis in cancer and other diseases. Nature [Internet]. 2000 Sep;407(6801):249-57. Available from: https://doi.org/10.1038/35025220 (Date accessed 22/10/23)

Ramadan Q, Zourob M. 3D Bioprinting at the frontier of regenerative medicine, pharmaceutical, and food industries. Frontiers in Medical Technology. 2021 Jan 28;2. https://doi.org/10.3389/fmedt.2020.607648 (Date accessed 22/10/23)

Wu CA, Zhu Y, Woo YJ. Advances in 3D bioprinting: techniques, applications, and future directions for cardiac tissue engineering. Bioengineering [Internet]. 2023 Jul 1 [cited 2023 Oct 23];10(7):842. Available from: https://doi.org/10.3390/bioengineering10070842 (Date accessed 22/10/23)

Jafarkhani M, Salehi Z, Aidun A, Shokrgozar MA. Bioprinting in vascularization strategies. Iranian Biomedical Journal [Internet]. 2019 Jan 1 [cited 2020 Jul 21];23(1):9-20. Available from: https://doi.org/10.29252/ibj.23.1.9 (Date accessed 22/10/23)

Hicklin DJ, Ellis LM. Role of the vascular endothelial growth factor pathway in tumor growth and angiogenesis. Journal of Clinical Oncology. 2005 Feb 10;23(5):1011-27. https://doi.org/10.1200/JCO.2005.06.081 (Date accessed 22/10/23)

Al-Ostoot FH, Salah S, Khamees HA, Khanum SA. Tumor angiogenesis: Current challenges and therapeutic opportunities. Cancer Treatment and Research Communications. 2021;28:100422. https://doi.org/10.1016/j.ctarc.2021.100422 (Date accessed 22/10/23)

Rabin RC. Doctors Transplant Ear of Human Cells, Made by 3-D Printer. The New York Times [Internet]. 2022 Jun 2; Available from: https://www.nytimes.com/2022/06/02/health/ear-transplant-3d-printer.html (Date accessed 25/10/23)

Woman's ear rebuilt with 3D-printed living tissue implant [Internet]. The Guardian. 2022. Available from: https://www.theguardian.com/science/2022/jun/02/womans-ear-rebuilt-with- 3d-printed-living-tissue-implant (Date accessed 25/10/23)

Engineers 3D-print a New Lifelike Liver Tissue for Drug Screening [Internet]. today.ucsd.edu. Available from: https://today.ucsd.edu/story/engineers_3d_print_a_new_lifelike_liver_tissue_for_drug_screening (Date accessed 25/10/23)

Gao G, Ahn M, Cho WW, Kim BS, Cho DW. 3D printing of pharmaceutical application: Drug screening and drug delivery. Pharmaceutics. 2021 Aug 31;13(9):1373. https://doi.org/10.3390/pharmaceutics13091373 (Date accessed 25/10/23)

Munoz-Abraham AS, Rodriguez-Davalos MI, Bertacco A, Wengerter B, Geibel JP, Mulligan DC. 3D printing of organs for transplantation: Where are we and where are we heading? Current Transplantation Reports. 2016 Feb 22;3(1):93-9. https://doi.org/10.1007/s40472-016-0089-6 (Date accessed 25/10/23)

frontpage

Published

2024-07-05 — Updated on 2024-08-17