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      3D Bioprinting: from Benches to Translational Applications

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          Abstract

          Over the last decades, the fabrication of three-dimensional (3D) tissues has become commonplace in tissue engineering and regenerative medicine. However, conventional 3D fabrication techniques such as scaffolding, microengineering, and fiber and cell sheet engineering are limited in their capacity to fabricate complex tissue constructs with the required precision and controllability that is needed to replicate biologically relevant tissues. To this end, 3D bioprinting offers great versatility to fabricate biomimetic volumetric tissues that are structurally and functionally relevant. It enables precise control of the composition, spatial distribution, and architecture of bioprinted constructs facilitating the recapitulation of the delicate shape and structure of targeted organs and tissues. Here we systematically review the history of bioprinting and the most recent advances in instrumentation and methods. We then focus on the requirements for bioinks and cells to achieve optimal fabrication of biomimetic constructs. We next discuss emerging evolutions and future directions of bioprinting such as freeform, high-resolution, multi-material, and four-dimensional bioprinting. Finally, we present the translational potential of bioprinting and bioprinted tissues of various categories and conclude by exemplifying commercially available bioprinting platforms.

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          Most cited references208

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          Electrospinning of Nanofibers: Reinventing the Wheel?

          D Li, Y Xia (2004)
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            An overview of tissue and whole organ decellularization processes.

            Biologic scaffold materials composed of extracellular matrix (ECM) are typically derived by processes that involve decellularization of tissues or organs. Preservation of the complex composition and three-dimensional ultrastructure of the ECM is highly desirable but it is recognized that all methods of decellularization result in disruption of the architecture and potential loss of surface structure and composition. Physical methods and chemical and biologic agents are used in combination to lyse cells, followed by rinsing to remove cell remnants. Effective decellularization methodology is dictated by factors such as tissue density and organization, geometric and biologic properties desired for the end product, and the targeted clinical application. Tissue decellularization with preservation of ECM integrity and bioactivity can be optimized by making educated decisions regarding the agents and techniques utilized during processing. An overview of decellularization methods, their effect upon resulting ECM structure and composition, and recently described perfusion techniques for whole organ decellularization techniques are presented herein. Copyright © 2011 Elsevier Ltd. All rights reserved.
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              Polymers for 3D Printing and Customized Additive Manufacturing

              Additive manufacturing (AM) alias 3D printing translates computer-aided design (CAD) virtual 3D models into physical objects. By digital slicing of CAD, 3D scan, or tomography data, AM builds objects layer by layer without the need for molds or machining. AM enables decentralized fabrication of customized objects on demand by exploiting digital information storage and retrieval via the Internet. The ongoing transition from rapid prototyping to rapid manufacturing prompts new challenges for mechanical engineers and materials scientists alike. Because polymers are by far the most utilized class of materials for AM, this Review focuses on polymer processing and the development of polymers and advanced polymer systems specifically for AM. AM techniques covered include vat photopolymerization (stereolithography), powder bed fusion (SLS), material and binder jetting (inkjet and aerosol 3D printing), sheet lamination (LOM), extrusion (FDM, 3D dispensing, 3D fiber deposition, and 3D plotting), and 3D bioprinting. The range of polymers used in AM encompasses thermoplastics, thermosets, elastomers, hydrogels, functional polymers, polymer blends, composites, and biological systems. Aspects of polymer design, additives, and processing parameters as they relate to enhancing build speed and improving accuracy, functionality, surface finish, stability, mechanical properties, and porosity are addressed. Selected applications demonstrate how polymer-based AM is being exploited in lightweight engineering, architecture, food processing, optics, energy technology, dentistry, drug delivery, and personalized medicine. Unparalleled by metals and ceramics, polymer-based AM plays a key role in the emerging AM of advanced multifunctional and multimaterial systems including living biological systems as well as life-like synthetic systems.
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                Author and article information

                Journal
                Small
                Small
                Wiley
                1613-6810
                1613-6829
                April 29 2019
                April 29 2019
                : 1805510
                Affiliations
                [1 ]Division of Engineering in MedicineDepartment of MedicineBrigham and Women's HospitalHarvard Medical School Cambridge MA 02139 USA
                [2 ]Department of Biomaterials Science and TechnologySection Targeted TherapeuticsTechnical Medical CentreUniversity of Twente Enschede 7500AE The Netherlands
                [3 ]Key Laboratory of Textile Science and TechnologyCollege of TextilesDonghua University Shanghai 201620 P. R. China
                [4 ]Biomedical Engineering LaboratoryInstituto Tecnológico y de Estudios Superiores de Monterrey Monterrey Nuevo León 64849 Mexico
                [5 ]Center of Biomedical Materials 3D PrintingNational Engineering Laboratory for Polymer Complex Structure Additive Manufacturing Baoding 071000 P. R. China
                [6 ]Department of BioengineeringGebze Technical University 41400 Gebze Kocaeli Turkey
                [7 ]Sabanci University Nanotechnology Research and Application CenterSabancı University 34956 Tuzla Istanbul Turkey
                [8 ]Key Laboratory for Biomechanics and Mechanobiology of Ministry of EducationSchool of Biological Science and Medical EngineeringBeijing Advanced Innovation Center for Biomedical EngineeringBeihang University Beijing 100083 China
                [9 ]Department of Plastic and Reconstructive SurgeryRenji HospitalShanghai Jiao Tong University School of Medicine Shanghai 200127 P. R. China
                [10 ]Biosensor National Special LaboratoryKey Laboratory of Biomedical Engineering of Education MinistryDepartment of Biomedical EngineeringZhejiang University Hangzhou 310027 P. R. China
                [11 ]Department of Clinical Chemistry and HematologyUniversity Medical Center Utrecht Utrecht 3584 CX The Netherlands
                [12 ]Holland Regenerative Medicine ProgramUniversity of Nebraska Medical Center Omaha NE 68198 USA
                Article
                10.1002/smll.201805510
                6752725
                31033203
                69a70a4b-7673-4c65-a5ba-e4a36afba14d
                © 2019

                http://doi.wiley.com/10.1002/tdm_license_1.1

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