通过三维生物打印实现的血管组织工程进展。

Advances in tissue engineering of vasculature through three-dimensional bioprinting.

作者信息

Zhu Junjin, Wang Yuting, Zhong Linna, Pan Fangwei, Wang Jian

机构信息

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

出版信息

Dev Dyn. 2021 Dec;250(12):1717-1738. doi: 10.1002/dvdy.385. Epub 2021 Jul 2.

Abstract

BACKGROUND

A significant challenge facing tissue engineering is the fabrication of vasculature constructs which contains vascularized tissue constructs to recapitulate viable, complex and functional organs or tissues, and free-standing vascular structures potentially providing clinical applications in the future. Three-dimensional (3D) bioprinting has emerged as a promising technology, possessing a number of merits that other conventional biofabrication methods do not have. Over the last decade, 3D bioprinting has contributed a variety of techniques and strategies to generate both vascularized tissue constructs and free-standing vascular structures.

RESULTS

This review focuses on different strategies to print two kinds of vasculature constructs, namely vascularized tissue constructs and vessel-like tubular structures, highlighting the feasibility and shortcoming of the current methods for vasculature constructs fabrication. Generally, both direct printing and indirect printing can be employed in vascularized tissue engineering. Direct printing allows for structural fabrication with synchronous cell seeding, while indirect printing is more effective in generating complex architecture. During the fabrication process, 3D bioprinting techniques including extrusion bioprinting, inkjet bioprinting and light-assisted bioprinting should be selectively implemented to exert advantages and obtain the desirable tissue structure. Also, appropriate cells and biomaterials matter a lot to match various bioprinting techniques and thus achieve successful fabrication of specific vasculature constructs.

CONCLUSION

The 3D bioprinting has been developed to help provide various fabrication techniques, devoting to producing structurally stable, physiologically relevant, and biologically appealing constructs. However, although the optimization of biomaterials and innovation of printing strategies may improve the fabricated vessel-like structures, 3D bioprinting is still in the infant period and has a great gap between in vitro trials and in vivo applications. The article reviews the present achievement of 3D bioprinting in generating vasculature constructs and also provides perspectives on future directions of advanced vasculature constructs fabrication.

摘要

背景

组织工程面临的一项重大挑战是构建血管化结构,其中包括含有血管化组织构建体以重现可行、复杂且功能正常的器官或组织,以及独立的血管结构,这些结构未来可能具有临床应用价值。三维(3D)生物打印已成为一项有前景的技术,具有许多传统生物制造方法所不具备的优点。在过去十年中,3D生物打印贡献了多种技术和策略来生成血管化组织构建体和独立的血管结构。

结果

本综述重点关注打印两种血管化结构的不同策略,即血管化组织构建体和血管样管状结构,突出了当前血管化结构制造方法的可行性和缺点。一般来说,直接打印和间接打印均可用于血管化组织工程。直接打印允许在同步接种细胞的情况下进行结构制造,而间接打印在生成复杂结构方面更有效。在制造过程中,应选择性地采用包括挤出生物打印、喷墨生物打印和光辅助生物打印在内的3D生物打印技术,以发挥优势并获得理想的组织结构。此外,合适的细胞和生物材料对于匹配各种生物打印技术并从而成功制造特定的血管化结构至关重要。

结论

3D生物打印已得到发展,以帮助提供各种制造技术,致力于生产结构稳定、生理相关且具有生物学吸引力的构建体。然而,尽管生物材料的优化和打印策略的创新可能会改善制造的血管样结构,但3D生物打印仍处于起步阶段,在体外试验和体内应用之间存在很大差距。本文综述了3D生物打印在生成血管化结构方面的当前成果,并为先进血管化结构制造的未来方向提供了展望。

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