Recent Advances in Extrusion‐Based 3D Printing for Biomedical Applications

Additive manufacturing, or 3D printing, has become significantly more commonplace in tissue engineering over the past decade, as a variety of new printing materials have been developed. In extrusion-based printing, materials are used for applications that range from cell free printing to cell-laden bioinks that mimic natural tissues. Beyond single tissue applications, multi-material extrusion based printing has recently been developed to manufacture scaffolds that mimic tissue interfaces. Despite these advances, some material limitations prevent wider adoption of the extrusion-based 3D printers currently available. This progress report provides an overview of this commonly used printing strategy, as well as insight into how this technique can be improved. As such, it is hoped that the prospective report guides the inclusion of more rigorous material characterization prior to printing, thereby facilitating cross-platform utilization and reproducibility.

[1]  Hermann Seitz,et al.  A review on 3D micro-additive manufacturing technologies , 2012, The International Journal of Advanced Manufacturing Technology.

[2]  Anthony Atala,et al.  A hydrogel bioink toolkit for mimicking native tissue biochemical and mechanical properties in bioprinted tissue constructs. , 2015, Acta biomaterialia.

[3]  James J. Yoo,et al.  Hybrid printing of mechanically and biologically improved constructs for cartilage tissue engineering applications , 2012, Biofabrication.

[4]  Wenmiao Shu,et al.  Three-dimensional bioprinting of complex cell laden alginate hydrogel structures , 2015, Biofabrication.

[5]  Dhruv R. Seshadri,et al.  A Review of Three-Dimensional Printing in Tissue Engineering. , 2016, Tissue engineering. Part B, Reviews.

[6]  Mark A. Skylar-Scott,et al.  Three-dimensional bioprinting of thick vascularized tissues , 2016, Proceedings of the National Academy of Sciences.

[7]  T. Singer,et al.  Bioprinted 3D Primary Liver Tissues Allow Assessment of Organ-Level Response to Clinical Drug Induced Toxicity In Vitro , 2016, PloS one.

[8]  A. M. Grigoryev,et al.  3D printing of PLGA scaffolds for tissue engineering. , 2017, Journal of biomedical materials research. Part A.

[9]  Ali Khademhosseini,et al.  Extrusion Bioprinting of Shear‐Thinning Gelatin Methacryloyl Bioinks , 2017, Advanced healthcare materials.

[10]  Gordon G Wallace,et al.  Functional 3D Neural Mini‐Tissues from Printed Gel‐Based Bioink and Human Neural Stem Cells , 2016, Advanced healthcare materials.

[11]  Chibum Lee,et al.  A desktop multi-material 3D bio-printing system with open-source hardware and software , 2017 .

[12]  Jesse K. Placone,et al.  3D Printed Vascular Networks Enhance Viability in High-Volume Perfusion Bioreactor , 2016, Annals of Biomedical Engineering.

[13]  David J. Williams,et al.  A 3D bioprinting exemplar of the consequences of the regulatory requirements on customized processes. , 2015, Regenerative medicine.

[14]  T Ahlfeld,et al.  Development of a clay based bioink for 3D cell printing for skeletal application , 2017, Biofabrication.

[15]  Jukka Rantanen,et al.  Modifying release characteristics from 3D printed drug-eluting products. , 2016, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[16]  Hon Fai Chan,et al.  3D Printing of Highly Stretchable and Tough Hydrogels into Complex, Cellularized Structures , 2015, Advanced materials.

[17]  R. Narayan,et al.  Laser direct writing of micro- and nano-scale medical devices , 2010, Expert review of medical devices.

[18]  Matthew B. Wheeler,et al.  Design Control for Clinical Translation of 3D Printed Modular Scaffolds , 2015, Annals of Biomedical Engineering.

[19]  Horst Fischer,et al.  Controlling Shear Stress in 3D Bioprinting is a Key Factor to Balance Printing Resolution and Stem Cell Integrity , 2016, Advanced healthcare materials.

[20]  David L. Kaplan,et al.  Evolution of Bioinks and Additive Manufacturing Technologies for 3D Bioprinting. , 2016, ACS biomaterials science & engineering.

[21]  Muhanad M Hatamleh,et al.  Simultaneous Computer-Aided Design/Computer-Aided Manufacture Bimaxillary Orthognathic Surgery and Mandibular Reconstruction Using Selective-Laser Sintered Titanium Implant. , 2016, The Journal of craniofacial surgery.

[22]  Elizabeth Cosgriff-Hernandez,et al.  Fabrication of biomimetic bone grafts with multi-material 3D printing , 2017, Biofabrication.

[23]  P. Gatenholm,et al.  Cartilage Tissue Engineering by the 3D Bioprinting of iPS Cells in a Nanocellulose/Alginate Bioink , 2017, Scientific Reports.

[24]  SooppanRenganaden,et al.  In Vivo Anastomosis and Perfusion of a Three-Dimensionally-Printed Construct Containing Microchannel Networks. , 2016 .

[25]  S. Yoo,et al.  Creating perfused functional vascular channels using 3D bio-printing technology. , 2014, Biomaterials.

[26]  B. Koç,et al.  Cell sheet based bioink for 3D bioprinting applications , 2017, Biofabrication.

[27]  D. Dean,et al.  Design and mechanical characterization of solid and highly porous 3D printed poly(propylene fumarate) scaffolds , 2017, Progress in Additive Manufacturing.

[28]  Minna Kellomäki,et al.  A review of rapid prototyping techniques for tissue engineering purposes , 2008, Annals of medicine.

[29]  Elise M. Stewart,et al.  3D printing of layered brain-like structures using peptide modified gellan gum substrates. , 2015, Biomaterials.

[30]  R. Leask,et al.  Design of a 3D printer head for additive manufacturing of sugar glass for tissue engineering applications , 2017 .

[31]  Jesse K. Placone,et al.  Development of a 3D Printed, Bioengineered Placenta Model to Evaluate the Role of Trophoblast Migration in Preeclampsia. , 2016, ACS biomaterials science & engineering.

[32]  Colleen L Flanagan,et al.  Bone tissue engineering using polycaprolactone scaffolds fabricated via selective laser sintering. , 2005, Biomaterials.

[33]  Wei Sun,et al.  Bioprinting three-dimensional cell-laden tissue constructs with controllable degradation , 2016, Scientific Reports.

[34]  Dong-Woo Cho,et al.  Precise stacking of decellularized extracellular matrix based 3D cell-laden constructs by a 3D cell printing system equipped with heating modules , 2017, Scientific Reports.

[35]  Hans Clevers,et al.  Modeling Development and Disease with Organoids , 2016, Cell.

[36]  Alexandra L Rutz,et al.  A bioprosthetic ovary created using 3D printed microporous scaffolds restores ovarian function in sterilized mice , 2017, Nature Communications.

[37]  Warren L. Grayson,et al.  Comparison of 3D-Printed Poly-ɛ-Caprolactone Scaffolds Functionalized with Tricalcium Phosphate, Hydroxyapatite, Bio-Oss, or Decellularized Bone Matrix. , 2016, Tissue engineering. Part A.

[38]  D. Cho,et al.  Bioprinting of 3D Tissue Models Using Decellularized Extracellular Matrix Bioink. , 2017, Methods in molecular biology.

[39]  X. Sherry Liu,et al.  Engineering anatomically shaped human bone grafts , 2009, Proceedings of the National Academy of Sciences.

[40]  Stuart Kyle,et al.  ‘Printability' of Candidate Biomaterials for Extrusion Based 3D Printing: State‐of‐the‐Art , 2017, Advanced healthcare materials.

[41]  Dong-Woo Cho,et al.  Tissue Engineered Bio‐Blood‐Vessels Constructed Using a Tissue‐Specific Bioink and 3D Coaxial Cell Printing Technique: A Novel Therapy for Ischemic Disease , 2017 .

[42]  L. Shea,et al.  Fibrin encapsulation and vascular endothelial growth factor delivery promotes ovarian graft survival in mice. , 2011, Tissue engineering. Part A.

[43]  James J. Yoo,et al.  A 3D bioprinting system to produce human-scale tissue constructs with structural integrity , 2016, Nature Biotechnology.

[44]  Dong-Woo Cho,et al.  Computer-aided multiple-head 3D printing system for printing of heterogeneous organ/tissue constructs , 2016, Scientific Reports.

[45]  Antonios G. Mikos,et al.  Extrusion-Based 3D Printing of Poly(propylene fumarate) in a Full-Factorial Design. , 2016, ACS biomaterials science & engineering.

[46]  Ethan L Nyberg,et al.  Three-Dimensional Printing of Bone Extracellular Matrix for Craniofacial Regeneration. , 2016, ACS biomaterials science & engineering.

[47]  J. Lewis,et al.  3D Bioprinting of Vascularized, Heterogeneous Cell‐Laden Tissue Constructs , 2014, Advanced materials.

[48]  D AlbrechtLucas,et al.  Developing 3D Scaffolds in the Field of Tissue Engineering to Treat Complex Bone Defects , 2016 .

[49]  Antonios G Mikos,et al.  3D printing PLGA: a quantitative examination of the effects of polymer composition and printing parameters on print resolution , 2017, Biofabrication.

[50]  Rui L Reis,et al.  Three-dimensional plotted scaffolds with controlled pore size gradients: Effect of scaffold geometry on mechanical performance and cell seeding efficiency. , 2011, Acta biomaterialia.

[51]  Marcel A. Heinrich,et al.  Rapid Continuous Multimaterial Extrusion Bioprinting , 2017, Advanced materials.

[52]  Peter Dubruel,et al.  A review of trends and limitations in hydrogel-rapid prototyping for tissue engineering. , 2012, Biomaterials.

[53]  Christopher B. Williams,et al.  Polymer structure-property requirements for stereolithographic 3D printing of soft tissue engineering scaffolds. , 2017, Biomaterials.

[54]  Vasif Hasirci,et al.  3D printed poly(ε-caprolactone) scaffolds modified with hydroxyapatite and poly(propylene fumarate) and their effects on the healing of rabbit femur defects. , 2017, Biomaterials science.

[55]  Anthony Atala,et al.  A 3D bioprinted complex structure for engineering the muscle–tendon unit , 2015, Biofabrication.

[56]  Wei Sun,et al.  Effect of bioink properties on printability and cell viability for 3D bioplotting of embryonic stem cells , 2016, Biofabrication.

[57]  Nathan Tessema Ersumo,et al.  Differences in time-dependent mechanical properties between extruded and molded hydrogels , 2016, Biofabrication.

[58]  S. Hsu,et al.  Synthesis of Thermoresponsive Amphiphilic Polyurethane Gel as a New Cell Printing Material near Body Temperature. , 2015, ACS applied materials & interfaces.

[59]  J. Groll,et al.  A Thermogelling Supramolecular Hydrogel with Sponge-Like Morphology as a Cytocompatible Bioink. , 2017, Biomacromolecules.

[60]  A. Gaharwar,et al.  Advanced Bioinks for 3D Printing: A Materials Science Perspective , 2016, Annals of Biomedical Engineering.

[61]  Moayyad Alssabbagh,et al.  Evaluation of 3D printing materials for fabrication of a novel multi-functional 3D thyroid phantom for medical dosimetry and image quality , 2017 .

[62]  Anthony Atala,et al.  3D bioprinting of tissues and organs , 2014, Nature Biotechnology.

[63]  Benjamin M Wu,et al.  Recent advances in 3D printing of biomaterials , 2015, Journal of Biological Engineering.

[64]  MyungGu Yeo,et al.  A cell-printing approach for obtaining hASC-laden scaffolds by using a collagen/polyphenol bioink , 2017, Biofabrication.

[65]  Brendon M. Baker,et al.  Rapid casting of patterned vascular networks for perfusable engineered 3D tissues , 2012, Nature materials.

[66]  C. Highley,et al.  Direct 3D Printing of Shear‐Thinning Hydrogels into Self‐Healing Hydrogels , 2015, Advanced materials.

[67]  Lawrence J Bonassar,et al.  Correlating rheological properties and printability of collagen bioinks: the effects of riboflavin photocrosslinking and pH , 2017, Biofabrication.

[68]  A. Khademhosseini,et al.  Microfluidic Bioprinting of Heterogeneous 3D Tissue Constructs Using Low‐Viscosity Bioink , 2016, Advanced materials.

[69]  Alexandra L. Rutz,et al.  A Multimaterial Bioink Method for 3D Printing Tunable, Cell‐Compatible Hydrogels , 2015, Advanced materials.

[70]  A.C.W. Lau,et al.  Precision extruding deposition and characterization of cellular poly‐ε‐caprolactone tissue scaffolds , 2004 .

[71]  Dong-Woo Cho,et al.  One-step fabrication of an organ-on-a-chip with spatial heterogeneity using a 3D bioprinting technology. , 2016, Lab on a chip.

[72]  Young Kwon Kim,et al.  Drop-on-demand inkjet-based cell printing with 30-μm nozzle diameter for cell-level accuracy. , 2016, Biomicrofluidics.

[73]  L. Shea,et al.  Primordial Follicle Transplantation within Designer Biomaterial Grafts Produce Live Births in a Mouse Infertility Model , 2015, Scientific Reports.