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Technical Description

Layer by Layer: The Science Behind 3D Bioprinting Vascularized Organs

By: Alicja Zajac

What is 3D Bioprinting? 

3D Bioprinting is the production of three dimensional structures that imitate human tissue and organs.

What are Vascular Organs? 

Vascular organs are part of the circulatory system which circulate blood and other fluids throughout the body

  • Heart
  • Blood Vessels:
    • Arteries 
    • Veins 
    • Capillaries

History 

1984 – Charles Hull invented stereolithographing, the first version of 3D printing

1988 – Dr. Robert J. Klebe used a common inkjet printer to demonstrate his process of  cytoscribing. This paved the way for 3D bioprinting. 

1999 – First example of 3D bioprinting seen with the creation of scaffolding covered in the patient’s cells providing the framework for them to grow into a bladder. This project was led by Dr. Anthony Atala at Wake Forest Institute of Regenerative Medicine and marked the first 3D bioprinted organ to be transplanted into the human body. This is not the same as the modern version of 3D bioprinting.

2002 – The same institution successfully printed a miniature working kidney

2003 – Dr. Thomas Boland Patented the process of using an ink-jet printer for printing cells

2008 – Excursion based bioprinting was introduced 

2010s – techniques such as sacrificial templating, coaxial printing, and angiogenic factor in  order to make organs perfusable were created

2016 –  invention of sacrificial inks to create hollow channels. This allows functional vascular  channels to be embedded in tissue

2020s – 4D bioprinting where printed structures have the ability to change shape and/or function  when responding to different stimuli 

How does it work?

  1. Imaging 

The patients organs shape and structure is captured by MRI or CT scans

  1. Design

Software known as, Computer-Aided Design or CAD, is used in order to design the structure of the specific organ including its vascular networks

  1. Bioink Preparation

Bioink is a combination of cells and biocompatible materials that are mixed together by scientists. Different cells and materials are used for different parts of the organ, so they are placed into the printer in separate cartridges. 

  1. Printing

There are multiple different methods used for the printing of organs but it is generally accomplished layer by layer through depositing bioinks. 


Method

How It Works
Excursion Based BioprintingBioink is extruded layer by layer from a nozzle
Inkjet Bioprinting Ejects droplets of bioink onto substrate
Laser Assisted BioprintingLaser transfers biotink to substrate
Stereolithography and Digital Light ProcessingUses light on photosensitive bioresin
Sacrificial TemplatingTemporary ink is printed into tissue that is later removed, making it perfusable 
Coaxial BioprintingUses a dual-layer nozzle allowing it to print the organs core and shell at the same time for creating hollow tubes
Self-Assembly via Angiogenesis Cells are printed close together and induced in order to develop into blood vessels
Modular Tissue EngineeringBuilt from small, pre-vascularized tissue that fuse together 
  1. Testing

The testing process includes ensuring that each organ is functional by pumping nutrient rich liquid through the vessels for perfusion, and by testing to see if the organ performs its duty. 


Advantages

Disadvantages
– Lack of organ donors
– Patient specific Implants
– Advanced drug testing models
– Customizable design
– Reduces animal testing
– Reduces organ trafficking
– Cost
– Maturation time
– Demand issues
– Regulatory and safety issues

The Future of 3D Bioprinting Vascularized Organs

  • Miniature versions of organs have been created, however, the goal is to create full scale working organs
  • Hope to create transplantable organs that are fully 3D printed
  • Still need to focus on improvements with the vascularization of the organs
  • 4D bioprinting is still a fairly new concept still being explored by scientists
  • Regulations and ethics surrounding the topic requires further discussion

Key words

Arteries – blood vessels carrying blood away from the heart

Veins – blood vessels carrying blood to the heart

Capillaries – connect arteries to veins

Perfusion – process of delivering blood to the body’s organs and tissue

Sacrificial inks – temporary material used to create hollow channels 

Cytoscribing – cells are placed in a specific pattern onto a surface

References

“Anthony Atala.” Curious2027 – Future InsightTM, 4 Mar. 2024, www.curiousfutureinsight.org/_speakers/anthony-atala/.

“Charles Hull │ the National Inventors Hall of Fame.” │ The National Inventors Hall of Fame, www.invent.org/inductees/charles-hull. Accessed 11 May 2025.Derby, B. (2012). Printing and Prototyping of Tissues and Scaffolds. Science, 338(6109), 921–926. http://www.jstor.org/stable/41703941

Fey, M. (2017). Additive Manufacturing. In 3D Printing and International Security: Risks and Challenges of an Emerging Technology (pp. 3–18). Peace Research Institute Frankfurt. http://www.jstor.org/stable/resrep14453.4

“Inkredible and Inkredible+TM.” CELLINK, 28 Feb. 2025, www.cellink.com/bioprinting/inkredible-3d-bioprinter/.

Klebe R. J. (1988). Cytoscribing: a method for micropositioning cells and the construction of two- and three-dimensional synthetic tissues. Experimental cell research, 179(2), 362–373. https://doi.org/10.1016/0014-4827(88)90275-3

Kolesky, D. B., Homan, K. A., Skylar-Scott, M. A., & Lewis, J. A. (2016). Three-dimensional bioprinting of thick vascularized tissues. Proceedings of the National Academy of Sciences of the United States of America, 113(12), 3179–3184. https://www.jstor.org/stable/26468745

Leberfinger, A. N., Dinda, S., Wu, Y., Koduru, S. V., Ozbolat, V., Ravnic, D. J., & Ozbolat, I. T. (2019). Bioprinting functional tissues. Acta biomaterialia, 95, 32–49. https://doi.org/10.1016/j.actbio.2019.01.009

Mao, A. S., & Mooney, D. J. (2015). Regenerative medicine: Current therapies and future directions. Proceedings of the National Academy of Sciences of the United States of America, 112(47), 14452–14459. https://www.jstor.org/stable/26465839

Noah, L. (2015). GROWING ORGANS IN THE LAB: TISSUE ENGINEERS CONFRONT INSTITUTIONAL “IMMUNE” RESPONSES. Jurimetrics, 55(3), 297–338. http://www.jstor.org/stable/26322768

Papaioannou, T. G., Manolesou, D., Dimakakos, E., Tsoucalas, G., Vavuranakis, M., & Tousoulis, D. (2019). 3D Bioprinting Methods and Techniques: Applications on Artificial Blood Vessel Fabrication. Acta Cardiologica Sinica, 35(3), 284–289. https://doi.org/10.6515/ACS.201905_35(3).20181115A

Parihar, A., Pandita, V., Kumar, A., Parihar, D. S., Puranik, N., Bajpai, T., & Khan, R. (2022). 3D Printing: Advancement in Biogenerative Engineering to Combat Shortage of Organs and Bioapplicable Materials. Regenerative engineering and translational medicine, 8(2), 173–199. https://doi.org/10.1007/s40883-021-00219-w

professional, Cleveland Clinic medical. “What Are Blood Vessels?” Cleveland Clinic, 18 Feb. 2025, my.clevelandclinic.org/health/body/21640-blood-vessels. 

Skeldon, G., Lucendo-Villarin, B., & Shu, W. (2018). Three-dimensional bioprinting of stem-cell derived tissues for human regenerative medicine. Philosophical Transactions: Biological Sciences, 373(1750), 1–11. https://www.jstor.org/stable/26486305

TIBBETTS, J. H. (2021). The Future of Bioprinting. BioScience, 71(6), 564–570. https://www.jstor.org/stable/27078733“UTEP Biomedical Engineering Professor Named National Academy of Inventors Fellow.” UTEP, www.utep.edu/newsfeed/campus/utep-biomedical-engineering-professor-named-national-academy.html?EngineeringArchives. Accessed 12 May 2025.