
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?
- Imaging
The patients organs shape and structure is captured by MRI or CT scans
- 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
- 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.
- 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 Bioprinting | Bioink is extruded layer by layer from a nozzle |
Inkjet Bioprinting | Ejects droplets of bioink onto substrate |
Laser Assisted Bioprinting | Laser transfers biotink to substrate |
Stereolithography and Digital Light Processing | Uses light on photosensitive bioresin |
Sacrificial Templating | Temporary ink is printed into tissue that is later removed, making it perfusable |
Coaxial Bioprinting | Uses 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 Engineering | Built from small, pre-vascularized tissue that fuse together |
- 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.