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Vernon MJ, Mela P, Dilley RJ, Jansen S, Doyle BJ, Ihdayhid AR, De-Juan-Pardo EM. 3D printing of heart valves. Trends Biotechnol 2024; 42:612-630. [PMID: 38238246 DOI: 10.1016/j.tibtech.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/31/2023] [Accepted: 11/01/2023] [Indexed: 05/04/2024]
Abstract
3D printing technologies have the potential to revolutionize the manufacture of heart valves through the ability to create bespoke, complex constructs. In light of recent technological advances, we review the progress made towards 3D printing of heart valves, focusing on studies that have utilised these technologies beyond manufacturing patient-specific moulds. We first overview the key requirements of a heart valve to assess functionality. We then present the 3D printing technologies used to engineer heart valves. By referencing International Organisation for Standardisation (ISO) Standard 5840 (Cardiovascular implants - Cardiac valve prostheses), we provide insight into the achieved functionality of these valves. Overall, 3D printing promises to have a significant positive impact on the creation of artificial heart valves and potentially unlock full complex functionality.
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Affiliation(s)
- Michael J Vernon
- T3mPLATE, Harry Perkins Institute of Medical Research, Queen Elizabeth II Medical Centre and University of Western Australia Centre for Medical Research, The University of Western Australia, Perth, WA 6009, Australia; Vascular Engineering Laboratory, Harry Perkins Institute of Medical Research, Queen Elizabeth II Medical Centre and University of Western Australia Centre for Medical Research, The University of Western Australia, Perth, WA 6009, Australia; School of Engineering, The University of Western Australia, Perth, WA 6009, Australia
| | - Petra Mela
- Medical Materials and Implants, Department of Mechanical Engineering, Munich Institute of Biomedical Engineering and TUM School of Engineering and Design, Technical University of Munich, Boltzmannstrasse 15, 85748 Garching, Germany
| | - Rodney J Dilley
- T3mPLATE, Harry Perkins Institute of Medical Research, Queen Elizabeth II Medical Centre and University of Western Australia Centre for Medical Research, The University of Western Australia, Perth, WA 6009, Australia
| | - Shirley Jansen
- Curtin Medical School, Curtin University, Perth, WA 6102, Australia; School of Medicine, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, WA 6009, Australia; Department of Vascular and Endovascular Surgery, Sir Charles Gairdner Hospital, Perth, WA 6009, Australia; Heart and Vascular Research Institute, Harry Perkins Institute of Medical Research, Perth, WA 6009, Australia
| | - Barry J Doyle
- Vascular Engineering Laboratory, Harry Perkins Institute of Medical Research, Queen Elizabeth II Medical Centre and University of Western Australia Centre for Medical Research, The University of Western Australia, Perth, WA 6009, Australia; School of Engineering, The University of Western Australia, Perth, WA 6009, Australia
| | - Abdul R Ihdayhid
- T3mPLATE, Harry Perkins Institute of Medical Research, Queen Elizabeth II Medical Centre and University of Western Australia Centre for Medical Research, The University of Western Australia, Perth, WA 6009, Australia; Curtin Medical School, Curtin University, Perth, WA 6102, Australia; Department of Cardiology, Fiona Stanley Hospital, Perth, WA 6150, Australia
| | - Elena M De-Juan-Pardo
- T3mPLATE, Harry Perkins Institute of Medical Research, Queen Elizabeth II Medical Centre and University of Western Australia Centre for Medical Research, The University of Western Australia, Perth, WA 6009, Australia; School of Engineering, The University of Western Australia, Perth, WA 6009, Australia; Curtin Medical School, Curtin University, Perth, WA 6102, Australia.
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Kabirian F, Mozafari M, Mela P, Heying R. Incorporation of Controlled Release Systems Improves the Functionality of Biodegradable 3D Printed Cardiovascular Implants. ACS Biomater Sci Eng 2023; 9:5953-5967. [PMID: 37856240 DOI: 10.1021/acsbiomaterials.3c00559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2023]
Abstract
New horizons in cardiovascular research are opened by using 3D printing for biodegradable implants. This additive manufacturing approach allows the design and fabrication of complex structures according to the patient's imaging data in an accurate, reproducible, cost-effective, and quick manner. Acellular cardiovascular implants produced from biodegradable materials have the potential to provide enough support for in situ tissue regeneration while gradually being replaced by neo-autologous tissue. Subsequently, they have the potential to prevent long-term complications. In this Review, we discuss the current status of 3D printing applications in the development of biodegradable cardiovascular implants with a focus on design, biomaterial selection, fabrication methods, and advantages of implantable controlled release systems. Moreover, we delve into the intricate challenges that accompany the clinical translation of these groundbreaking innovations, presenting a glimpse of potential solutions poised to enable the realization of these technologies in the realm of cardiovascular medicine.
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Affiliation(s)
- Fatemeh Kabirian
- Cardiovascular Developmental Biology, Department of Cardiovascular Sciences, KU Leuven, Leuven 3000, Belgium
| | - Masoud Mozafari
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu FI-90014, Finland
| | - Petra Mela
- Medical Materials and Implants, Department of Mechanical Engineering, Munich Institute of Biomedical Engineering, and TUM School of Engineering and Design, Technical University of Munich, Munich 80333, Germany
| | - Ruth Heying
- Cardiovascular Developmental Biology, Department of Cardiovascular Sciences, KU Leuven, Leuven 3000, Belgium
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Van Ombergen A, Chalupa-Gantner F, Chansoria P, Colosimo BM, Costantini M, Domingos M, Dufour A, De Maria C, Groll J, Jungst T, Levato R, Malda J, Margarita A, Marquette C, Ovsianikov A, Petiot E, Read S, Surdo L, Swieszkowski W, Vozzi G, Windisch J, Zenobi-Wong M, Gelinsky M. 3D Bioprinting in Microgravity: Opportunities, Challenges, and Possible Applications in Space. Adv Healthc Mater 2023; 12:e2300443. [PMID: 37353904 DOI: 10.1002/adhm.202300443] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 05/12/2023] [Indexed: 06/25/2023]
Abstract
3D bioprinting has developed tremendously in the last couple of years and enables the fabrication of simple, as well as complex, tissue models. The international space agencies have recognized the unique opportunities of these technologies for manufacturing cell and tissue models for basic research in space, in particular for investigating the effects of microgravity and cosmic radiation on different types of human tissues. In addition, bioprinting is capable of producing clinically applicable tissue grafts, and its implementation in space therefore can support the autonomous medical treatment options for astronauts in future long term and far-distant space missions. The article discusses opportunities but also challenges of operating different types of bioprinters under space conditions, mainly in microgravity. While some process steps, most of which involving the handling of liquids, are challenging under microgravity, this environment can help overcome problems such as cell sedimentation in low viscous bioinks. Hopefully, this publication will motivate more researchers to engage in the topic, with publicly available bioprinting opportunities becoming available at the International Space Station (ISS) in the imminent future.
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Affiliation(s)
- Angelique Van Ombergen
- SciSpacE Team, Directorate of Human and Robotic Exploration Programmes (HRE), European Space Agency (ESA), Keplerlaan 1, Noordwijk, 2201AG, The Netherlands
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
| | - Franziska Chalupa-Gantner
- Research Group 3D Printing and Biofabrication, Institute of Materials Science and Technology, Austrian Cluster for Tissue Regeneration, TU Wien, Getreidemarkt 9/E308, Vienna, 1060, Austria
| | - Parth Chansoria
- Tissue Engineering + Biofabrication Laboratory, Department of Health Sciences and Technology, ETH Zurich Otto-Stern-Weg 7, Zürich, 8093, Switzerland
| | - Bianca Maria Colosimo
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Department of Mechanical Engineering, Politecnico di Milano, Via La Masa 1, Milano, 20156, Italy
| | - Marco Costantini
- Institute of Physical Chemistry, Polish Academy of Sciences, Ul. Kasprzaka 44/52, Warsaw, 01-224, Poland
| | - Marco Domingos
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Department of Mechanical, Aerospace and Civil Engineering, School of Engineering, Faculty of Science and Engineering & Henry Royce Institute, University of Manchester, M13 9PL, Manchester, UK
| | - Alexandre Dufour
- 3d.FAB - ICBMS, CNRS UMR 5246, University Claude Bernard-Lyon 1 and University of Lyon, 1 rue Victor Grignard, Villeurbanne, 69100, France
| | - Carmelo De Maria
- Department of Information Engineering (DII) and Research Center "E. Piaggio", University of Pisa, Largo Lucio Lazzarino 1, Pisa, 56122, Italy
| | - Jürgen Groll
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Department of Functional Materials in Medicine and Dentistry at the Institute of Functional Materials and Biofabrication (IFB) and Bavarian Polymer Institute (BPI), University of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany
| | - Tomasz Jungst
- Department of Functional Materials in Medicine and Dentistry at the Institute of Functional Materials and Biofabrication (IFB) and Bavarian Polymer Institute (BPI), University of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany
| | - Riccardo Levato
- Department of Orthopaedics, University Medical Center Utrecht, Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, 3584 CX, The Netherlands
| | - Jos Malda
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Department of Orthopaedics, University Medical Center Utrecht, Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, 3584 CX, The Netherlands
| | - Alessandro Margarita
- Department of Mechanical Engineering, Politecnico di Milano, Via La Masa 1, Milano, 20156, Italy
| | - Christophe Marquette
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- 3d.FAB - ICBMS, CNRS UMR 5246, University Claude Bernard-Lyon 1 and University of Lyon, 1 rue Victor Grignard, Villeurbanne, 69100, France
| | - Aleksandr Ovsianikov
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Research Group 3D Printing and Biofabrication, Institute of Materials Science and Technology, Austrian Cluster for Tissue Regeneration, TU Wien, Getreidemarkt 9/E308, Vienna, 1060, Austria
| | - Emma Petiot
- 3d.FAB - ICBMS, CNRS UMR 5246, University Claude Bernard-Lyon 1 and University of Lyon, 1 rue Victor Grignard, Villeurbanne, 69100, France
| | - Sophia Read
- Department of Mechanical, Aerospace and Civil Engineering, School of Engineering, Faculty of Science and Engineering & Henry Royce Institute, University of Manchester, M13 9PL, Manchester, UK
| | - Leonardo Surdo
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Space Applications Services NV/SA for the European Space Agency (ESA), Keplerlaan 1, Noordwijk, 2201AG, The Netherlands
| | - Wojciech Swieszkowski
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Biomaterials Group, Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Woloska Str. 141, Warsaw, 02-507, Poland
| | - Giovanni Vozzi
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Department of Information Engineering (DII) and Research Center "E. Piaggio", University of Pisa, Largo Lucio Lazzarino 1, Pisa, 56122, Italy
| | - Johannes Windisch
- Centre for Translational Bone, Joint and Soft Tissue Research, University Hospital and Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany
| | - Marcy Zenobi-Wong
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Tissue Engineering + Biofabrication Laboratory, Department of Health Sciences and Technology, ETH Zurich Otto-Stern-Weg 7, Zürich, 8093, Switzerland
| | - Michael Gelinsky
- ESA Topical Team on "3D Bioprinting of living tissue for utilization in space exploration and extraterrestrial human settlements", 01307, Dresden, Germany
- Centre for Translational Bone, Joint and Soft Tissue Research, University Hospital and Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany
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Reizabal A, Tandon B, Lanceros-Méndez S, Dalton PD. Electrohydrodynamic 3D Printing of Aqueous Solutions. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2023; 19:e2205255. [PMID: 36482162 DOI: 10.1002/smll.202205255] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 11/22/2022] [Indexed: 06/17/2023]
Abstract
Among the various electrohydrodynamic (EHD) processing techniques, electrowriting (EW) produces the most complex 3D structures. Aqueous solution EW similarly retains the potential for additive manufacturing well-resolved 3D structures, while providing new opportunities for processing biologically derived polymers and eschewing organic solvents. However, research on aqueous-based EHD processing is still limited. To summarize the field and advocate for increased use of aqueous bio-based materials, this review summarizes the most significant contributions of aqueous solution processing. Special emphasis has been placed on understanding the effects of different printing parameters, the prospects for 3D processing new materials, and future challenges.
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Affiliation(s)
- Ander Reizabal
- Phil and Penny Knight Campus for Accelerating Scientific Impact, University of Oregon, 1505 Franklin Boulevard, Eugene, 97403, OR, USA
- BCMaterials, Basque Center for Materials, Applications and Nanostructures, UPV/EHU Science Park, Leioa, 48940, Spain
| | - Biranche Tandon
- Phil and Penny Knight Campus for Accelerating Scientific Impact, University of Oregon, 1505 Franklin Boulevard, Eugene, 97403, OR, USA
| | - Senentxu Lanceros-Méndez
- BCMaterials, Basque Center for Materials, Applications and Nanostructures, UPV/EHU Science Park, Leioa, 48940, Spain
- Ikerbasque, Basque Foundation for Science, Bilbao, 48009, Spain
| | - Paul D Dalton
- Phil and Penny Knight Campus for Accelerating Scientific Impact, University of Oregon, 1505 Franklin Boulevard, Eugene, 97403, OR, USA
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