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Rostamani H, Fakhraei O, Zamirinadaf N, Mahjour M. An overview of nasal cartilage bioprinting: from bench to bedside. JOURNAL OF BIOMATERIALS SCIENCE. POLYMER EDITION 2024; 35:1273-1320. [PMID: 38441976 DOI: 10.1080/09205063.2024.2321636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 02/08/2024] [Indexed: 03/07/2024]
Abstract
Nasal cartilage diseases and injuries are known as significant challenges in reconstructive medicine, affecting a substantial number of individuals worldwide. In recent years, the advent of three-dimensional (3D) bioprinting has emerged as a promising approach for nasal cartilage reconstruction, offering potential breakthroughs in the field of regenerative medicine. This paper provides an overview of the methods and challenges associated with 3D bioprinting technologies in the procedure of reconstructing nasal cartilage tissue. The process of 3D bioprinting entails generating a digital 3D model using biomedical imaging techniques and computer-aided design to integrate both internal and external scaffold features. Then, bioinks which consist of biomaterials, cell types, and bioactive chemicals, are applied to facilitate the precise layer-by-layer bioprinting of tissue-engineered scaffolds. After undergoing in vitro and in vivo experiments, this process results in the development of the physiologically functional integrity of the tissue. The advantages of 3D bioprinting encompass the ability to customize scaffold design, enabling the precise incorporation of pore shape, size, and porosity, as well as the utilization of patient-specific cells to enhance compatibility. However, various challenges should be considered, including the optimization of biomaterials, ensuring adequate cell viability and differentiation, achieving seamless integration with the host tissue, and navigating regulatory attention. Although numerous studies have demonstrated the potential of 3D bioprinting in the rebuilding of such soft tissues, this paper covers various aspects of the bioprinted tissues to provide insights for the future development of repair techniques appropriate for clinical use.
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Affiliation(s)
- Hosein Rostamani
- Department of Biomedical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran
| | - Omid Fakhraei
- Department of Biomedical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran
| | - Niloufar Zamirinadaf
- Department of Biomedical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran
| | - Mehran Mahjour
- Department of Biomedical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran
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Dwivedi R, Yadav PK, Pandey R, Mehrotra D. Auricular reconstruction via 3D bioprinting strategies: An update. J Oral Biol Craniofac Res 2022; 12:580-588. [PMID: 35968037 DOI: 10.1016/j.jobcr.2022.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 07/22/2022] [Accepted: 07/28/2022] [Indexed: 10/16/2022] Open
Abstract
Image 1.
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Affiliation(s)
- Ruby Dwivedi
- King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Pradeep Kumar Yadav
- Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Rahul Pandey
- King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Divya Mehrotra
- Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
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Posniak S, Chung JHY, Liu X, Mukherjee P, Gambhir S, Khansari A, Wallace GG. Bioprinting of Chondrocyte Stem Cell Co-Cultures for Auricular Cartilage Regeneration. ACS OMEGA 2022; 7:5908-5920. [PMID: 35224351 PMCID: PMC8867593 DOI: 10.1021/acsomega.1c06102] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Accepted: 01/21/2022] [Indexed: 05/06/2023]
Abstract
Advances in 3D bioprinting allows not only controlled deposition of cells or cell-laden hydrogels but also flexibility in creating constructs that match the anatomical features of the patient. This is especially the case for reconstructing the pinna (ear), which is a large feature of the face and made from elastic cartilage that primarily relies on diffusion for nutrient transfer. The selection of cell lines for reconstructing this cartilage becomes a crucial step in clinical translation. Chondrocytes and mesenchymal stem cells are both studied extensively in the area of cartilage regeneration as they are capable of producing cartilage in vitro. However, such monoculture systems involve unfavorable processes and produce cartilage with suboptimal characteristics. Co-cultures of these cell types are known to alleviate these limitations to produce synergically active chondrocytes and cartilage. The current study utilized a 3D bioprinted scaffold made from combined gelatine methacryloyl and methacrylated hyaluronic acid (GelMA/HAMA) to interrogate monocultures and co-cultures of human septal chondrocytes (primary chondrocytes, PCs) and human bone marrow-derived mesenchymal stem cells (BM-hMSCs). This study is also the first to examine co-cultures of healthy human chondrocytes with human BM-hMSCs encapsulated in GelMA/HAMA bioprinted scaffolds. Findings revealed that the combination of MSCs and PCs not only yielded cell proliferation that mimicked MSCs but also produced chondrogenic expressions that mimicked PCs. These findings suggested that co-cultures of BM-hMSCs and healthy septal PCs can be employed to replace monocultures in chondrogenic studies for cartilage regeneration in this model. The opportunity for MSCs used to replace PCs alleviates the requirement of large cartilage biopsies that would otherwise be needed for sufficient cell numbers and therefore can be employed for clinical applications.
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Affiliation(s)
- Steven Posniak
- ARC
Centre of Excellence for Electromaterials Science, Intelligent Polymer
Research Institute, University of Wollongong, Wollongong, New South Wales 2522, Australia
| | - Johnson H. Y. Chung
- ARC
Centre of Excellence for Electromaterials Science, Intelligent Polymer
Research Institute, University of Wollongong, Wollongong, New South Wales 2522, Australia
| | - Xiao Liu
- ARC
Centre of Excellence for Electromaterials Science, Intelligent Polymer
Research Institute, University of Wollongong, Wollongong, New South Wales 2522, Australia
| | - Payal Mukherjee
- ENT
Research Lead, RPA Institute of Academic Surgery, Sydney Royal Prince Alfred Hospital, Camperdown, New South Wales 2050, Australia
| | - Sanjeev Gambhir
- ARC
Centre of Excellence for Electromaterials Science, Intelligent Polymer
Research Institute, University of Wollongong, Wollongong, New South Wales 2522, Australia
| | - Afsaneh Khansari
- ARC
Centre of Excellence for Electromaterials Science, Intelligent Polymer
Research Institute, University of Wollongong, Wollongong, New South Wales 2522, Australia
| | - Gordon G. Wallace
- ARC
Centre of Excellence for Electromaterials Science, Intelligent Polymer
Research Institute, University of Wollongong, Wollongong, New South Wales 2522, Australia
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Ikeda AK, Bhrany AD, Sie KCY, Bly RA. Management of patients with unilateral microtia and aural atresia: recent advances and updates. Curr Opin Otolaryngol Head Neck Surg 2021; 29:526-533. [PMID: 34545861 DOI: 10.1097/moo.0000000000000758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW The management of patients with unilateral microtia and aural atresia is complex. Recent literature suggests significant strides in hearing habilitation and ear reconstruction. RECENT FINDINGS Several options of hearing management are available and are associated with improved outcomes. Timelines for hearing habilitation and ear reconstruction vary by institution. We offer our timeline as a reference. Three dimensional (3D) printed models are increasingly used for training and reconstruction. Bioprinting is on the horizon, though safety and effectiveness studies are pending. Lastly, application of qualitative methods has provided a foundation on which to improve communication between physicians and patients and their families. Better understanding of the patient and family experiences will provide opportunities to target interventions to improve care. SUMMARY Current developments include expanding options for hearing management, changing approaches to timing of atresiaplasty, utilization of 3D printed models, and focus on patient and family experience to improve reconstructive outcomes.
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Affiliation(s)
| | | | - Kathleen C Y Sie
- Department of Otolaryngology-Head and Neck Surgery
- Pediatric Otolaryngology, Seattle Children's Hospital, University of Washington, Seattle, Washington, USA
| | - Randall A Bly
- Department of Otolaryngology-Head and Neck Surgery
- Pediatric Otolaryngology, Seattle Children's Hospital, University of Washington, Seattle, Washington, USA
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Bahrami Miyanji P, Semnani D, Hossein Ravandi A, Karbasi S, Fakhrali A, Mohammadi S. Fabrication and characterization of
chitosan‐gelatin
/
single‐walled
carbon nanotubes electrospun composite scaffolds for cartilage tissue engineering applications. POLYM ADVAN TECHNOL 2021. [DOI: 10.1002/pat.5492] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
| | - Dariush Semnani
- Department of Textile Engineering Isfahan University of Technology Isfahan Iran
| | | | - Saeed Karbasi
- Department of Biomaterials and Tissue Engineering School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences Isfahan Iran
| | - Aref Fakhrali
- Department of Textile Engineering Isfahan University of Technology Isfahan Iran
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Chung JHY, Kade JC, Jeiranikhameneh A, Ruberu K, Mukherjee P, Yue Z, Wallace GG. 3D hybrid printing platform for auricular cartilage reconstruction. Biomed Phys Eng Express 2020; 6:035003. [DOI: 10.1088/2057-1976/ab54a7] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Abstract
Airway and other head and neck disorders affect hundreds of thousands of patients each year and most require surgical intervention. Among these, congenital deformity that affects newborns is particularly serious and can be life-threatening. In these cases, reconstructive surgery is resolutive but bears significant limitations, including the donor site morbidity and limited available tissue. In this context, tissue engineering represents a promising alternative approach for the surgical treatment of otolaryngologic disorders. In particular, 3D printing coupled with advanced imaging technologies offers the unique opportunity to reproduce the complex anatomy of native ear, nose, and throat, with its import in terms of functionality as well as aesthetics and the associated patient well-being. In this review, we provide a general overview of the main ear, nose and throat disorders and focus on the most recent scientific literature on 3D printing and bioprinting for their treatment.
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Affiliation(s)
- Roberto Di Gesù
- Fondazione Ri.MED, Palermo, Italy.,Department of Pediatrics, Division of Pulmonary Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Abhinav P Acharya
- Department of Chemical Engineering, Arizona State University, Tempe, AZ, USA
| | - Ian Jacobs
- Department of Surgery, Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Riccardo Gottardi
- Fondazione Ri.MED, Palermo, Italy.,Department of Pediatrics, Division of Pulmonary Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA
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Bruen D, Delaney C, Chung J, Ruberu K, Wallace GG, Diamond D, Florea L. 3D Printed Sugar-Sensing Hydrogels. Macromol Rapid Commun 2020; 41:e1900610. [PMID: 32090394 DOI: 10.1002/marc.201900610] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 01/31/2020] [Indexed: 11/06/2022]
Abstract
The ability of boronic acids (BAs) to reversibly bind diols, such as sugars, has been widely studied in recent years. In solution, through the incorporation of additional fluorophores, the BA-sugar interaction can be monitored by changes in fluorescence. Ultimately, a practical realization of this technology requires a transition from solution-based methodologies. Herein, the first example of 3D-printed sugar-sensing hydrogels, achieved through the incorporation of a BA-fluorophore pair in a gelatin methacrylamide-based matrix is presented. Through optimization of monomeric cocktails, it is possible to use extrusion printing to generate structured porous hydrogels which show a measurable and reproducible linear fluorescence response to glucose and fructose up to 100 mm.
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Affiliation(s)
- Danielle Bruen
- Insight Centre for Data Analytics, National Centre for Sensor Research, School of Chemical Sciences, Dublin City University, Glasnevin, Dublin 9, Ireland.,ARC Centre for Excellence for Electromaterials Science, Intelligent Polymer Research Institute, Australian Institute for Innovative Materials Faculty, Innovation Campus, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Colm Delaney
- School of Chemistry, University College Dublin, Science Centre - South Belfield, Dublin 4, Ireland
| | - Johnson Chung
- ARC Centre for Excellence for Electromaterials Science, Intelligent Polymer Research Institute, Australian Institute for Innovative Materials Faculty, Innovation Campus, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Kalani Ruberu
- ARC Centre for Excellence for Electromaterials Science, Intelligent Polymer Research Institute, Australian Institute for Innovative Materials Faculty, Innovation Campus, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Gordon G Wallace
- ARC Centre for Excellence for Electromaterials Science, Intelligent Polymer Research Institute, Australian Institute for Innovative Materials Faculty, Innovation Campus, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Dermot Diamond
- Insight Centre for Data Analytics, National Centre for Sensor Research, School of Chemical Sciences, Dublin City University, Glasnevin, Dublin 9, Ireland
| | - Larisa Florea
- School of Chemistry and AMBER, the SFI Research Centre for Advanced Materials and BioEngineering Research, Trinity College Dublin, College Green, Dublin 2, Ireland
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