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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] [What about the content of this article? (0)] [Affiliation(s)] [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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Dello Russo C, Bandiera T, Monici M, Surdo L, Yip VLM, Wotring V, Morbidelli L. Physiological adaptations affecting drug pharmacokinetics in space: what do we really know? A critical review of the literature. Br J Pharmacol 2022; 179:2538-2557. [PMID: 35170019 PMCID: PMC9314132 DOI: 10.1111/bph.15822] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 01/13/2022] [Accepted: 02/10/2022] [Indexed: 12/03/2022] Open
Abstract
As human spaceflight progresses with extended mission durations, the demand for effective and safe drugs will necessarily increase. To date, the accepted medications used during missions (for space motion sickness, sleep disturbances, allergies, pain, and sinus congestion) are administered under the assumption that they act as safely and efficaciously as on Earth. However, physiological changes have been documented in human subjects in spaceflight involving fluid shifts, muscle and bone loss, immune system dysregulation, and adjustments in the gastrointestinal tract and metabolism. These alterations may change the pharmacokinetics (PK) and pharmacodynamics of commonly used medications. Frustratingly, the information gained from bed rest studies and from in‐flight observations is incomplete and also demonstrates a high variability in drug PK. Therefore, the objectives of this review are to report (i) the impact of the space environmental stressors on human physiology in relation to PK; (ii) the state‐of‐the‐art on experimental data in space and/or in ground‐based models; (iii) the validation of ground‐based models for PK studies; and (iv) the identification of research gaps.
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Affiliation(s)
- Cinzia Dello Russo
- Università Cattolica del Sacro Cuore, Dept. of Healthcare Surveillance and Bioethics, Section of Pharmacology, Rome, Italy; Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.,MRC Centre for Drug Safety Science and Wolfson Centre for Personalised Medicine, Institute of Systems, Molecular and Integrative Biology (ISMIB), University of Liverpool, Liverpool, UK
| | - Tiziano Bandiera
- D3-PharmaChemistry Line, Istituto Italiano di Tecnologia (IIT), Genova, Italy
| | - Monica Monici
- ASAcampus Joint Laboratory, ASA Res. Div. & Dept. of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy
| | - Leonardo Surdo
- Space Applications Services NV/SA for the European Space Agency, NL-2200AG, Noordwijk, The Netherlands
| | - Vincent Lai Ming Yip
- MRC Centre for Drug Safety Science and Wolfson Centre for Personalised Medicine, Institute of Systems, Molecular and Integrative Biology (ISMIB), University of Liverpool, Liverpool, UK
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Pavez Loriè E, Baatout S, Choukér A, Buchheim JI, Baselet B, Dello Russo C, Wotring V, Monici M, Morbidelli L, Gagliardi D, Stingl JC, Surdo L, Yip VLM. The Future of Personalized Medicine in Space: From Observations to Countermeasures. Front Bioeng Biotechnol 2021; 9:739747. [PMID: 34966726 PMCID: PMC8710508 DOI: 10.3389/fbioe.2021.739747] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Accepted: 11/19/2021] [Indexed: 12/12/2022] Open
Abstract
The aim of personalized medicine is to detach from a “one-size fits all approach” and improve patient health by individualization to achieve the best outcomes in disease prevention, diagnosis and treatment. Technological advances in sequencing, improved knowledge of omics, integration with bioinformatics and new in vitro testing formats, have enabled personalized medicine to become a reality. Individual variation in response to environmental factors can affect susceptibility to disease and response to treatments. Space travel exposes humans to environmental stressors that lead to physiological adaptations, from altered cell behavior to abnormal tissue responses, including immune system impairment. In the context of human space flight research, human health studies have shown a significant inter-individual variability in response to space analogue conditions. A substantial degree of variability has been noticed in response to medications (from both an efficacy and toxicity perspective) as well as in susceptibility to damage from radiation exposure and in physiological changes such as loss of bone mineral density and muscle mass in response to deconditioning. At present, personalized medicine for astronauts is limited. With the advent of longer duration missions beyond low Earth orbit, it is imperative that space agencies adopt a personalized strategy for each astronaut, starting from pre-emptive personalized pre-clinical approaches through to individualized countermeasures to minimize harmful physiological changes and find targeted treatment for disease. Advances in space medicine can also be translated to terrestrial applications, and vice versa. This review places the astronaut at the center of personalized medicine, will appraise existing evidence and future preclinical tools as well as clinical, ethical and legal considerations for future space travel.
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Affiliation(s)
| | - Sarah Baatout
- Radiobiology Unit, Belgian Nuclear Research Centre (SCK CEN), Mol, Belgium.,Department of Biotechnology, Ghent University, Ghent, Belgium
| | - Alexander Choukér
- Laboratory of Translational Research "Stress and Immunity", Department of Anesthesiology, Hospital of the Ludwig-Maximilians-University, Munich, Germany
| | - Judith-Irina Buchheim
- Laboratory of Translational Research "Stress and Immunity", Department of Anesthesiology, Hospital of the Ludwig-Maximilians-University, Munich, Germany
| | - Bjorn Baselet
- Radiobiology Unit, Belgian Nuclear Research Centre (SCK CEN), Mol, Belgium
| | - Cinzia Dello Russo
- Department of Healthcare Surveillance and Bioethics, Section of Pharmacology, Università Cattolica Del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.,MRC Centre for Drug Safety Science and Wolfson Centre for Personalized Medicine, Institute of Systems, Molecular and Integrative Biology (ISMIB), University of Liverpool, Liverpool, United Kingdom
| | | | - Monica Monici
- ASA Campus Joint Laboratory, ASA Research Division, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | | | - Dimitri Gagliardi
- Manchester Institute of Innovation Research, Alliance Manchester Business School, The University of Manchester, Manchester, United Kingdom
| | - Julia Caroline Stingl
- Institute of Clinical Pharmacology, University Hospital of the RWTH Aachen, Aachen, Germany
| | - Leonardo Surdo
- Space Applications Services NV/SA for the European Space Agency, Noordwijk, Netherlands
| | - Vincent Lai Ming Yip
- MRC Centre for Drug Safety Science and Wolfson Centre for Personalized Medicine, Institute of Systems, Molecular and Integrative Biology (ISMIB), University of Liverpool, Liverpool, United Kingdom
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