Abstract
Three-dimensional (3D) organoids derived from pluripotent or adult tissue stem cells seem to possess excellent potential for studying development and disease mechanisms alongside having a myriad of applications in regenerative therapies. However, lack of precise architectures and large-scale tissue sizes are some of the key limitations of current organoid technologies. 3D bioprinting of organoids has recently emerged to address some of these impediments. In this review, we discuss 3D bioprinting with respect to the use of bioinks and bioprinting methods and highlight recent studies that have shown success in bioprinting of stem cells and organoids. We also summarize the use of several vascularization strategies for the bioprinted organoids, that are critical for a complex tissue organization. To fully realize the translational applications of organoids in disease modeling and regenerative medicine, these areas in 3D bioprinting need to be appropriately harnessed and channelized.
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(Bioprinted tissue image is reproduced from Lee et al. [62], copyright year 2017, with permission from Dr. Dong-Woo Cho)


References
- 1.
Bissell MJ, Hall HG, Parry G (1982) How does the extracellular matrix direct gene expression? J Theor Biol 99:31–68. https://doi.org/10.1016/0022-5193(82)90388-5
- 2.
Clevers H (2016) Modeling development and disease with organoids. Cell 165:1586–1597. https://doi.org/10.1016/j.cell.2016.05.082
- 3.
Yoshiki S, Mototsugu E, Hidetaka S (2012) In vitro organogenesis in three dimensions: self-organising stem cells. Development 139:4111–4121. https://doi.org/10.1242/dev.079590
- 4.
Huch M, Koo BM (2015) Modeling mouse and human development using organoid cultures. Development 142:3113–3125. https://doi.org/10.1242/dev.118570
- 5.
Blouin A, Bolender RP, Weibel ER (1977) Distribution of organelles and membranes between hepatocytes and nonhepatocytes in the rat liver parenchyma. J Cell Biol 72(2):441–455. https://doi.org/10.1083/jcb.72.2.441
- 6.
Sato T, Vries RG, Snippert HJ, van de Wetering M, Barker N, Stange DE et al (2009) Single Lgr5 stem cells build crypt-villus structures in vitro without a mesenchymal niche. Nature 459:262–265. https://doi.org/10.1038/nature07935
- 7.
Napolitano AP, Chai P, Dean DM, Morgan JR (2007) Dynamics of the self-assembly of complex cellular aggregates on micromolded nonadhesive hydrogels. Tissue Eng 13:2087. https://doi.org/10.1089/ten.2006.0190
- 8.
Fan R, Piou M, Darling E, Cormier D, Sun J, Wan J (2016) Bio-printing cell-laden Matrigel-agarose constructs. J Biomater Appl 31(5):684–692. https://doi.org/10.1177/0885328216669238
- 9.
Pati F, Jang J, Ha DH et al (2014) Printing three-dimensional tissue analogues with decellularized extracellular matrix bioink. Nat Commun 5:3935. https://doi.org/10.1038/ncomms4935
- 10.
Skardal A, Devarasetty M, Kang HW et al (2015) A hydrogel bioink toolkit for mimicking native tissue biochemical and mechanical properties in bioprinted tissue constructs. Acta Biomater 25:24–34. https://doi.org/10.1016/j.actbio.2015.07.030
- 11.
Kundu J, Shim JH, Jang J, Kim SW, Cho DW (2015) An additive manufacturing-based PCL-alginate-chondrocyte bioprinted scaffold for cartilage tissue engineering. J Tissue Eng Regen Med 9:1286–1297. https://doi.org/10.1002/term.1682
- 12.
Nishiyama Y, Nakamura M, Henmi C et al (2009) Development of a three-dimensional bioprinter: construction of cell supporting structures using hydrogel and state-of-the-art inkjet technology. J Biomech Eng 131(3):035001. https://doi.org/10.1115/1.3002759
- 13.
Costantini M, Colosi C, Święszkowski W, Barbetta A (2018) Co-axial wet-spinning in 3D bioprinting: state of the art and future perspective of microfluidic integration. Biofabrication 11(1):012001. https://doi.org/10.1088/1758-5090/aae605
- 14.
Norotte C, Marga FS, Niklason LE, Forgacs G (2009) Scaffold-free vascular tissue engineering using bioprinting. Biomaterials 30(30):5910–5917. shttps://doi.org/10.1016/j.biomaterials.2009.06.034
- 15.
Koch L, Gruene M, Unger C, Chichkov B (2013) Laser assisted cell printing. Curr Pharm Biotechnol 14(1):91–97. https://doi.org/10.2174/1389201011314010012
- 16.
Park HK, Shin M, Kim B, Park JW, Lee H (2018) A visible light-curable yet visible wavelength-transparent resin for stereolithography 3D printing. NPG Asia Mater 10(4):82–89. https://doi.org/10.1038/s41427-018-0021-x
- 17.
Creff J, Courson R, Mangeat T et al (2019) Fabrication of 3D scaffolds reproducing intestinal epithelium topography by high-resolution 3D stereolithography. Biomaterials 221:119404. https://doi.org/10.1016/j.biomaterials.2019.119404
- 18.
Sun W, Starly B, Daly AC et al (2020) The bioprinting roadmap. Biofabrication 12(2):022002. https://doi.org/10.1088/1758-5090/ab5158
- 19.
Gu Q, Tomaskovic-Crook E, Wallace GG, Crook JM (2017) 3D bioprinting human induced pluripotent stem cell constructs for in situ cell proliferation and successive multilineage differentiation. Adv Healthc Mater. https://doi.org/10.1002/adhm.201700175
- 20.
Nguyen D, Hägg DA, Forsman A et al (2017) Cartilage tissue engineering by the 3D bioprinting of iPS cells in a nanocellulose/alginate bioink. Sci Rep 7:658. https://doi.org/10.1038/s41598-017-00690-y
- 21.
Koch L, Deiwick A, Franke A et al (2018) Laser bioprinting of human induced pluripotent stem cells-the effect of printing and biomaterials on cell survival, pluripotency, and differentiation. Biofabrication 10(3):035005. https://doi.org/10.1088/1758-5090/aab981
- 22.
Sorkio A, Koch L, Koivusalo L et al (2018) Human stem cell based corneal tissue mimicking structures using laser-assisted 3D bioprinting and functional bioinks. Biomaterials 171:57–71. https://doi.org/10.1016/j.biomaterials.2018.04.034
- 23.
Yu C, Ma X, Zhu W et al (2019) Scanningless and continuous 3D bioprinting of human tissues with decellularized extracellular matrix. Biomaterials 194:1–13. https://doi.org/10.1016/j.biomaterials.2018.12.009
- 24.
Ma X, Qu X, Zhu W et al (2016) Deterministically patterned biomimetic human iPSC-derived hepatic model via rapid 3D bioprinting. Proc Natl Acad Sci USA 113(8):2206–2211. https://doi.org/10.1073/pnas.1524510113
- 25.
Topfer E, Pasotti A, Telopoulou A et al (2019) Bovine colon organoids: from 3D bioprinting to cryopreserved multi-well screening platforms. Toxicol In Vitro 61:104606. https://doi.org/10.1016/j.tiv.2019.104606
- 26.
Yang H, Sun L, Pang Y et al (2020) Three-dimensional bioprinted hepatorganoids prolong survival of mice with liver failure. Gut:gutjnl 319960. https://doi.org/10.1136/gutjnl-2019-319960
- 27.
Faulkner-Jones A, Fyfe C, Cornelissen DJ et al (2015) Bioprinting of human pluripotent stem cells and their directed differentiation into hepatocyte-like cells for the generation of mini-livers in 3D. Biofabrication 7(4):044102. https://doi.org/10.1088/1758-5090/7/4/044102
- 28.
Kupfer ME, Lin WH, Ravikumar V et al (2020) In situ expansion, differentiation, and electromechanical coupling of human cardiac muscle in a 3D bioprinted. Chambered Organoid Circ Res 127(2):207–224. https://doi.org/10.1161/CIRCRESAHA.119.316155
- 29.
Yap KK, Gerrand YW, Dingle AM, Yeoh GC, Morrison WA, Mitchell GM (2020) Liver sinusoidal endothelial cells promote the differentiation and survival of mouse vascularised hepatobiliary organoids. Biomaterials 251:120091. https://doi.org/10.1016/j.biomaterials.2020.120091
- 30.
Pleniceanu O, Harari-Steinberg O, Omer D et al (2020) Successful introduction of human renovascular units into the mammalian kidney. J Am Soc Nephrol 31(12):2757–2772. https://doi.org/10.1681/ASN.2019050508
- 31.
Silvestri VL, Henriet E, Linville RM, Wong AD, Searson PC, Ewald AJ (2020) A tissue-engineered 3D microvessel model reveals the dynamics of mosaic vessel formation in breast cancer. Cancer Res 80(19):4288–4301. https://doi.org/10.1158/0008-5472.CAN-19-1564
- 32.
Kaushik G, Gupta K, Harms V et al (2020) Engineered perineural vascular plexus for modeling developmental toxicity. Adv Healthc Mater 9(16):e2000825. https://doi.org/10.1002/adhm.202000825
- 33.
Nzou G, Wicks RT, VanOstrand NR et al (2020) Multicellular 3D neurovascular unit model for assessing hypoxia and neuroinflammation induced blood-brain barrier dysfunction. Sci Rep 10(1):9766. https://doi.org/10.1038/s41598-020-66487-8
- 34.
Logan S, Arzua T, Yan Y et al (2020) Dynamic characterization of structural, molecular, and electrophysiological phenotypes of human-induced pluripotent stem cell-derived cerebral organoids, and comparison with fetal and adult gene profiles. Cells 9(5):1301. https://doi.org/10.3390/cells9051301
- 35.
Wimmer RA, Leopoldi A, Aichinger M, Kerjaschki D, Penninger JM (2019) Generation of blood vessel organoids from human pluripotent stem cells. Nat Protoc 14(11):3082–3100. https://doi.org/10.1038/s41596-019-0213-z
- 36.
Markou M, Kouroupis D, Badounas F et al (2020) Tissue engineering using vascular organoids from human pluripotent stem cell derived mural cell phenotypes. Front Bioeng Biotechnol 8:278. https://doi.org/10.3389/fbioe.2020.00278
- 37.
Gungor-Ozkerim PS, Inci I, Zhang YS, Khademhosseini A, Dokmeci MR (2018) Bioinks for 3D bioprinting: an overview. Biomater Sci 6(5):915–946. https://doi.org/10.1039/c7bm00765e
- 38.
Sasmal P, Datta P, Wu Y, Ozbolat IT (2018) 3D bioprinting for modelling vasculature. Microphysiol Syst 2:9. https://doi.org/10.21037/mps.2018.10.02
- 39.
Rossen NS, Anandakumaran PN, Zur Nieden R et al (2020) Injectable therapeutic organoids using sacrificial hydrogels. iScience 23(5):101052. https://doi.org/10.1016/j.isci.2020.101052
- 40.
Richardson TP, Peters MC, Ennett AB, Mooney DJ (2001) Polymeric system for dual growth factor delivery. Nat Biotechnol 19(11):1029–1034. https://doi.org/10.1038/nbt1101-1029
- 41.
Zisch AH, Lutolf MP, Hubbell JA (2003) Biopolymeric delivery matrices for angiogenic growth factors. Cardiovasc Pathol 12(6):295–310. https://doi.org/10.1016/s1054-8807(03)00089-9
- 42.
Golden AP, Tien J (2007) Fabrication of microfluidic hydrogels using molded gelatin as a sacrificial element. Lab Chip 7(6):720–725. https://doi.org/10.1039/b618409j
- 43.
King SM, Higgins JW, Nino CR et al (2017) 3D proximal tubule tissues recapitulate key aspects of renal physiology to enable nephrotoxicity testing. Front Physiol 8:123. https://doi.org/10.3389/fphys.2017.00123
- 44.
Visconti RP, Kasyanov V, Gentile C, Zhang J, Markwald RR, Mironov V (2010) Towards organ printing: engineering an intra-organ branched vascular tree. Expert Opin Biol Ther 10(3):409–420. https://doi.org/10.1517/14712590903563352
- 45.
Nashimoto Y, Hayashi T, Kunita I et al (2017) Integrating perfusable vascular networks with a three-dimensional tissue in a microfluidic device. Integr Biol (Camb) 9(6):506–518. https://doi.org/10.1039/c7ib00024c
- 46.
Bartfeld S, Bayram T, van de Wetering M et al (2015) In vitro expansion of human gastric epithelial stem cells and their responses to bacterial infection. Gastroenterology 148(1):126-136.e6. https://doi.org/10.1053/j.gastro.2014.09.042
- 47.
Huch M, Gehart H, van Boxtel R et al (2015) Long-term culture of genome-stable bipotent stem cells from adult human liver. Cell 160(1–2):299–312. https://doi.org/10.1016/j.cell.2014.11.050
- 48.
Messina A, Luce E, Hussein M, Dubart-Kupperschmitt A (2020) Pluripotent-stem-cell-derived hepatic cells: hepatocytes and organoids for liver therapy and regeneration. Cells 9(2):420. https://doi.org/10.3390/cells9020420
- 49.
Hirsch T, Rothoeft T, Teig N et al (2017) Regeneration of the entire human epidermis using transgenic stem cells. Nature 551(7680):327–332. https://doi.org/10.1038/nature24487
- 50.
Hiller T, Berg J, Elomaa L et al (2018) Generation of a 3D liver model comprising human extracellular matrix in an alginate/gelatin-based bioink by extrusion bioprinting for infection and transduction studies. Int J Mol Sci 19(10):3129. https://doi.org/10.3390/ijms19103129
- 51.
Park JY, Shim JH, Choi SA, Jang J, Kim M, Lee SH et al (2015) 3D printing technology to control BMP-2 and VEGF delivery spatially and temporally to promote large-volume bone regeneration. J Mater Chem B 3(27):5415–5425. https://doi.org/10.1039/c5tb00637f
- 52.
Raof NA, Schiele NR, Xie Y, Chrisey DB, Corr DT (2011) The maintenance of pluripotency following laser direct-write of mouse embryonic stem cells. Biomaterials 32(7):1802–1808. https://doi.org/10.1016/j.biomaterials.2010.11.015
- 53.
Caiazzo M, Okawa Y, Ranga A, Piersigilli A, Tabata Y, Lutolf MP (2016) Defined three-dimensional microenvironments boost induction of pluripotency. Nat Mater 15(3):344–352. https://doi.org/10.1038/nmat4536
- 54.
Gjorevski N, Sachs N, Manfrin A, Giger S, Bragina ME, Ordóñez-Morán P et al (2016) Designer matrices for intestinal stem cell and organoid culture. Nature 539(7630):560–564. https://doi.org/10.1038/nature20168
- 55.
Kolesky DB, Truby RL, Gladman AS, Busbee TA, Homan KA, Lewis JA (2014) 3D bioprinting of vascularized, heterogeneous cell-laden tissue constructs. Adv Mater 26(19):3124–3130. https://doi.org/10.1002/adma.201305506
- 56.
Muller M, Ozturk E, Arlov O, Gatenholm P, Zenobi-Wong M (2017) Alginate sulfate-nanocellulose bioinks for cartilage bioprinting applications. Ann Biomed Eng 45(1):210–223. https://doi.org/10.1007/s10439-016-1704-5
- 57.
Worthington KS, Wiley LA, Guymon CA, Salem AK, Tucker BA (2016) Differentiation of induced pluripotent stem cells to neural retinal precursor cells on porous poly-lactic-co-glycolic acid scaffolds. J Ocul Pharmacol Ther 32(5):310–316. https://doi.org/10.1089/jop.2015.0126
- 58.
Zaky SH, Lee KW, Gao J, Jensen A, Close J, Wang Y et al (2014) Poly(glycerol sebacate) elastomer: a novel material for mechanically loaded bone regeneration. Tissue Eng Part A 20(1–2):45–53. https://doi.org/10.1089/ten.TEA.2013.0172
- 59.
Cho AN, Jin Y, Kim S, Kumar S, Shin H, Kang HC et al (2019) Aligned brain extracellular matrix promotes differentiation and myelination of human-induced pluripotent stem cell-derived oligodendrocytes. ACS Appl Mater Interfaces 11:15344–15353. https://doi.org/10.1021/acsami.9b03242
- 60.
Catros S, Guillotin B, Bačáaková M, Fricain JC, Guillemot F (2011) Effect of laser energy, substrate film thickness and bioink viscosity on viability of endothelial cells printed by laser-assisted bioprinting. Appl Surf Sci 257:5142–5147. https://doi.org/10.1016/j.apsusc.2010.11.049
- 61.
Gruene M, Pflaum M, Deiwick A, Koch L, Schlie S, Unger C et al (2011) Adipogenic differentiation of laser-printed 3D tissue grafts consisting of human adipose-derived stem cells. Biofabrication 3(1):015005. https://doi.org/10.1088/1758-5082/3/1/015005
- 62.
Lee H, Han W, Kim H, Ha DH, Jang J, Kim BS, Cho DW (2017) Development of liver decellularized extracellular matrix bioink for three-dimensional cell printing based liver tissue engineering. Biomacromol 18(4):1229–1237. https://doi.org/10.1021/acs.biomac.6b01908
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The manuscript was supported by the Department of Science and Technology (DST), India, DST-ASEAN Grant (CRD/2019/000120). The figures have been created with BioRender.com.
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SK and DMT were involved in conceptualization of the study. PR wrote the manuscript and designed the figures. DMT supervised the figure designing. SR and SK reviewed and edited the final draft. All authors approved the manuscript.
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Rawal, P., Tripathi, D.M., Ramakrishna, S. et al. Prospects for 3D bioprinting of organoids. Bio-des. Manuf. (2021). https://doi.org/10.1007/s42242-020-00124-1
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Keywords
- Three-dimensional bioprinting
- Bioink
- Organoid
- Microfluidics
- Extracellular matrix (ECM)
- Biomaterial