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Foresti R, Fornasari A, Bianchini Massoni C, Mersanne A, Martini C, Cabrini E, Freyrie A, Perini P. Surgical Medical Education via 3D Bioprinting: Modular System for Endovascular Training. Bioengineering (Basel) 2024; 11:197. [PMID: 38391683 PMCID: PMC10886183 DOI: 10.3390/bioengineering11020197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 02/11/2024] [Accepted: 02/17/2024] [Indexed: 02/24/2024] Open
Abstract
There is currently a shift in surgical training from traditional methods to simulation-based approaches, recognizing the necessity of more effective and controlled learning environments. This study introduces a completely new 3D-printed modular system for endovascular surgery training (M-SET), developed to allow various difficulty levels. Its design was based on computed tomography angiographies from real patient data with femoro-popliteal lesions. The study aimed to explore the integration of simulation training via a 3D model into the surgical training curriculum and its effect on their performance. Our preliminary study included 12 volunteer trainees randomized 1:1 into the standard simulation (SS) group (3 stepwise difficulty training sessions) and the random simulation (RS) group (random difficulty of the M-SET). A senior surgeon evaluated and timed the final training session. Feedback reports were assessed through the Student Satisfaction and Self-Confidence in Learning Scale. The SS group completed the training sessions in about half time (23.13 ± 9.2 min vs. 44.6 ± 12.8 min). Trainees expressed high satisfaction with the training program supported by the M-SET. Our 3D-printed modular training model meets the current need for new endovascular training approaches, offering a customizable, accessible, and effective simulation-based educational program with the aim of reducing the time required to reach a high level of practical skills.
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Affiliation(s)
- Ruben Foresti
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy
- Center of Excellence for Toxicological Research (CERT), University of Parma, 43126 Parma, Italy
- Italian National Research Council, Institute of Materials for Electronics and Magnetism (CNR-IMEM), 43124 Parma, Italy
| | - Anna Fornasari
- Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy
| | - Claudio Bianchini Massoni
- Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy
| | - Arianna Mersanne
- Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy
| | - Chiara Martini
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy
- Diagnostic Department, University-Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy
| | - Elisa Cabrini
- Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy
| | - Antonio Freyrie
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy
- Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy
| | - Paolo Perini
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy
- Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy
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Majumder N, Ghosh S. 3D biofabrication and space: A 'far-fetched dream' or a 'forthcoming reality'? Biotechnol Adv 2023; 69:108273. [PMID: 37863444 DOI: 10.1016/j.biotechadv.2023.108273] [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: 05/23/2023] [Revised: 10/10/2023] [Accepted: 10/15/2023] [Indexed: 10/22/2023]
Abstract
The long duration space missions across the Low Earth Orbit (LEO) often expose the voyagers to an abrupt zero gravity influence. The severe extraterrestrial cosmic radiation directly causes a plethora of moderate to chronic healthcare crises. The only feasible solution to manage critical injuries on board is surgical interventions or immediate return to Earth. This led the group of space medicine practitioners to adopt principles from tissue engineering and develop human tissue equivalents as an immediate regenerative therapy on board. The current review explicitly demonstrates the constructive application of different tissue-engineered equivalents matured under the available ground-based microgravity simulation facilities. Further, it elucidates how augmenting the superiority of biomaterial-based 3D bioprinting technology can enhance their clinical applicability. Additionally, the regulatory role of weightlessness condition on the underlying cellular signaling pathways governing tissue morphogenesis has been critically discussed. This information will provide future directions on how 3D biofabrication can be used as a plausible tool for healing on-flight chronic health emergencies. Thus, in our review, we aimed to precisely debate whether 3D biofabrication is deployed to cater to on-flight healthcare anomalies or space-like conditions are being utilized for generating 3D bioprinted human tissue constructs for efficient drug screening and regenerative therapy.
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Affiliation(s)
- Nilotpal Majumder
- Regenerative Engineering Laboratory, Department of Textile and Fibre Engineering, Indian Institute of Technology Delhi, New Delhi 110016, India
| | - Sourabh Ghosh
- Regenerative Engineering Laboratory, Department of Textile and Fibre Engineering, Indian Institute of Technology Delhi, New Delhi 110016, India.
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Demeco A, Foresti R, Frizziero A, Daracchi N, Renzi F, Rovellini M, Salerno A, Martini C, Pelizzari L, Costantino C. The Upper Limb Orthosis in the Rehabilitation of Stroke Patients: The Role of 3D Printing. Bioengineering (Basel) 2023; 10:1256. [PMID: 38002380 PMCID: PMC10669460 DOI: 10.3390/bioengineering10111256] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 10/22/2023] [Accepted: 10/24/2023] [Indexed: 11/26/2023] Open
Abstract
Stroke represents the third cause of long-term disability in the world. About 80% of stroke patients have an impairment of bio-motor functions and over half fail to regain arm functionality, resulting in motor movement control disorder with serious loss in terms of social independence. Therefore, rehabilitation plays a key role in the reduction of patient disabilities, and 3D printing (3DP) has showed interesting improvements in related fields, thanks to the possibility to produce customized, eco-sustainable and cost-effective orthoses. This study investigated the clinical use of 3DP orthosis in rehabilitation compared to the traditional ones, focusing on the correlation between 3DP technology, therapy and outcomes. We screened 138 articles from PubMed, Scopus and Web of Science, selecting the 10 articles fulfilling the inclusion criteria, which were subsequently examined for the systematic review. The results showed that 3DP provides substantial advantages in terms of upper limb orthosis designed on the patient's needs. Moreover, seven research activities used biodegradable/recyclable materials, underlining the great potential of validated 3DP solutions in a clinical rehabilitation setting. The aim of this study was to highlight how 3DP could overcome the limitations of standard medical devices in order to support clinicians, bioengineers and innovation managers during the implementation of Healthcare 4.0.
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Affiliation(s)
- Andrea Demeco
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
| | - Ruben Foresti
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
- Center of Excellence for Toxicological Research (CERT), University of Parma, 43126 Parma, Italy
- Italian National Research Council, Institute of Materials for Electronics and Magnetism (CNR-IMEM), 43124 Parma, Italy
| | - Antonio Frizziero
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
| | - Nicola Daracchi
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
| | - Francesco Renzi
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
| | - Margherita Rovellini
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
| | - Antonello Salerno
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
| | - Chiara Martini
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
| | - Laura Pelizzari
- AUSL Piacenza, Neurorehabilitation and Spinal Unit, Department of Rehabilitative Medicine, 29121 Piacenza, Italy;
| | - Cosimo Costantino
- Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.F.); (N.D.); (F.R.); (M.R.); (A.S.); (C.M.); (C.C.)
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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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Cui Y, Liu W, Zhao S, Zhao Y, Dai J. Advances in Microgravity Directed Tissue Engineering. Adv Healthc Mater 2023; 12:e2202768. [PMID: 36893386 DOI: 10.1002/adhm.202202768] [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: 10/27/2022] [Revised: 02/28/2023] [Indexed: 03/11/2023]
Abstract
Tissue engineering aims to generate functional biological substitutes to repair, sustain, improve, or replace tissue function affected by disease. With the rapid development of space science, the application of simulated microgravity has become an active topic in the field of tissue engineering. There is a growing body of evidence demonstrating that microgravity offers excellent advantages for tissue engineering by modulating cellular morphology, metabolism, secretion, proliferation, and stem cell differentiation. To date, there have been many achievements in constructing bioartificial spheroids, organoids, or tissue analogs with or without scaffolds in vitro under simulated microgravity conditions. Herein, the current status, recent advances, challenges, and prospects of microgravity related to tissue engineering are reviewed. Current simulated-microgravity devices and cutting-edge advances of microgravity for biomaterials-dependent or biomaterials-independent tissue engineering to offer a reference for guiding further exploration of simulated microgravity strategies to produce engineered tissues are summarized and discussed.
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Affiliation(s)
- Yi Cui
- Reproductive and Genetic Center of National Research Institute for Family Planning, Beijing, 100081, China
| | - Weiyuan Liu
- Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, 100080, China
| | - Shuaijing Zhao
- Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, 100080, China
| | - Yannan Zhao
- Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, 100080, China
| | - Jianwu Dai
- Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, 100080, China
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Windisch J, Reinhardt O, Duin S, Schütz K, Rodriguez NJN, Liu S, Lode A, Gelinsky M. Bioinks for Space Missions: The Influence of Long-Term Storage of Alginate-Methylcellulose-Based Bioinks on Printability as well as Cell Viability and Function. Adv Healthc Mater 2023; 12:e2300436. [PMID: 37125819 DOI: 10.1002/adhm.202300436] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 04/14/2023] [Indexed: 05/02/2023]
Abstract
Bioprinting is considered a key technology for future space missions and is currently being established on the International Space Station (ISS). With the aim to perform bioink production as a critical and resource-consuming preparatory step already on Earth and transport a bioink cartridge "ready to use" to the ISS, the storability of bioinks is investigated. Hydrogel blends based on alginate and methylcellulose are laden with either green microalgae of the species Chlorella vulgaris or with different human cell lines including immortilized human mesenchymal stem cells, SaOS-2 and HepG2, as well as with primary human dental pulp stem cells. The bioinks are filled into printing cartridges and stored at 4°C for up to four weeks. Printability of the bioinks is maintained after storage. Viability and function of the cells embedded in constructs bioprinted from the stored bioinks are investigated during subsequent cultivation: The microalgae survive the storage period very well and show no loss of growth and functionality, however a significant decrease is visible for human cells, varying between the different cell types. The study demonstrates that storage of bioinks is in principle possible and is a promising starting point for future research, making complex printing processes more effective and reproducible.
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Affiliation(s)
- Johannes Windisch
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Olena Reinhardt
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Sarah Duin
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Kathleen Schütz
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Nuria Juliana Novoa Rodriguez
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Suihong Liu
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Anja Lode
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Michael Gelinsky
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
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De Micco V, Amitrano C, Mastroleo F, Aronne G, Battistelli A, Carnero-Diaz E, De Pascale S, Detrell G, Dussap CG, Ganigué R, Jakobsen ØM, Poulet L, Van Houdt R, Verseux C, Vlaeminck SE, Willaert R, Leys N. Plant and microbial science and technology as cornerstones to Bioregenerative Life Support Systems in space. NPJ Microgravity 2023; 9:69. [PMID: 37620398 PMCID: PMC10449850 DOI: 10.1038/s41526-023-00317-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 08/02/2023] [Indexed: 08/26/2023] Open
Abstract
Long-term human space exploration missions require environmental control and closed Life Support Systems (LSS) capable of producing and recycling resources, thus fulfilling all the essential metabolic needs for human survival in harsh space environments, both during travel and on orbital/planetary stations. This will become increasingly necessary as missions reach farther away from Earth, thereby limiting the technical and economic feasibility of resupplying resources from Earth. Further incorporation of biological elements into state-of-the-art (mostly abiotic) LSS, leading to bioregenerative LSS (BLSS), is needed for additional resource recovery, food production, and waste treatment solutions, and to enable more self-sustainable missions to the Moon and Mars. There is a whole suite of functions crucial to sustain human presence in Low Earth Orbit (LEO) and successful settlement on Moon or Mars such as environmental control, air regeneration, waste management, water supply, food production, cabin/habitat pressurization, radiation protection, energy supply, and means for transportation, communication, and recreation. In this paper, we focus on air, water and food production, and waste management, and address some aspects of radiation protection and recreation. We briefly discuss existing knowledge, highlight open gaps, and propose possible future experiments in the short-, medium-, and long-term to achieve the targets of crewed space exploration also leading to possible benefits on Earth.
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Affiliation(s)
- Veronica De Micco
- Department of Agricultural Sciences, University of Naples Federico II, via Università 100, 80055, Portici (NA), Italy.
| | - Chiara Amitrano
- Department of Agricultural Sciences, University of Naples Federico II, via Università 100, 80055, Portici (NA), Italy
| | - Felice Mastroleo
- Microbiology Unit, Nuclear Medical Applications, Belgian Nuclear Research Centre (SCK CEN), 2400, Mol, Belgium
| | - Giovanna Aronne
- Department of Agricultural Sciences, University of Naples Federico II, via Università 100, 80055, Portici (NA), Italy
| | - Alberto Battistelli
- Istituto di Ricerca sugli Ecosistemi Terrestri Consiglio Nazionale delle Ricerche Viale Marconi 2, 05010, Porano (TR), Italy
| | - Eugenie Carnero-Diaz
- Institute of Systematic, Evolution, Biodiversity, Sorbonne University, National Museum of Natural History, CNRS, EPHE, UA, 45, rue Buffon CP50, 75005, Paris, France
| | - Stefania De Pascale
- Department of Agricultural Sciences, University of Naples Federico II, via Università 100, 80055, Portici (NA), Italy
| | - Gisela Detrell
- Institute of Space Systems, University of Stuttgart, Pfaffenwaldring 29, 70569, Stuttgart, Germany
| | - Claude-Gilles Dussap
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Ramon Ganigué
- Center for Microbial Ecology and Technology, Ghent University, Coupure Links 653, 9000, Gent, Belgium
| | - Øyvind Mejdell Jakobsen
- Centre for Interdisciplinary Research in Space (CIRiS), NTNU Social Research, Trondheim, Norway
| | - Lucie Poulet
- Université Clermont Auvergne, Clermont Auvergne INP, CNRS, Institut Pascal, F-63000, Clermont-Ferrand, France
| | - Rob Van Houdt
- Microbiology Unit, Nuclear Medical Applications, Belgian Nuclear Research Centre (SCK CEN), 2400, Mol, Belgium
| | - Cyprien Verseux
- Center of Applied Space Technology and Microgravity (ZARM), University of Bremen, 28359, Bremen, Germany
| | - Siegfried E Vlaeminck
- Research Group of Sustainable Energy, Air and Water Technology, University of Antwerp, 2020, Antwerpen, Belgium
| | - Ronnie Willaert
- Research Groups NAMI and NANO, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium
| | - Natalie Leys
- Microbiology Unit, Nuclear Medical Applications, Belgian Nuclear Research Centre (SCK CEN), 2400, Mol, Belgium
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8
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Mamo HB, Adamiak M, Kunwar A. 3D printed biomedical devices and their applications: A review on state-of-the-art technologies, existing challenges, and future perspectives. J Mech Behav Biomed Mater 2023; 143:105930. [PMID: 37267735 DOI: 10.1016/j.jmbbm.2023.105930] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 05/21/2023] [Accepted: 05/21/2023] [Indexed: 06/04/2023]
Abstract
3D printing, also known as Additive manufacturing (AM), has emerged as a transformative technology with applications across various industries, including the medical sector. This review paper provides an overview of the current status of AM technology, its challenges, and its application in the medical industry. The paper covers the different types of AM technologies, such as fused deposition modeling, stereolithography, selective laser sintering, digital light processing, binder jetting, and electron beam melting, and their suitability for medical applications. The most commonly used biomedical materials in AM, such as plastic, metal, ceramic, composite, and bio-inks, are also viewed. The challenges of AM technology, such as material selection, accuracy, precision, regulatory compliance, cost and quality control, and standardization, are also discussed. The review also highlights the various applications of AM in the medical sector, including the production of patient-specific surgical guides, prosthetics, orthotics, and implants. Finally, the review highlights the Internet of Medical Things (IoMT) and artificial intelligence (AI) for regulatory frameworks and safety standards for 3D-printed biomedical devices. The review concludes that AM technology can transform the healthcare industry by enabling patients to access more personalized and reasonably priced treatment alternatives. Despite the challenges, integrating AI and IoMT with 3D printing technology is expected to play a vital role in the future of biomedical device applications, leading to further advancements and improvements in patient care. More research is needed to address the challenges and optimize its use for medical applications to utilize AM's potential in the medical industry fully.
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Affiliation(s)
- Hana Beyene Mamo
- Faculty of Mechanical Engineering, Silesian University of Technology, Konarskiego 18A, 44-100, Gliwice, Poland.
| | - Marcin Adamiak
- Faculty of Mechanical Engineering, Silesian University of Technology, Konarskiego 18A, 44-100, Gliwice, Poland
| | - Anil Kunwar
- Faculty of Mechanical Engineering, Silesian University of Technology, Konarskiego 18A, 44-100, Gliwice, Poland
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9
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Nguyen CN, Urquieta E. Contemporary review of dermatologic conditions in space flight and future implications for long-duration exploration missions. LIFE SCIENCES IN SPACE RESEARCH 2023; 36:147-156. [PMID: 36682824 DOI: 10.1016/j.lssr.2022.10.004] [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: 06/17/2022] [Revised: 09/23/2022] [Accepted: 10/11/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Future planned exploration missions to outer space will almost surely require the longest periods of continuous space exposure by the human body yet. As the most external organ, the skin seems the most vulnerable to injury. Therefore, discussion of the dermatological implications of such extended-duration missions is critical. OBJECTIVES In order to help future missions understand the risks of spaceflight on the human skin, this review aims to consolidate data from the current literature pertaining to the space environment and its physiologic effects on skin, describe all reported dermatologic manifestations in spaceflight, and extrapolate this information to longer-duration mission. METHODS AND MATERIALS The authors searched PubMed and Google Scholar using keywords and Mesh terms. The publications that were found to be relevant to the objectives were included and described. RESULTS The space environment causes changes in the skin at the cellular level by thinning the epidermis, altering wound healing, and dysregulating the immune system. Clinically, dermatological conditions represented the most common medical issues occurring in spaceflight. We predict that as exploration missions increase in duration, astronauts will experience further physiological changes and an increased rate and severity of adverse events. CONCLUSION Maximizing astronaut safety requires a continued knowledge of the human body's response to space, as well as consideration and prediction of future events. Dermatologic effects of space missions comprise the majority of health-related issues arising on missions to outer space, and these issues are likely to become more prominent with increasing time spent in space. Improvements in hygiene may mitigate some of these conditions.
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Affiliation(s)
| | - Emmanuel Urquieta
- Department of Emergency Medicine and Center for Space Medicine, Baylor College of Medicine. Houston TX, United States; Translational Research Institute for Space Health, Houston, TX, United States
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10
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Mochi F, Scatena E, Rodriguez D, Ginebra MP, Del Gaudio C. Scaffold-based bone tissue engineering in microgravity: potential, concerns and implications. NPJ Microgravity 2022; 8:45. [PMID: 36309540 PMCID: PMC9617896 DOI: 10.1038/s41526-022-00236-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 10/12/2022] [Indexed: 11/09/2022] Open
Abstract
One of humanity's greatest challenges is space exploration, which requires an in-depth analysis of the data continuously collected as a necessary input to fill technological gaps and move forward in several research sectors. Focusing on space crew healthcare, a critical issue to be addressed is tissue regeneration in extreme conditions. In general, it represents one of the hottest and most compelling goals of the scientific community and the development of suitable therapeutic strategies for the space environment is an urgent need for the safe planning of future long-term manned space missions. Osteopenia is a commonly diagnosed disease in astronauts due to the physiological adaptation to altered gravity conditions. In order to find specific solutions to bone damage in a reduced gravity environment, bone tissue engineering is gaining a growing interest. With the aim to critically investigate this topic, the here presented review reports and discusses bone tissue engineering scenarios in microgravity, from scaffolding to bioreactors. The literature analysis allowed to underline several key points, such as the need for (i) biomimetic composite scaffolds to better mimic the natural microarchitecture of bone tissue, (ii) uniform simulated microgravity levels for standardized experimental protocols to expose biological materials to the same testing conditions, and (iii) improved access to real microgravity for scientific research projects, supported by the so-called democratization of space.
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Affiliation(s)
- Federico Mochi
- E. Amaldi Foundation, Via del Politecnico snc, 00133, Rome, Italy
| | - Elisa Scatena
- E. Amaldi Foundation, Via del Politecnico snc, 00133, Rome, Italy
| | - Daniel Rodriguez
- Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Engineering, Universitat Politècnica de Catalunya (UPC), Av. Eduard Maristany 10, 08019, Barcelona, Spain.,Barcelona Research Center in Multiscale Science and Engineering, Universitat Politècnica de Catalunya, Av. Eduard Maristany 10, 08019, Barcelona, Spain
| | - Maria-Pau Ginebra
- Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Engineering, Universitat Politècnica de Catalunya (UPC), Av. Eduard Maristany 10, 08019, Barcelona, Spain.,Barcelona Research Center in Multiscale Science and Engineering, Universitat Politècnica de Catalunya, Av. Eduard Maristany 10, 08019, Barcelona, Spain.,Institute for Bioengineering of Catalonia (IBEC), Barcelona Institute of Science and Technology (BIST), Baldiri Reixac 10, 08028, Barcelona, Spain
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11
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Space neuroscience: current understanding and future research. Neurol Sci 2022; 43:4649-4654. [DOI: 10.1007/s10072-022-06146-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 05/13/2022] [Indexed: 10/18/2022]
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12
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A framework for the sustainability implications of 3D bioprinting through nature-inspired materials and structures. Biodes Manuf 2022. [DOI: 10.1007/s42242-021-00168-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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13
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Olejnik A, Semba JA, Kulpa A, Dańczak-Pazdrowska A, Rybka JD, Gornowicz-Porowska J. 3D Bioprinting in Skin Related Research: Recent Achievements and Application Perspectives. ACS Synth Biol 2022; 11:26-38. [PMID: 34967598 PMCID: PMC8787816 DOI: 10.1021/acssynbio.1c00547] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
![]()
In recent years,
significant progress has been observed in the
field of skin bioprinting, which has a huge potential to revolutionize
the way of treatment in injury and surgery. Furthermore, it may be
considered as an appropriate platform to perform the assessment and
screening of cosmetic and pharmaceutical formulations. Therefore,
the objective of this paper was to review the latest advances in 3D
bioprinting dedicated to skin applications. In order to explain the
boundaries of this technology, the architecture and functions of the
native skin were briefly described. The principles of bioprinting
methods were outlined along with a detailed description of key elements
that are required to fabricate the skin equivalents. Next, the overview
of recent progress in 3D bioprinting studies was presented. The article
also highlighted the potential applications of bioengineered skin
substituents in various fields including regenerative medicine, modeling
of diseases, and cosmetics/drugs testing. The advantages, limitations,
and future directions of this technology were also discussed.
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Affiliation(s)
- Anna Olejnik
- Faculty of Chemistry, Adam Mickiewicz University in Poznań, Uniwersytetu Poznańskiego 8, 61-614 Poznań, Poland
| | - Julia Anna Semba
- Center for Advanced Technology, Adam Mickiewicz University, Uniwersytetu Poznańskiego 10, 61-614 Poznań, Poland
- Faculty of Biology, Adam Mickiewicz University in Poznań, Uniwersytetu Poznańskiego 6, 61-614 Poznań, Poland
| | - Adam Kulpa
- Center for Advanced Technology, Adam Mickiewicz University, Uniwersytetu Poznańskiego 10, 61-614 Poznań, Poland
- Faculty of Biology, Adam Mickiewicz University in Poznań, Uniwersytetu Poznańskiego 6, 61-614 Poznań, Poland
| | | | - Jakub Dalibor Rybka
- Center for Advanced Technology, Adam Mickiewicz University, Uniwersytetu Poznańskiego 10, 61-614 Poznań, Poland
| | - Justyna Gornowicz-Porowska
- Department and Division of Practical Cosmetology and Skin Diseases Prophylaxis, Poznan University of Medicinal Sciences, Mazowiecka 33, 60-623 Poznań, Poland
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Abstract
AbstractThe multidisciplinary research field of bioprinting combines additive manufacturing, biology and material sciences to create bioconstructs with three-dimensional architectures mimicking natural living tissues. The high interest in the possibility of reproducing biological tissues and organs is further boosted by the ever-increasing need for personalized medicine, thus allowing bioprinting to establish itself in the field of biomedical research, and attracting extensive research efforts from companies, universities, and research institutes alike. In this context, this paper proposes a scientometric analysis and critical review of the current literature and the industrial landscape of bioprinting to provide a clear overview of its fast-changing and complex position. The scientific literature and patenting results for 2000–2020 are reviewed and critically analyzed by retrieving 9314 scientific papers and 309 international patents in order to draw a picture of the scientific and industrial landscape in terms of top research countries, institutions, journals, authors and topics, and identifying the technology hubs worldwide. This review paper thus offers a guide to researchers interested in this field or to those who simply want to understand the emerging trends in additive manufacturing and 3D bioprinting.
Graphic abstract
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Chandrashekhar P, Minooei F, Arreguin W, Masigol M, Steinbach-Rankins JM. Perspectives on Existing and Novel Alternative Intravaginal Probiotic Delivery Methods in the Context of Bacterial Vaginosis Infection. AAPS J 2021; 23:66. [PMID: 33973067 PMCID: PMC8356663 DOI: 10.1208/s12248-021-00602-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 04/27/2021] [Indexed: 12/17/2022] Open
Abstract
Bacterial vaginosis (BV) is one of the most common vaginal infections that affects hundreds of millions of women of reproductive age, worldwide. Traditional treatment strategies, such as oral and topical antibiotics, have shown efficacy against BV, but frequent recurrence of infection and the development of antibiotic-resistant bacteria remain as significant challenges. Alternatively, recent progress in understanding immune, microbiological, and metabolic interactions in the vaginal microbiota has prompted the consideration of administering probiotic organisms to restore and maintain vaginal health within the context of BV prevention and treatment. Given this, the objective of this review is to discuss existing and potential alternative approaches to deliver, and to potentially sustain the delivery of probiotics, to prevent and/or treat BV infections. First, a brief overview is provided regarding the probiotic species and combinatorial probiotic strategies that have shown promise in the treatment of BV and in restoring female reproductive health. Additionally, the advantages and challenges associated with current oral and intravaginal probiotic delivery platforms are discussed. Lastly, we present emerging and promising alternative dosage forms, such as electrospun fibers and 3D bioprinted scaffolds, that may be adapted as new strategies to intravaginally deliver probiotic organisms. Graphical abstract.
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Affiliation(s)
| | - Farnaz Minooei
- Department of Chemical Engineering, University of Louisville Speed School of Engineering, Louisville, Kentucky, USA
- Center for Predictive Medicine, University of Louisville, Louisville, Kentucky, USA
| | - Wenndy Arreguin
- Department of Bioengineering, University of Louisville Speed School of Engineering, 505 S. Hancock St., Room 623, Louisville, Kentucky, 40202, USA
| | - Mohammadali Masigol
- Center for Predictive Medicine, University of Louisville, Louisville, Kentucky, USA
- Department of Bioengineering, University of Louisville Speed School of Engineering, 505 S. Hancock St., Room 623, Louisville, Kentucky, 40202, USA
| | - Jill M Steinbach-Rankins
- Center for Predictive Medicine, University of Louisville, Louisville, Kentucky, USA.
- Department of Bioengineering, University of Louisville Speed School of Engineering, 505 S. Hancock St., Room 623, Louisville, Kentucky, 40202, USA.
- Department of Microbiology and Immunology, University of Louisville School of Medicine, Louisville, Kentucky, USA.
- Department of Pharmacology and Toxicology, University of Louisville School of Medicine, Louisville, Kentucky, USA.
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17
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Cubo-Mateo N, Podhajsky S, Knickmann D, Slenzka K, Ghidini T, Gelinsky M. Can 3D bioprinting be a key for exploratory missions and human settlements on the Moon and Mars? Biofabrication 2020; 12:043001. [PMID: 32975214 DOI: 10.1088/1758-5090/abb53a] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Fifty years after the first human landed on the Moon mankind has started to plan next steps for manned space exploration missions. The international space agencies have begun to investigate the requirements for both a human settlement on the Moon and manned missions to Mars. For such activities significantly improved medical treatment facilities on-board the spacecrafts or within the extraterrestrial settlements need to be provided as no fast return opportunities to Earth would exist anymore in case of severe trauma or illness. Bioprinting is believed to play a significant role as it could offer the possibilities to produce patient-specific tissue constructs in a semi-automated manner. Therefore, both the space agencies and the bioprinting community have started to study possible applications of bioprinting technologies in space. Besides utilisation of bioprinted tissue constructs for the treatment of injured astronauts bioprinting will become relevant for the fabrication of three-dimensional tissue models for basic research, e.g. concerning effects of microgravity and cosmic radiation on cells and tissues. This perspective article describes the current state of the art including medical scenarios for new far-distant space exploration missions, first approaches towards establishment of bioprinters in space and which limitations have to be resolved to use bioprinting under the specific conditions of space flight like altered gravity conditions.
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Affiliation(s)
- Nieves Cubo-Mateo
- Centre for Translational Bone, Joint and Soft Tissue Research, TU Dresden, Dresden, Germany
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18
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Timashev P, Mironov V. Bioprinting in the Russian Federation: Can Russians Compete? Int J Bioprint 2020; 6:303. [PMID: 33088990 PMCID: PMC7557341 DOI: 10.18063/ijb.v6i3.303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Accepted: 07/01/2020] [Indexed: 11/24/2022] Open
Abstract
Bioprinting is a rapidly emerging biomedical research field. Three-dimensional bioprinting is defined as a robotic additive, layer-by-layer biofabrication of functional tissues and organs from living cells, and biomaterials according to a digital model. Bioprinting can revolutionize medicine by automated robotic production of human tissues and organs suitable for transplantation. Bioprinting is based on sophisticated high technology, and it is obvious that only technologically advanced countries can make a real contribution to this rapidly evolving multidisciplinary field. In this paper, we present main Russia’s achievements in bioprinting. Here, we also discuss challenges and perspectives of bioprinting research and development in Russia. Russian researchers already made some impressive contributions with long-lasting impact and they have capacities, potential, and ambitions to continue contribute to the advancements of bioprinting.
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Affiliation(s)
- Peter Timashev
- Institute for Regenerative Medicine, Sechenov University, Moscow, Russia.,Department of Chemistry, Lomonosov Moscow State University, Moscow, Russia.,Department of Polymers and Composites, N.N. Semenov Institute of Chemical Physics, Moscow, Russia
| | - Vladimir Mironov
- Institute for Regenerative Medicine, Sechenov University, Moscow, Russia.,3D Bioprinting Solutions, Moscow, Russia
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Ghilan A, Chiriac AP, Nita LE, Rusu AG, Neamtu I, Chiriac VM. Trends in 3D Printing Processes for Biomedical Field: Opportunities and Challenges. JOURNAL OF POLYMERS AND THE ENVIRONMENT 2020; 28:1345-1367. [PMID: 32435165 PMCID: PMC7224028 DOI: 10.1007/s10924-020-01722-x] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Affiliation(s)
- Alina Ghilan
- “Petru Poni” Institute of Macromolecular Chemistry, Laboratory of Inorganic Polymers, 41-A Grigore Ghica Voda Alley, Iasi, 700487 Romania
| | - Aurica P. Chiriac
- “Petru Poni” Institute of Macromolecular Chemistry, Laboratory of Inorganic Polymers, 41-A Grigore Ghica Voda Alley, Iasi, 700487 Romania
| | - Loredana E. Nita
- “Petru Poni” Institute of Macromolecular Chemistry, Laboratory of Inorganic Polymers, 41-A Grigore Ghica Voda Alley, Iasi, 700487 Romania
| | - Alina G. Rusu
- “Petru Poni” Institute of Macromolecular Chemistry, Laboratory of Inorganic Polymers, 41-A Grigore Ghica Voda Alley, Iasi, 700487 Romania
| | - Iordana Neamtu
- “Petru Poni” Institute of Macromolecular Chemistry, Laboratory of Inorganic Polymers, 41-A Grigore Ghica Voda Alley, Iasi, 700487 Romania
| | - Vlad Mihai Chiriac
- “Gh. Asachi” Technical University, Faculty of Electronics, Telecommunications and Information Technology, Bd. Carol I, 11A, Iasi, 700506 Romania
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Sun W, Starly B, Daly AC, Burdick JA, Groll J, Skeldon G, Shu W, Sakai Y, Shinohara M, Nishikawa M, Jang J, Cho DW, Nie M, Takeuchi S, Ostrovidov S, Khademhosseini A, Kamm RD, Mironov V, Moroni L, Ozbolat IT. The bioprinting roadmap. Biofabrication 2020; 12:022002. [DOI: 10.1088/1758-5090/ab5158] [Citation(s) in RCA: 163] [Impact Index Per Article: 40.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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21
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Current Biomedical Applications of 3D Printing and Additive Manufacturing. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9081713] [Citation(s) in RCA: 77] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Additive manufacturing (AM) has emerged over the past four decades as a cost-effective, on-demand modality for fabrication of geometrically complex objects. The ability to design and print virtually any object shape using a diverse array of materials, such as metals, polymers, ceramics and bioinks, has allowed for the adoption of this technology for biomedical applications in both research and clinical settings. Current advancements in tissue engineering and regeneration, therapeutic delivery, medical device fabrication and operative management planning ensure that AM will continue to play an increasingly important role in the future of healthcare. In this review, we outline current biomedical applications of common AM techniques and materials.
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Affiliation(s)
- Tommaso Ghidini
- ESA-ESTEC, European Space Technology and Research Centre, Noordwijk, the Netherlands.
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