Zusammenfassung
Die Fähigkeiten des menschlichen Körpers zur Regeneration sind limitiert, und Gewebe und Organspenden sind seit Jahren rückläufig. Moderne Biotechnologie, d. h. Bioengineering und insbesondere der 3D-Biodruck (3D-Bioprinting), wecken die Hoffnung auf eine Verbesserung der Therapie von kardiovaskulären Erkrankungen. Das Ziel des 3D-Bioprinting ist es, die Vorteile der schnellen, präzisen und reproduzierbaren maschinellen Instant-Fertigung, wie sie aus der Industrie bekannt sind, auf lebende, komplexe Strukturen zu übertragen und die so erzeugten Gewebeverbände und Organoide anschließend im Bioreaktor weiterzukultivieren. Drei der häufigsten Bioprinting-Verfahren, d. h. das injektionsbasierte Bioprinting, das laserbasierte Bioprinting und das extrusionsbasierte Bioprinting, sollen im Folgenden, vor dem Hintergrund der Anwendung in der kardiovaskulären Medizin, erläutert werden. Weiterhin werden exemplarisch die aktuellen und zukünftigen Möglichkeiten des 3D-Bioprinting in der kardiovaskulären Medizin vorgestellt.
Abstract
The human body’s ability to regenerate is limited and tissue and organ donations have been declining for years. Modern biotechnology, i.e. bioengineering and in particular 3D-bioprinting raises the hope of improving the treatment of cardiovascular diseases. The goal of 3D-bioprinting is to transfer the advantages of fast, precise and reproducible instant machine fabrication, as known from industry, to living complex structures and to subsequently further cultivate the resulting tissue composites and organoids in a bioreactor. Three of the most common bioprinting methods, i.e. injection-based bioprinting, laser-based bioprinting and extrusion-based bioprinting, are described and their potential application in cardiovascular medicine is discussed. Furthermore, the current and future possibilities of 3D-bioprinting in cardiovascular medicine are highlighted in this article.
Literatur
Michel SG, Madariaga MLL, Villani V, Shanmugarajah K (2015) Current progress in xenotransplantation and organ bioengineering. Int J Surg 13:239–244
Dawood A, Marti BM, Sauret-Jackson V, Darwood A (2015) 3D printing in dentistry. Br Dent J 219(11):521–529
Arslan-Yildiz A, El Assal R, Chen P, Guven S, Inci F, Demirci U (2016) Towards artificial tissue models: past, present, and future of 3D bioprinting. Biofabrication 8:14103
Matai I, Kaur G, Seyedsalehi A, McClinton A, Laurencin CT (2020) Progress in 3D bioprinting technology for tissue/organ regenerative engineering. Biomaterials 226:119536
Li J, Chen M, Fan X, Zhou H (2016) Recent advances in bioprinting techniques: approaches, applications and future prospects. J Transl Med 14(1):1–15
Leberfinger AN, Ravnic DJ, Dhawan A, Ozbolat IT (2017) Concise review: bioprinting of stem cells for transplantable tissue fabrication. Stem Cells Transl Med 6(10):1940–1948
Boland T, Xu T, Damon B, Cui X (2006) Application of inkjet printing to tissue engineering. Biotechnol J 1(9):910–917
Choi CH, Lin LY, Cheng CC, Chang CH (2015) Printed oxide thin film transistors: a mini review. ECS J Solid State Sci Technol 4(4):P3044
Arnold CB, Serra P, Piqué A (2007) Laser direct-write techniques for printing of complex materials. MRS Bull 32:23–32
Barron JA, Wu P, Ladouceur HD, Ringeisen BR (2004) Biological laser printing: a novel technique for creating heterogeneous 3‑dimensional cell patterns. Biomed Microdevices 6:139–147
Keriquel V, Oliveira H, Remy M, Ziane S, Rousseau B, Rey S, Catros S, Amedee J (2017) In situ printing of mesenchymal stromal cells, by laser-assisted bioprinting for in vivo bone regeneration applications. 7(1):1–10
Guillemot F, Souquet A, Catros S, Guillotin B (2010) Laser-assisted cell printing: principle, physical parameters versus cell fate and perspectives in tissue engineering. Nanomedicine 5:507–515
Ringeisen BR, Othon CM, Barron JA, Young D, Spargo BJ (2006) Jet-based methods to print living cells. Biotechnol J 1(9):930–948
Calvert P (2001) Inkjet printing for materials and devices. Chem Mater 13(10):3299–3305
Mironov V (2003) Printing technology to produce living tissue. Expert Opin Biol Ther 3(5):701–704
Wust S, Godla ME, Muller R, Hofmann S (2014) Tunable hydrogel composite with two-step processing in combination with innovative hardware upgrade for cell-based three-dimensional bioprinting. Acta Biomater 10:630–640
Cornelissen M, De Schryver T, Gevaert E, Billiet T, Dubruel P (2013) The 3D printing of gelatin methacrylamide cell-laden tissue-engineered constructs with high cell viability. Biomaterials 35:49–62
Ji S, Guvendiren M (2017) Recent advances in bioink design for 3D bioprinting of tissues and organs. Front Bioeng Biotechnol 5:1–8
Ouyang L, Yao R, Zhao Y, Sun W (2016) Effect of bioink properties on printability and cell viability for 3D bioplotting of embryonic stem cells. Biofabrication 8:1–12
Ovsianikov A, Lin S, Holzl K, Tytgat L, Van Vlierberghe S, Gu L (2016) Bioink properties before, during and after 3D bioprinting. Biofabrication 8:32002
Blaeser A, Korsten A, Neuss S, Fischer H, Duarte Campos DF, Jakel J, Vogt M (2014) The stiffness and structure of three-dimensional printed hydrogels direct the differentiation of mesenchymal stromal cells toward adipogenic and osteogenic lineages. Tissue Eng Part A 21:740–756
Ewald A, Schweinlin M, Schacht K, Jüngst T, Scheibel T, Groll J (2015) Biofabrication of cell-loaded 3D spider silk constructs. Angew Chem Int Ed 54:2816–2820
Pescosolido L, Schuurman W, Malda J, Matricardi P, Alhaique F, Coviello T, Van Weeren PR, Dhert WJA, Hennink WE, Vermonden T (2011) Hyaluronic acid and dextran-based semi-IPN hydrogels as biomaterials for bioprinting. Biomacromolecules 12:1831–1838
Busbee TA, Lewis JA, Kolesky DB, Truby RL, Gladman AS, Homan KA (2014) 3D bioprinting of vascularized, heterogeneous cell-laden tissue constructs. Adv Mater 26:3124–3130
Atala A, Yoo JJ, Zhao W, Dice D, Binder KW, Xu T, Albanna MZ (2012) Hybrid printing of mechanically and biologically improved constructs for cartilage tissue engineering applications. Biofabrication 5:15001
Zhang YS, Arneri A, Bersini S, Shin SR, Zhu K, Goli-Malekabadi Z et al (2016) Bioprinting 3D microfibrous scaffolds for engineering endothelialized myocardium and heart-on-a-chip. Biomaterials 110:45–59
Boland T, Aho M, Zile M, Xu T, Baicu C (2009) Fabrication and characterization of bio-engineered cardiac pseudo tissues. Biofabrication 1:35001
Liu J, Wang W, Steinhoff G, Gaebel R, Toelk A, Ma N, Wang F, Mark P, Li W, Gruene M, Koch L, Guan J, Chichkov B, Klopsch C (2011) Patterning human stem cells and endothelial cells with laser printing for cardiac regeneration. Biomaterials 32:9218–9230
Gaetani R, Doevendans PA, Metz CHG, Alblas J, Messina E, Giacomello A, Sluijter JPG (2012) Cardiac tissue engineering using tissue printing technology and human cardiac progenitor cells. Biomaterials 33:1782–1790
Jang J, Park HJ, Kim SW, Kim H, Park JY, Na SJ, Cho DW (2017) 3D printed complex tissue construct using stem cell-laden decellularized extracellular matrix bioinks for cardiac repair. Biomaterials 112:264–274
Maiullari F, Costantini M, Milan M, Pace V, Chirivi M, Maiullari S, Rainer A, Baci D, Marei HES, Seliktar D, Gargioli C, Bearzi C, Rizzi R (2018) A multi-cellular 3D bioprinting approach for vascularized heart tissue engineering based on HUVECs and iPSC-derived cardiomyocytes. Sci Rep 8:1
Deuse T, Hu X, Gravina A, Wang D, Tediashvili G, De C et al (2019) Hypoimmunogenic derivatives of induced pluripotent stem cells evade immune rejection in fully immunocompetent allogeneic recipients. Nat Biotechnol 37(3):252–258
Noor N, Shapira A, Edri R, Gal I, Wertheim L, Dvir T (2019) 3D printing of personalized thick and perfusable cardiac patches and hearts. Adv Sci 6:1900344
Mahara A, Somekawa S, Kobayashi N, Hirano Y, Kimura Y, Fujisato T, Yamaoka T (2015) Tissue-engineered acellular small diameter long-bypass grafts with neointima-inducing activity. Biomaterials 58:54–62
Sasmal P, Datta P, Wu Y, Ozbolat IT (2018) 3D bioprinting for modelling vasculature. Microphysiol Syst. https://doi.org/10.21037/mps.2018.10.02
Zhang Y, Yu Y, Akkouch A, Dababneh A, Dolati F, Ozbolat IT (2015) In vitro study of directly bioprinted perfusable vasculature conduits. Biomater Sci 3(1):134–143
Wang Z, Liu L, Mithieux SM, Weiss AS (2020) Fabricating organized elastin in vascular grafts. Trends Biotechnol 39(5):505–518
Xu C, Chai W, Huang Y, Markwald RR (2012) Scaffold‐free inkjet printing of three‐dimensional zigzag cellular tubes. Biotechnology and bioengineering 109(12):3152–3160
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Für das Thema dieser Arbeit wurde von der Deutschen Stiftung für Herzforschung (DSHF) zusammen mit der Deutschen Gesellschaft für Thorax‑, Herz- und Gefäßchirurgie (DGTHG) das Dr. Rusche-Forschungsprojekt 2021 vergeben.
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Berndt, R. 3D-Bioprinting in der regenerativen Therapie von Herz- und Gefäßerkrankungen. Z Herz- Thorax- Gefäßchir 35, 364–369 (2021). https://doi.org/10.1007/s00398-021-00469-4
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DOI: https://doi.org/10.1007/s00398-021-00469-4