HairGelMA and HAMANHDFs (human dermis), HaCaT cells (human epidermis), and HFDPCs (human scalp)ExtrusionTriple-layered micron-sized lattice structure-
Live/dead assay
-
IF staining on hair-inducing properties and skin morphology
+ A papillary layer was recapitulated by 3D printing.
+ Enhanced epidermis-dermis interaction supported spontaneous hair pore development.
− Long-term observation is required for full hair shaft development.[
23]GelMA and rhCol3HaCaT cells and HDFs (human skin)ExtrusionFilament fusion test at millimeter scales-
Live/dead assay
-
CCK-8 assay on proliferation
-
rtPCR on cytoskeletons and ECM production
-
IHC analysis on epithelialization and in vivo wound healing properties
+ rhCol3 enhanced the growth of HaCaT cells and HDFs.
+ Enhanced wound healing and hair follicle development on in vivo rat model.
− higher cell spreading and population in dermal layers are required.[
78]ColKCs (human neonatal foreskin dermis), HUVECs (human umbilical cord), and HFDPCs (human scalp)ExtrusionMicropillar mold 500 μm in diameter and 4 mm in length-
IF staining and IHC on HFU development and vasculature both in vitro and in vivo
+ The HFU-developed and vascularized dermal constructs were fabricated.
+ The skin engraftment allows for human hair growth in nude mice.
− Reproducibility on hair shaft protrusion should be confirmed.[
79]VascularizationPGA, and xeno-free dermal and epidermal bioinkHECs (umbilical cord blood), FBs (human dermis), PCs (human placentas), and KCs (human epidermis)ExtrusionNA-
Flow cytometry on cell phenotypes
-
IF staining and IHC analysis on tissue structures
+ A mature stratified epidermis with rete ridge-like structures was developed.
+ The developed microvessels prevented graft necrosis and induced perfusion with host microvessels.
+ A xeno-free approach to complex tissue engineering was achieved.
− Further studies are required on the efficacy of the xeno-free strategy and the degree of wound bed contraction.[
80]GelMA, SCS, and DABMSCs, HUVECs, NHDFs, and HaCaT cells (from human origin)ExtrusionLattice-structured constructs-
Hoechst staining on the viability
-
IF staining on angiogenesis
-
ARS staining on osteogenesis
-
Cell scratch assay on wound healing
+ Micro-vascularization as tubelike structures with endothelial cell marker expression were confirmed.
+ Enhanced in vitro skin wound healing activity and maintained multipotency of BMSCs.
− Further biological evaluations are required.[
81]GelMA, HA-NB, and LAPHFBs and HUVECs (from human origin)DLPCylinder with submicron lattices-
Live/dead assay
-
TIANamp Genomic DNA Kit on cell proliferation
-
IF staining on cell tracking, migration, and adhesion
-
IF and IHC analysis on inflammatory cell infiltration, wound healing, and angiogenic markers expression.
+ The DLP enabled interconnected microchannel formation that facilitates cellular behaviors.
+ Efficient neovascularization was achieved by mimicking the physiological structure of native skin.
+ Induced instant defense function and dermal regeneration with skin appendages in large animals.
− In-depth studies on underlying mechanisms in the hair follicle and blood vessel regeneration are required.[
82]Rat tail Col IHFBs, HUVECs, HECFCs, PCs, and HKCs (from human origin)ExtrusionNA-
IF staining and IHC analysis on skin structure, epithelialization, ECM production, and vascularization.
+ In vitro, HKCs formed a multilayered barrier, while the HUVECs and PCs self-assemble into interconnected microvascular networks.
+ Transplantable skin grafts composed of an irrigational microvascular system were developed.
− Harvesting plenty of healthy cells from the patients are required.[
83]Full thicknessGel, glycerol, and HAKCs, dark melanocytes, HDFs, HFDPCs, HDMECs, and preadipocytes (from human origin)Extrusion2.5 × 2.5 cm triple-layered patch with micron-sized lattices-
Picrosirius red staining for Col fiber
-
IHC analysis on structural maturation
+ Epidermis-dermis-hypodermis triple−layered skin mimetics were 3D bioprinted.
+ Matured normal and basket weave Col was observed.
− Immune responses in the large animal models should be elucidated.[
84]GelMA and AlgHDFs (human dermis), HUVECs (human umbilical cord), HKCsExtrusionMicron-sized lattice-
Live/dead assay
-
IF staining on cell morphology and proliferation
-
ELISA on ECM synthesis and migration
+ A 3D full-thickness skin model composed of epidermis-dermis with vasculature was fabricated.
+ Controlled matrix stiffness regulated pro−Col1α1 and MMP-1 expression.
+ Repeated HKCs seeding and Gel coating support epidermal differentiation.
− Epidermal markers should be further elucidated.[
85]Alg, Gel, and DCELFBs (human dermis) and KCs (human epidermis)ExtrusionMicron-sized highly fine lattice-structured cylinder-
MTT assay on cytotoxicity
-
Live/dead assay
-
IF staining on Col and keratin expression.
+ The incorporated DCEL can induce the uniform distribution of cellulose fibers within bioinks.
+ The distinct epidermal-dermal histological features were visualized with specific marker expressions.
− Further biological assessments should be conducted.[
86]ColHDFs (human neonatal dermis), HKCs (human neonatal epidermis), and MCs (human darkly pigmented neonatal epidermis)Extrusion2 × 2 cm stratified constructs-
IHC analysis on skin structures and differentiation
+ KC formed the stratum corneum and freckle-like pigmentations were developed by MCs at the dermal-epidermal junction.
+ First developed engineered ephelides in biomimetic skin.
−In−depth studies for melanin production and pigmentation should be conducted.[
87]Gel, Col I, elastin, fibrinogen, laminin, and entactinHDF (neonatal human dermis) and HKCs (neonatal human epidermis)ExtrusionDirectly 3D printed on a well plate.-
H&E staining on epidermal differentiation
-
IHC analysis on the tight junction,—ECM proteins, and proliferation markers.
-
MTT assay on the viability
-
OCT on tissue morphology
+ Four primary layers of the epidermis were developed.
+ Stratum granulosum formed f-TKD shape allowing homeostasis by tight junction barrier.
− Need to apply iPSCs to obtain consistent and reproducible KCs sources.[
88]
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