4.8 Review

Advances in 3D bioprinting technology for cardiac tissue engineering and regeneration

Journal

BIOACTIVE MATERIALS
Volume 6, Issue 5, Pages 1388-1401

Publisher

KEAI PUBLISHING LTD
DOI: 10.1016/j.bioactmat.2020.10.021

Keywords

3D bioprinting; Stem cell therapy; Bioink; Heart repair and regeneration

Funding

  1. National Key Research and Development Program of China [2018YFA0108700, 2017YFA0105602, 2017YFC1103300]
  2. NSFC Projects of International Cooperation and Exchanges [81720108004]
  3. National Natural Science Foundation of China [81974019]
  4. Research Team Project of Natural Science Foundation of Guangdong Province of China [2017A030312007]
  5. key program of guangzhou science research plan [201904020047]
  6. Special Project of Dengfeng Program of Guangdong Provincial People's Hospital [DFJH201812, KJ012019119, KJ012019423]

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Cardiovascular disease remains a major cause of death worldwide, with heart transplantation being the primary treatment for end-stage cardiovascular diseases. However, due to a shortage of heart donors, new sources of cardiac regenerative medicine are needed. Tissue engineering using bioactive materials has creatively provided a promising foundation, and 3D bioprinting technology has shown great potential in generating micro-scale cardiac tissues for cardiovascular regeneration.
Cardiovascular disease is still one of the leading causes of death in the world, and heart transplantation is the current major treatment for end-stage cardiovascular diseases. However, because of the shortage of heart donors, new sources of cardiac regenerative medicine are greatly needed. The prominent development of tissue engineering using bioactive materials has creatively laid a direct promising foundation. Whereas, how to precisely pattern a cardiac structure with complete biological function still requires technological breakthroughs. Recently, the emerging three-dimensional (3D) bioprinting technology for tissue engineering has shown great advantages in generating micro-scale cardiac tissues, which has established its impressive potential as a novel foundation for cardiovascular regeneration. Whether 3D bioprinted hearts can replace traditional heart transplantation as a novel strategy for treating cardiovascular diseases in the future is a frontier issue. In this review article, we emphasize the current knowledge and future perspectives regarding available bioinks, bioprinting strategies and the latest outcome progress in cardiac 3D bioprinting to move this promising medical approach towards potential clinical implementation.

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