Bioprinting Approaches to Engineering Vascularized 3D Cardiac Tissues

Curr Cardiol Rep. 2019 Jul 27;21(9):90. doi: 10.1007/s11886-019-1179-8.

Abstract

Purpose of review: 3D bioprinting technologies hold significant promise for the generation of engineered cardiac tissue and translational applications in medicine. To generate a clinically relevant sized tissue, the provisioning of a perfusable vascular network that provides nutrients to cells in the tissue is a major challenge. This review summarizes the recent vascularization strategies for engineering 3D cardiac tissues.

Recent findings: Considerable steps towards the generation of macroscopic sizes for engineered cardiac tissue with efficient vascular networks have been made within the past few years. Achieving a compact tissue with enough cardiomyocytes to provide functionality remains a challenging task. Achieving perfusion in engineered constructs with media that contain oxygen and nutrients at a clinically relevant tissue sizes remains the next frontier in tissue engineering. The provisioning of a functional vasculature is necessary for maintaining a high cell viability and functionality in engineered cardiac tissues. Several recent studies have shown the ability to generate tissues up to a centimeter scale with a perfusable vascular network. Future challenges include improving cell density and tissue size. This requires the close collaboration of a multidisciplinary teams of investigators to overcome complex challenges in order to achieve success.

Keywords: 3D printing; Bioprinting; Cardiac engineered tissue; Cardiomyocyte; Cardiovascular tissue; Vascularization.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bioprinting / methods*
  • Cell- and Tissue-Based Therapy
  • Coronary Vessels / cytology
  • Coronary Vessels / physiology*
  • Heart / physiology*
  • Humans
  • Myocardium
  • Myocytes, Cardiac / cytology
  • Myocytes, Cardiac / physiology*
  • Printing, Three-Dimensional
  • Regeneration
  • Tissue Engineering / methods*