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Writer's pictureSuha Mishal

Bioprinting in Dermatology

Introduction

Bioprinting is a technology in which bioinks and biomaterials mixed with cells are often 3D printed to construct living tissue models. In Dermatology, bioprinting can be used to more effectively regenerate skin grafts, reduce scars, and test cosmetics in drug tests. Although it is a new development, bioprinting has already proved to be an important factor in the future of dermatology.


The Process of Bioprinting

The bioprinting process is heavily based on 3D Printing techniques. The first step involves creating a digital 3D model on CAD/CAM software for the printers to read. The next step involves the preparation of the bio-inks. The "ink" in 3D bioprinting isn't the typical plastic in traditional 3D printing. Instead, bioinks are made of living cells mixed with a supportive gel-like substance, often derived from natural or synthetic biomaterials. These bio-inks form the layers that will eventually develop into tissue. Then a specialized 3D printer precisely layers the bio inks to replicate natural tissue structures and places the cells into correct positions to mimic the human body. Afterward, the newly created product is placed into a bioreactor for maturation and growth. (Please Note that this is a very simplified and condensed version of the actual process)




Skin Grafts and Regeneration

In the field of dermatology, Bioprinting has numerous purposes. One of which is the creation of skin grafts to treat patients with burns and skin disorders. Traditionally, the procedure involves healthy skin extracted and transplanted from one site to another. With the invention of bioprinting, we can eradicate the risks of infection and scarring. In 2021, a team from the UK's University of Birmingham and the University of Huddersfield authored a study on the in-clinic application of a 3D-printed functional skin equivalent to be used in the treatment of chronic wounds or for burns patients. Bioprinting could one day replace traditional skin grafts, providing patient-specific treatments with fewer side effects and faster recovery times.


Revolutionizing Cosmetic Testing with Bioprinting

Bioprinting has also made its mark in the beauty industry as it provides a medium for drug testing. Through the use of bio-printed skin, cosmetic companies can effectively test the drugs without the involvement of a human. Using bio-printed tissue can help researchers determine a drug candidate's efficacy sooner, which saves both money and time. As early as 2015, US bioengineering firm Organovo partnered with cosmetics giant L'Oréal to produce 3D-printed skin samples for use in cosmetics testing. 


Overcoming Challenges

While Bioprinting has great potential, it also faces several limitations. For a 3D bioprinted skin to effectively mimic physiological properties and maintain functionality, it is essential to ensure integration with the host's tissues; this is called vascularisation. This includes sufficient vascularization, accurate cell adhesion, and adequate access to oxygen and nutrients. Finding biomaterials that support cell growth, attachment, and differentiation also pose a difficult challenge. Furthermore, Bioprinting is an expensive process that has high production costs and needs specialist workers which can be difficult to arrange. There are also multiple ethical concerns including the question of ownership and consent of the skin cells. The long-term effects of bioprinted tissues on human skin are still unknown and there may be potential consequences. The use of bioprinting for enhancements for beauty/aesthetics can also factor into questions about body image and societal pressures.


Conclusion

In conclusion, bioprinting stands ready to revolutionize dermatology by providing innovative solutions for skin regeneration and cosmetic testing. This technology enables the creation of personalized skin grafts that minimize infection risks and improve recovery times. Its application in drug testing offers a more efficient alternative, reducing reliance on animal models. However, challenges such as integration with host tissues, high costs, and ethical concerns must be addressed. With continued advancements, bioprinting could significantly enhance both medical and cosmetic practices.


Written By: Suha Mishal

Edited By: Tarleen Chhatwal


 

1. Choudhury, D., & Maity, S. (2022). 3D bioprinting allows for overcoming the limitations of current skin substitutes. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 110(4), 675–686. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704446/

The picture is also from this site.


2. CELLINK. (n.d.). Bioprinting is explained simply. 


3. UPM Biomedicals. (n.d.). What is 3D bioprinting? https://www.upmbiomedicals.com/solutions/life-science/what-is-3d-bioprinting/


4. Wyss Institute for Biologically Inspired Engineering. (n.d.). 3D bioprinting. https://wyss.harvard.edu/technology/3d-bioprinting/


5. Haseltine, W. A. (2021). 3D printed skin: Potential new treatment for chronic wounds. https://williamhaseltine.com/3d-printed-skin-potential-new-treatment-for-chronic-wounds/



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