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. 2020 May 14;120(19):11032–11092. doi: 10.1021/acs.chemrev.9b00789

Table 7. Bioprinting Studies Aiming at the Manufacturing of Heart Tissue.

tissue cells composition structure mechanical properties method sequence comments ref
myocardium patch human cardiac progenitor cells, hMSCs and human dermal microvascular ECs heart-derived ECM or collagen printed on top of a PCL scaffold stacked layers composed of alternated bioinks n/a pressure- or piston-driven extrusion two support layers of PCL were printed followed by multiple layers implants of 8 mm diameter and 0.5 mm thickness were implanted subcutaneously in mice and in rat myocardial infarct model (446)
myocardium patch HUVEC and hMSCs polyester urethane urea porous film, matrigel stacked layers with PEUU substrate and 2 layers of bioinks PEUU with 0.78 MPa (tensile strength) laser-induced forward transfer PEUU prepared with TIPS placed on collector slide; HUVEC-deposited 0/90 grid and hMSCs in squares inside grid (2 layers) implants were tested in rats with induced MI by ligation of the left anterior descending coronary artery (449)
cardiac in vitro model human fetal CMs progenitors alginate and alginate–RGD mixture (1:1) square blocks with 20 × 20 mm and composed of 6 perpendicular layers; thickness 463–513 μm n/a piston-driven extrusion 30 million cells/mL of gel were printed and cross-linked with CaCl2 in vitro culture during 7 days (447)
myocardium patch human cardiac-derived progenitor cells gelatin and HA 20 × 20 mm and composed of 6 perpendicular layers. n/a piston-driven extrusion thiol-modified HA was mixed with thiol reactive cross-linker and 30 million cells/mL in vivo evaluation on MI mice model after ligation of the left anterior descending coronary; implant during 28 days (448)
myocardium patch hiPSC-CMs, HUVEC, human adult ventricular cardiac fibroblasts biomaterial-free approach cell spheroids (33000 cells) were dispensed on a needle array to produce one layer construct n/a regenova, vacuum pick-and-place after spheroid fusion (72 h), construct is removed from a needle array and further matured before implantation patch was glued or sutured in nude rats and kept in vivo for 1 week (161)
myocardium patch hiPSC-CMs, smooth muscle cells and ECs GelMA patch size of 2 × 2 mm with 100 μm thickness n/a multiphoton patches were seeded and cultured for 1 day prior to implantation patches were implanted and sutured in nude mice after ligation of the left anterior descending coronary and kept in vivo during 4 weeks (451)
myocardium patch human cardiac-derived progenitor cells GelMa and GelMA/ECM patches with 10 mm diameter and 0.6 mm thickness or 10 × 10 × 0.6 mm (3 layers 0/90°) 3 kPa GelMa, 5 kPa GelMA/ECM pressure-driven system 3 million cells/mL; white-light cross-linking postprinting at 4 °C during 5 min patches were implanted in rats under pericardium or sutured to the ventricle; non MI model; explants performed on days 7 and 14 (450)
myocardium HUVEC, neonatal rat CMs, hiPSCs- CMs alginate and GelMA scaffolds with 5.5 × 3.5 × 0.75 mm3; fiber resolution 120 μm postprinting and 150 μm postswelling 5.2–22.6 kPa depending on fiber spacing pump-driven with coaxial nozzle initial cross-linking of alginate ECs bioink with CaCl2; post-cross-linking of GelMa with UV; postseeding of the construct with CMs In vitro evaluation with and without perfusion (162)
aortic heart valve porcine aortic valve interstitial cells and human aortic root smooth muscle cells alginate and gelatin mixture CT-based porcine heart valve geometry or grids ultimate tensile strength 840–400 kPa; elastic modulus 1.44–0.98 MPa piston-driven extrusion 2 million cells/mL mixed with alginate and gelatin, bioprinted, and post-cross-linked with CaCl2 in vitro culture during 7 days (453)
aortic heart valve human aortic valvular interstitial cells methacrylated HA and GelMa cuboids with 5 × 5 × 1.5 mm or CAD design model of valve with 26 mm diameter and 8 mm height 13–4.2 kPa piston-driven extrusion 5 million cells/mL encapsulated in biomaterial mixture and post-cross-linked with UV for 5 min in vitro culture during 7 days (452)