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Review | Open Access

Bioprinting vascularized skin analogs: a stepwise approach

Linyang Liu1,2,‡, Eugenia Spessot3,‡, Khoon S. Lim2,4, Ziyu Wang1,2, Suzanne M. Mithieux1,2, Devid Maniglio3, Antonella Motta3, Anthony S. Weiss1,2 ( )
School of Life and Environmental Sciences, University of Sydney, Building D17 New South Wales, 2006, Australia
Charles Perkins Centre, University of Sydney, Building D17, New South Wales, 2006, Australia
BIOtech Research Centre, Department of Industrial Engineering, Via delle Regole 101, 38123, University of Trento, Trento, Italy
School of Medical Sciences, University of Sydney, Building D17, New South Wales, 2006, Australia

‡Linyang Liu and Eugenia Spessot contributed equally to this work.

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Highlights

• 3D bioprinting enables the fabrication of vascularized skin analogues through the precise layer-by-layer deposition of materials and cells.

• Design of ink formulations for vascularized skin analogues should consider material composition, cross-linking modifications, incorporation of angiogenic agents and heterogeneous cell sources to mimic the content of the natural extracellular matrix.

• Despite recent progress, challenges on the path to clinical translation include optimizing bioprinting techniques and ink formulations, achieving stable and functional vascular networks and scaling up bioprinted constructs.

Abstract

Bioprinting has emerged as a promising technology for fabricating vascularized skin substitutes. The availability of functional skin tissue constructs is critical for the surgical treatment of various wounds, including ulcers and burns. Integrating functional vascular networks within engineered skin constructs is indispensable for ensuring adequate nutrient perfusion and overall tissue viability. This review undertakes a comprehensive exploration of the application of 3D bioprinting for fabricating vascularized skin tissue constructs. It encompasses an examination of the printing modalities, ink formulations, and cell-sourcing strategies currently prevalent in the field. The design and formulation of suitable inks are crucial steps in the successful bioprinting of vascularized skin constructs, and various ink components such as biomaterials, cells, growth factors, and bioactive molecules are particularly considered, with a focus on their roles in promoting angiogenesis and blood vessel formation within the printed constructs.

References

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Burns & Trauma
Article number: tkaf018

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Cite this article:
Liu L, Spessot E, Lim KS, et al. Bioprinting vascularized skin analogs: a stepwise approach. Burns & Trauma, 2025, 13(7): tkaf018. https://doi.org/10.1093/burnst/tkaf018

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Received: 29 October 2024
Revised: 26 January 2025
Accepted: 26 February 2025
Published: 02 March 2025
© The Author(s) 2025. Published by Oxford University Press.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.