Current standards and ethical landscape of engineered tissues—3D bioprinting perspective

Tissue engineering is an evolving multi-disciplinary field with cutting-edge technologies and innovative scientific perceptions that promise functional regeneration of damaged tissues/organs. Tissue engineered medical products (TEMPs) are biomaterial-cell products or a cell-drug combination which is injected, implanted or topically applied in the course of a therapeutic or diagnostic procedure. Current tissue engineering strategies aim at 3D printing/bioprinting that uses cells and polymers to construct living tissues/organs in a layer-by-layer fashion with high 3D precision. However, unlike conventional drugs or therapeutics, TEMPs and 3D bioprinted tissues are novel therapeutics and need different regulatory protocols for clinical trials and commercialization processes. Therefore, it is essential to understand the complexity of raw materials, cellular components, and manufacturing procedures to establish standards that can help to translate these products from bench to bedside. These complexities are reflected in the regulations and standards that are globally in practice to prevent any compromise or undue risks to patients. This review comprehensively describes the current legislations, standards for TEMPs with a special emphasis on 3D bioprinted tissues. Based on these overviews, challenges in the clinical translation of TEMPs & 3D bioprinted tissues/organs along with their ethical concerns and future perspectives are discussed

Ceramic Materials for 3D Printing of Biomimetic Bone Scaffolds – Current state–of–the–art & Future Perspectives

Ceramic bone implants have potential properties ideal for long-term implantation applications. On comparison with other materials, ceramic biomaterials have advantages such as biocompatibility, low cost, osteoconductivity, osteoinductivity, corrosion resistance, and can be made into various shapes with desired surface properties. Among transplantation surgeries, bone transplantation is the second largest in the globe after blood transfusion which is an indication for rising hope on the potential treatment options for bone. 3D printing is one of the most advanced fabrication techniques to create customized bone implants using materials such as ceramics and their composites. Developing bone scaffolds that precisely recapitulate the mechanical properties and other biological functions of bone remains a major challenge. However, extensive research on ceramic biomaterials have resulted in the successful 3D printing of complex bony designs with >50% porosity with cortical bone mechanical properties. This review critically analyses the use of various 3D printing techniques to fabricate ceramic bone scaffolds. Further, various natural and synthetic ceramic materials for producing customized ceramic implants are discussed along with potential clinical applications. Finally, a list of companies that offer customized 3D printed implants and the future on clinical translation of 3D printed ceramic bone implants are outlined

Ceramic materials for 3D printing of biomimetic bone scaffolds – Current state-of-the-art & future perspectives

Ceramic bone implants have potential properties ideal for long-term implantation applications. On comparison with other materials, ceramic biomaterials have advantages such as biocompatibility, low cost, osteoconductivity, osteoinductivity, corrosion resistance, and can be made into various shapes with desired surface properties. Among transplantation surgeries, bone transplantation is the second largest in the globe after blood transfusion which is an indication for rising hope on the potential treatment options for bone. 3D printing is one of the most advanced fabrication techniques to create customized bone implants using materials such as ceramics and their composites. Developing bone scaffolds that precisely recapitulate the mechanical properties and other biological functions of bone remains a major challenge. However, extensive research on ceramic biomaterials have resulted in the successful 3D printing of complex bony designs with >50% porosity with cortical bone mechanical properties. This review critically analyses the use of various 3D printing techniques to fabricate ceramic bone scaffolds. Further, various natural and synthetic ceramic materials for producing customized ceramic implants are discussed along with potential clinical applications. Finally, a list of companies that offer customized 3D printed implants and the future on clinical translation of 3D printed ceramic bone implants are outlined