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Safety Considerations in 3D Bioprinting Using Mesenchymal Stromal Cells
Lucy Belk1,2, Nazzar Tellisi1,2,3, Hamish Macdonald4
1Academic Department of Trauma and Orthopaedics, University of Leeds, Leeds, United Kingdom.
Frontiers in Bioengineering and Biotechnology
|November 6, 2020
Summary
Three-dimensional bioprinting uses mesenchymal stromal cells (MSCs) to create tissues. This review examines the risks of ex vivo MSC manipulation in bioprinting and suggests mitigation strategies for patient safety.
Area of Science:
- Biotechnology
- Regenerative Medicine
- Tissue Engineering
Background:
- Three-dimensional (3D) bioprinting shows promise for creating functional human tissues and grafts.
- Mesenchymal stromal cells (MSCs) are ideal for bioprinting due to their accessibility, proliferation, and differentiation capabilities.
- However, ex vivo manipulation of MSCs during 3D bioprinting raises safety concerns.
Purpose of the Study:
- To review current evidence on the risks associated with ex vivo MSC manipulation in 3D bioprinting.
- To propose strategies for minimizing patient risks as 3D bioprinting adoption increases.
Main Methods:
- Literature review of studies investigating MSC behavior during 3D bioprinting.
- Analysis of potential adverse events related to cell processing and biofabrication.
- Synthesis of current data to identify risk mitigation approaches.
Main Results:
- Ex vivo handling of MSCs can lead to undesirable changes affecting their therapeutic potential.
- Specific risks include altered cell phenotype, reduced differentiation capacity, and potential immunogenicity.
- Evidence suggests that process optimization can mitigate many of these risks.
Conclusions:
- While MSCs offer significant advantages for 3D bioprinting, careful consideration of ex vivo manipulation is crucial.
- Implementing standardized protocols and advanced monitoring techniques can enhance the safety and efficacy of MSC-based bioprinted constructs.
- Further research is needed to fully elucidate and address the long-term implications of MSC use in regenerative medicine.

