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Related Experiment Video

Updated: Jun 12, 2026

Bioprinting of Cartilage and Skin Tissue Analogs Utilizing a Novel Passive Mixing Unit Technique for Bioink Precellularization
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3D bioprinted multi-layered cell constructs with gradient core-shell interface for tendon-to-bone tissue

WonJin Kim1, Dong Rak Kwon2, Hyeongjin Lee3

  • 1Department of Precision Medicine, Sungkyunkwan University School of Medicine (SKKU-SOM), Suwon, 16419, Republic of Korea.

Bioactive Materials
|March 21, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces a novel bioprinting method for rotator cuff tears, creating engineered tendon-to-bone tissue. The approach successfully regenerated complex tissues, improving healing and integration in animal models.

Keywords:
BioprintingComplex cell-constructTendon-bone interfaceTissue engineering

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Area of Science:

  • Biomaterials Science
  • Regenerative Medicine
  • Tissue Engineering

Background:

  • Rotator cuff tears are prevalent in active individuals, often necessitating surgery due to poor natural healing.
  • Current treatments face limitations in fully restoring native tendon-to-bone complexity and function.

Purpose of the Study:

  • To develop a bioprinting strategy for fabricating engineered tendon-to-bone complex tissues.
  • To create a gradient interface mimicking the native tendon-bone junction for enhanced integration.
  • To evaluate the in vitro and in vivo efficacy of the bioprinted constructs for rotator cuff regeneration.

Main Methods:

  • Utilized decellularized extracellular matrix bioinks with hydroxyapatite and TGF-β/poly(vinyl alcohol).
  • Employed a core-shell nozzle bioprinting system for simultaneous fabrication of aligned tendon, gradient interface, and bone regions.
  • Assessed construct performance using human adipose stem cells in vitro and a rabbit rotator cuff tear model in vivo.

Main Results:

  • Achieved directed differentiation of stem cells towards osteogenic and tenogenic lineages.
  • Demonstrated enhanced fibrocartilage formation and tendon-bone integration in vitro with graded interface constructs.
  • Observed significant regeneration of full-thickness tendon-to-bone tissue, including a high-quality interface, improved mechanical properties, angiogenesis, and ECM formation in vivo.

Conclusions:

  • The proposed bioprinting approach effectively regenerates complex tendon-to-bone tissues.
  • The gradient interface design is crucial for superior tissue integration and healing.
  • This platform shows significant potential for treating rotator cuff injuries and other musculoskeletal defects.