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REFRESH-Reversible Embedded Bioprinting for Faster Reinforcement and Structuring of dECM Hydrogels.
Meenu T S1, Ashis Kumar Bera1, Soham Ghosh1
1Department of Biomedical Engineering, Indian Institute of Technology Hyderabad, Sangareddy, Telangana, India.
Advanced Healthcare Materials
|April 14, 2026
Summary
This study introduces REFRESH, a novel bioprinting platform that overcomes limitations in fabricating complex tissue structures. REFRESH utilizes a specialized hydrogel bath to enhance structural fidelity and accelerate the creation of anatomically relevant tissue constructs.
Area of Science:
- Biomaterials Science
- Tissue Engineering
- Regenerative Medicine
Background:
- Decellularized extracellular matrix (dECM)-based hydrogel inks face limitations in mechanical fragility and slow gelation, hindering complex tissue fabrication.
- Existing bioprinting methods struggle with structural fidelity due to these biomaterial constraints.
Purpose of the Study:
- To introduce REFRESH (Reversible Embedded Bioprinting for Faster Reinforcement and Structuring of dECM Hydrogels), a next-generation embedded bioprinting platform.
- To enhance the fabrication of high-fidelity, anatomically relevant tissue constructs using dECM hydrogels.
Main Methods:
- Developed a custom polyethylene glycol (PEG)-gelatin microgel suspension bath to modulate rheological properties and promote in situ dECM hydrogel gelation.
- Utilized hydrogen bonding and crowding-induced interactions for enhanced filament stabilization and reduced structural fusion.
- Co-printed cartilage and trachealis muscle-derived dECM for tracheal architecture and lung-derived dECM for bronchial structures.
Main Results:
- The REFRESH platform demonstrated improved print fidelity and faster stabilization compared to conventional thermal gelation.
- Successfully recreated the zonal architecture of the trachea and fabricated functional trifurcated bronchial structures.
- Validated the platform's versatility by printing diverse tissue-specific dECM hydrogels.
Conclusions:
- REFRESH significantly advances the capabilities of dECM-based bioprinting for creating complex, functional tissue constructs.
- The platform enables precise fabrication of anatomically relevant tissues, including airway structures, with improved structural integrity.
- REFRESH offers a versatile solution for tissue engineering applications beyond the airway system.

