Session A3 Paper #6075 Disclaimer — This paper partially fulfills a writing requirement for first year (freshman) engineering students at the University of Pittsburgh Swanson School of Engineering. This paper is a student, not a professional, paper. This paper is based on publicly available information and may not be provide complete analyses of all relevant data. If this paper is used for any purpose other than these authors’ partial fulfillment of a writing requirement for first year (freshman) engineering students at the University of Pittsburgh Swanson School of Engineering, the user does so at his or her own risk. THE IMPORTANCE OF DEVELOPING AUTONOMOUS SELF-ASSEMBLY 3D BIOPRINTING AND ITS IMPACT ON PATIENTS NEEDING KIDNEY TRANSPLANTS Nicholas Anastasi, naa69@pitt.edu, Sanchez 10:00, Tyler Bray, tjb100@pitt.edu, Vidic 2:00 Revised Proposal — This paper will focus on the importance of developing the 3D Bioprinting technique of autonomous self-assembly and how it will impact patients in need of kidney transplants. 3D printing is a form of additive manufacturing where a printer extrudes layers of a given material and the product is created from the ground up[1]. Bioprinting is a form of 3D printing that uses organic materials, which are more hospitable to the human body, instead of the standard plastic or metal. As a subset of Bioprinting, autonomous selfassembly is a technique that uses stem cells to replicate biological tissues. Autonomous self-assembly separates itself from other forms of bioprinting because it does not require the use of a tissue scaffold. Autonomous self-assembly uses differentiable stem cells to direct the composition and localization, along with the functional and structural properties of the newly grown tissue[2]. By printing these differentiable stem cells, the end goal is to be able to grow organs for transplantation instead of needing donated organs. The significance of this technology cannot be overstated, as it has the potential to save millions of lives throughout the world. In America alone, an average of twenty-two people die each day waiting for an organ transplant. Of those waiting for a transplant, roughly five out of every six are in need of a healthy kidney[3]. It is extremely important to advance the technology of autonomous self-assembly because it has the potential to provide a kidney for all those in need of one while simultaneously eliminating the need for kidney donors. By doing this, autonomous self-assembly has the potential to save the healthcare industry millions of dollars in treatment and procedural costs[4]. Ultimately, this technology has both positive economic and life-saving implications. Although capable of producing hollow organs, like bladders, and other less complicated structures such as blood vessels and skin grafts, autonomous self-assembly technology is not currently at the level needed to produce organs comprised of thick tissues, such as kidneys[5]. One of the major advantages of this technique is not needing a scaffold, a modified donated organ or a separate biofabricated support structure, in order to manufacture a new organ. Since University of Pittsburgh Swanson School of Engineering 1 1/29/16 bioengineering heavily involves using engineering techniques to improve the health of others, autonomous selfassembly could become the quintessence of the profession in the coming decades. This paper will explore the existing Bioprinting technology and its potential for the future through the use of various scientific journals and research companies, such as the Wake Forest Institute of Regenerative Medicine, that are currently working in this field. The paper will then elaborate on why the development of this technology is in such high demand, particularly for patients waiting for a kidney, and will do so by looking at the current steps patients must go through to acquire a new kidney. Finally, the pros, cons, and ethical concerns of the development of autonomous selfassembly will be analyzed by reviewing current medical news articles, books, and studies relative to the topic[6]. REFERENCES SECTION [1] “3D Printing Basics.” 3Ders.org. (2012). (Online Article). http://www.3ders.org/3d-printingbasics.html#what-is-3d-printing [2] S.V. Murphy, A. Atala. (2014, August 5). “3D Bioprinting of tissues and organs.” Nature Biotechnology. (Online Article). http://www.nature.com/nbt/journal/v32/n8/full/nbt.2958.htm l#materials-and-scaffolds [3] “The Need is Real: Data.” U.S. Department of Health & Human Services. (2016). (Online Article). http://www.organdonor.gov/about/data.html [4] M. Varkey, A. Atala. (2015, April). “Organ Bioprinting: A Closer Look at Ethics and Policies.” Wake Forest Journal of Law & Policy 5 Wake Forest J. L. &Po. (Online Journal). p.275 http://heinonline.org/HOL/Page?handle=hein.journals/wfjlap o5&div=15&g_sent=1&collection=journals [5] I. Armstrong-Smith, R. Gallagher. (2014, June 15). “Thinking About Printing in the 4th Dimension.” Biotechnology Innovation Organization. (Online Article). http://www.biotech-now.org/health/2014/06/thinking-aboutprinting-in-the-4th-dimension Nicholas Anastasi Tyler Bray ANNOTATED BIBLIOGRAPHY between standard bioprinting and self-assembly bioprinting. These differences are exemplified in the article through a discussion of the various forms of bioprinting and how they are utilized to create structures, such as vascular networks. This source will assist us in explaining why self-assembly is superior to other forms of bioprinting. I. Armstrong-Smith, R. Gallagher. (2014, June 15). “Thinking About Printing in the 4th Dimension.” Biotechnology Innovation Organization. (Online Article). http://www.biotech-now.org/health/2014/06/thinking-aboutprinting-in-the-4th-dimension This news article, published by a possibly biased biotechnology trade organization, theorizes potential advancements in the field of bioprinting, such as 4D printing. The article elaborates on how applications such as self-assembling organs can revolutionize the field and greatly improve modern medical practices. We will use this source to provide a view of self-assembly through the eyes of the biotech companies with which we will explore the future of this technology. S.V. Murphy, A. Atala. (2014, August 5). “3D Bioprinting of tissues and organs.” Nature Biotechnology. (Online Article). http://www.nature.com/nbt/journal/v32/n8/full/nbt.2958.htm l#materials-and-scaffolds This article, from a peer edited academic journal, discusses in depth bioprinting techniques, including autonomous self-assembly, along with its advantages and disadvantages. The journal also discusses ideal properties of bioprinted materials and the potential that bioprinting has for surgical applications in the future. We will use this source to explain how bioprinting works, the challenges that it poses to engineers and scientists such as host rejection, and the promise it has for the future. A. Atala. (March 2011). “Printing a Human Kidney.” TED. (Online Video). https://www.ted.com/talks/anthony_atala_printing_a_human _kidney?language=en Dr. Anthony Atala of the Wake Forest Institute of Regenerative Medicine demonstrates an early-stage bioprinted kidney experiment that could someday solve our world’s organ-donor problem. This TED Talk shows the current applications that bioprinting has in medicine, such as a bioprinted bladder, as well as its potential for the coming years. This source delves into bioprinting, the world’s necessity for it, and how it will be shaping the medical field in the future. “The Need is Real: Data.” U.S. Department of Health & Human Services. (2016). (Online Article). http://www.organdonor.gov/about/data.html This article, from a cabinet-level governmental department, details various statistics regarding multiple aspects of organ donation. These statistics include facts regarding gender, race, and likelihood of survival in relation to the need for organ donors. This source clarifies how to interpret the statistics that it presents. Facts from this source will help us quantitatively analyze the impact that organ donations can have on patients’ lives. [6] J. Brinkman. (2015). “Choosing Your Topic Video.” University of Pittsburgh. (Online Video). http://www.library.pitt.edu/other/files/il/fresheng/index.html “Epidemiology of kidney disease in the United States.” United States Renal Data System. (2015). (Online Data Report ). http://www.usrds.org/2015/view/Default.aspx The USRDS is a national organization funded by the National Institutes of Health and National Institute of Diabetes and Digestive and Kidney Diseases. This source has many chapters of valuable information pertaining to multiple focuses of the paper. Topics including chronic kidney disease, transplant and care information, and its medical costs to patients and the healthcare system will be used to analyze the potential economic impact bioprinting can make on the healthcare system. M. Varkey, A. Atala. (2015, April). “Organ Bioprinting: A Closer Look at Ethics and Policies.” Wake Forest Journal of Law & Policy 5 Wake Forest J. L. &Po. (Online Journal). p.275 http://heinonline.org/HOL/Page?handle=hein.journals/wfjlap o5&div=15&g_sent=1&collection=journals This ethics piece was published by a small research focused, liberal-arts university in its Law and Policy academic journal. This article discusses the ethics of bioprinting and whether or not the technology will be beneficial to society, along with a brief history of bioprinting and an analysis of the applications of such technologies. Ideas from this source will be used to decipher the pros and cons of bioprinting and identify its impacts on society. K. Jakab, F. Marga, C. Norotte, K. Murphy, G. VunjakNovakovic, G. Forgacs. (2010, June 2). “Tissue Engineering by self-assembly and bio-printing of living cells.” US National Library of Medicine. (Online Journal). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635954/ This digital manuscript from the world's largest biomedical library compares and contrasts the differences “3D Printing Basics.” 3Ders.org. (2012). (Online Article). http://www.3ders.org/3d-printing-basics.html#what-is-3dprinting This news article, from a private online news organization which specializes in 3D printing technologies, describes the history of 3D printing and how it has arisen from traditional 2D printing. Additionally, this source 2 Nicholas Anastasi Tyler Bray elaborates on the different types of 3D printers which are currently in use and being developed. We will use this source to describe the process of 3D printing and to differentiate it from bioprinting. 3