Session C1 Paper 6171 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 FREEFORM REVERSIBLE EMBEDDING OF SUSPENDED HYDROGELS (FRESH) IN SCAFFOLD DESIGN Kevin Berry, kmb274@pitt.edu, Bursic 2:00, Jim Howell, jkh48@pitt.edu, Mahboobin 10:00 Revised Proposal — Traditional 3D printers normally printed on demand which demonstrates how important FRESH is to the scientific community. We will continue to consult the work Hinton and Jallerat, the inventors of FRESH in order to familiarize ourselves with the research currently going on at Carnegie Mellon University. Beyond academic journals, we plan to utilize proper video sources like “TED talks” in order to satisfy the information needed about the ethics and the future of bioprinting. To start, we will describe current pitfalls of the industry. Following, we will explain how FRESH overcomes these issues through its functionality, and finally conclude with an exploration of ethics. use plastics or wax for their printing materials. Bioprinting specialist Young-Joon Seol explains, “What’s different here is that we have the capability to print something that’s alive.” [1]. Bioprinting has three fundamental approaches which are biomimicry, autonomous self-assembly, and mini-tissue building blocks [2]. Biomimicry consists of making exact copies of biological parts and systems using scaffolds [2].This approach requires the replication to be accurate on the microscale which is done by using electrohydrodynamic processes which achieve the nano and micro sized fibers [3]. These scaffolds have been at the heart of biomedical research due to their complexity. Unfortunately, bioprinting brings up ethical issues such as stem cells or human enhancement [6]. This paper will describe, explain, and analyze the new FRESH system including the ethical issues involved and explore how the invention of FRESH dramatically increases the potential for bioprinted hearts and other complex organs in the bioprinting field. Soft biomaterials are notoriously difficult for tissue engineers to work with in three dimensions because objects made out of those materials tend to collapse under their own weight [4]. In other words, the biological objects being printed by the bioprinter were limited by both size and complexity so objects like the human heart were out of reach. However, the newly developed system of using freeform reversible embedding of suspended hydrogels (FRESH) allows scaffolds made out of soft biomaterials to support their own weight. The soft hydrogel scaffold is embedded in a thermoreversible support bath composed of gelatin microparticles that behave as a rigid body at low shear stresses but flow as a viscous fluid at higher shear stresses [5]. “This is all done in a sterile, aqueous, buffered environment compatible with cells, which means cells can be extruded out of the printer nozzle with the hydrogel and maintain viability” [5]. When FRESH is applied to bioprinting scaffolds the barrier of size and complexity has finally been overcome and the potential for bioprinted hearts has increased greatly. FRESH could be the first step in unlocking a future where specific organs, like the human heart, for specific patients are University of Pittsburgh Swanson School of Engineering 1-29-16 REFERENCES [1] M. Shaer. (May 2015). “Soon, Your Doctor Could Print a Human Organ On Demand.” Smithsonian. (Online article) Vol. 46, no. 2 http://www.smithsonianmag.com/innovation/soon-doctorprint-human-organ-on-demand-180954951/ [2] A. Atala, S. Murphy. (2014). “3D Bioprinting of Tissues and Organs.” Nature Biotechnology. (Online article) DOI: 10.1038/nbt.2958. Vol. 32 Issue 8, pp. 773-785. [3] G. Kim, M. Kim. (2015). “Electrohydrodynamic Direct Printing of PCL/Collagen Fibrous Scaffolds with a Core/Shell Structure for Tissue Engineering Applications.” Chemical Engineering Journal. (Online article) DOI: 10.1016/j.cej.2015.05.047. Vol. 279, pp. 317-326. [4] F. Collins. (November 2015). “Building a Better Scaffold for 3D Bioprinting.” National Institutes of Health. (Online article) http://directorsblog.nih.gov/2015/11/03/building-abetter-scaffold-for-3d-bioprinting/ [5] T. Hinton, Q. Jallerat (October 2015). “ThreeDimensional Printing of Complex Biological Structure by Freeform Reversible Embedding of Suspended Hydrogels.” Science Advances. (Online article) DOI: 10.1126./sciadv.1500758. Vol. 1, no. 9 http://advances.sciencemag.org/content/advances/1/9/e1500 758.full.pdf [6] s. Dodds. (February 2015). “3D Printing Raises Ethical Issues in Medicine.” ABC Science. (Online article) 1 Kevin Berry Jim Howell http://www.abc.net.au/science/articles/2015/02/11/4161675. htm used to begin our exploration of ethics and issues with bioprinting. T. Hinton, Q. Jallerat (October 2015). “Three-Dimensional Printing of Complex Biological Structure by Freeform Reversible Embedding of Suspended Hydrogels.” Science Advances. (Online article) DOI: 10.1126./sciadv.1500758. Vol. 1, no. 9 http://advances.sciencemag.org/content/advances/1/9/e1500 758.full.pdf This article, from the professional and peer reviewed journal Science Advances, details the research on freeform reversible embedding of suspended hydrogels (FRESH). The article explains in great detail, how FRESH allows complex scaffolds can now be designed without the fear of them collapsing under their own weight. This is the main source of our paper as it describes the technology that we are presenting. ANNOTATED BIBLIOGRAPHY A. Atala, S. Murphy. (2014). “3D Bioprinting of Tissues and Organs.” Nature Biotechnology. (Online article) DOI: 10.1038/nbt.2958. Vol. 32 Issue 8, pp. 773-785. This article, from the professional and peer reviewed journal Nature Biotechnology, intensively describes the multiple approaches to bioprinting as well as describe how each type of bioprinter operates in immense detail. The article describes the positives and the negatives of each bioprinting approach as well as each type of bioprinter. This detailed source will be our main source for describing biomimicry and scaffolds in technical detail. C. V. Blitterswijk. (2008). Tissue Engineering. Burlington, MA: Elsevier. (print book). pp. 685-703. This textbook written and edited by a various number professionals provides a broad perspective on tissue engineering. Specifically, it provides perspectives regarding the ethics of both tissue engineering and bioprinting. It presents and defines concepts such as gradualism and conceptualism as philosophies in ethics, and then it goes on to connect them to the purposes of tissue engineering as a whole. This source will be used in our discussion of ethics of bioprinting. G. Kim, M. Kim. (2015). “Electrohydrodynamic Direct Printing of PCL/Collagen Fibrous Scaffolds with a Core/Shell Structure for Tissue Engineering Applications.” Chemical Engineering Journal. (Online article) DOI: 10.1016/j.cej.2015.05.047. Vol. 279, pp. 317-326. This article, from the professional and peer reviewed Chemical Engineering Journal, details how electrohydrdodynamic process are used to build collagen scaffolds of increasing complexity that achieve mechanically stable and controllable micropore structures. The article then details the experiments used to make the collagen scaffolds and explores their results. This source will be used in order to support other sources on scaffolds throughout our technical description of bioprinting. F. Collins. (November 2015). “Building a Better Scaffold for 3D Bioprinting.” National Institutes of Health. (Online article) http://directorsblog.nih.gov/2015/11/03/building-abetter-scaffold-for-3d-bioprinting/ This article, posted by the National Institutes of Health which is funded by the U.S. Department of Health and Human Services, explores the disadvantages of current scaffold designs and then introduces and summarizes the work of Hinton and Jallerat on FRESH at Carnegie Mellon University and then describes the next step in Hinton’s and Jallerat’s research. This article will be used to supplement the information on scaffold designs. C. S. Kumar. (2006). Tissue, Cell, and Organ Engineering. Baton Rouge, LA: Wiley-VCH. (print book). pp. 1-216. This book, a collection of works from various authors, focuses on the nano and micro levels of bioprinting. By exploring the different methods of using biological scaffolds to support printing and cellular signals to encourage selfadhesion and proliferation of cells, the work details the actual mechanisms of biological printing. This source will be used as a reference for many of the current practices of biological printing and to explain how these practices work. S. Dodds. (February 2015). “3D Printing Raises Ethical Issues in Medicine.” ABC Science. (Online article) http://www.abc.net.au/science/articles/2015/02/11/4161675. htm This online article, posted by ABC Science and written by Susan Dodds who is a co-author for the book 3D Bioprinting: Printing Parts for Bodies, explores the ethical issues that result from bioprinting. The article describes the possible issues with the future of bioprinting like: justice and access, safe treatments, and human enhancement. The article will be H. Lipson & M. Kurman. (2013). Fabricated: The new World of 3D Printing. Indianapolis, IN: Wiley. (print book). pp. 214-218. This book written by leading researchers on 3D printing, explores many of the uses of 3D printers ranging from carpentry to biological printing. The authors describe that the future of bioprinting may result in a viable method of producing organs for donation, prosthetics for amputees, or 2 Kevin Berry Jim Howell plastics for cosmetics. Our use of this source will be to describe the potential avenues the new FRESH system especially for the production of organs. M. Shaer. (May 2015). “Soon, Your Doctor Could Print a Human Organ On Demand.” Smithsonian. (Online article) Vol. 46, no. 2 http://www.smithsonianmag.com/innovation/soon-doctorprint-human-organ-on-demand-180954951/ This article, from Smithsonian magazine, documents the history of bioprinting and its proposed future through the eyes of Dr. Anthony Atala, one of the leading researchers in bioprinting. The article describes the basic details of bioprinting and explains what bioprinting is currently capable of by showing multiple examples such as ears and hear valves. This article will be used to introduce our topic and represent the current capabilities of bioprinting. 3