Figures (5)  Tables (1)
    • Figure 1. 

      Schematic overview of the biofabrication strategy for mature adipocyte (AC) bioprinting. (a) Conventional extrusion-based bioprinting of gellan gum-based bioinks containing mature adipocytes lacks dimensional stability due to the softness and buoyancy of the bioink. (b) An adapted workflow employing a yield-stress agarose-based support bath with divalent ions enables stabilized extrusion, resulting in improved printing accuracy demonstrated by the fabrication of defined grid structures and more complex three-dimensional dome-shaped constructs.

    • Figure 2. 

      Support bath preparation and rheological characteristics of agarose support baths and gellan-based bioinks for printing mature adipocytes. (a) Preparation of agarose support bath by mixing agarose with PBS+, autoclaving it, and stirring it overnight. (b) Viscosity of different support bath compositions (50%, 75%, and 100% PBS+) at 10 °C. (c) Viscosity of different acellular GG solutions (10% and 20% PBS+ in stock solution) at 20 °C. (d) Inversion test of different acellular GG solutions (10%, 20%, and 30% PBS+ in stock solution) at room temperature (20 °C). Black arrows indicate the GG solution level after the Falcon tubes were inverted. Each analysis was performed in triplicate. Mean values represent the mean ± standard deviation.

    • Figure 3. 

      Bioprinting characteristics and printing protocol. (a) Macroscopic images of grid structures printed without (−) and with (+) support bath; red markings and numbers highlight the analyzed parameters for printing fidelity. Scale bar: 10 mm. (b) Analysis of (1) construct length, (2) pore width, and (3) filament width of support-bath printed grid structures. Design parameters for each measure are indicated above each graph, with a construct length of 20 mm, a pore width of 5 mm, and a filament width of 1.2 mm. (c) Macroscopic pictures of dome-shaped constructs in side and top view with CAD model and support-bath printed and recovered construct. Scale bar: 10 mm. (d) Overview of the printer setup using the BioX printer and a Petri dish as printing vessel. (e) Listed bioprinting windows for printing AC constructs. Mean values represent the mean ± SD of six independent experiments for accuracy measurements of printed grid structures.

    • Figure 4. 

      Viability of mature adipocytes in the printed dome-shaped constructs. (a) Live/dead staining of printed dome-shaped constructs on days 1 and 3 post-printing, living cells in green, dead cells in red, and cell nuclei in blue. Scale bar: 100 µm. (b) Normalized LDH release of printed dome-shaped constructs on days 1 and 3 post-printing, normalized to 1% Triton X-100 control (set to 100%). Data are represented as the mean ± standard deviation, with single values shown as dots from five independent experiments with five different biological donors. ** p ≤ 0.01.

    • Figure 5. 

      Morphology and function of mature adipocytes in the printed dome-shaped construct. (a) Intracellular lipid (BODIPY) staining of printed dome-shaped constructs on days 1 and 3, lipids in green, cell nuclei in blue. Scale bar: 50 µm. (b) Basal (−) and isoproterenol-stimulated (10 µM) (+) glycerol release of dome-shaped AC constructs on days 1 and 3 post-printing. (c) Lipid vacuole (perilipin A) staining of printed dome-shaped constructs with two different magnifications (20x and 40x), lipid vacuoles in yellow, nuclei in blue. Scale bars: 50 µm and 20 µm. Mean values are shown as mean ± standard deviation, with individual values as dots from five independent experiments with five different biological donors. ** p ≤ 0.01, *** p ≤ 0.001.

    • Model Printing technique SB SB material Bioink composition Cross-linking Cells used Culture period (d) Research highlights Application Ref.
      ACs
      In vitro adipose cell model Extrusion × n.a. GelMA UV-light
      (LAP)
      ACs
      ASCs
      8
      15
      Bioprinting process had no negative effects on differentiation potential or lipid maintenance
      Use of ACs resembles the native adipose tissue state more
      More physiological in vitro adipose cell models [11]
      Vascularized AT model Extrusion Gellan gum Fibrinogen
      collagen microfibers
      Enzymatic (thrombin) ACs
      ASCs
      HUVECs
      7 First documented bioprinting of ACs
      Maintenance of AC viability and lipid functionality
      Generation of early vascular networks by co-printing with ECs
      Soft tissue regeneration
      (clinical application)
      [10]
      Microtissues
      Autologous fat graft Extrusion × n.a. Fibrinogen
      gelatin
      HA
      PCL
      Enzymatic (thrombin) Adipose micro-fragments 14 in vitro;
      28 in vivo
      Development of a tissue micronizer for defined fragments
      Creation of a viable microfragment-based bioink
      Printing of a patient-specific AT graft and in vivo testing
      Patient-specific volumetric soft tissue reconstruction
      (clinical application)
      [23]
      Fat graft Extrusion × n.a. Alginate
      nanocellulose
      Ionic
      (CaCl2)
      Lipoaspirate-derived AT 30 Printable lipoaspirate-based bioink containing intact ASCs and ACs
      Neovascularization of the implanted graft
      Soft tissue regeneration
      (clinical application)
      [37]
      ASCs
      Life-like AT constructs Stereolithography × n.a. GelMA
      HA
      UV-light
      (LAP)
      ASCs
      Fibroblasts
      HUVECs
      27 Multi-material printing platform
      3D adipose tissue models with lumen
      Breast reconstruction (clinical application) [38]
      Vascularized AT graft Extrusion Alginate HA
      Pluronic F-127
      gelatin
      PCL
      Ionic
      (CaCl2)
      ASCs 56 in vivo ASC spheroids significantly enhance secretion of angiogenic factors in vivo Soft tissue reconstruction (clinical application) [39]
      Vascularized adipose cell model Extrusion
      FRESH

      Alginate Collagen
      gelatin
      alginate
      PLLA-PLGA
      UV-light
      (LAP)
      Ionic
      (CaCl2)
      ASCs
      HAMECs
      7 Fabrication of thick 3D adipose tissue constructs with perfusable vascular trees Complex, multi-cellular tissue model engineering (clinical application) [40]
      In vitro densely packed AT model Extrusion Alginate dECM Ionic
      (CaCl2)
      ASCs
      Monocytes
      28 Highly matured adipose constructs
      Recapitulation of obesity-associated pathological changes in vitro (immune component)
      Obesity research [41]

      Table 1. 

      State-of-the-art bioprinting of adipose tissue.