Multiscale 3D printing in tissue engineering: From micro/nanoscale precision to functional organoid fabrication
Three-dimensional (3D) biofabrication is increasingly used in tissue engineering and regenerative medicine to recreate the spatial, mechanical, and biochemical complexity of native cellular microenvironments. Among light-based 3D printing technologies, volumetric bioprinting (VBP) and two-photon polymerization (TPP) offer complementary capabilities across distinct length scales. This review examines their evolution, key advances, and potential integration within a multiscale biofabrication framework. VBP enables rapid, layer-free fabrication of centimeter-scale, cell-laden constructs by delivering spatially modulated light doses throughout a photosensitive volume. This approach reduces mechanical stress, supports high cell viability, and permits complex internal architectures, including perfusable vascular networks. Advances in computed axial lithography, holographic patterning, and bioink engineering are reviewed, with emphasis on optical transparency, control of light scattering, and rheological stability in cell-dense systems. TPP, by contrast, uses nonlinear optical confinement to achieve submicrometer resolution and precise 3D control over scaffold architecture, mechanics, and biochemical patterning. These capabilities support deterministic regulation of cell–material interactions and applications in stem cell niche engineering, neural and vascular interface design, tumor microenvironment modeling, and biohybrid microsystems. Integrating VBP and TPP may bridge organ-scale architecture and perfusion with microscale niche definition and molecular-level signaling, thereby supporting the development of functional organoids and living tissues and better addressing distinct but interdependent biological requirements across organ, tissue, cellular, and molecular scales. Remaining challenges include material heterogeneity, optical–biological coupling, scalability, and long-term tissue maturation. Future progress will require coordinated advances in materials, optical design, computational modeling, and predictive design strategies to enable the translational biofabrication of functional living systems.

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