Abstract
Aspiration-assisted bioprinting (AAB) is a versatile biofabrication technique that enables the precise and selective patterning of biologics, such as tissue spheroids and organoids, addressing limitations of conventional bioprinting techniques. AAB facilitates the fabrication of (1) tissues with physiologically relevant cell densities using spheroids and (2) advanced tissue models that replicate three-dimensional microenvironments essential for studying cellular responses, disease development and drug testing. Here we provide reliable and reproducible guidelines for the precise positioning of abovementioned biologics, incorporating two operational modes: (1) a single-nozzle mode for precise, one-by-one bioprinting and (2) a high-throughput mode using a digitally controllable nozzle array, enabling the rapid and simultaneous placement of multiple spheroids for scalable tissue fabrication. Comprehensive instructions are included for setting up the AAB platform, operating software and key operational procedures, including optimization of bioprinting conditions. This Protocol enables users to build and operate their own AAB platform depending on target applications, achieving fine control over spheroid positioning through successful aspiration and their precise placement under optimized conditions. This Protocol enables the setup of the AAB platform within 1–2 d. Bioprinting time varies depending on the number of spheroids to bioprint: the single-nozzle mode requires ~30 s per spheroid, while the high-throughput mode can print 64 spheroids in 3–4 min. Designed for accessibility and adaptability, this Protocol is suitable for users from a variety of backgrounds, including engineering, biology, pharmacy and medical sciences, who require bioprinting of spheroids for creating microphysiological systems for drug testing and disease modeling and implantable grafts for regenerative medicine.
Key points
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Aspiration-assisted bioprinting (AAB) is a versatile biofabrication technique that enables the precise and selective patterning of biologics, such as tissue spheroids and organoids. This Protocol provides comprehensive instructions for setting up the AAB platform, operating software and key operational procedures, including the optimization of bioprinting conditions.
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AAB overcomes the limitations of conventional bioprinting techniques, enabling flexible, precise, heterogeneous and scalable spheroid bioprinting across both two-dimensional and three-dimensional configurations.
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Data availability
The main data discussed in this Protocol are available in supporting primary research publications. STL files used in this Protocol are accessible via figureshare.com at https://doi.org/10.6084/m9.figshare.28405133.v1 (ref. 35). Example datasets to demonstrate the software for prepositioning (Steps 145–151) and automated motion movement (Steps 117–118) are provided in the Supplementary data.
Code availability
The AAB software can be accessed in the Supplementary software. Details of the software interface and instructions were included in the manuscript. We will post updated versions of the software via our GitHub repository at https://github.com/MHKim-software/HITS-Bio.git, if necessary.
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Acknowledgements
This work has been supported by the National Institute of Biomedical Imaging and Bioengineering (NIBIB) award no. R01EB034566 (I.T.O.) and National Institute of Dental and Craniofacial Research (NIDCR) award no. R01DE028614 (I.T.O.). We thank J. C. Moses, S. Liu, M. Yeo and D. Gupta at Penn State University for proofreading the Protocol.
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Contributions
M.H.K. developed the hardware and software for the AAB, designed the detailed Protocol and wrote the manuscript. I.T.O. supervised the study, provided funding and revised the manuscript. Both authors approved the final version of the manuscript.
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I.T.O. has an equity stake in Biolife4D and is a member of the scientific advisory board for Biolife4D and Healshape. The remaining author declares no competing interests.
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Nature Protocols thanks Subha Narayan Rath and the other, anonymous reviewer(s) for their contribution to the peer review of this work.
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Key references
Ayan, B. et al. Sci. Adv. 6, eaaw5111 (2020): https://doi.org/10.1126/sciadv.aaw5111
Kim, M. H. et al. Nat. Commun. 15, 10083 (2024): https://doi.org/10.1038/s41467-024-54504-7
Supplementary information
Supplementary Data 1
An example .csv file for saved position for panel 4A in Fig. 4.
Supplementary Data 2
An example .csv file for the automated motion for panel 9A in Fig. 4.
Supplementary software
A software program to perform AAB.
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Kim, M.H., Ozbolat, I.T. Aspiration-assisted bioprinting of spheroids. Nat Protoc (2025). https://doi.org/10.1038/s41596-025-01240-x
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DOI: https://doi.org/10.1038/s41596-025-01240-x