Skip to content
2000
image of Exploring 4D Printing Technology for Biomedical Applications

Abstract

As an advancement of 3D printing, 4D printing introduces a time dimension, enabling the fabrication of dynamic, adaptable biological devices. In contrast to stable 3D-printed systems, 4D-printed systems employ intelligent materials, such as shape-memory polymers and hydrogels, that respond to environmental stimuli, such as pH, temperature, and light. Major developments include adaptable implants for applications like tracheal support and cancer therapy, as well as customized, stimuli-responsive hydrogel capsules that enable controlled drug release, thereby enhancing the patient’s health, decreasing adverse effects, and increasing accuracy. Nevertheless, several challenges remain, specifically in managing degradation rates, ensuring biocompatibility, and optimizing material selection for clinical studies. As research continues, 4D bioprinting is anticipated to become the main tool for creating personalized, efficient, and adaptive biomedical systems, thereby changing the face of future healthcare and treatment methods. This editorial provides an overview of innovative approaches and demonstrates the importance of 4D printing in the medical field. It highlights the crucial role of 4D printing over 3D printing by incorporating the time dimension, making the resulting devices dynamic and adaptive rather than static. These smart features of the innovative 4D-printed tool have led to significant advancements in medical applications, including customized tracheal support implants and personalized drug-delivery capsules.

Loading

Article metrics loading...

/content/journals/cpd/10.2174/0113816128438937251121104312
2026-02-20
2026-03-01
Loading full text...

Full text loading...

References

  1. Biswas M.C. Chakraborty S. Bhattacharjee A. Mohammed Z. 4D printing of shape memory materials for textiles: Mechanism, mathematical modeling, and challenges. Adv. Funct. Mater. 2021 31 19 2100257 10.1002/adfm.202100257
    [Google Scholar]
  2. Kumar S. Kumar R. Overview of 3D and 4D printing techniques and their emerging applications in the medical sector. Current Materials Science: Formerly. Recent Pat. Mater. Sci. 2023 16 2 143 170
    [Google Scholar]
  3. Kumar P. 4D and 5D printing: Healthcare's new edge. 3D Print Technol Nanomed 2019 143 143 63
    [Google Scholar]
  4. Hippler M. Weißenbruch K. Richler K. Mechanical stimulation of single cells by reversible host-guest interactions in 3D microscaffolds. Sci. Adv. 2020 6 39 eabc2648 10.1126/sciadv.abc2648 32967835
    [Google Scholar]
  5. Pei E. Loh G.H. Technological considerations for 4D printing: An overview. Prog Addit Manuf 2018 3 1-2 95 107 10.1007/s40964‑018‑0047‑1
    [Google Scholar]
  6. Ramezani M. Mohd Ripin Z. 4D printing in biomedical engineering: Advancements, challenges, and future directions. J. Funct. Biomater. 2023 14 7 347 10.3390/jfb14070347 37504842
    [Google Scholar]
  7. Kantaros A. Ganetsos T. From static to dynamic: Smart materials pioneering additive manufacturing in regenerative medicine. Int. J. Mol. Sci. 2023 24 21 15748 10.3390/ijms242115748 37958733
    [Google Scholar]
  8. Kong D. Guo A. Wu H. Four-dimensional printing of polymer-derived ceramics with high-resolution, reconfigurability, and shape memory effects. Addit. Manuf. 2024 83 104050 10.1016/j.addma.2024.104050
    [Google Scholar]
  9. Shi Y. Liu Z. Shape memory biomaterials. Intelligent Biomaterials: Fundamentals, Principles and Applications. Springer 2025 23 65 10.1007/978‑981‑96‑8646‑9_2
    [Google Scholar]
  10. Azlin M. Ilyas R. Zuhri M. 3D printing and shaping polymers, composites, and nanocomposites: A review. Polymers 2022 14 1 180 10.3390/polym14010180 35012202
    [Google Scholar]
  11. Baniasadi H. Abidnejad R. Fazeli M. Innovations in hydrogel-based manufacturing: A comprehensive review of direct ink writing technique for biomedical applications. Adv. Colloid Interface Sci. 2024 324 103095 10.1016/j.cis.2024.103095 38301316
    [Google Scholar]
  12. González-Henríquez C.M. Sarabia-Vallejos M.A. Rodriguez-Hernandez J. Polymers for additive manufacturing and 4D-printing: Materials, methodologies, and biomedical applications. Prog. Polym. Sci. 2019 94 57 116 10.1016/j.progpolymsci.2019.03.001
    [Google Scholar]
  13. Sol J.A.H.P. Smits L.G. Schenning A.P.H.J. Debije M.G. Direct ink writing of 4D structural colors. Adv. Funct. Mater. 2022 32 30 2201766 10.1002/adfm.202201766
    [Google Scholar]
  14. Zu S. Zhang Z. Liu Q. 4D printing of core–shell hydrogel capsules for smart controlled drug release. Biodes. Manuf. 2022 5 2 294 304 10.1007/s42242‑021‑00175‑y
    [Google Scholar]
  15. Uboldi M. Perrotta C. Moscheni C. Insights into the safety and versatility of 4D printed intravesical drug delivery systems. Pharmaceutics 2023 15 3 757 10.3390/pharmaceutics15030757 36986618
    [Google Scholar]
  16. Mahmoud D.B. Schulz-Siegmund M. Utilizing 4D printing to design smart gastroretentive, esophageal, and intravesical drug delivery systems. Adv. Healthc. Mater. 2023 12 10 2202631 10.1002/adhm.202202631 36571721
    [Google Scholar]
  17. Tran T.S. Balu R. Mettu S. Roy Choudhury N. Dutta N.K. 4D printing of hydrogels: Innovation in material design and emerging smart systems for drug delivery. Pharmaceuticals 2022 15 10 1282 10.3390/ph15101282 36297394
    [Google Scholar]
  18. Willemen N.G.A. Morsink M.A.J. Veerman D. From oral formulations to drug-eluting implants: Using 3D and 4D printing to develop drug delivery systems and personalized medicine. Biodes. Manuf. 2022 5 1 85 106 10.1007/s42242‑021‑00157‑0
    [Google Scholar]
  19. Javaid M. Haleem A. 4D printing applications in medical field: A brief review. Clin. Epidemiol. Glob. Health 2019 7 3 317 321 10.1016/j.cegh.2018.09.007
    [Google Scholar]
  20. Maroni A. Melocchi A. Zema L. Foppoli A. Gazzaniga A. Retentive drug delivery systems based on shape memory materials. J. Appl. Polym. Sci. 2020 137 25 48798 10.1002/app.48798
    [Google Scholar]
  21. Kantaros A. Petrescu F.I.T. Ganetsos T. From stents to smart implants employing biomimetic materials: The impact of 4D printing on modern healthcare. Biomimetics 2025 10 2 125 10.3390/biomimetics10020125 39997148
    [Google Scholar]
  22. Sadraei A. Naghib S.M. Rabiee N. 4D printing chemical stimuli-responsive hydrogels for tissue engineering and localized drug delivery applications – part 2. Expert Opin. Drug Deliv. 2025 22 4 491 510 10.1080/17425247.2025.2466768 39953663
    [Google Scholar]
  23. Gazzaniga A. Foppoli A. Cerea M. Towards 4D printing in pharmaceutics. Int. J. Pharm. X 2023 5 100171 10.1016/j.ijpx.2023.100171 36876052
    [Google Scholar]
  24. Wild M. Dany S. John C. Schuler F. Smart 4D-printed implants and instruments. Curr. Dir. Biomed. Eng. 2020 6 3 209 212 10.1515/cdbme‑2020‑3053
    [Google Scholar]
  25. Osouli-Bostanabad K. Masalehdan T. Kapsa R.M.I. Traction of 3D and 4D printing in the healthcare industry: From drug delivery and analysis to regenerative medicine. ACS Biomater. Sci. Eng. 2022 8 7 2764 2797 10.1021/acsbiomaterials.2c00094 35696306
    [Google Scholar]
  26. Sharma M. Sah S.K. Roy S. Kaity S. Progressive transpose from 3D to 4D printed materials for drug delivery and biomedical applications. React. Funct. Polym. 2025 216 106455 10.1016/j.reactfunctpolym.2025.106455
    [Google Scholar]
  27. Zhang F. Wen N. Wang L. Bai Y. Leng J. Design of 4D printed shape-changing tracheal stent and remote controlling actuation. Int. J. Smart Nano Mater. 2021 12 4 375 389 10.1080/19475411.2021.1974972
    [Google Scholar]
  28. Wang Z. Ma D. Liu J. 4D printing polymeric biomaterials for adaptive tissue regeneration. Bioact. Mater. 2025 48 370 399 10.1016/j.bioactmat.2025.01.033 40083775
    [Google Scholar]
  29. Es Sayed J. Khoonkari M. Oggioni M. Multi responsive jammed micro†gels ink: Toward control over the resolution and the stability of 3D printed scaffolds. Adv. Funct. Mater. 2022 32 48 2207816 10.1002/adfm.202207816
    [Google Scholar]
  30. Kuhnt T. Camarero-Espinosa S. Takhsha Ghahfarokhi M. 4D printed shape morphing biocompatible materials based on anisotropic ferromagnetic nanoparticles. Adv. Funct. Mater. 2022 32 50 2270289 10.1002/adfm.202270289
    [Google Scholar]
  31. Kennedy S.M. M. S, A. V, K. A. 4D bioprinting for personalized medicine, innovations in implant fabrication and regenerative therapies. Polym Plast Technol Mater 2025 64 12 1839 1864 10.1080/25740881.2025.2483763
    [Google Scholar]
  32. Liu B. Peng Y. Jin Z. Terahertz ultrasensitive biosensor based on wide-area and intense light-matter interaction supported by QBIC. Chem. Eng. J. 2023 462 142347 10.1016/j.cej.2023.142347
    [Google Scholar]
/content/journals/cpd/10.2174/0113816128438937251121104312
Loading
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test