Tissues including lung, heart, and bone in the body are subjected to
biological, electrical, and mechanical stimulations. These stimulations
greatly affect their growth, phenotype, and function, and play an
important role in modeling tissue physiology. With the goal of
understanding the molecular mechanisms underlying the response of
tissues to external stimulations, in vitro models of tissue
stimulation have been developed with the hopes of recapitulating
in vivo tissue function. Herein we review the efforts to create
and validate tissue stimulators responsive to electrical or mechanical
stimulation including tensile, compression, torsion, and shear. These
bioengineered platforms have designed such that tissues can be subjected
to select types of mechanical stimulation from simple uniaxial to
humanoid robotic stain through complex equal-biaxial strain. Electrical
stimulators have been developed to subject tissues to select electrical
signal shapes, amplitudes, and loading cycles were used in tissue
development derived from stem cell, maturation of tissue, and
regeneration of tissue function. Some stimulators allow for the
observation of tissue morphology in real-time while cells undergo
stimulation. We also discuss the limitations and challenges in the
development of tissue simulators. Despite advances in creating useful
tissue stimulators, there remain opportunities for improvements to
recreate physiological functions including: replicating complex loading
cycles, electrical and mechanical induction combined with biological
stimulation, and taking into account the change of strain affected by
the applied inputs. We expect that the use of tissue simulator platforms
will play an increasingly vital role in tissue modeling, stem cell
development, and drug development.