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Concentric bioprinting of alginate-based tubular constructs using multi-nozzle extrusion-based technique

            lethal to the patient in the long run [19] .  Furthermore,   of xanthan gum (XG) from Xanthomonas campestris
            the degradation residues of these materials could po-  (Sigma-Aldrich) was dissolved into the alginate solu-
            tentially cause substantial damage to the tissue around   tion.  Thereafter, 0.022 g/mL of calcium chloride
            it [20] .                                          (CaCl 2) (Sigma-Aldrich) was added dropwise to the
               In light of such issues, researchers have begun to   mixture. Additionally, 500 mmol/L of CaCl 2 was pre-
            develop hydrogel tubular structures for TE purposes.   pared as an additional cross-linking solution.
            These tubular  structures  are  usually  cast using  a
            mold [21,  22] , centrifuged in tubes [23,  24]   or co-axially   2.2 Hydrogel Characterisation
            extruded [25, 26] . Although the strength of such gels are   Rheology of the hydrogel was  characterized  using  a
            much weaker than polymers in terms of tensile      Discovery Hybrid Rheometer 2 (TA Instruments) us-
            strength and ductility, the use of some of these gels   ing a 40 mm parallel plate geometry with a measure-
            improves cell compatibility and have been shown to   ment gap of 0.5 mm and Peltier plate thermal control.
            reduce autoimmune responses [27] .                 After loading, the samples were conditioned by sub-
                                                                                            –1
               Recently, bioprinting has  emerged  as  a potential   jecting to  30  s pre-shear at 500  s   followed by  one
            method for fabricating  cell-encapsulated hydrogel   minute equilibrium before measurements were taken.
            tubular construct [28,  29] . This method of fabrication   Shear-dependent viscosity  was evaluated using a
                                                                                                    –1
            increases the flexibility and versatility in the printing   stepped  ramp  of shear rate from 1–1000  s   and the
                                                                                   °
            process, allowing various forms and sizes of tubular   process was done at 25 C. In this method, the hydro-
            structures to  be manufactured  with design-driven re-  gel was used as it is with the exception of the addition
            peatability [30] .                                 of excess CaCl 2. Measurements  were taken  at 10
               Tubular structures fabricated using bioprinting have   points per decade.
            been demonstrated with multiple materials in several
            reports. Examples of some of these materials used in   2.3 Printing Process
            printing include hyaluronan [31] , alginate [32]   and gela-  Tubular structure design and process  was input into
            tin-derived products [33] .  They are usually built hori-  the bioprinter using BioCad (RegenHu). First, a cir-
            zontally as the weight from the structure itself would   cular structure with radius of 6 mm was defined in the
            not allow for sufficient structural integrity of the base   system as the extrusion route for the hydrogel. Next, a
            if it was to be built vertically. However, such method   secondary loop of radius of 4 mm which is concentric
            of producing tubular structure would cause irregulari-  with the hydrogel  path  was  made for the dispensing
            ties in the diameter if the diameter is too large. Fabri-  route for CaCl 2. The hydrogel was placed into a time-
            cating a tubular structure in the horizontal configura-  based  extruder while CaCl 2  was placed  in  a  micro-
            tion also restricts the potential in constructing tubular   valved controlled dispenser. The printing process was
            branches on a 3D scale.                            done  at room temperature. The printing process  is
               The  main  objective  of this study is to  investigate   shown in Figure 1.
            the feasibility of fabricating vertical tubular structure   The pressure of the bioprinter was set at 1.5 bar for
            using a  multi-nozzle extrusion-based technique. This   the hydrogel and 0.5 bar for CaCl 2. Tubular constructs
            method was derived based on concurrent deposition of   were printed using RegenHu’s Biofactory. Hydrogel
            cross-linking  agent into the concentric tubular wall   was printed  through a 0.25 mm syringe  needle
            during each layer of deposition. Alginate was selected   (Needle DD-135N-N4) while the CaCl 2 solution was
            as the model material to demonstrate the feasibility of   dispensed through a 0.3  mm needle tip. The path
            this versatile and simple  method. This method could   speed of the hydrogel was 500 mm/min while the path
            be extended  for  different hydrogels and their cross-   speed of the CaCl 2 was 100 mm/min. CaCl 2 solution’s
            linking agents.                                    path speed was much lower than the hydrogel to allow
                                                               it to sufficiently fill up the tube during dispensing. The
            2. Materials and Methods                           layer thickness of the hydrogel was set at 0.2 mm. To
                                                               allow sufficient time for the layers to fuse before the
            2.1 Hydrogel                                       gel cross-linked, the printer was programmed to dis-
            Sodium alginate powder (Sigma-Aldrich) was dissol-  pense CaCl 2 only after 3 layers have been built. Sub-
            ved at 0.06 g/mL in phosphate-buffered saline solution   sequent  layers  were added  in  the vertical axis after
            under constant stirring. Next, 0.01 g/mL to 0.03 g/mL   gelling interaction was achieved in the first 3 layers,

            50                          International Journal of Bioprinting (2015)–Volume 1, Issue 1
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