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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Development of a low-cost quad-extrusion

                                        3D bioprinting system for multi-material tissue
                                        constructs



                                        Ralf Zgeib, Xiaofeng Wang, Ahmadreza Zaeri, Fucheng Zhang, Kai Cao, and
                                        Robert C. Chang*
                                        Department of Mechanical Engineering, Stevens Institute of Technology, Hoboken,
                                        New Jersey, USA
                                        (This article belongs to the Special Issue: 3D Bioprinting Hydrogels and Organ-On-Chip)


                                        Abstract
                                        This study presents the development and characterization of a low-cost bioprinting
                                        system with a compact low-profile quad-extrusion bioprinting head for producing
                                        multi-material tissue constructs.  The system, created by modifying an off-the-
                                        shelf three-dimensional (3D) printer, enables larger print volumes compared to
                                        extant systems. Incorporating gelatin methacrylate (GelMA) as a bioink model, the
                                        bioprinting system was systematically tested with two different printing techniques,
                                        namely the traditional in-air printing (IAP) mode along with an emerging support
                                        bath printing (SBP) paradigm. Structural fidelity was assessed by comparing printed
                                        structures under different conditions to the computer-aided design (CAD) model.
                                        To evaluate biological functionality, a placental model was created using HTR-8
                                        trophoblasts known for their invasive phenotype. Biological assays of cell viability
                                        and invasion revealed that the cells achieved high cell proliferation rates and had
            *Corresponding author:      over 93% cell viability for a 3-day incubation period.  The multi-compartmental
            Robert C. Chang
            (rchang6@stevens.edu)       3D-bioprinted in vitro placenta model demonstrates the potential for studying native
                                        cell phenotypes and specialized functional outcomes enabled by the multi-material
            Citation: Zgeib R, Wang X, Zaeri   capability of the quad-extrusion bioprinter (QEB). This work represents a significant
            A, Zhang F, Cao K, and Chang RC.
            Development of a low-cost quad-  advancement in bioprinting technology, allowing for the printing of complex and
            extrusion 3D bioprinting system for   highly organized tissue structures at scale. Moreover, the system’s total build cost is
            multi-material tissue constructs.    only US$ 297, making it an affordable resource for researchers.
            Int J Bioprint. 2024;10(1):0159.
            doi: 10.36922/ijb.0159
            Received: May 10, 2023      Keywords: 3D bioprinting; Quad-extruder; Multi-material; Support bath printing;
            Accepted: June 29, 2023     GelMA; Laponite B
            Published Online: August 29, 2023
            Copyright: © 2023 Author(s).
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   1. Introduction
            License, permitting distribution,
            and reproduction in any medium,   Additive bio-manufacturing (bio-AM),  or three-dimensional (3D)  bioprinting, has
            provided the original work is   emerged as a prevailing tool in the development of complex programmable tissue
            properly cited.             constructs.  3D bioprinting enables diverse in vitro biological studies for medicinal
                                                1-6
            Publisher’s Note: AccScience   studies of pathological conditions by creating microenvironments suitable for cells to
            Publishing remains neutral with   form tissues that are functionally equivalent to the in vivo scenario. 7-10  Ultimately, with
            regard to jurisdictional claims in
            published maps and institutional   fully developed 3D-bioprinted biological constructs made with multiple bioinks, full
            affiliations.               organ transplantation would be possible. 11-17  More recently, complex 3D bioprinting



            Volume 10 Issue 1 (2024)                       294                        https://doi.org/10.36922/ijb.0159
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