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International Journal of Bioprinting                            Low-cost quad-extrusion 3D bioprinting system




            images were taken after 30 h of incubation to visualize   crosslinking, no CaCl  was added to the solution as would
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            the CFDA-SE-stained HTR-8 cells in green and the EGF/  be the case with alginate. The Laponite B concentration
            Alexa-555 conjugate in red, respectively.          adopted was 1.5% (w/v).
            2.4. Bioink preparation                            2.6. 3D bioprinting, ultraviolet crosslinking, and
            GelMA bioinks were prepared akin to the method     post-processing of printed bioinks
            described in Ding  et al.  with minor differences based   To prepare the toolpath g-codes of the computer-
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            on the recommendations of the biomaterial vendor. First,   aided design (CAD) models to be printed, Cura (Cura,
            lithium phenyl-2,4,6-trimethylbenzoylphosphinate (LAP;   Ultimaker, USA) was used to slice the CAD models and
            Allevi Inc., PA, USA) was fully dissolved in DPBS at   obtain the toolpath for printing. However, to accommodate
            60°C for 15–30 min with a 0.5% w/v concentration of the   the physical characteristics of our QEB, custom starting
            final bioink solution. It is important to keep the solution   and ending g-code modifications are needed to avoid
            in an amber container or covered with aluminum foil to   physical interference. These modifications also need to be
            prevent contact with light and premature photoinitiator   customized based on the type of substrate used to print on,
            activation. When the LAP was fully dissolved in the DPBS   in the case of IAP, or within, in the case of SBP.
            solution, lyophilized gelMA foam (GelMA, Allevi Inc.,
            PA, USA) was added to the solution with a 10% w/v final   Before bioprinting, warm (room temperature) cell-free
            concentration. The final mixture was thoroughly mixed at   or cell-laden bioinks were filled into 3 mL syringes. The
            60°C for over an hour in the dark. It is noteworthy that   syringes were equipped with 2-inch 23G nozzles (Nordson
            the material preparation was performed under a sterile   EFD, RI, USA) and were covered with aluminum foil to
            biohood to minimize contamination. When the as-    prevent  premature  crosslinking.  The  prepared  bioink
            prepared GelMA bioink mixture was well dissolved and   syringes were then mounted onto the QEH. To ensure the
            homogenized, it was stored overnight in the dark at 4°C.   alignment of the four nozzle tips along the z-direction,
            For cell-free bioprinting, GelMA was melted down in a   a specific point on the print bed grid was identified, and
            warm water bath (37°C), diluted in DPBS to the desired   the four nozzles were zeroed along the z-levels by simply
            concentration, and mounted in a 3 mL syringe that was   turning the needle tips along with the Luer locks. This
            covered with aluminum foil to maintain the prevention of   is necessary since the four nozzles are in-line and may
            any premature crosslinking before and during printing.  interfere with the printed structures.
               For the cell-laden bioink formulation, melted GelMA   To crosslink the bioprinted gelMA bioinks, a handheld
            was sterile-filtered in two stages using sterile filters with   8  Watt, 365 nm ultraviolet (UV) light (UVP, UVL-18
            pores sizes of 0.45 µm and 0.20 µm, sequentially. The   365 nm UV light, Analytik Jena US, CA, USA) was used
            sterile GelMA was then mixed with a cell pellet mixed in   in the case of IAP. The UV lamp was placed on top of
            cell media in volumes that would render a certain desired   the petri dish, covering the whole area of the bioprinted
            final bioink concentration. For the advanced case study   sample. Since the size and shape of the UV lamp are
            herein, due to their availability, HTR-8/SVneo cells were   rectangular, wide, and long enough to cover the whole
            used after being centrifuged at 300 rpm for 5 min. The cell   substrate being printed on, it is safe to assume uniform
            pellet was mixed with cell media, which was then mixed   crosslinking has occurred within the samples. However,
            by gently pipetting with the melted sterile GelMA to reach   for the case of SBP, the beaker carrying the support bath,
            a final concentration of 5% cell-laden GelMA bioink with   along with the printed construct, was placed in a UV
            approximately 2 × 10  cells mixed therein.         curing station (Sovol 3D SL1 Curing Station, Amazon,
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                                                               USA) that has UV light strips on the sides and the top
            2.5. Support bath material preparation             while being completely mirror-polished on the inside with
            The support bath material (SBM) is prepared from   a turntable in the center of the bottom plate. This ensures
            Laponite nanoclay (Na Si Mg Li O (OH) ) that creates   a  uniform  omnidirectional UV light  dispersion within
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                              0.7
                                          20
                                 8
                                       0.3
                                    5.5
            a yield stress bath that can self-support the printed bioink   the mirrored curing box allowing uniform crosslinking of
            inside.  The  Laponite  nanoclay  was  prepared  following   the bioprinted samples in the support bath. The distance
            the manufacturer’s recommendations as well as the steps   would vary depending on the size and geometry of the
            undertaken by Ding et al.  The SBM tested was Laponite   bioprinted sample. Crosslinking times were varied based
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            B (BYK Additives Inc., Gonzales, TX, USA). The nanoclay   on the desired final stiffness of the bioprinted constructs.
            powder was slowly and continuously added to a beaker   The crosslinking process was either done simultaneously
            with deionized water, and it was then vigorously stirred for   throughout the printing process or at a single instance
            24 h to ensure proper dispersion in the final solution. Since   during post-processing, depending on the printing
            the printed bioink is GelMA and does not require chemical   paradigm used. For SBP, the final bioprinted structures
            Volume 10 Issue 1 (2024)                       297                        https://doi.org/10.36922/ijb.0159
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