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






























            Figure 3. Support bath printing (SBP) toolpaths and prints. (A-i) G-code of a 40 × 40 × 5 mm 4-way intersection network of hollow tubes representing a
            capillary network. (A-ii) Printed 40 × 5 mm 4-way intersection network of hollow tubes in the support bath. (B-i) G-code of four 5 × 5 × 5 mm stacked
            hollow cylinders. (B-ii) Four printed 5 × 5 × 5 mm stacked hollow cylinders in the support bath. (C-i) G-code of a 4 multi-material 18 × 18 × 3 mm
            concentric cylinders. (C-ii) Printed 4 multi-material 18 × 18 × 3 mm concentric cylinders in the support bath. (D-i) G-code of a 48 × 10 × 1 mm BMBM
            lab signage in 4 different materials. (D-ii) Printed 45 × 10 × 1 mm BMBM lab in 4 different materials in the support bath. (E-i) G-code of 17 × 17 × 18 mm
            hollow trifurcation representing a capillary 3-to-1 merger. (E-ii) Printed 17 × 17 × 18 mm hollow trifurcation representing a capillary 3-to-1 merger in the
            support bath. (E-iii) Extracted 17 × 17 × 18 mm hollow trifurcation representing a capillary 3-to-1 merger from the support bath after crosslinking (color
            lost due to photobleaching after UV crosslinking) (scale bar = 1 cm applies to all images).

            decreasing trend of significant change or deviation from   viability was maintained above 90% over the time course of
            the designed width as the temperature decreased and as   the assay with no significant loss in viability over the first
            printing was transitioned from the IAP to the SBP mode   couple of days. Most of the cells proliferated and formed
            of operation. No significant change was observed between   clusters  at  the  periphery of  the  printed  GelMA  where
            uncrosslinked and crosslinked constructs.          the supply of media was readily available. Subsequently,
                                                               cells began to proliferate at the bottom of the petri dish
            3.3.2. Cell viability, proliferation, and cell function  around the printed hydrogel material. Some of the cells
            Cell viability and proliferation are important aspects   were observed to proliferate in clusters within the GelMA,
            that characterize the phenotype of the 3D-bioprinted   while other very few cells remained stagnant and did
            constructs. To study the proliferation and viability, multiple   not proliferate. Nevertheless, in the absence of staining
            cell-laden grid samples were printed and incubated in cell   of proliferation marker such as Ki67, proliferation can
            media at 37°C for 3 days. Cells were CFDA-SE-stained   be detected by the significant increase in fluorescence
            to allow the tracking of the cells over time. Samples were   intensity as time passes. We observed that the number of
            then stained with LIVE/DEAD staining and imaged with   cells and fluorescence intensity increased over the 3-day
            approximately 24-h gaps over the course of 3 days. As sown   time course study, as shown in Figure 5C-1, C-2, and C-3.
            in Figure 5C and D, the proliferation of the HTR-8 cells   For cell functional assessment, the invasive phenotype
            could be realized at 24, 48, and 80 h after printing. It is   of HTR-8 cells was studied.  Figure 6C shows the final
            clear how the cells are invading from the center toward the   homogeneous outcome of the bioprinted placenta model.
            periphery of the printed strand, where nutrients can be   Three layers of GelMA were stacked and crosslinked
            accessed by the cells from the cell media. This provides a   separately as needed.  Figure 6D shows an overlay of
            measure of cell proliferation within the printed construct.   microscope FTIC and TRITC fluorescence images,
            Figure 5E shows the LIVE/DEAD image overlays over areas   and  Figure 6E shows the different regions printed with
            within the printed structures, taken at 24, 48, and 80 h after   the four different bioinks marked with dashed boxes
            printing. Cell viability rate was shown to be relatively high   with different colors. The red areas represent the EGF-
            throughout the 80 h of incubation, averaging at 93.41%.   laden GelMA bioinks. This composes  the EGF module
            Figure S3 (Supplementary File) provides the quantitative   and the experimental channel in  between. The white
            data of the LIVE/DEAD measurements, showing how the   region represents the control channel that is comprised


            Volume 10 Issue 1 (2024)                       301                        https://doi.org/10.36922/ijb.0159
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