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International Journal of Bioprinting                                     Microfluidic-assisted 3D bioprinting




            crosslinking, 110,111  which determines the final properties of   junction upstream, the  central compartment  can be
            the product, as well as the effect of embedding living cells   sheathed by a second fluid before crosslinking to form a
            within biomaterials over ink rheology. 112,113  These subjects   core-shell flow profile.  To integrate all these elements,
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            are left out of explicit consideration from this section as   Guimarães  et al. developed a unique microfluidic chip
            it aims at describing the spinning of microfibers within   based on a flow-focusing geometry for the production of
            microfluidic devices, excluding cell-laden materials.  (i) multi-compartment, (ii) core-shell, (iii) hollow, and (iv)
                                                               fibers containing oil droplets for the creation of complex
            4. MST for biofabrication purposes                 biological micromodels  (Figure 5a). As a unique example,
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                                                               core-shell gelatin methacryloyl (GelMA) fibers with
            The  stunning  ability  in  controlling  the  composition  and   straight and helical morphologies embedded in an alginate
            compartmentalization of fibers with micrometric precision   shell have been fabricated harnessing the coflow rope-coil
            allows to customize fiber characteristics to build complex   effect  (Figure 5b). In the case of hollow fibers generation,
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            quasi-3D environments for living cells that resemble more   a sacrificial material is flowed in the core and then
            closely the physiological microstructures  (Table 1).  dissolved to leave an empty cavity for nutrient delivery.
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               To increase the complexity of spun fibers, additional   This technique is widely used to simulate microvasculature
            microfluidic devices can be combined with coaxial   environment 81,133  or to guide the vascularization of fiber-
            needles or glass capillaries to manipulate bioinks before   shaped tissues,  which is a crucial aspect in biofabrication
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            spinning fibers. Microfluidic tools can vary a lot in terms of   contexts. 134
            dimensions, design, and function as they may serve as fluid   A remarkable example of accurate fabrication of multi-
            mixers, splitters, combiners, etc. to create sophisticated   compartment and multi-hollow fibers is provided by
            patterns along and across the fiber. The precision in   Cheng et al. who designed a device made of aligned scalable
            handling microflows enables the continuous and controlled   multi-barrel capillaries to fabricate microheterogeneous
            formation of fine filaments with a wide range of structural   fibers in one step. As shown in Figure 5c, Janus and multi-
            and functional properties. 88,115-117  Indeed, fluids can be prior   shell hollow alginate fibers of 40–120 µm in diameter were
            combined within the microchannels and then extruded as   formed.  In a further study, the authors demonstrated
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                   118
            uniform,  hollow, 119,120  core-shell, 121,122  or heterogeneous   the possibility to create anisotropic fibers with two or three
            (i.e., Janus) 33,123,124  filaments. In the case of multi-material   compartments, which can be independently provided
            deposition, microfluidic systems can provide seamless   with a single or double hollow core  (Figure 5d and e).
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            transitions between biomaterial inks harnessing valves 125,126    A similar approach has been proposed by Yu et al. where
            or flow withdrawal.  On the other hand, progressive and   a PDMS chip was employed to fabricate multiple hollows
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            controlled variation of material composition is often sought   (up  to  five  cavities)  and  multi-compartment  fibers  with
            to replicate the intricate  in vivo environment, especially in   extreme control  (Figure 5f).
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            tissue interface portions.  Functionally graded structures
            can be obtained by adding a microfluidic mixer to the system   When spinning cell-laden fibers, morphological
            that allows to gradually modify fiber composition to create   and mechanical cues are fundamental for functional
            mechanical, chemical, or cellular gradients. Alternatively,   cell development. MST allows to generate fibers with
            microfluidic operators can be used to generate and pattern   diverse cross-section 99,137  to provide morphological
            monodispersed  bubbles  containing  cells  or  functional   guidance for cell proliferation. Specifically, it has been
            agents inside the fibers. 129,130                  demonstrated that the formation of grooves on the surface
                                                               of  fibers  contributes  to improved directional  alignment
            4.1. Fiber production via MST: building quasi-3D   of cultured cells. 88,90,138  Alternatively, extruded fibers can
            environments                                       be  mechanically stimulated  by stretching either  when
            One of the first pioneers in this field was Kim et al., who   collected around a rotating tool by adjusting the intensity
            in 2008 spun chondrocytes-laden alginate fibers in a CaCl 2   of pulling or after printing. As an example, Rinoldi et al.
            bath  harnessing a flow-focusing PDMS chip dipped   exploited a rotating mandrel to collect fibers laden with
               131
            in the crosslinking solution. Although rudimentary   human bone marrow stromal cells (hBMSCs) followed
            equipment was used, the basic principles are still used   by mechanical and biochemical stimulation for tendon
            today  for  spinning  cell-laden  fibers.  Evidently,  more   regeneration purposes.  The authors showed how static
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            complex fiber profiles can be generated thanks to the   stretching of fibers before culture, along with biochemical
            fluid linearity in microchannels. In particular, by allowing   stimulation, leads to enhanced expression of tendon
            two or more fluids to flow aside and fixing through   target genes. Likewise, Costantini et al. exploited a similar
            crosslinking, hybrid and multi-compartment fibers can be   version of the aforementioned microfluidic system, in
            produced. 117,132  Alternatively, integrating a flow-focusing   which the coaxial needle is replaced with a milled PC


            Volume 10 Issue 1 (2024)                        55                          https://doi.org/10.36922/ijb.1404
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