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International Journal of Bioprinting                                3D bioprinting for musculoskeletal system




            Table 3. Advances in 3D bioprinting for skeletal muscle regeneration
             Bioprinting technology  Materials   Cell type      Cell density (cells/  Key outcomes   Ref.
                                                                mL)
             Extrusion        GelMA              ASCs           1 × 10 7      Accelerated muscle regeneration  29
                              PEDOT and GelMA    C2C12 cells    2 × 10 6      Enhanced the formation of   129
                                                                              muscle fibers

                              GelMA and fibrinogen  C2C12 cells  2 × 10 5     Recruited native muscle cells   36
                                                                              and promoted revascularization
                                                                              in situ
                              GelMA              C2C12 cells    -             Achieved significant functional   126
                                                                              recovery and higher muscle
                                                                              forces
                              HA, gelatin, fibrinogen,   hMPCs and hNSCs  3 × 10 7  Facilitated rapid innervation and   127
                              glycerol, and PCL                               maturation into organized muscle
                                                                              tissue
                              Gelatin and fibrinogen  C2C12 cells  1 × 10 7   Promoted myotube formation  31
                              Oxidized alginate-gelatin  C2C12 cells  8 × 10 6  Enhanced cell differentiation into   115
                                                                              ordered myotube clusters
                              Fibrinogen, gelatin, HA,   hMPCs  1 × 10 7      Showed a highly organized   130
                              and glycerol                                    multi-layered muscle bundle and
                                                                              significant functional recovery
             Electric field-assisted   GelMA     C2C12 cells    1.5 × 10 7    Promoted myotube formation   131
             extrusion                                                        and maturation
                              Collagen and Au nanowires  C2C12 cells  1 × 10 7  Enhanced myoblast alignment   132
                                                                              and efficient myotube formation
             Extrusion cryo(bio)  GelMA, DMSO, and   C2C12 cells  1 × 10 6    Enhanced cell viability, spreading,   125
             printing         D-(+)-melezitose hydrate                        and alignment
             AC-DC bioprinting  HA               hMSCs          1-5 × 10 6    Increased total muscle fiber   128
                                                                              count, median muscle fiber size,
                                                                              and cellularization
             Inkjet           Alginate, fibrin, and PEO  C2C12 cells  5 × 10 6  Presented fully aligned myotube   133
                                                                              formation and greater myogenic
                                                                              differentiation
             DNP-based 3D printing  GelMA and UCNP@LAP   ADSCs  1 × 10 7      Obtained a muscle tissue repair-  134
                              nanoinitiators                                  able cell-laden conformal scaffold
                                                                              without surgery implantation
                              HCC-PEG and gelatin  Muscle-derived   2-4 × 10 6  Lead to the de novo formation of   135
                                                 stem cells                   myofibers
            Abbreviations: AC-DC: assembled cell-decorated collagen, DNP: digital near-infrared photopolymerization, GelMA: gelatin methacrylate, PEDOT:
            poly-3,4-ethylene dioxythiophene, HA: hyaluronic acid, PCL: polycaprolactone, SAPs: self-assembling peptides, DMSO: dimethyl sulfoxide, PEO: poly
            (ethylene oxide), HCC-PEG: 7-hydroxycoumarin-3-carboxylate–polyethylene glycol, hMPCs: human muscle progenitor cells, hNSCs: human neural
            stem cells, hMSCs: human mesenchymal stem cells, ADSCs: adipose-derived stem cells

            constructs by adjusting a series of printing parameters,   to angiogenic cytokines secreted by endothelial cells. Yang
            such as the electric field, the distance from the nozzle to   et al. described a novel one-step printing system in which
            the loading platform, and the nozzle moving speed. The   an electric field was applied simultaneously to induce
            constructs  bioprinted  with  myoblasts  and  endothelial   the orientation and differentiation of C2C12 cells while
            cells demonstrated completely aligned myotube formation   the bioinks were being extruded.  The rate of myotube
                                                                                          131
            and higher myogenic differentiation potential than those   formation and maturation was significantly faster in the
            bioprinted with myoblasts alone, which may be attributed   printed structures stimulated by an electric field than in the


            Volume 10 Issue 1 (2024)                        86                          https://doi.org/10.36922/ijb.1037
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