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Nazia Mehrban, Gui Zhen Teoh and Martin Anthony Birchall































                                    Figure 1. Biodegradable polymers used for bioprinting applications.

            easily and are therefore easier to handle during manu-  cell viabilities; typically between 40% and 90%.
            facture. However, natural  materials often  lack  the
            mechanical integrity  required  whilst synthetic  mate-  3.2 Biocompatibility
            rials are often not biocompatible [50] . Some researchers   Original expectations of material biocompatibility
            have sought to overcome these issues by  combining   centered on  minimising inflammation  and creating
            favourable elements from both  categories to  create   materials that would not produce cytotoxic side-eff-
            hybrid materials [51,52] . Even so, not all of these mate-  ects. Today, however, biocompatibility can include the
            rials are suited to 3D printing. While the high temper-  incorporation of biochemical functionality, i.e. growth
            atures and solvents used in the initial 3D printing   factors or growth factor mimics, and nanoscale scaf-
            techniques are not employed for bioprinting, there are   fold morphology to improve and enhance the interac-
            still certain  criteria, which  need  to  be  met when  se-  tion  of cells with  the scaffold,  and therefore engi-
            lecting suitable bioprinting materials.            neered  tissue  with the  in  vivo  environment [13] .  It  is
                                                               vital  to  select a material  which  can  be modified
            3.1 Printability
                                                               through the printing process such that there is the op-
            It is important to be able to both deposit the material   tion of building complexity into the system.
            accurately  and  retain  spatial resolution in  order to
            control the overall scaffold geometry. Some bioprint-  3.3 Degradation
            ing techniques cannot print viscous materials (such as   Degradation of a material into smaller chemical units
            inkjet methods)  while others shear-thin  the material   due to material chemistry, oxidising agents, enzymes
            and therefore affect its formation (such as microextru-  or ionising radiation and ultrasound occurs via two
            sion). Temporal resolution is another aspect which   mechanisms: surface (materials loss layer by layer) or
            needs to be addressed, as materials that take too long   bulk (fragmentation of the whole material) [53] . Figure
            to ‘set’ will affect the spatial resolution of the scaffold,   2 shows both mechanisms.
            whilst materials that set too quickly will be in danger   The main indicators of degradation are reduction in
            of blocking the nozzle. Other factors to consider are   sample mass, loss of mechanical strength and changes
            whether the cells or biomolecules will encounter shear   in chemical bonds and groups. Controlled degradation
            stress or high temperatures during printing. Current   is vital as material loss and a reduction in mechanical
            cell-printing  technologies  report  a  high  variation  in   integrity of the overall scaffold [54]   can  alter the

                                        International Journal of Bioprinting (2016)–Volume 2, Issue 1       9
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