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Wei Long Ng, Wai Yee Yeong and May Win Naing

            determine the highest possible printing resolution and   manner till the pH of the mixture reaches ~ 6.5 to in-
            printing accuracy at room temperature. Lastly, bio-  itiate the pH-dependent crosslinking using a pH meter
            compatibility tests  were  conducted  to  evaluate the   (HM Digital. Inc.).
            potential use of PGC hydrogels for bioprinting of skin
            constructs. These outcomes will provide valuable in-  2.3 FTIR Characterization
            sights into development of printable hydrogels for   The interactions between chitosan and gelatin within
            bioprinting of 3D tissue constructs.               the polymer blend were investigated with dried gelatin-

            2. Materials and Methods                           chitosan hydrogels using a Fourier Transform Infrared
                                                               (FTIR) Spectrometer (Bruker Vertex  80v, Germany).
            2.1 Materials and Cells                            Each  dried  gelatin-chitosan hydrogel  was placed
                                                               within  the enclosed vacuum  chamber one at a time
            Chitosan (low  molecular weight, 75–85% deacetyla-  and FTIR spectra were collected  within  the range of
            tion) and gelatin (porcine skin, Type A) powders were   800–2000 cm via attenuated total reflectance (ATR)
                                                                          −1
            obtained from (Sigma Aldrich, Singapore). Other rea-
            gents like acetic acid, sodium hydroxide (NaOH) and   technique. The measurements were conducted in trip-
            phosphate buffered saline (PBS) solution (pH 7.4  at   licate and presented in the transmittance mode.
            0.01 M) were sterile-filtered before use. Neonatal hu-  2.4 Rheological Characterization
                                                   ®
            man foreskin fibroblasts (HFF-1  from ATCC  SCRC-
            1041 TM ) were used  in  this study. The cell line was   The rheological properties of PGC hydrogels were
            cultured in  a HERAcell 150i cell incubator (Thermo   evaluated  using  the  Discovery hybrid  rheometer (TA
            Scientific) at 37°C in 5% CO 2 using ATCC-formulated   instruments, USA). The values of the strain amplitude
            Dulbecco’s Modified Eagle’s Medium (DMEM) sup-     were first verified  to  ensure that  all  measurements
            plemented with 15% fetal bovine serum (HyClone TM    were performed within the linear viscoelastic region.
            from GE Healthcare). Culture  media was changed    Next, the viscosities of PGC hydrogels were evaluated
                                                                                                 -1
            every 3 days and the cells were routinely passaged in   for shear rates ranging from 0.1 to 100 s at a constant
            tissue culture flasks (cells were not used after Passage   temperature of 27°C (room temperature). To evaluate
            6).  The  adherent  HFF-1  cells  were  harvested  using   the sol-gel transition state of the hydrogels, (i) storage
            0.25% trypsin/ethylenediaminetetraacetic acid (EDTA)   modulus (G’) and (ii) loss modulus (G”) of the 2.5%,
            (Invitrogen) at 90% confluency.                    5%  and  7.5%  PGC were  then  measured  at  varying
                                                               temperatures from 20 to 40°C at a fixed shear strain of
            2.2 Synthesis of Polyelectrolyte Gelatin-chitosan   2%. The sol-gel transition state can be determined by
            Hydrogels                                          the G’/G” ratio, whereby G’/G” = 1  is the gelling
            Modification of chitosan was carried out via the addi-  point. All measurements were conducted in triplicate.
            tion of gelatin to create a polyelectrolyte gelatin-chi-  2.5 Bioprinting of Biomaterials
            tosan hydrogel [30] . 2.5% w/v chitosan was dissolved in
                                                                                        ®
            acetic acid and mechanically agitated for three hours   A 3-D bioprinter, Biofactory   (regenHU Ltd., Swit-
            to obtain a homogeneous gel. Varying concentration of   zerland), was used for printing of PGC hydrogels. The
            gelatin solutions (2.5%, 5% and 7.5% w/v) were dis-  PGC bio-ink was loaded into a  sterile  printing  car-
            solved in sterile PBS solution and stirred at 40°C for   tridge  and the printing process  was  conducted using
            complete dissolution of gelatin powder. The gelatin   an extrusion-based print-head. The hydrogel was de-
            solution of varying concentration was then added sep-  posited via extrusion-based printing approach and the
            arately to the chitosan gel at a pH greater than 4.7 to   material flow for each print-head was controlled by
            initiate  the formation of polyelectrolyte complex be-  individual pressure regulators. Pre-defined  structures
            tween the positively-charged  chitosan  and  negatively   were input into BioCAD (regenHU Ltd., Switzerland).
            charged gelatin and they were designated hereafter as   The printability of different PGC hydrogels was eva-
            2.5%, 5% and 7.5% PGC respectively. Equal volume   luated using a combination of different printing pres-
            of gelatin solution was added to the chitosan gel in a   sures (1–3.5 bars) and feed rates (600–1000 mm/min)
            drop-wise manner under constant mechanical agitation,   using a constant nozzle diameter of 210 µm. Adjacent
            followed by subsequent addition of NaOH solution to   filaments of 2 cm length at inter-spacing of 1 mm (n =
            the gelatin-chitosan polymer blend in a drop-wise   6)  were  printed  and  measured  in  terms  of  filament

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