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The development of cell-adhesive hydrogel for 3D printing

            interaction of cell surface membrane and ECM such as   which implied that cells were alive in all cases. This
            collagen,  laminin, and fibronectin [24–27] . Thus, these   data indicated  that cell viability of fibroblasts in  hy-
            fabricated  gel structures including  living  cells have   drogels is not significantly affected by these fabrica-
            not reproduced tissue-specific properties by using the   tion processes. In addition, it was observed that  fi-
            3D-bioprinter.                                     broblasts  cultured  in  Alg,  Alg-Ph,  and  Alg-Ph/Gela-
               In this study, we  focused on  fabricating  3D gel   tin-Ph hydrogels maintained high levels of cell viabil-
            structures through crosslinking and enzymatic reaction.   ity up to one week. The obtained data demonstrated
            Recently,  Ogushi  et al. reported that Alg-Ph, Gela-  that hydrogels fabricated through the enzymatic reac-
            tin-Ph, and CMC-Ph were optimal biomaterials to fa-  tion has no adverse effect on the viability of fibroblast
            bricate hydrogels such as fiber and sphere, and culture   cells cultured for a long time.
            cells within the hydrogels [28] . Using a modified strat-  To further validate the fabricated gels, we observed
            egy, we tried to fabricate the gel structures with living   the morphology of fibroblasts in respective hydrogels.
            cells through enzymatic  reaction by using the     Fibroblasts were stained  with  F-actin to evaluate the
            3D-bioprinter for cell culture and evaluation. At first,   extension of cells in each hydrogel. Most fibroblasts
            Alg-Ph and Gelatin-Ph were synthesized as gel mate-  in Alg and Alg-Ph hydrogels exhibited the formation
            rials. The viscosities of Alg-Ph and Alg-Ph/Gelatin-Ph   of cell aggregations, while a few cells in Alg-Ph hy-
            solutions were measured  to eject Alg-Ph  and  Gela-  drogels showed extension. Ogushi et al. reported that
            tin-Ph solutions by the 3D-bioprinter. Previously, we   hydrogels formed through the enzymatic reaction had
            reported  that  3D complicated  gel structures can be   cellular adhesiveness due to hydrophobicity [28] . Prot-
            fabricated via 3D-bioprinter by simply ejecting 0.8%   eins such as collagen, gelatin, and fibronectin are abso-
            sodium alginate solution as ink material. We opti-  rbed on the hydrophobic surface of the substrate [29–30] .
            mized the ejection capability of our developed     Therefore, it is expected that the extension of fibrob-
            3D-bioprinting  system.  Our  printer  permits  the  ejec-  lasts in a Alg-Ph hydrogel is caused by the interaction
            tion of low viscosity solution (up to 0.8% sodium al-  of cells and ECM absorbed on the Alg-Ph hydrogels.
            ginate solution); it is thus not suitable for high viscos-  Moreover, several fibroblast cells showed extension in
            ity solutions such as collagen and hyaluronic acid.   Alg-Ph/Gelatin-Ph hydrogels because gelatin was pre-
            Considering the ejecting issue of our 3D-bioprinter,   sent in the fabricated hydrogels. These results indicate
            we fabricated  1.5%  Alg-Ph solution and 1.5%      that 1.5% Alg-Ph/0.5% Gelatin-Ph hydrogel is a pro-
            Alg-Ph/0.5%Gelatin-Ph solution. Both gel solutions   mising material for cell adhesion and cell extension.
            showed  viscosity almost similar to  0.8% of  sodium   Finally,  we  tried  to  fabricate 1.5% Alg-Ph/0.5%
            alginate solution. These results indicated that Alg-Ph   Gelatin-Ph gel structures including living cells by us-
            solution  and Alg-Ph/Gelatin-Ph solution are suitable   ing the 3D-bioprinter. To observe cells in the hydro-
            inks that can be ejected by our 3D-bioprinter to make   gels, 3D gel structures including living cells were fa-
            the microstructures.                               bricated.  The fabricated  gels were cultured  for 1–7
               Next, we confirmed cell viability in fabricated 3D   days.  The  Alg-Ph/Gelatin-Ph  gel  sheet  structures  in-
            gel structures by using the mold  method. Liu  et al.   cluding  living  cells were successfully fabricated  by
            recently reported Alg-Ph/Gelatin-Ph hydrogel fabrica-  using the 3D-bioprinter. Fibroblasts showed remarka-
            tion method for fibroblasts culture. They observed that   ble extension  in  fabricated  gel sheets after 7  days
            cell viability was comparatively higher because their   when compared to cell extension observed one  day
            fabrication  strategy needed  a short time to  fabricate
            the gel structure including  living  cells [18] .  However,   after culture. The obtained data suggests that material
            the fabrication of thick and complicated 3D gel struc-  such as Alg-Ph/Gelatin-Ph is well suited to fabricate
            tures  using 3D-bioprinters require long  processing   3D complicated  gel structure by 3D-bioprinter. This
            times. Therefore, the fabricated gel structures includ-  type of material can possibly be used to reproduce
            ing cells were immersed in H 2O 2 and CaCl 2 solution   tissue-like structure and  tissue-specific functions by
            for a long  time.  To  confirm cell  viability  in  the gel   fabricating  more  complicated  hydrogel  structures  in-
            formulated through the enzymatic reaction of Alg-Ph/   cluding living cells.
            Gelatin-Ph  and HRP, fibroblasts in hydrogels were   5. Conclusion
            stained with calcein-AM and PI at day 1. A majority
            of  cells  (about  80%)  were  stained with calcein-AM,   In  summary,  we  focused  on  the  use  of  gelation  me-

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