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International Journal of Bioprinting                                          Optimizing inkjet bioprinting




            and varies by cell type.  The model was further extended   2.2. Cell homogeneity within bio-inks
                              31
            to describe viscosity in concentrated solutions with the   Cell sedimentation is a common occurrence in most inkjet
            following equation:                                bioprinting systems, primarily caused by the influence
                           32
                                                               of gravitational forces on the freely suspended cells.
                                 25/   25 .            The uniformity of cell distribution within the printing
                         1    0      s  0       (III)
                                       25 .          cartridge changes with time as these suspended cells
                                         s
                                                               settle to the bottom of the bio-ink reservoir, resulting
               This model is only valid where cell membrane surface   in cell inhomogeneity in the printing output (Figure
            tension is sufficient to keep the cell mostly spherical. A   2b). A research study has investigated the impact of
            different model for viscosity of a concentrated suspension   cell sedimentation on the bioprinter’s output and has
            of poly-dispersed spheres has been proposed.       highlighted the issue of inconsistent printing output over
                                                28
                                                               time.  As time progresses, the concentration of localized
                                                                   34
                                  25/                  cells at the bottom of the reservoir increases significantly,
                          1    0      s         (IV)    which can lead to problems such as nozzle clogging and
                                          0          highly unstable droplet ejection. Consequently, this results
                                       s
               Notably, this model does not explicitly account for size   in a decline in overall printing reliability and quality.
            polydispersity. For high-volume fraction cell suspensions, a   The  cell  homogeneity  within  the  bio-inks  can  be
            more comprehensive model of model treats the suspension   examined by recording real-time video of the sedimentation
            as a viscoelastic fluid.  The viscous response is attributed   process and calculating  the cell sedimentation  velocity
                             33
            to the cytoplasmic viscosity and the viscous contribution of   using sophisticated optical set-ups. The theoretical values
            the cell membrane, while the elastic response is attributed   for cell sedimentation velocity can be determined using
            to the cell membrane’s ability to reversibly restore the cell   Stokes’ law, defined as follows:
            to a spherical morphology. In situations where cells at high
            volume fractions tend to aggregate, these aggregates also             (     ) gD 2
            exhibit viscoelastic behavior, contributing to the overall         v   p   f   C             (VI)
            viscoelastic response of the suspension. This behavior can               18
            be modeled by the semi-empirical Mooney equation:
                                                                  where v represents the sedimentation velocity, g is the
                                                             gravitational acceleration, D  is the cell diameter, ρ  and
                                                                                      c
                                                                                                         p


                                   K                       ρ  are the densities of particles and the fluid, respectively,
                                                                f
                            0 exp   1              (V)    and  µ is the fluid viscosity.  As the distance between
                                                                                      35

                                    1 K                 neighboring cells decreases, the cells start adhering to each
                                      2  D                   other and form larger cell aggregates, which can exceed
               In this equation, K  and K  are fitting parameters that   the nozzle diameter and result in nozzle clogs and unstable
                              1
                                    2
            consider cell shape and the degree of cell aggregation; γ  ⋅  droplet ejection. Additionally, interactions such as van der
            represents the fluid shear rate, b is the shear flow index; σ is   Waals forces between the inner surfaces of the printing
            the effective cell membrane thickness, and D is the average   cartridge and the suspended cells can cause cells to adhere
            cell diameter. Typically,  K ,  K , and  b are determined   to the walls; this is especially important in constrictions
                                     2
                                  1
            experimentally by measuring the complex viscosity as a   in the print cartridge, where the adhered cells can grow
            function of shear rate in a rheometer.             into larger cell aggregates and clog the constriction. 36,37
               The presence of particles (including cells) in high   These floating cells are then attracted to the adhered cells,
            concentration (>0.5% v/v) decreases surface tension, and   contributing to the growth of larger cell aggregates near the
            surface tension decreases asymptotically with increasing   constriction at the bottom of the printing cartridge.
            particle loading. However, in practical bio-inks, other   To counter cell sedimentation and minimize cell
            substances including peptides, proteins, and cellular   adhesion and aggregation along the cartridge’s constricted
            debris have a substantially dominating effect of lowering   regions, an inert polyvinylpyrrolidone (PVP)-based bio-
            the surface tension. Thus, in practice, surface tension of   ink can be used to pre-coat the printing cartridge.  Other
                                                                                                       38
            bio-inks is determined empirically. By understanding   strategies to mitigate cell sedimentation and aggregation
            the influence on cells on the physical properties of the   include active stirring and modifying the bio-ink
            bio-inks, one can formulate a cell-laden bio-ink of high   properties to achieve neutral buoyancy.  It is important to
                                                                                              39
            printability.                                      note that while active stirring can be effective in reducing


            Volume 10 Issue 2 (2024)                       185                                doi: 10.36922/ijb.2135
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