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International Journal of Bioprinting                              Automated bioink mixer improves bioprinting




            from GenTarget (GenTarget Inc., San Diego, CA, USA).   the program executed the predetermined settings, causing
            These cells were cultured in low-glucose Dulbecco’s   the sliding platform to move the syringe barrels back and
            Modified  Eagle  Medium  (DMEM;  Biowest,  Nuaillé,   forth in a highly controllable manner. The mixing process
            France) containing 10% fetal calf serum (FCS; c.c.pro,   was terminated according to the specified parameters.
            Oberdorla, Germany), 4.5 mg/mL glucose (Sigma), 2 mM   For comparison, the mixing process was also carried out
            L-glutamine (Biowest), and 1× non-essential amino acid   manually by human operators.
            (NEAA; Biowest). The HepaRG cell line was purchased
            from Biopredic International (Saint Gregoiré, France)   2.5. Bioink characterization
            and cultured in William’s E medium (Gibco, Paisley, UK)   Following the mixing process, the bioink was transferred
            supplemented with 10% FCS, 2 mM L-glutamine, 5 µg/  into a cartridge for further evaluation of cell distribution
            mL Insulin (Sigma), and 50 µM Hydrocortisone (Sigma).   and viability. A sample of 0.5 mL bioink was taken from
            The human non-small lung cancer cell line A549 (ACC   three  different  positions  (start,  middle,  and  end)  within
            107; DSMZ, Braunschweig, Germany) was cultured in   the cartridge and placed onto a glass slide. As illustrated in
            high-glucose DMEM (Biowest) with 10% FCS and  2    Figure S1A (Supplementary File), the bioink sample was
            mM L-glutamine (Biowest). All cell lines were cultured   compressed into a thin layer by a cover slide held up by
            in a 37°C incubator with 5% CO2. Upon  reaching 75%   two 100-µm-thick spacers. The resulting bioink layer was
            confluence, the cells were washed with phosphate-buffered   observed under a fluorescence microscope (Observer Z1,
            saline (PBS; Biowest) prior to harvesting using trypsin-  Zeiss, Jena, Germany) to assess the distribution of cells
            EDTA (Biowest) for either passaging or bioink mixing.  within the bioink.
                                                                  Metabolic  activity  of  the  cells  was  also  quantified
            2.4. Bioink mixing process                         after bioprinting using the tetrazolium hydroxide salt
            Three different hydrogels were prepared according to the   (XTT,  (2,3-Bis-(2-Methoxy-4-Nitro-5-Sulfophenyl)-
            specifications outlined in Table 1: Alginate and the blend   2H-Tetrazolium-5-Carboxanilide) assay according to
            of gelatin/alginate are widely used natural hydrogels for   the manufacturer’s instructions (Thermo Fisher, Kandel,
            bioink preparation. Gelatin (G2500-500G) used in this   Germany). The mixed bioink from the aforementioned
            experiment was obtained from Sigma (St. Louis, MO,   positions was printed as single-layer disc constructs
            USA). Poly(acrylic acid) (PAA; Carbopol 940, Acros   into a 48-well plate using an extrusion-based printhead
            Organics, Belgium) is a synthetic component with high   equipped with a 22G nozzle on a regenHU bioprinter (3D
            biocompatibility. The respective powder components   discovery, regenHU, Switzerland). After printing, 300 µL
            were dissolved in complete medium and stirred overnight   of complete medium supplemented with  20 mM CaCl2
            at 37°C. Subsequently, 1 mL of the resulting hydrogel   (Roth, Karlsruhe, Germany) were added to each well.
            was loaded into a syringe, while 0.9 mL cell suspension   The XTT assay was performed 1 day after bioprinting by
            (2 ×  10  cells) and 0.1 mL 1 M CaSO4  suspension were   adding 150 µL of XTT working solution, which is a mixture
                  7
            combined in a separate syringe. In the case of PAA bioink   of 1 mg/mL XTT solution and 3.83 mg/mL phenazine
            mixing, 0.1 mL CaSO4 suspension was replaced by 0.1 mL   methosulfate (PMS, AppliChem, Darmstadt, Germany)
            complete medium.
                                                               at a volume ratio of 500:1. Following a 4-h incubation
               For mixing of the bioink, two syringes were loaded   period, 100 µL supernatant from each well was transferred
            with materials and carefully connected using a female Luer   to a 96-well plate for absorbance measurement at 450 nm
            thread style coupler (Masterflex, Gelsenkirchen, Germany)   (with 620 nm as the reference wavelength) in a microplate
            without introducing air bubbles. The connected syringes   reader (Sunrise, Tecan, Männedorf, Switzerland). Cell-
            were then placed on the sliding platform with the syringe   free constructs were included as background control, and
            barrels secured, while the thumb rests were appropriately   all absorbance values were corrected by subtracting the
            positioned at both ends. Once the parameters were set,   corresponding background value.


            Table 1. Formula of hydrogels for bioink mixing in this study
             Hydrogel                 Solute              Solvent                 Note
             6% alginate              3 g sodium alginate  50 mL complete medium  N/A
             6% gelatin + 4% alginate  3 g gelatin        50 mL complete medium   N/A
                                      2 g sodium alginate
             2% PAA                   1 g PAA             50 mL complete medium   pH neutralized using 10 M NaOH
                                                                                  solution after dissolving


            Volume 10 Issue 2 (2024)                       384                                doi: 10.36922/ijb.1974
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