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International Journal of Bioprinting                                DNA-functionalized hyaluronic acid bioink




            bonds between DNA crosslinkers are reversible, this   precise structural customization and the ability to fine-
            hydrogel has good self-healing properties, which allows   tune their physical and chemical properties. Recently,
            the hydrogel to be printed and reshaped without damaging   a review unveils the unprecedented prospects of DNA
            cells.  The  authors  successfully  cultured  human-induced   integration into dynamic supramolecular hydrogels in
            pluripotent stem cells using DyNAtrix and observed   cartilage tissue engineering and illuminates the strategy
            their proliferation, morphogenesis, and differentiation   of incorporating reconfigurable DNA building blocks into
            in the hydrogel, which holds great potential in tissue   hyaluronic acid hydrogels, which serve as crosslinking
            engineering  (Figure 8e and f).                    nodes within network structures, with implications for
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               Taken together, the integration of DNA hybrid   advancing cartilage repair through the rational design of
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            hydrogels into cartilage engineering holds immense   responsive smart hydrogels.
            promise for driving the field forward. These hydrogels   The complex interplay between in vivo cell interactions
            offer precise control over cellular behaviors through   and  the  ECM  relies  on  the temporal dynamics  and
            customizable structures. This modulation capacity enables   spatial definition of physical and chemical cues. This
            diverse applications, from shielding encapsulated cells from   interaction replicates stem cell microenvironments and
            shear forces to enabling controlled cell release. Beyond cell   guides suitable cell phenotypes. Unlike conventional
            encapsulation, DNA hybrid hydrogels function as versatile   static hydrogels, dynamic DNA–HA hybrid hydrogels not
            carriers delivering therapeutics, such as drugs, cytokines,   only fulfill the biological and mechanical requirements of
            and exosomes, to targeted sites in order to boost treatment   bioinks, but also exhibit in situ responsiveness to cellular
            effectiveness. However, several limitations surrounding the   signals and external stimuli. This attribute holds promise
            application of DNA-functionalized hydrogels in cartilage   for simulating the physicochemical characteristics of
            regeneration should be acknowledged: (i) impurities or   chondrocyte ECMs.  Despite these advantages, several
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            non-specific hybridization, which leads to reduced stability   challenges remain in advancing the utilization of DNA–
            and responsiveness of hydrogels; (ii) interference by   HA hybrid hydrogels for cartilage tissue regeneration.
            enzyme residues or inhibitors, which makes the preparation   Variations in synthesis methodologies yield DNA hydrogels
            process of hydrogels complex and uncontrollable; and   with distinct pharmacokinetics, suggesting varying
            (iii) rejection by the immune system or adverse reaction   anti-enzyme  activities.  Distinct  stimuli  should  induce
            stemming from exogenous gene expression, which lowers   different kinetic behaviors in DNA hydrogels. However,
            biocompatibility and safeness of hydrogels. Nevertheless, by   comprehensive studies on the pharmacokinetics of DNA
            mimicking synthetic ECMs using specific aptamers, DNA-  hydrogels are currently limited, possibly due to research
            functionalized hydrogels facilitate cell-specific recruitment   limitations or insufficient focus on this area. In-depth
            and differentiation, which are the core functions required   kinetic inquiries will contribute to the informed design
            by tissue engineering  strategies. With  their multifaceted   of DNA hydrogels for specific applications, fostering
            capabilities, DNA hybrid hydrogels emerge as a dynamic   the development of controlled release hydrogels and
            toolset with transformative potential, poised to redefine   tissue engineering advancements. With the continuous
            cartilage engineering and tissue regeneration.     development of DNA nanotechnology, the structure and
                                                               function of DNA-functionalized hydrogels will become
            5. Conclusion                                      more diverse and sophisticated to align with different
            Hyaluronic acid is a prominent polysaccharide found   biomedical needs. For example, increasing studies
            in living tissues, possessing high potential for hydrogel   focus on exploring various DNA crosslinking strategies,
            fabrication due to its exceptional biocompatibility.   optimizing the mechanical properties of DNA hydrogels,
            Nevertheless, conventional crosslinking methods for HA,   and achieving dynamic regulation of mechanical signals.
            which often involve the use of chemical agents or the   Moreover, improving enzyme resistance and immune
            introduction of functional groups, limit the dynamic and   evasion abilities of DNA hydrogels, as well as controlling
            adaptable characteristics of the resulting products. This   their degradation rate and products, are also important
            renders them less than optimal for cartilage applications.    directions. Furthermore, by integrating different
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            Conversely, DNA, as a biological macromolecule,    functional elements, such as nucleic acid aptamers,
            exhibits enhanced biocompatibility and degradability.   nucleases, gene carriers, and nanoparticles, more DNA-
            It offers exceptional structural programmability and   functionalized hydrogels can be developed as bioinks to
            multifunctionality,  allowing  for  the  customization  of   construct organoids with complex structure and function.
            desired attributes, such as specific recognition, targeted   In summary, the convergence of DNA and HA presents
            specificity, and biocatalytic activity.  The inherent   an intriguing bioink platform, which has the potential to
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            flexibility of DNA molecules empowers hydrogels with   be widely applied in the field of cartilage repair.

            Volume 10 Issue 2 (2024)                        39                                doi: 10.36922/ijb.1814
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