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Digital biomanufacturing supporting vascularization in 3D bioprinting

            Table 2.  Considerations in the development of a  bioink and   control is in specifically engineered dedicated housing
            3DBP culture media                                 immediately surrounding the printer (Advanced Solu-
            • Cell-specific metabolites/factors                tions,  www.advancedsolutionsonline.com).  Another
            • Printing-specific rheology values                approach is to house the entire printing assembly in-
            • Application-specific matrix elements             side a modular isolator that actively controls such en-
            • Specifically control or inhibit apoptosis        vironmental parameters as temperature, CO 2 and hu-
            • Support or inhibit further differentiation       midity. Such  equipment also prevents contamination
            • Co-culturing and tissue environment effects      from both exogenous microbes and aerosols generated
            • Address altered cell metabolism rates and flux   during the printing process. Randy Yerden, CEO, Bi-
               o Existing media formulations are optimized for     oSpherix (www.biospherix.com) recently observed,
                  rapidly dividing cultures                   “Modern cytocentric isolators can  aseptically and
                  low-density culture                         safely accommodate bioprinters of any dimension, as
               o There may be complex gradients                well as ancillary equipment  —  plus  control critical
                  moving from culture expansion to printing
                  moving from 3D culture to in vivo placement   cell parameters at optimum CO 2 and O 2 levels during
            • Material sourcing, qualification, QA and regulatory   printing”.
            • Unique matrix and matrix-active component effects   4.3 Many Cellular Requirements
               o ECM / glycans / saccharides / polyesters / poloxamers
               o Supramolecular chemistry support / control     Bioinks may be required to support (for various dura-
               o Spontaneous intra- and inter-molecular self-assembly   tions) the stable culture  of stem cells,  co-culture of
                  Concentration, ion types, pH                diverse  differentiated cells,  vasculogenesis or  other
               o Involve multiple linkage types                cellular or tissue functions. The cellular requirements
                  hydrophobic, SS/disulfide bridge            can include primary  metabolites/factors  optimized  to
                  Can be assisted                             the cell populations being printed or unique require-
                  Hofmeister series                           ments due to the nature of the (pre- and post-) printing
               o Can be inhibited                              environment. In  some applications,  a formulation
                  HAPs DTT, carbonate                         may be required to support 3D high-density culture in
                  Must be protected                           a specialized environment achieved post-printing. This
                  bonds are reversible                        includes post-deposition matrix crosslinking or poly-
               o Reported factor sequestration/binding         merization forces or chemistries. The type and level of
            • Active and passive rheology effects              cell  growth, attachment and other culture factors
               o Additives modulating osmolality and density   may be adjusted  to  accommodate the different de-
               o Additives modulating viscosity and surface tension   mands or function placed upon the cells post-printing,
               o Deposition in plastic flow, rapid elastic response   or due  to the factor-sequestration by some printing
               o Consequences of flow rates, nozzle size and hydrodynamic forces   matrices. An increased or different buffering pH che-
            • Print matrix-specific stresses                   mistry  may be required due  to the pre-  and in-
               o Unusual light, temperatures and pressures
               o Unusual gelling agents, polymerizers, crosslinkers   tra-printing ambient gas mixture. Accommodation of
            • Serum-free, xeno-free and protein-free ideal     such printing-specific  stresses  as  hydrodynamic or
               o Can consider FBS and animal protein-based formula   dehydration  forces  are  especially important  as  the
               o Regulatory, risk, cost and consistency considerations   process  progresses from the common product devel-
            • Heightened buffering/antioxidant demands         opment-supporting serum-containing media to a more
               o Variable mass-transfer rates & environment    regulatory-friendly serum-free  formulation. As the
               o Often at high air interface-to-medium ratios   types of stresses induced by the printing process are
            • High plastic mass-to-medium volume ratio         known to induce apoptosis or differentiation in some
               o Sorption of lipophilic vitamins/lipids/sterols   process cell complements, ingredients known to inhi-
               o Heightened leachable and particulates concerns   bit these undesired responses may be included. As the
                                                               concept of 4D bioprinting progresses, formulations to
            also affect the cell’s viability, differentiation, adhesion,   either promote  or inhibit  post-printing differentiation
            state, functionality and up- or down-gene regulation.   will likely be more strongly considered. Finally, due to
            One way of providing some degree of environmental   the nature of the disposable bioink storage and print-

            22                          International Journal of Bioprinting (2017)–Volume 3, Issue 1
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