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P. 89

Ratima Suntornnond, Jia An and Chee Kai Chua

                                          Table 1. Common support hydrogels in bioprinting

                  Support hydrogel            Model hydrogel                Bioprinted form       References
             Gelatin and
             derivatives           Alginate, Fibrin and collagen    3D hollow structure            [13]
             Agarose               GelMA, SPELA*, PEGDMA** and PEGDA   2.5D complex track          [14]
             Pluronic and derivatives   GelMA and Agarose           2.5D complex track and micro-pattern   [11,15]
            *Star poly(ethylene glycol-co-lactide) acrylate
            **Poly(ethylene glycol) dimethacrylate




















            Figure 2. (A) Computer model of anatomical heart (red arrows pointed the overhanging parts) and (B) Computer model of anatomi-
            cal heart with support structure.

            hold even in other 3D printing techniques (Figure 2B).   out  sacrificing  cell  viability.  In  order  to  achieve  this
            It is almost impossible for bioprinting to fabricate this   property,  either  the  concentration  of  model  and  sup-
            structure without using support. However, comparing   port materials need to be similar or there is an interac-
            the materials that have been used in Iused deposition   tion to create wall between model and support mate-
                                                                                                           2+
            modelling  (FDM) with hydrogels  or bioinks for  bio-  rials.  For  example,  if  model  material  contains  Ca
            printer, the mechanical strength of the FDM materials   and  support  contains  alginate,  the  wall  can  be  cre-
            is  typically  stronger [4–16] .  The  current  hydrogels  that   ated by semi physical crosslinked reaction of alginate
            have been used with bioprinter are too soft to hold the   and calcium ion. All the mentioned techniques need to
            shape. Moreover, with the high water content, osmosis   involve with the advancement of materials science and
            pressure will affect the interaction between model and   chemistry  to  understand  the  nature  of  materials  and
            support materials (e.g. water travels by osmosis pres-  reaction mechanism.
            sure to another hydrogel which will lead to change in
            concentration,  viscosity  and  mechanical  properties).   3. Conclusion
            Thus,  the  requirements  needed  in  bioprinting  for  fa-  It  is  evident  that  support  materials  are  essential
            bricating  3D  complex  hollow  structures  are:  (i)  the   for both 3D printing and bioprinting. In 3D printing,
            material  (including  both  model  and  support)  must   the  support  materials  have  been  used  to  fabricate
            have sufficient shape integrity and can be printed in a   complex  structures  with  high  resolution,  which
            cell friendly environment. To ensure biocompatibility   should be applicable to bioprinitng as well. The sup-
            properties, the bio-derived materials or even extracel-  port materials may also be applied for upscale printing,
            lular  matrix  (ECM)  derived  materials  are  preferred.   organ  printing  and  the  advancement  in  tissue  model
            Furthermore,  to  enhance  mechanical  properties,  str-  for drug delivery and other related biomedical appli-
            ong bio-derived materials such as silk or hydroxyapa-  cations.  In  terms  of  achieving  3D  complex  hollow
            tite can be integrated with the model hydrogel as the   structures, it is challenging to rely on single material
            composite natural materials; (ii) there is no or minimal   to  accomplish  it.  The  2.5D  complex  track  by  using
            reaction  between  model  and  support  materials;  and   sacrificial  materials  has  proved  its  application  for
            (iii) support materials must be easily removable with-  lab-on-a chip and organ-on-a chip level. Nevertheless,

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