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International Journal of Bioprinting                               New challenges in liver tissue engineering




            authors propose this hydrogel mixture to build a viscoelastic   Hydrogels have achieved progress in the in vitro culture
            approach with native adhesion domains and fibrillary   of hepatic cells since hepatic functionality and the culture
            architecture to provide a mimetic microenvironment for   time of 3D hepatocytes have improved in comparison to
            the cell culture of HepG2 cells, as an in vitro artificial liver   the traditional monolayer culture. However, hydrogels have
            model to study alcohol-induced liver disease.  HA has also   also posed new challenges related to the construction of
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            been combined with Gel  for the culture of HepaRG cells.   more physiologically relevant in vitro models. For instance,
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                                                               there is a need to recreate the native liver microarchitecture,
            5.2. Synthetic hydrogels for liver tissue engineering  with a heterogeneous ECM that can be recreated by building
            PEG hydrogels are the most frequently used         micropatterned hydrogels. 111,112  Although the  hydrogels
            synthetic hydrogels in tissue engineering due to their   described have a good affinity for  hepatic  cells or  have
            biocompatibility, neutral charge, and precise control   been decorated with biomolecules that provide cell–matrix
            of  the  crosslinking  density,  and  they  form  networks   interactions, the inclusion of growth factors presented by
            with reproducible  mechanical  properties.  Compared   the hydrogel in synergy with the interaction domains can
            to natural origin hydrogels, PEG hydrogels are limited   represent a step forward in hepatic functionality.  New
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            by their disadvantages such as non-biodegradability   hydrogel formulations that more accurately reproduce the
            and lack of recognition sites to interact with cells. These   viscoelastic behavior of the native tissue are expected in
            drawbacks can be solved, on the one hand, by providing   the future 114,115  to adequately mimic the in vivo situation in
            PEG with MMP-sensitive peptides (as crosslinking agents   order to improve the current outcomes.
            or in the polymer backbone), allowing PEG degradation
            in cell microenvironment.  On the other hand, the   6. Bioprinting applied to designing
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            chemical modification of PEG by including bioactive
            factors, such as the adhesion sequence RGD, permits   hepatotoxicity assessment platforms and
            the interaction with cells, in general, and modifications   3D in vitro disease models
            by incorporating hepatic cells, in particular, improve the   6.1. Bioprinting methods and main
            hepatic functionality of hepatocytes (in co-culture with   control parameters
            fibroblasts).  Orthogonally crosslinked thiol-ene hydrogel   Bioprinting is the automatic 3D spatial deposition of
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            PEG systems have been synthesized  as a cytocompatible   cells (and other biological molecules such as growth
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            material for the culture of hepatic cells (Huh7 and HepG2)   factors) through a layer-by-layer process of a hydrogel that
            in  three  dimensions.  When  these  hydrogels  contained   crosslinks by non-cytotoxic reactions. As the bioprinter
            bioactive MMP-sensitive peptide linkers, they could better   automatically manufactures the samples, multiple samples
            modulate the expression of different hepatocyte-specific   can be produced in a very short time for scaling up, while
            genes and enhance hepatocyte functions than bioinert   complex tissue-like structures can also be formed. Bioink
            hydrogels of the same nature. Including RGD motifs was   is a mixture of a hydrogel precursor solution, cells, and
            also conducive for augmenting hepatic functionality.  bioactive molecules. When it is injected onto the bioprinter

               There are not many options of single-component hydrogels   plate, a crosslinking reaction takes place that keeps the
            that can mimic mechanical and biological properties of the   shape of the printed structure, homogeneously entrapping
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            natural ECM. Thus, there is an increasing tendency to use   the cells and biomolecules.  There are three main
            multicomponent hydrogels, especially in the development   bioprinting strategies:  inkjet-based, laser-assisted, and
            of bioinks to improve printability at the same time as the   extrusion-based.  Inkjet bioprinting works by depositing
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            hydrogels keep the biological performance. Of importance   microdroplets formed in the print head by a piezoelectric
            is the case of the use of dECM in combination with other   actuator onto the plate. In laser bioprinting, a bioink
            components to enable its printability, as it has a slow gelation   droplet is formed in a template material that is vaporized by
            time and the preparation of complex or large structures with   the laser and transferred to the receiving substrate. During
            enough fidelity is quite difficult.  For example, Kim et al.   extrusion bioprinting, a continuous filament, produced in a
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            combined a liver dECM bioink with gelatin and observed a   syringe that can move in three directions, is deposited onto
            significant increase in its viscosity, allowing the improvement   the collecting plate. The filament is formed by pneumatic
            of the printing resolution and enabling the preparation of   or mechanical screw pressure in the syringe. Highly viscous
            higher structures in the case of using single-component   materials with different cell densities can be extruded by
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            dECM bioink.  Another study incorporated gelatin into the   this method, the most widely used bioprinting technique.
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            dECM bioink with the aid of silk fibronectin with promising   The printing resolution depends on the method used for
            results in hepatocyte functionality.  Incorporation of   obtaining the structure; the literature describes 50 µm
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            HA into dECM bioinks was also possible thanks to the   for inkjet bioprinting, 10 µm for laser bioprinting, and
            modification of HA with tyramine. 110              100 µm for extrusion bioprinting.  The ideal structure
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            Volume 10 Issue 3 (2024)                       125                                doi: 10.36922/ijb.2706
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