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International Journal of Bioprinting                              Design and optimization of 3DP bioscaffolds




            (such as digital light processing [DLP]) has been widely   cultivation process or to predict the spatiotemporal
            used in tissue engineering due to its advantages of high   evolution of the physical fields, enabling analysis of oxygen
            precision, rapid printing speed, and biocompatibility,   distribution within the scaffold under various physical
            and has been upgraded as a specialized “light-cured   conditions, prediction of cell growth patterns, guidance
            bioprinting technology” for biofabrication. 9-11  Significant   for optimizing experimental parameters, and optimization
            progress  has  been  made in  manufacturing  complex   of architectural parameters of scaffolds. Allen and Bhatia
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            organ constructs and tissue scaffolds with biomimetic   developed a two-dimensional (2D)  steady-state model to
            functions using light-cured bioprinting technology, such   predict oxygen distribution in a biodegradable scaffold
            as cardiovascular networks, lung systems, and other organ   with mouse liver cells, which was later expanded by Brown
            models. 12-15  However, most bioprinted tissue scaffolds   et al.  for cultivating cardiac tissue scaffolds  in vitro
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            and organ models reported to date face several obstacles   and validated through hypoxia experiments. Yu et al.
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            (such as poor vascularization) that hinder their progress   incorporated fluid dynamics into their oxygen distribution
            toward clinical application. The in vitro biocompatibility   model, emphasizing the importance of fluid dynamics on
            and functions of tissue scaffolds and organ models still do   oxygen transport within the scaffold. However, coupling
            not meet expected requirements. 16,17  A fundamental issue   with a cell growth model was absent, and its impact on cell
            is the hypoxia within biofabricated constructs, leading to   viability was thus not investigated. Mokhtari-Jafari et al.
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            insufficient cell viability and thus deteriorated biological   simplified the fluid dynamics model based on the previous
            functions. 18                                      steady-state model, which was then successfully coupled
               Mechanistically, cell growth in scaffolds is a complex   with cell growth and oxygen consumption to simulate
            multi-physical-biological process involving oxygen   bone tissue engineering scaffolds. The 2D modeling has
            diffusion  and  convection,  nutrient  consumption,  and   limitations for architecturally complex scaffolds that
            cell proliferation; each is influenced by a large number   possess strong anisotropy, and 3D modeling is needed for
            of parameters. During  in vitro cultivation, the effective   accurate simulation of cell growth and oxygen transport
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            diffusion length of oxygen in the biocompatible materials   in bioreactors. Coletti et al.  simplified the spatial
            is generally within the range of 100 µm to 200 µm; such a   dimensionality by using 2D axisymmetric theory and
            short diffusion distance creates significant challenges for   integrated processes of oxygen mass transfer, cell growth,
            cells encapsulated in scaffolds to survive without adequate   and oxygen consumption, attempting to achieve multi-
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            nutrient channels. 19,20  When the cell density of the   physics modeling of cell growth in 3D space. Ioana et al.
            engineered structure is high, localized hypoxia can occur,   focused on the control solver for the cell growth model and
            resulting in cellular inactivation and uneven distribution   described spatiotemporal evolution of cell density within
            that cause the loss of overall activity and functionality of   3D polymer scaffolds in perfusion bioreactors. Most
            cells.  To enhance the cell activity of scaffolds, perfusion   scaffold optimization studies have focused on designing
                21
            bioreactors are generally employed to facilitate oxygen   microchannels or biomimetic vascular networks. 31-34  Fang
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            uptake by means of the fluid convection effect.  However,   et al.  optimized the fractal vascular network of a 2D
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            the structural characteristics, material properties,   cardiac tissue by coupling the cellular oxygen consumption
            and  ex vivo cultivation parameters of 3D-printed cell-  model with an oxygen distribution model. However, these
            laden scaffolds with diverse topological structures can   optimization methods were based mainly on manually
            significantly impact oxygen mass transfer and subsequently   adjusting the number of microchannels or the tiers of
            influence cell growth behaviors within the scaffold. 23,24    the vascular network. On the one hand, a comprehensive
            Changes in initial cell densities in bioinks may disturb the   model  able  to account for  the multi-physical-biological
            oxygen distribution within scaffolds, resulting in variations   processes of cell growth and the geometric complexity
            in final cell count and density. Nevertheless, a purely trial-  of the scaffold is needed as bioengineering scaffolds or
            and-error approach is considered problematic because   models are becoming increasingly sophisticated due to
            it is not only time-consuming and expensive but also   the emergence of 3D printing. 35-39  On the other hand,
            challenging to obtain an optimal design of a scaffold.    further research on linking models with actual bioprinting
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                                                               process parameters and establishing optimization criteria
               Mathematical modeling can be adopted not only for
            investigating underlying oxygen transfer mechanisms   is required to guide the structural design and optimization
                                                               of bioprinted constructs.
            in  dynamic  cultivation processes  but  also  as  an efficient
            tool to optimize the design of the scaffolds for achieving   In this paper, we propose a 3D multi-physics coupling
            optimal cell viability. Many models, 25-30  particularly   modeling system based on the Contois cell growth
            mechanistically realistic modeling, have been developed   equations that incorporate oxygen mass transfer, fluid
            to capture the phenomena observed during the dynamic   dynamics, and cellular oxygen consumption, in order to


            Volume 10 Issue 3 (2024)                       278                                doi: 10.36922/ijb.1838
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