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International Journal of Bioprinting                               Multi-physical field control inkjet bioprinting




            viable option for tissue regeneration and replacement in   In this study, we proposed a more straightforward
            in vivo  experiments. 24,25   Numerous studies  have  utilized   method to use 5% GelMA for inkjet bioprinting. The inkjet
            GelMA to conduct printing on human tissues such as   printing process can  be  classified as  drop-on-demand
            skin, blood vessels, lungs, and bones, verifying its safety in   (DOD) or continuous inkjet (CIJ),  and the DOD printing
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            vivo and highlighting its significant potential for practical   can be divided into three types: hot bubble, mechanical,
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            application.  Table 1 illustrates that Yoon et al. can improve   and piezoelectric printing.  We chose a piezoelectric
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            the  biocompatibility  of biological  ink  by combining   inkjet printhead, which allows the control of microdroplet
            sodium alginate with GelMA, but GelMA still necessitates   diameter and velocity by tweaking the pressure field, and the
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            saponification treatment for printing.  Obviously, using   control of proposed bioink’s temperature. A new printing
            GelMA as ink for inkjet printing is excellent. The 5%   approach, multi-physical field control piezoelectric inkjet
            concentration of GelMA is beneficial for cell growth  and   bioprinting (MFCPIB), was developed for making 3D
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            is commonly used in extrusion bioprinting.  However,   tissue-like structures with 5% GelMA. This new printing
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            GelMA is in a liquid state at high temperatures and a   method provided a high level of bioactivity and was used
            gelatinous state at low temperatures, implying that it is a   to make cell-laden hydrogel 3D tissue-like structures
            thermosensitive material. Besides, a higher concentration   from GelMA. We developed an inkjet bioprinting system
            results in a higher temperature sensitivity. Because inkjet   with MFCPIB and optimized the inkjet printing method.
            printing differs from extrusion printing, it is not feasible   Finally, we used 5% GelMA to fabricate 3D structures with
            for GelMA to have a pre-gel structure at low temperatures   a high aspect ratio that can potentially mimic the functions
            inside the printhead because it would clog the nozzle   of native tissues such as blood vessels and skin.
            and prevent the formation of a jet.  Maintaining the
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            right temperature can be challenging when using inkjet   2. Materials and methods
            bioprinting to  print with 5%  GelMA.  GelMA  must  be   2.1. Biomaterial inks
            liquefied in the high-temperature inkjet printhead and   The preparation process of GelMA was as follows. Gelatin
            then cooled in microdroplets in cold air after injection.   (type A from porcine, Sigma-Aldrich, St. Louis, MO, USA)
            Temperature control is crucial throughout printing,   was dissolved in phosphate-buffered saline (PBS; Adamas,
            including the printing head, feeding system, printing   Shanghai, China) and stirred at 60°C to dissolve fully and
            substrate, and ambient air. While extrusion printing is   obtain a 10% w/v gelatin solution. Methacrylic anhydride
            often used to regulate the printing head temperature, inkjet   (Sigma-Aldrich, St. Louis, MO, USA) was added at a 0.5
            printing lacks sufficient research on temperature control   mL/min rate at 50°C and reacted for 1 h. The reaction was
            for both the printing head and feeding system due to the   terminated by adding five times the volume of PBS, and then
            complex structure of the printhead. As a result, some two-  the mixture was dialyzed for 1 week at 40°C to remove salts
            dimensional images were only printed after modification   and methacrylic acid. The reaction solution was aliquoted,
            of lower-concentration GelMA.  Unfortunately, a lower   lyophilized, and stored at -80°C. Lyophilized GelMA was
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            concentration is unsuitable for cell growth and does   dissolved in PBS at 50°C for 4 h. After adding 0.15% w/v
            not offer enough strength to maintain the geometry or   lithium phenyl-(2, 4, 6-trimethyl benzoyl) phosphinate
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            function of 3D tissue-like structures.  On the other hand,   (LAP; Sigma-Aldrich, St. Louis, MO, USA), the solution
            the process of curing GelMA heavily relies on precise   was filtered using a 0.22 μm filter (Millipore, BOS, USA).
            temperature control. However, current bioprinting devices   The mixture was exposed to 5 mW/cm  ultraviolet light
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            can only control the temperature of the substrate, but it   (365 nm) for 60 s to form stable GelMA hydrogels.
            cannot control the ambient air above it.  Because the cells   To prepare cell-laden bioink, we added 1 mL of the cell
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            will perish if the substrate temperature drops below 0°C,    suspension to 4 mL of GelMA solution to form cell-laden
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            the minimum temperature of the bottom plate cannot be   hydrogels. The final concentration of cells was 5 × 10 /mL,
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            lower than 4°C. Given that the air temperature above the   and the final concentration of GelMA was 5% w/v.
            bottom plate exceeds 4°C, the temperature of microdroplet
            passing through the air cannot be decreased to a printable   2.2. Cell culture
            temperature to prevent model collapse. Achieving high   Smooth muscle cells (SMCs; ScienCell, San Diego, USA)
            aspect ratios in printed structures can prove to be a   were used to prepare the bioink for cell printing studies.
            challenging task in the absence of appropriate ambient   SMCs were maintained in DMEM/F12-Dulbecco’s
            air temperature regulation. Therefore, the temperature   Modified Eagle Medium (ThermoFisher Scientific,
            field must be strictly controlled during the GelMA inkjet   Waltham, USA) with 10% fetal bovine serum (FBS) in a 5%
            printing process, rendering the implementation of inkjet   CO  atmosphere at 37°C. Culture medium was exchanged
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            printing with 5% GelMA impossible.                 every 2 days.

            Volume 10 Issue 3 (2024)                       361                                doi: 10.36922/ijb.2120
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