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International Journal of Bioprinting                               Multi-physical field control inkjet bioprinting




            to demonstrate the ability to DOD-print thermosensitive   was approximately 20 mm. The achievable aspect ratio with
            materials; the ability of microdroplets to bond into curves   GelMA during inkjet printing with the MFCPIB method
            was also found to be good.                         was 4.0. The maximum aspect ratio in previous studies was
                                                                      18
               Inkjet printing has been widely used in industrial curved   only 2.5.  This demonstrated the promising fabrication
            surface structure manufacturing due to its advantages of   capability of the MFCPIB method, which could be utilized
            noncontact printing. We printed an ear-shaped object with   for the direct biofabrication of thermosensitive materials in
            sharp and well-defined edges in 2.5 h (Figure 7C). This   structures needed for patients.
            demonstrated the promising fabrication capability of the   For the bioprinting of living cells, the viability of cells
            MFCPIB method, which can be utilized for manufacturing   after printing is of great concern. SMCs were mixed in
            tissue with curved surfaces. In the process of printing the   GelMA to print the vascular structures. After printing the
            complex curved surface, when a microdroplet combined   cell-laden vessel-like structures, we sectioned and observed
            with the microdroplet that had been printed previously,   the bottom (I), middle (II), and top (III) of the vessel-like
            the contact surface was not smooth but irregular in shape,   structure, as shown in  Figure 7D. We applied live-dead
            such as a slope; the microdroplet easily collapsed and   staining after culturing on day 1 (Figure 7E), and we also
            rebounded due to the uneven contact surface, making it   added dead and live staining test on day 7 (Figure 7F).
            difficult to achieve ideal printing. However, this method   Most  stained  cells showed green  fluorescence,  indicating
            accurately controls the microdroplet bonding temperature,   living cells, while only a few cells showed red fluorescence,
            which ensures good printing resolution and achieves a good   indicating dead cells. The test was repeated three times.
            printing effect, even for the formation of complex curved   The analyzed results, shown in Figure 7G, revealed that the
            surfaces, and provides the possibility to manufacture   cell viability at all three heights was about 90%, regardless
            clinically complex organs.                         of whether the cells have been cultured for 1 day or 7 days.
               To demonstrate the suitability of the MFCPIB method for   According to the data presented in Figure 7G, the viability of
            producing cell-laden constructs, large aspect ratio cell-laden   SMCs in layer I on day 1 was 89.0 ± 1.1%, in layer II was 89.9
            vessel-like structures (Figure 7D) with a diameter of 5.0 mm   ± 0.4%, and in layer III was 88.0 ± 1.5%. Similarly, on day 7,
            were fabricated using the MFCPIB method. Printing tubular   the viability of SMCs in layer I was 89.7 ± 2.1%, in layer II was
            structures with a large aspect ratio is beneficial because such   90.1 ± 0.5%, and in layer III was 89.8 ± 0.8%. We conducted
            structures are needed for various biomedical applications,   significance calculations on cells of different heights on the
            such as vascular applications. Considering the temperature   same day, yielding p-values of 0.52 for significance tests of
            control and printing effect, we used a 150 μm nozzle. The   layer I and layer II, 0.13 for significance tests of layer II and
            voltage amplitude of the driving waveform was 160 V, and the   layer III, and 0.52 for significance tests of layer I and layer
            pulse width was 1 ms. The microdroplet diameter was 197 ±   III. All p-values were greater than 0.05, indicating that there
            15 μm, and the velocity was 0.17 ± 0.02 m/s. The MFCPIB   was no significant difference in cell viability at each height
            method helped control the microdroplet temperature   layer. The same was true for the cell activity test on day 7,
            throughout the printing process. Following the relationships   with  p-values  of  0.85  for  significance tests  of  layer I  and
            in Figure 6I, we set the top cover temperature to -5°C, the   layer II, 0.98 for significance tests of layer II and layer III,
            bottom plate temperature to 4°C, and the air temperature   and 0.94 for significance tests of layer I and layer III. Again,
            to 2.2°C. Finally, the microdroplet molding temperature was   all p-values were greater than 0.05, indicating no significant
            also approximately 16°C, which met printing requirements.   difference in cell activity at each height layer on day 7. Our
            While printing the first few layers that become the base of a   experimental results demonstrate that the MFCPIB method
            structure, it was necessary to deposit the material not only   has low effect on cell viability. Furthermore, we conducted
            on a surface that was homogeneous and smooth, but also on   the CCK-8 assay to evaluate the proliferation of the SMCs.
            one that ensured that the cells did not die from prolonged   Based on the experimental findings, it was observed that
            hypothermia. The gradually rising vessel-like structure is   the cells cultured in the three gel layers for a period of 7
            also needed to ensure the same molding effect as the first   days exhibited a remarkable improvement in absorbance as
            few layers while printing successive layers. Otherwise, the   determined by the CCK-8 assay. This also correlated with an
            printing of the structure with a large aspect ratio could not   increase in cell area and fluorescence intensity as observed in
            be realized because of the accumulation of errors. In this   our fluorescence staining. These results further validate that
            case, the MFCPIB method satisfied these requirements by   the MFCPIB method is safe for cells. Finally, hydrogels were
            using the uniform temperature field formed by the dual-  fixed and stained for cell nuclei (DAPI, blue) and F-actin
            machine temperature control and thus realized the printing   (phalloidin, red) on day 10. As shown in Figure 7I, most cells
            of structures with large aspect ratios. The maximum height   encapsulated in the gel showed excellent spreading, which
            of a vascular structure obtained using the MFCPIB method   is similar to mature SMCs in vivo. These results indicated


            Volume 10 Issue 3 (2024)                       375                                doi: 10.36922/ijb.2120
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