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International Journal of Bioprinting                                 Biomimetic scaffolds for tendon healing




            elastic  behavior  dominates).  Both  parameters  have   in gel stiffness.   The intermolecular interactions can be
                                                                           51
            a very high frequency dependence (with increasing   increased in the case of the HA and Gel, facilitating the
            frequency, both moduli increase), which is typical   associations between these molecules. 52
            in complex materials such as polymers and gels
            (Figure 2F).  The η* decreased at higher frequencies.   3.2.2. Printability
                      50
            The  combination  of  these  two  results  (increasing  G’   The printability assay was performed to determine if the ink
            and G’’ and decreasing η* with frequency) indicates   was printable under each test condition (assay explained in
            that the ink has a complex viscoelastic shear-thinning   part (C) of the Supplementary File). Taking into account
            behavior (as previously indicated).                the results of the temperature sweep (T = 28.14°C and T m
                                                                                              g
                                                               =  23.56°C), the studies were carried out at six different
               It is important to analyze the behavior of the ink   temperatures: 18°C, 20°C, 22°C, 24°C, 26°C, and 28°C.
            with the change of temperatures since all the constituent   The results in Figure 3A demonstrate that the ink can be
            materials of the ink are thermally sensitive. To analyze   extruded at any of the tested temperatures. Despite this,
            the ink’s behavior and to define the best protocol for   notable differences can be observed in the printed filaments
            obtaining and printing the ink, a temperature sweep   due to the properties of the ink. At 18°C and 20°C, the ink
            assay was performed (Figure 2G). The G’ and G’’,   was over-gelated, causing incomplete filling and structural
            when starting the test at 37°C, were almost similar, at   disruption of the filaments. On the contrary, at 26°C and
            18.7 Pa and 16.9 Pa, respectively. When the temperature   28°C,  the  ink  was under-gelated;  therefore,  continuous
            dropped to 4°C, both moduli increased to 2200 Pa and   filaments could hardly be obtained. Optimal gelation was
            441  Pa, respectively. During this cooling period, with   observed in the filaments extruded at 22°C and 24°C, with
            a 5% change in the storage modulus value, the T  was   the situation at 24°C being slightly better than that at 22°C,
                                                      g
            determined, which was established at 28.14°C. In the
            subsequent heating process, the moduli rose again to   where there was still some minimal degree of gelation.
            2.94 × 10  Pa and 4.13 × 10  Pa, respectively, and with a   The strand printability and shape fidelity analysis
                                   4
                    5
            5% change in the value of the G’, the T  was determined,   enabled the determination of the optimal 3D printing
                                           m
            which was established at 23.56°C. This increase in   pressure and temperature at the selected speed (7 mm s )
                                                                                                            -1
            the  value  of  the  moduli indicates  that  changes  in   and needle diameter (22 G) (Figure 3B). In the case of strand
            temperature are irreversible (or at least requires more   printability, the diameter of the obtained filaments was
            time than the one used in this assay). In the last step, the   analyzed and represented as a percentage when compared
            temperature was  decreased  again,  producing a  change   to the theoretical diameter size (Figure 3B-i). For the shape
            in the values of the moduli, with a slight drop in this   fidelity, the area of the squares that were formed on the
            case. The information extracted from this test allows   diagonal of the printed design (as described in Figure S4
            for the determination of a suitable temperature window   in the Supplementary File) was analyzed and represented
            for achieving good printing while maintaining shape   as a percentage when compared to the theoretical area size
            fidelity and cell viability, i.e., 23.56–28.14°C.  (Figure 3B-ii). For both parameters, the optimal pressure
               Once the temperatures that are critical for ink   increased while  the  temperature decreased. Taking into
            development and 3D printing process had been estimated,   account the results obtained during the extrudability and
            the G* for each of those temperatures at different   filament formation assay, the values obtained for strand
            frequencies was determined (Figure 2H). The G* increased   printability and shape fidelity under optimal gelation
            with temperature, with the results being very similar   conditions were analyzed in detail, that is, at 22°C and
            for 18°C and 20°C. A higher G* was observed when the   24°C. In the case of 22°C, the best percentage of strand
            temperature was raised to 22°C. The values kept increasing   printability and shape fidelity was observed at 140  kPa,
            with temperature until reaching the maximum value at   measuring 108.68% and 90.98%, respectively. In the case of
            28°C. This behavior is not uncommon in hydrogel-based   24°C, the best percentage of strand printability and shape
            inks. Specifically, this can be accounted for by different   fidelity was observed at 120 kPa, measuring 108.51% and
            possible explanations surrounding the diverse materials   89.92%, respectively. These results indicate that the strand
            used to compose the hydrogel. For instance, the increase   printability and the shape fidelity obtained at these two
            in temperature can augment the mobility of the Alg chains   temperatures are very similar. In order to select the best
            and the diffusion rate of ions. This mobility improves   printing parameters, two aspects were taken into account:
            the  interactions and crosslinking  between  those  chains,   the temperature per se and the used pressure. As previously
            leading to a stiffer network.  Likewise, the gelation process   described, high pressures during the printing process
                                 50
            can  also  be  enhanced.  The  fibrin  clot  formation  can,  in   negatively affect cell viability. 53-55  In the same way, a decrease
            addition, be thermally activated, resulting in an increase   in  temperature  can  also  negatively  affect  cell  viability.
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            Volume 10 Issue 3 (2024)                       452                                doi: 10.36922/ijb.2632
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