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3D Printing of hydrogel composite systems: Recent advances in technology for tissue engineering

           Table 1.  (continued).
            Reinforcement type  3D printing methods  Matrix materials  Reinforcement   Properties  Potential application  Ref.
                                                             materials
                                                             Bioglass      Improved cell
                Particle      3D plotting  Alginate, Gelatin              proliferation and   Bone        [83]
                                                              (55 nm)      mineralization
                                                           Graphene oxide  Improved elastic
                                            Methacrylated                 modulus, tensile                [84]
                              3D plotting     chitosan                      strength and   Biomedical device
                                                            (430–460 nm)    conductivity
                                                           Hydroxyapatite  Improved mechanical
                              3D plotting  Alginate, Gelatin               properties and    Bone         [85]
                                                             (183 nm)    biological properties
                                                          Gold nanoparticle  Decreased gelation
                                            Thiol-modified                                                [86]
                              3D plotting   hyaluronic acid              time, and improved   Vessel
                                                              (24 nm)   mechanical properties
                                                           Biphasic calcium
                                                             phosphate   Improved biological
                              3D plotting     Alginate                      properties       Bone         [87]
                                                            (106–212 μm)
                                                          Carbone nanotube
                                               Natural
                             Inkjet printer  polysaccharides gums        Improved radiopacity   Biomedical device  [88]
                                                                          and conductivity
                                                              (10 nm)
                                                           PLA 3D structure
                             Casting + FDM     GelMA                     Improved mechanical   Bone       [89]
                                                                            properties
                                                             (200 μm)
                                                           Hydroxyapatite
                                SLA           PEGDA                      Improved biological   Bone       [90]
                                                                            properties
                                                            (50–100 nm)
                                                           Hydroxyapatite  Improved mechanical
                                SLA           PEGDA                        properties and   Cartilage     [91]
                                                            (80–100 nm)  biological properties
                                                                         Anisotropic swelling
                 Fiber        3D plotting    Acrylamide   Cellulose short fibril  behaviors  4D printing  [92]
                              3D plotting     Alginate     PLA continuous   Improved mechanical   Cartilage  [93]
                                                                           properties and
                                                             nanofiber
                                                                         biological properties
                                                           PU continuous   Improved mechanical
                           Casting + 3D plotting PEGDGE, Acrylamide                         General       [94]
                                                             microfiber     properties
                                                              Emax
                              3D plotting  Alginate, Acrylamide          Improved mechanical   Cartilage  [95]
                                                          (UV-curable epoxy)  properties
                                                                           Improved self-
             Anisotropic filler  DIW       PEGDA, alginate,   Laponite RD, Laponite   supporting capacity   General  [96]
                                               gelatin         XLG      and  young’s modulus
                                                                         Improved tensile and
                              3D plotting    N-acryloyl     Laponite XLG  compression properties   Bone   [97]
                                             glycinamide                   and biological
                                                                            properties
                                              Alginate-                   Improved shape
                              3D plotting   methylcellulose  Laponite    fidelity and sustained   Bone    [98]
                                                                           drug delivery

           3.1 Polymer or Other Hydrogel Reinforced            soft tissue engineering owing to their biodegradability
           Hydrogel Composites 3D Printing                     and low toxicity. However, alginate limits cellular

           Hydrogels for 3D printing can be divided into protein-  adhesion due to the lack of adhesion sites for cells.
           based natural hydrogels such as gelatin, collagen, silk   Markstedt et al. investigated 3D printing materials for
           or polysaccharide-based natural hydrogels such as   cartilage tissue engineering applications by combining
                                                                                                 [73]
           chitosan, agarose, hyaluronic acid (HAc), alginate,   alginate and nanofibrillated cellulose  . Their rapid
           cellulose, or synthetic hydrogels such as poly(ethylene   cross-linking ability and the shear thinning properties
           glycol) (PEG), polyurethane, polyacrylamide. Alginate,   make the scaffolds fabricated by 3D plotting method
           a common hydrogel crosslinked by ionic interactions   stable. Human nasoseptal chondrocytes encapsulated in
           or phase transition, has been widely used in the field of   nanofibrillated cellulose/alginate hydrogels exhibited

           10                          International Journal of Bioprinting (2018)–Volume 4, Issue 1
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