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International Journal of Bioprinting                               N-PLN hydrogels for human skin modeling




               Collagen represents the gold-standard biomaterial for the   is a non-sulfated glycosaminoglycan, can also be viewed as
            fabrication of skin surrogates since it is the main structural   an alternative. It participates in several crucial functions
            protein found in connective tissues, including the skin,  and   in vivo, such as tissue hydrodynamics  and regulation in
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            the most abundant protein in the extracellular matrix.    wound healing processes, generating networks that are
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            Usually, collagen is derived from raw materials such as bovine   suitable for cell growth and migration, thereby promoting
            and porcine tissues,  possessing good flexibility, as well as   angiogenesis. 17,18  For  in vitro applications, synthetic
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            thermal and enzymatic stability. Different collagen-based   polymers are regarded as excellent alternatives due to
            models have been developed as in vitro systems, including a   their non-degradability, reproducibility, and ability to
            model for irritation testing.  In vivo clinical skin equivalents   endure long-term studies, as in the case of polyethylene
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            built with collagen have also garnered considerable interest.   glycol (PEG) and polyvinyl alcohol (PVA). However, some
            An example is FortiCell Bioscience, designed by Orcel®,   limitations also occur when they are used alone, such as
            which integrates human epidermal keratinocytes and   insufficient elasticity. Thus, they could also be blended with
            dermal fibroblasts cultured on a type I bovine collagen   natural polymers to develop new materials with enhanced
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            substrate. This innovative formulation is specifically   properties, specifically for applications in wound healing.
            tailored to address the complexities of wound healing in   Pullulan (PLN), a water-soluble microbial polysaccharide,
            limb afflictions, notably skin ulcers and diabetic conditions.   is an emerging biopolymer with a set of advantageous
            However, it is not exempt from drawbacks. It has been   properties: it is non-immunogenic, non-toxic, non-
            observed that natural collagen is fraught with a perennial   carcinogenic, non-mutagenic, and hemocompatible. 20,21  It
            problem of batch-to-batch variability, which is not easy to   is also a water-soluble, environmentally friendly polymer.
            address. It also may produce pathogenic adverse reactions,   PLN can be crosslinked forming hydrogels with excellent
            evidenced by the side effects of bovine collagen implants   mechanical properties such as tensile strength and
            identified in a small percentage of treated patients.  In   modulus, which are attractive for several biomedical and
                                                      9,10
            addition, collagen scaffolds tend to collapse under traction   engineering applications, including the production of skin
            forces, especially when the cells are embedded, thus   surrogates. To this end, it has been employed together with
            compromising the mechanical stability of the constructs.    gelatin to create dermal substitutes both for in vitro and in
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            While culturing, fibroblasts may contract collagen-based   vivo testings.
            hydrogels, causing the loss of close connection between the   To produce tissue-engineered constructs, one
            epidermal layer and the corresponding cell culture support,   popular approach is the use of three-dimensional (3D)
            leading to the loss of skin barrier function.  Hence, some   extrusion bioprinting techniques.  However, despite the
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            reinforcements are necessary to improve the mechanical   uncontested usefulness, obtaining bioinks with shear
            properties and to reinforce the gel, as reported in a study by   thinning properties and addressing the nozzle clogging
                       11
            Bacakova et al. where a nanofibrous poly-L-lactide (PLLA)   issues triggered by bioinks still impose some limitations.
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            membrane was used.                                 As an alternative, light-based systems have recently gained
               In this context, artificial, recombinant, and synthetic   popularity for the fabrication of tissue constructs, offering
            collagens are becoming new options.  Also, alternative   improved spatial resolution, pattern fidelity, and increased
                                           13
            biomaterials are being considered. Owing to their   fabrication speed. 25,26  These systems involve a light source,
            hydrophilic  nature  and variable  degree  of swelling,   typically ultraviolet (UV) or visible light, and low-energy
            hydrogels has a better capability in mimicking natural   dosages that minimize  cell toxicity. A pre-gel solution
            soft tissue than any other types of polymeric biomaterials,   containing a photoinitiator and eventually a cell suspension
            proving good biocompatibility, and thus, resulting in   is then crosslinked upon illumination. By including a light-
            attractive scaffolds for cell encapsulation.  Gelatin,   patterning feature, modulating the printing parameters,
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            which is a natural polymer obtained after hydrolysis and   and selecting the proper photopolymerizable materials,
            denaturation of collagen, has been used as wound dressing   3D cell-laden scaffolds with high cell viability can
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            mostly in the form of gelatin methacrylate (GelMA), which   be produced.
            allows light-based chemical crosslinking of the chains,   In this study, a novel photocrosslinkable bioink suitable
            adding further mechanical stability than just physical   for the engineering of human skin constructs is presented.
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            crosslinking.  Methacrylate kappa-carrageenan (kCA)   This bioink capitalizes upon the excellent properties of
            hydrogels, based on kCA, a natural linear water-soluble   PLN, which was further functionalized with norbornene
            polysaccharide, have also been employed for this purpose   groups to form hydrogels upon thiol-norbornene
            since kCA resembles natural glycosaminoglycan structure,   photopolymerization.   Upon  visible  light  irradiation,  in
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            supplying physical and chemical properties similar to   the presence of a photoinitiator, PLN hydrogels were then
            those in native human skin  Hyaluronic acid (HA), which   formed through a thiol-ene click reaction. Compared to
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            Volume 10 Issue 4 (2024)                       223                                doi: 10.36922/ijb.3395
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