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International Journal of Bioprinting                                   Cell viability in printing structured inks




            in the outer ink layer, while the other contained cells in   a novel 3D printing method based on structured inks,
            both the outer and intermediary ink layers. The HUVECs   which  was employed for  constructing  tissue structures
            concentration was set at 1 × 10  cells/mL. The distribution   (Figure 1A). This method is assumed to reduce both types
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            of cells within the structured inks was regulated by the   of fluid forces since, in this approach, the nozzle size is
            geometric dimensions of the molds. Fiber structures   larger compared to conventional printing when printing
            were constructed through post-extrusion crosslinking,   patterns with the same resolution. However, conventional
            employing both types of structured ink-based printing   printing methods usually have lower inlet flow velocity to
            and 18G needles. Conventional printing of cell-loaded   ensure printing accuracy. Therefore, the fluid forces in the
            bioinks with a 27G needle, followed by crosslinking, was   printing of structured inks were tested. If the fluid pressure
            also utilized for constructing fiber structures, facilitating   and shear stress at different cross-sectional positions
            a comparison of cell viability post-printing. Subsequently,   of the nozzle are smaller in this method compared to
            cell viability was assessed using the live/dead assay with   conventional methods, this approach can be preliminarily
            calcein AM and propidium iodide (PI), according to   considered advantageous for cell viability. Both the average
            the  manufacturer’s  instructions.  Fiber  structures  were   and maximum values of pressure and shear stress were
            visualized in longitudinal and cross-sectional views, with   analyzed, as the average fluid forces reflect overall cell
            the latter being created after cutting the structures with a   viability, influenced by fluid forces, and the maximum
            surgical blade. Live and dead cells were imaged using an   values directly determine cell viability. To achieve this goal,
            inverted fluorescence microscope (Olympus IX73).   simple 2-symmetric inks and 4-symmetric inks (Figure S2
                                                               in Supplementary File) were selected as research targets to
            2.11. Data analysis and statistics                 examine the advantages of fluid forces using this printing
            The fluid forces were analyzed using ANSYS Workbench   method. For 2-symmetric inks, two different biomaterial
            CFD-Post  package  (version  2020R2).  For  each  set  of   inks were considered. As for 4-symmetric inks, only cases
            results concerning the geometric distribution of material   involving the same biomaterial inks and varying cells loaded
            phases, quantitative data analysis with three measurements   with corresponding material phases were considered, in
            was performed using the open-source software ImageJ.   order to simplify the calculations due to the complexity
            Quantitative  data  from  biological  experiments  were   of phase interfaces formed by different biomaterial inks.
            obtained from three independent experiments and are   Specifically, pressure at different cross-sections, wall shear
            presented as mean ± standard deviation (SD). For the   stress, and shear stress at the phase interfaces were analyzed
            comparison of cell viability, an unpaired two-tailed   (Figure S3 in Supplementary File). Notably, the maximum
            Student’s t-test was utilized. A p-value of less than 0.05 was   shear stress at the phase interfaces was not calculated, as
            considered to indicate a statistically significant difference.   its maximum falls on the corresponding wall shear stress.
            Biological statistical analyses were conducted using
            GraphPad Prism software (version 8.0).                The fluid forces of 2-symmetric and 4-symmetric ink-
                                                               based printing  were  systematically investigated  for  fluid
            3. Results and discussion                          average pressure, maximum pressure, average shear stress,
            In this section, the advantages of structured inks were   and  maximum  shear stress  within  the  fluid  domain  of
            primarily confirmed through a comparison of fluid   nozzles, in comparison to conventional printing processes.
            pressure, wall shear force, and shear stress at material phase   Figure 3A–H displays the contours of pressure and wall shear
            interfaces using simple 2-symmetric and 4-symmetric   stress for 2-symmetric ink-based printing, 4-symmetric ink-
            inks. Furthermore, these benefits were explored through   based printing, and corresponding conventional printing.
            the evaluation of vascular-like inks and hepatic lobule   Figure S4A (Supplementary File) displays the contours
            analogue-like inks in tissue engineering. Additionally,   of  shear  stress  at  interfaces  for  2-symmetric  ink-based
            methods for enhancing cell viability were investigated   printing. The results revealed difference in pressure and
            through equivalent analysis of fluid forces experienced   shear stress distribution. In 2-symmetric ink-based printing,
            by cells, drawing from symmetric and core–shell inks.   for the domains created, an increase in height (relative to
            Finally, a workflow for designing structured inks with   the nozzle outlet) correlated with a gradual rise in pressure.
            consideration of cell viability was proposed.      For instance, as the cross-sectional height increased from
                                                               3.6 mm to 21.6 mm, the average pressure rose from 8.36e+2
            3.1. Examination of fluid forces with 2-symmetric   Pa to 1.12e+3 Pa, and the maximum pressure increased
            and 4-symmetric inks                               from 8.56e+2 Pa to 1.12e+3 Pa, as depicted in Figure 4A
            In the context of bioprinting, the fluid forces  exerted   and  B. Similarly, in 4-symmetric ink-based printing, the
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            on cells, including pressure and shear stress, are crucial   average  pressure  for  the  domain  increased  from  7.87e+2
            factors influencing cell viability. Recently, a team reported   Pa to 1.05e+3 Pa, and the maximum pressure increased


            Volume 10 Issue 4 (2024)                       245                                doi: 10.36922/ijb.2362
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