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International Journal of Bioprinting                                   Cell viability in printing structured inks




            nonlinear kernel functions, a feature space housing the   extruded fibers, along with the corresponding fluid forces
            output vector of equivalent homogeneous inks was also   acting on cells and their equivalent analysis, the velocity at
            discerned. The related mapping function is as follows:  all inlets was maintained the same. For different structured
                                                               inks, the conditions for analyzing fluid forces can be
                                                                      k
                                                       − µ
                                                                                 (, )v +
                      fx zv(, ,) =∑ n i=1 ( −γ i  γ i ∗ ) Kx x(, )+ ∑ m j=1 (µ j (IX) ∗ j  ) K zz( ,)+∑ ((w − w l ∗ )Kv l  b
                                                               j similarly adapted to ensure cell viability. Some boundary
                                                                                1
                                          1
                                                             1
                                                                      l=1
                                                                         l
                                            i
                                            k
                                                       (, )v +
 fx zv(, ,) =∑ n i=1 ( −γ i  γ ∗ ) Kx x(, )+ ∑ m j=1 (µ j  − µ ∗ j  ) K zz( ,)+∑ ((w − w l ∗ )Kv l  b  conditions, such as the material phase distribution at the
                                            l=1
                                                      1
                  i
              i
                                                l
                                      j
                1
                                   1
                                                               inlets and the inlet flow velocity, may need adjustments.
 fx zv(, ,) =∑ n i=1 ( −γ i  γ i ∗ ) Kx x(, )+ ∑ m j=1 (µ j  − µ ∗ ) K zz( ,)+∑ ((w − w ∗ l )Kv l  b  If the specifications of the nozzle change, corresponding
                                    (, )v +
                         k
                  j
 1
                         l=1
                                   1
 i
              j
                            l
                1
                                                               modifications are also required for the flow domains.
               where  K (x , x),  K (z , z)  and  K(v , v)  represent  the   Furthermore, for evaluating fluid forces, a study
                                                                                                            34
                                i
                                         l
                                           l
                        i
                      1
                              1
            respective Mercer  kernel function between  x  and  x,   utilized a printhead with an integrated static mixer to
                                                   i
            between z  and z, and  between v and v, respectively; γ   i  indirectly create structured inks with multicompartmental
                    j
                                        l
            represents the Lagrange multipliers associated with  x ;   cross-sections. This innovative approach harnessed the
                                                         i
            μ  represents the Lagrange multipliers associated with z ;   methodology of CFD simulations, substantially reducing
             j
                                                         i
            w represents the Lagrange multipliers associated with v;   pressure and shear stress applied to cells, as compared
             l
                                                 ∗
                                          ∗
                                       ∗
            b represents a constant term;  γ , µ and,  ω  represent   to conventional printing. The advancements encompass
                                          j
                                                 l
                                       i
            the respective optimal solutions of maximum objective   a 15-fold decrease in pressure and an 8-fold reduction
            function of the formula as follows:                in shear force, all while maintaining printing resolution.
                                                               Furthermore, this method has demonstrated its ability to
                              1
                 L()χ =∑ n i=1 γ −∑ n i=1 ∑ n j=1 γγ j y yK xx(, )  (X)  support cellular activity and promote cellular maturation.
                                       i
                                          i
                                                i
                                                  j
                                            j
                           i
                              2
                                                               Also, a detailed methodology,  employing CFD simulations
                                                                                      39
                                                               to analyze shear stress experienced by cells in E3DP, closely
                              1                                aligns with the approaches used in our study. Moreover,
                 L()µ =∑ m  µ −∑ m  ∑ m j=1 µµ j y yK zz(, )  (XI)  another study  has reported that fluid forces acting on
                                                                          52
                                           i
                                             j
                                                i
                        i=1
                           i
                                       i
                                i=1
                                                  j
                              2
                                                               cells can result in a significant decrease in cell viability, up
                                                               to 60%. Our research further substantiates the effectiveness
                              1
                 L()ω =∑ k i=1 ω −∑ k i=1 ∑ k j=1 ωω j y yK vv(, )   (XII)  of employing  various structured inks in bioprinting to
                                             j
                           i
                                                  j
                                       i
                                           i
                                                i
                              2
                                                               reduce fluid pressure and shear stress, thereby enhancing
                                                               cell viability.
               where the terms  y  represents the class label of the   It is  important to note that  the fluid force  results
                              i
            training sample x . i                              presented in the study, including maximum and average
            3.8. Simulation discussion and preliminary         pressure, and maximum and average shear stress, may
            biological validation                              exhibit discrepancies with actual experimental results.
                                                                                      53
            In this study, fluid forces acting on cells were utilized   Factors  such  as  grid  quality,   the  actual  wall  roughness
            as  a  validation  tool  in  ink  design  after  determining  the   within  the  printhead  channels,  and  preparation  errors
            parameters of the structured inks through preliminary   in structured inks can contribute to these discrepancies.
            analysis of extruded fiber cross-sections. This step is   However, in extrusion-based bioprinting, it is challenging
            crucial, as the spatial and temporal distribution of cells   to directly measure pressure  and  shear forces during
            on  the  scaffolds  directly  influence  the  ultimate  tissue   the printing process. This difficulty is partly due to the
            formation, a topic previously discussed in two published   scarcity of reports on direct measurements of these forces.
            works.  The pattern of extruded fibers must be carefully   Typically, the bioprinting community relies on indirect
                 6,10
            controlled. In addition to using the maximum fluid force   methods, such as live/dead staining experiments, to assess
            as an evaluation parameter, the average fluid force is also   cell viability post-printing for verification purposes. In
                                                                                                        54
            deemed indispensable. This consideration arises from the   contrast, studies, including those by Ouyang et al.  that
            possible irregular distribution of fluid forces in structured   report  on  pressure  measurements,  predominantly  focus
                                                               on piston pressure during extrusion with homogeneous
            inks, distinguishing them from homogeneous inks.
                                                               bioinks. While this provides valuable insights, it overlooks
               Among the printing parameters for structured inks, the   the measurement of fluid forces across various fluid
            inlet velocity, rather than pressure, was fixed. This decision   domain locations, particularly at the nozzle. To bridge this
            was made due to the similarity of the two-phase materials   gap, we plan to innovate by redesigning printheads with
            in structured inks. To facilitate the simultaneous extrusion   integrated sensors capable of measuring both pressure and
            of both phases and to present the cross-sectional pattern of   shear forces at different fluid domain locations in real time.
            Volume 10 Issue 4 (2024)                       257                                doi: 10.36922/ijb.2362
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