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International Journal of Bioprinting                                   Cell viability in printing structured inks




            pressure and shear stress during the printing process with   lower average and maximum pressures, as well as average
            this kind of structured inks.                      and maximum shear stress, compared to their conventional
               Creating the vascular-like structure with the same cell   counterparts. For instance, considering vascular-like inks
            distribution using conventional printing would require   with extruded fiber layer distances of 2:1:1, the average
            smaller nozzles to achieve the same printing resolution.   and maximum wall shear stress did not exceed 6.595e+0
            Taking the example of cell distribution in the intermediary   Pa and 2.069e+2 Pa, respectively. In contrast, conventional
            and outer layers of the structured inks, 27G needles   printing exhibited corresponding values of 3.046e+1 Pa
            were used in conventional printing for comparison, as   and 3.657e+4 Pa, respectively. These examples highlight
            chosen in the simulation.  Figure 14C shows viable and   the potential of structured inks to mitigate fluid forces,
            dead cells of fibers printed with the vascular-like ink in   particularly in the context of tissue engineering.
            longitudinal view, whereas Figure 14D depicts the control   To  further  enhance  cell  viability,  we  introduced
            group, demonstrating viable and dead cells in fibers   equivalent analyses of fluid forces, focusing on commonly
            printed using conventional printing. As shown in Figure   used symmetric inks with different ink combinations, as
            S21  (Supplementary  File),  cell  viability in  conventional   well as core–shell inks with varying core layer radii. The
            printing was significantly lower  than that in  structured   equivalent analysis centered on the maximum shear stress
            ink-based printing. The difference in viability was likely   at the wall and at material phase interfaces. Validating the
            primarily attributed to the different needle sizes, which   reasonability of equivalent homogeneous inks was based
            directly resulted in a significant difference in pressure   on assessing average shear stress, considering minimal
            and shear stress experienced by cells during the printing   fluctuations in average and maximum pressures under
            processes. Therefore, structured ink-based printing, which   various structured parameters, along with comparable
            enables direct printing of heterogeneous tissue structures,   average shear stress at the wall and material phase
            has an advantage in improving cell viability.
                                                               interfaces. For example, with a core layer radius of 2.8
               The next stage of the work will focus on more in-  mm in core–shell inks, the equivalent viscosity was 3.70
            depth bioprinting experiments, initially emphasizing the   Pa·s for cells in the flow domain of the shell layer, while
            validation of  cell  viability  via 3D  printing  of  equivalent   in the core layer, it was 1.72 Pa·s. We also found that the
            homogeneous inks and, ultimately, refining the design of   viscosity of equivalent homogeneous inks was positively
            structured inks. Subsequently, a thorough comparative   correlated with their experienced maximum and average
            study on cell viability and the functional expression of   shear  stress,  to  some  extent.  Based  on  the simulation
            cells in vitro will then be performed between structured   results, the general workflow for structured ink design was
            ink-based printing and conventional printing. The   proposed,  emphasizing  considerations  for  cell  viability.
            experimental results will be compared with the simulated   This workflow opens the door to a more efficient and
            outcomes. The objective in later stages is to biofabricate   cell-friendly method for structured ink-based printing.
            functional tissues using structured inks, followed by  in   Furthermore, the simulation results were preliminarily
            vivo animal experiments and clinical applications.  validated by experiments using vascular-like ink-based
                                                               printing as an example, which demonstrated significantly
            4. Conclusion                                      enhanced cell viability compared to conventional printing.

            This study presents a comprehensive exploration of fluid   While  the  primary focus  of fluid  force  analysis  has
            forces,  examining maximum  and average  pressure,  as   centered on structured ink-based printing, this research
            well  as  maximum  and  average  shear  stress,  within  the   also contributes valuable insights into fluid forces in
            context  of structured ink-based  3D printing processes.   conventional printing, paving the way for advancements in
            The innovative application of this technology enables the   printing materials and improved cell viability in the realm
            bioprinting of tissue structures with significantly enhanced   of 3D printing.
            cell viability, surpassing the capabilities of conventional
            printing methods.
                                                               Acknowledgments
               By employing 18G needles for the proposed method
            and their counterparts for conventional E3DP, we unveiled   None.
            the advantages of structured inks through quantitative   Funding
            analyses. These analyses encompassed 2-symmetric inks,
            4-symmetric inks, vascular-like inks, and hepatic lobule   This research is supported by the National Nature Science
            analogue-like inks. Structured inks consistently exhibited   Foundation of China (grant number 52275326).


            Volume 10 Issue 4 (2024)                       259                                doi: 10.36922/ijb.2362
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