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International Journal of Bioprinting                              Light-based muscle bioprinting with bioglass




            remarkable efforts to leverage recent advances in   but such a state can negatively impact cellular viability and
            biomaterials, biophysics, and biomedical engineering to   elongation during culture. 14,15
            tackle the challenges posed by diseases such as muscular   To address the challenges inherent in extrusion-
            dystrophy, volumetric muscle loss, or aging.  The current   based  bioprinting,  researchers  have  explored  alternative
                                               1–4
            medical standard for treating significant muscle damage   bioprinting techniques, including light-based bioprinting
            is the implantation of autografts of healthy muscle tissue.   (LBB) using lithography. By using light to polymerize
            However, this procedure has significant constraints due to   photosensitive bioinks layer-by-layer, this technique offers
            the shortage of donors and a potential loss of function or   the  potential  to  create  high-resolution  3D  structures
            morbidity at the donor site.  These constraints have driven   without exerting mechanical stresses in the process that
                                  5
            multiple research attempts to develop synthetic graft   can affect the cell viability and cell elongation of the printed
            substitutes similar to native tissue.              tissues. Nevertheless, there are several inherent constraints
                                       5
               Muscle tissue is a mesodermal soft tissue formed during   of the process that need to be considered. 12,13,16
            the embryonic development process called myogenesis.    Light-based  bioprinting  techniques  rely  on  using
                                                          6
            Morphological characteristics of muscles, such as the   specific wavelength of light to polymerize photosensitive
            shape of fibers, the number of nuclei, and the length of   materials.  Several factors should be taken into account
                                                                       13
            sarcomeres, determine the response to stimulus and the type   before using this type of technique, such as the output power
            of muscle function as smooth, cardiac, or skeletal muscle.   density of the light, the exposure time on each layer, and the
            Skeletal muscle tissue engineering involves restoration of   scattering of light through the material. The output power
            skeletal muscle functions affected by myopathies. Skeletal   density of the light will have a direct effect on how much
            muscle fibers are heterogeneous and are categorized as   time it will take to polymerize the biomaterial; therefore, a
            fast (type 1) and slow (type II) in adults.  Despite recent   higher value will result in a faster print. In LBB, wavelength
                                             7
            advancements in tissue engineering, in vitro manufacture   and exposure time are essential parameters that are required
            of fully functional muscle is still not yet possible.     to be balanced to minimize cell damage without losing the
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                                                                                           15
               Bioprinting or biofabrication comprises technologies to   capability to achieve crosslinking.  Prolonged exposure
                                                                                                        14
            allocate small units of cells and materials with micrometric   times  can lead to a  reduction  of  cellular  viability.   The
            precision to form 3D structures similar to particular   third factor, light scattering, caused by material properties,
            type  of  tissues.   These  structures  are  cell-laden  scaffolds   directly impacts bioprinting resolution. It occurs when
                        9
            that play a crucial role in controlling and guiding tissue   light disperses, polymerizing biomaterial in unintended
            regeneration, providing a supportive environment for cell   areas. To address this issue, photosensitive  bioinks can
                                 10
            growth and development.  Engineering of muscle fibers   be enhanced with non-cytotoxic anti-scattering factors,
            in vitro requires the culture of myoblasts in an anisotropic   which act as effective light filters. 17–20  It is crucial to ensure
            complex environment to promote their alignment,    that all these factors together pose no harm to the cells
            fusion, and myogenesis.  Patterning of cells, selection   involved in the bioprinting process. Printing tissues with
                                6,7
            of bioactive material, and biomolecular factors allow to   high cell viability under varying printing conditions using
            produce  constructs that  exhibit  enhanced  complexity in   LBB remains challenging. 15
            three dimensions and repeatability compared to more   One of the most critical factors in bioprinting is the
            conventional methods. 8,9,11                       biomaterial  or  bioink  used  during  the  process,  since

               Extrusion-based bioprinting is currently the most   this material, usually a hydrogel, enables the culture and
            widely used technology for tissue biofabrication. However,   maturation of the cells while providing mechanical stability
            several studies indicate that the extrusion process can   to the 3D-printed structure. Choosing or formulating the
            create unfavorable shear stress conditions that are harmful   appropriate bioink to be used in a bioprinting process is
            to cells. The shear stress generated at the nozzle tip can   an essential task during the design and evaluation of an
            reduce cell viability and limit the maximum achievable   experimental study. The bioink composition influences
            resolution in 3D printing (>100 μm).  In extrusion-  relevant  properties  such  as  mechanical  stability,
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            based bioprinting, bioinks should exhibit shear-thinning   conductivity, and viscosity of the biomaterial and directly
            behavior to facilitate flow during extrusion without exerting   affects the resolution and cell viability of the 3D bioprinting
            detrimental shear stresses on cells that may compromise   process.
            their integrity during printing. 12,13  However, they should   Gelatin methacryloyl (GelMA) is one of the most
            also be self-supporting, a condition that is often achieved   used hydrogels in bioprinting owing to its practicality
            through high polymer concentrations and viscosity values,   and versatility. Derived from collagen (gelatin being



            Volume 10 Issue 4 (2024)                       550                                doi: 10.36922/ijb.1830
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