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International Journal of Bioprinting                                   Biomaterials with antibacterial agents




            Table 1. Properties and wound healing action of 3D-bioprinted natural polymeric biomaterials.
             Polymer       Details               Properties          Type of 3D    Results of wound healing application
             (bioink-based)                                          printing
             Collagen      •   Main structural components   •   Biodegradable  Inkjet-based   A study showed that eight layers of
                            of the ECM. 90       •   Biocompatible   system        collagen precursor were sequentially
                           •   Made of amino acids, which   •   Weakly antigenic   deposited to enable the printing of
                            are joined to create an   •   Hemostatic agent         multilayered 3D skin constructs. When
                            elongated fibril with a triple   •   High tensile strength  these 3D-printed grafts were implanted
                            helix 91                                               on the dorsum of immunodeficient
                                                                                   mice, the mouse microvessels arose
                                                                                   from the wound bed and became
                                                                                   perfused within 4 weeks after
                                                                                   implantation. 92
             Gelatin       •   A denatured form of collagen   •   Low viscosity  Extrusion-based   The printed hydrogel of hybrid
                            (partial hydrolysis)  •   Dispersion stability  3D bioprinting   gelatin-PVA, which was crosslinked
                           •   Gel-forming properties  •   Good water-retention   systems  with natural crosslinker (genipin), was
                           •   Colorless          property                         fabricated for chronic wound healing.
                           •   Flavorless                                          The fabricated scaffold showed low
                           •   Transcluent 93                                      toxicity and also exhibited superior
                                                                                   properties in an in vitro experiment
                                                                                   using primary human dermal
                                                                                   fibroblast cells. 19,94
             Chitosan      •   Made up of distributed   •   Non-toxic  Extrusion-based   Porous 3D-printed chitosan scaffolds
                            β-(14)-linked D-glucosamine   •   Biodegradability  3D bioprinting   for skin tissue regeneration were
                            and N-acetyl-D-glucosamine   •   Antifungal property  systems  fabricated. In vivo tests carried out on
                            units                •   Can stimulate the immune      streptozotocin-induced diabetic rats
                           •   Linear polysaccharides which   system 96            demonstrated that the 3D-printed
                            are randomly arranged 95                               scaffolds improved the quality of the
                                                                                   restored tissue as compared to both
                                                                                   commercial patch and spontaneous
                                                                                   healing. 97
             Hyaluronic acid  •   Naturally occurring   •   Colorless, clear, and   Extrusion-based   3D-printed hyaluronic acid hydrogel
                            chemicals, which are   translucent       3D bioprinting   scaffolds with adhesive, anti-
                            abundant in articular   •   Biodegradable  systems     inflammatory, and proangiogenic
                            cartilage and synovial fluid  •   Biocompatible        properties for tissue engineering
                           •   Non-protein-based   •   Good fluid-retention        were developed. The scaffolds were
                            glycosaminoglycan with   property                      evaluated in the dorsal skinfold
                            characteristic physiochemical  •   As one of natural   chamber mouse model by means of
                            properties 98         compounds in human               intravital fluorescence microscopy,
                                                  body 99                          histology, and immunohistochemistry
                                                                                   throughout an observation period of
                                                                                   14 days 100
             Alginate      •   Consisting of α-l-guluronic   •   Low cost  Extrusion-based   A 3D-printed dressing with 75%
                            acid (G) and β-d-mannuronic  •   Biocompatible  3D bioprinting   gelatin and 25% alginate showed the
                            acid (M) residues, arranged   •   Biodegradable  systems  best trade-off between mechanical
                            linearly in 1,4-glycosidic   •   Water solubility      properties, hydration activity, and in
                            linkages             •   Viscous                       vitro biological response. Findings
                           •   Linearly arranged anionic   •   Stable in both solid and   from in vivo test using the most
                            biopolymer that is found in   solution form 102        effective dressing showed the positive
                            brown algae and bacteria 101                           effect of 3D-printed porous pattern on
                                                                                   wound healing, including faster wound
                                                                                   closure, regenerated hair follicles,
                                                                                   and non-traumatic dressing removal
                                                                                   compared to the non-printed hydrogel
                                                                                   with the same composition and the
                                                                                   standard of care. 103
            Abbreviations: ECM, extracellular matrix; PVA, polyvinyl alcohol.





            Volume 10 Issue 4 (2024)                        87                                doi: 10.36922/ijb.3372
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