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RESEARCH ARTICLE

           High-precision three-dimensional inkjet technology for

           live cell bioprinting


           Daisuke Takagi*, Waka Lin, Takahiko Matsumoto, Hidekazu Yaginuma, Natsuko Hemmi,
           Shigeo Hatada, Manabu Seo

           Ricoh Company Ltd., Healthcare Business Group, Biomedical Business Center, Kawasaki-city, 210-0821, Japan

           Abstract: In recent years, bioprinting has emerged as a promising technology for the construction of three-dimensional (3D)
           tissues to be used in regenerative medicine or in vitro screening applications. In the present study, we present the development
           of an inkjet-based bioprinting system to arrange multiple cells and materials precisely into structurally organized constructs.
           A novel inkjet printhead has been specially designed for live cell ejection. Droplet formation is powered by piezoelectric
           membrane vibrations coupled with mixing movements to prevent cell sedimentation at the nozzle. Stable drop-on-demand
           dispensing and cell viability were validated over an adequately long time to allow the fabrication of 3D tissues. Reliable
           control of cell number and spatial positioning was demonstrated using two separate suspensions with different cell types
           printed sequentially. Finally, a process for constructing stratified Mille-Feuille-like 3D structures is proposed by alternately
           superimposing cell suspensions and hydrogel layers with a controlled vertical resolution. The results show that inkjet technology
           is effective for both two-dimensional patterning and 3D multilayering and has the potential to facilitate the achievement of live
           cell bioprinting with an unprecedented level of precision.

           Keywords: Drop-on-demand; three-dimensional tissue engineering; drug discovery; regenerative medicine; hydrogel

           *Correspondence to: Daisuke Takagi, Ricoh Company Ltd., Healthcare Business Group, Biomedical Business Center, Kawasaki-city, 210-0821,
           Japan; daisuke.Takagi@jp.ricoh.com

           Received: May 14, 2019; Accepted: May 27, 2019; Published Online: July 1, 2019
           Citation: Takagi D, Lin W, Matsumoto T, et al., 2019, High-precision three-dimensional inkjet technology for live cell
           bioprinting. Int J Bioprint, 5(2): 208. http://dx.doi.org/10.18063/ ijb.v5i2.208

           1. Introduction                                     development  of novel technologies  for biofabrication,
                                                               particularly  bioprinting,  has attracted  a lot  of attention
           The  field  of  tissue  engineering  has  developed   considering their potential to arrange cells and materials
           considerably in recent years, along with the increasing                            [2]
           interest in regenerative medicine globally. Advances in   into structurally organized constructs .
           stem cell research, particularly the discovery of induced   Current  bioprinting  technologies  are  based  on  three
           pluripotent stem cells , have provided a means to culture   major approaches, including inkjet, extrusion, and laser
                             [1]
           and manipulate  cells from organs, which were once   printing  methods [3,4] .  Extrusion-based  strategies  are
           considered impossible to regenerate. In vitro production   the most extensively developed  due to their  capacity
           of functional tissue analogs has become a reality, and   to  develop  3D constructs  and networks in  a  relatively
           tissue engineering  has numerous potential  applications   straightforward manner using high viscosity materials
           in therapeutic  areas including  tissue repair  and organ   that  can  integrate  extracellular  matrix  (ECM)  such  as
           replacement,  in  addition  to  developing  applications  for   collagen. However, the approach is not suitable since it
           drug discovery, disease modeling, and alternatives  for   does not facilitate precise control over the deposition of a
           animal testing. Today, one of the major challenges remains   small number of cells. Although laser facilitates printing
           how to  reproduce  three-dimensional  (3D) structures  of   with a very high resolution, its productivity  remains
           tissues with matching complexity and functionality. The   limited due to the complexity and cost of the system, in

           High-precision three-dimensional inkjet technology for live cell bioprinting © 2019 Takagi, et al. This is an Open Access article distributed under the
           terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), permitting all non-
           commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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