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A novel inkjet system for live cell bioprinting
           addition to the requirement for the preparation of ribbons   2. Materials and Methods
           of cells and hydrogels. Conversely, inkjet printing, and
           more  generally,  droplet-based  bioprinting ,  have  great   2.1. Cell Cultures
                                               [5]
           promise as a simple and efficient method for the precise
           patterning of multiple cell types and bioink components   All cells were cultured in a 5% CO  incubator at 37.0°C
                                                                                             2
           including  active  biomacromolecules , especially  since   and passaged manually every 2 to 3 days to maintain a
                                          [6]
           a drop-on-demand control of small volumes down to a   subconfluent  state.  NIH/3T3  mouse  fibroblast  cell  line
           few hundred picoliters can be expected. However, inkjet   (clone 5611, JCRB Cell Bank) and normal human dermal
           technology has several limitations that impair its further   fibroblasts (NHDF, CC-2509, Lonza Inc.) were cultured
           adoption in 3D construction. Although some of the earliest   in  Dulbecco’s  Modified  Eagle’s  Medium  (Thermo
           reports of successful bioprinting in the mid-2000s were   Fisher  Scientific  Inc.)  supplemented  with  10%  fetal
           inkjet based [7-9] , few concrete results of fully functional   bovine serum (Biowest) and 1% penicillin-streptomycin
           inkjet-produced tissues have been reported to date.  (26253-84, NACALAI TESQUE, INC). Human umbilical
             The  first  notable limitation  of inkjet  bioprinting  is   blood vein endothelial cells (HUVEC, CC-2519, Lonza
           that  ejecting  large  cell-sized particles  from  common   Inc.) were cultured in endothelial  cell  growth medium
           printheads is a challenge. Successful ejection has been   (EGM, Lonza Inc.) with supplements as recommended
           reported [10-13] , and acoustic  ejection  achieved  in live   by the manufacturer. For bioink preparation,  the cells
           cell  printing ; however, cell sedimentation  inside  the   were washed twice with Dulbecco’s phosphate-buffered
                     [13]
           printhead chamber and clogging of the nozzle is expected   saline without calcium and magnesium (DPBS, Thermo
           to rapidly compromise any reliable  control of droplet   Fisher  Scientific  Inc.),  detached  with  0.05%  Trypsin-
           formation over the length of time required to produce a   EDTA  (25300054,  Thermo  Fisher  Scientific  Inc.),  and
           3D tissue. Second, the range of materials that can be used   centrifuged at 400 g for 5 min at 4°C. The cell pellets
           as substrates to carry the cells is limited to ejectable low-  were re-suspended in fresh DPBS at room temperature
           viscosity liquids so that shaping fine 3D structures with   and used within 30 min after suspension.
           suitable mechanical properties is particularly challenging.
           Various strategies have been reported including coprinting   2.2. Inkjet Print Head Development
           hydrogel precursors with the appropriate  cross-linking   The cell-printing head in Figure 1A presents an original
           agent, which facilitates rapid gelation on contact [14-16]  or   architecture  comprising  a  chamber  holding  the  cell
           deposition of one liquid into a bath of the other one .   suspension,  a  disk  membrane  (which  is  fixed  at  the
                                                        [17]
           However, so far, the results have been generally limited to   circumference of the bottom of the chamber), a nozzle with
           two-dimensional (2D) cell patterning or roughly shaped   an aperture at the center of the membrane, and an annular
           3D cell-laden structures with no spatial positioning at the   piezoelectric actuator fixed outside below the membrane
           cellular level.                                       We were able to perform subsequent experiments with
             To address the above challenges, we report here the   more  advanced  processes for the  spatial  positioning  of
           development  of an inkjet bioprinter equipped with   cell-containing droplets by achieving a reliable ejection
           a newly designed printhead  specially  optimized  for   of living cell.
           live  cell ejection. For this  purpose,  we have  adapted a
           bending-type piezoelectric actuator coupled to a simple   2.3. Evaluation of Inkjetting Condition
           open  head  chamber  without  any  narrow  flow  channel.
           Such a piezoelectric  device  has been  applied  in some   To determine the optimal printing conditions, optical
           previous publications from other groups for continuous   monitoring devices were assembled as follows. Observation
           cell spraying, but very few studies have reported its   of drop formation was carried out with an experimental
           application  to drop-on-demand cell deposition . The   apparatus  with  a  high-speed  camera  (HPV-2,  Shimadzu
                                                    [18]
           present study integrates the droplet formation and   Corporation)  and  a  stroboscopic  flash  lamp  (PE60-SG,
           mixing mechanism in our prototype printhead. Stability   Panasonic) aligned on a horizontal axis under the printhead
           of  cell  dispensing  and  viability  is  validated  over  an   nozzle. The chamber was filled with NIH/3T3 suspension
           adequately  extended  period to facilitate  the fabrication   with DPBS solution. By applying a signal to the piezoelectric
           of a substantial tissue construct.  We then demonstrate   actuator of the cell-printing head, a droplet is ejected from
           the  feasibility  of building  a  multi-ink  printing  system   the cell-printing head. The frequency of the applied signal
           to  construct  stratified  Mille-Feuille-like  structures  with   was fixed to the fundamental frequency of the membrane.
           controlled  thickness by alternating cell suspension and   2.4. Evaluation of Mixing Condition
           hydrogel layers. Therefore, exploiting the full potential
           of inkjet technology promises to facilitate high-precision   Observation of cell suspension mixing was carried out with
           multi-ink 3D bioprinting.                           an experimental apparatus with a ring-type illumination

           28                          International Journal of Bioprinting (2019)–Volume 5, Issue 2
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