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International Journal of Bioprinting                               Nozzle optimization for multi-ink bioprinting




            and biomaterials (bioinks) are printed using a 3D printer,    material bioprinting. However, the reported single-nozzle
                                                         3–6
            a process known as 3D bioprinting. This method provides   systems used only high-viscosity inks (100–10,000 Pa·s). 20,23
            3D structures of cells and biomaterials in specific patterns,   Most bioinks are of low viscosity (<10 Pa·s) 24–26  because
            presenting a promising approach for constructing artificial   high viscosity can damage the cells in the bioink due to
            tissues or organs. 7,8                             the shear stress during extrusion.  The viscosity is crucial
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               The main bioprinting methods are extrusion-based,   at the interface of multiple liquids, and the sharpness of
            vat polymerization-based, and material jetting-based   the switching phenomenon within a single nozzle is likely
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            bioprinting. 6,9,10  In particular, extrusion-based bioprinting   to decrease as ink viscosity decreases.  The behavior of
            is widely investigated for its simplicity and ability to   low-viscosity bioink inside a single nozzle has not been
            accommodate various bioinks that maintain high cell   thoroughly investigated. Therefore, understanding this
            viability.  However, despite its advances, challenges   behavior is necessary for developing a single-nozzle
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            remain in building large, complex structures with high   printing system that can efficiently handle multiple types
            fidelity due to limited resolution and printing speed. 8,11,12    of bioinks.
            For  instance, printing  an organ-scale structure  might   In this study, we utilized numerical simulations to
            take 2–10 h, potentially decreasing cell viability in the   understand the behavior of bioink inside a single nozzle
            bioink.  Additionally, current 3D bioprinting technology   and propose a design capable of switching multiple inks
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            produces simple structures using a single bioink with   with high resolution. Numerical simulation, a tool for
            limited functionality.  Therefore, a multi-ink printing   analyzing fluid behaviors in the bioengineering field, 29–31
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            technique capable of constructing large-scale structures   is employed to facilitate the development of a novel
            using  multiple  bioinks  with  high  resolution  and  rapid   single nozzle that can efficiently switch between bioinks
            printing speed is essential. Considerable research has been   of different viscosities, at lower cost and in shorter time
            directed toward these challenges 11,15 ; nonetheless, further   than that of experimental approaches. A dual-inlet system,
            exploration is necessary.                          which is a single-nozzle printing system, was considered
               Generally, a multi-nozzle printing system, where   for the analysis as a simple example. We introduced a
            multiple inks are extruded from separate nozzles, is   new physical quantity called switching efficiency (Se) to
                                                               analyze bioink behavior and examined the effects of the
            employed for multi-ink printing. 16,17  While this system   nozzle’s conjunction area design and bioink viscosity on
            allows  for  the  fabrication  of  complex  3D  structures   the efficiency of bioink switching. Sodium alginate (SA)
            composed of multiple inks by increasing the number   aqueous solutions, known for their biocompatibility,
            of nozzles, switching inks can be time-consuming due   shear-thinning properties, and mechanical properties,
            to the need to calibrate each nozzle separately. For   were utilized as model bioinks. 24,32,33  Our findings suggest
            example, Brunel et al. reported 3D printing a structure   that switching efficiency depends on both the design of
            that mimicked the human heart with cardiomyocytes and   the conjunction area and the viscosity of the bioink. In
            endothelial cells using a multi-nozzle printing system and   particular, viscosity greatly affected Se, indicating the need
            a support bath.  This 3D-printed structure had a high   for a single design to switch different viscous bioinks. Based
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            resemblance to the actual human heart, but it had a volume   on these results, we proposed nozzles capable of switching
            of less than 1 cm . To scale up this construct, the process   between bioinks of different viscosities with high efficiency,
                          3
            of changing materials should be improved. Moreover, the   and line structures of different viscous SA inks were printed
            complexity of the 3D printer increases with the number of   using  the  nozzles  to evaluate  their  performance.  To  the
            nozzles in multi-nozzle systems.  Thus, multi-ink printing   best of our knowledge, this is the first reported study using
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            technology is required, which can rapidly switch inks with   both numerical and experimental approaches to enhance
            high resolution and speed in extrusion-based bioprinting.  the single nozzle in multi-ink bioprinting. 34–36
               In  contrast  to  multi-nozzle  systems,  single-nozzle
            systems, which extrude multiple inks from a single   2. Materials and methods
            nozzle, offer rapid switching capabilities.  Skylar-Scott et   2.1. Materials
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            al. achieved high-resolution printing of silicon ink using   Tyramine hydrochloride and water-soluble carbodiimide
            a single nozzle that can switch materials within 1 s at a   (WSCD) were sourced from Combi-Blocks (CA, USA)
            resolution of 0.5 mm,  enabling the printing of complex   and Peptide Institute (Osaka, Japan), respectively.
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            and large (>50 cm ) structures. Similarly, Cameron et al.   N-Hydroxysuccinimide  (NHS)  and sodium persulfate
                           3
            reported the use of a single nozzle for printing with starch   (SPS) were purchased from Fujifilm Wako Pure Chemical
            ink at a resolution of 5 mm.  These systems would be   Industries (Osaka, Japan). Ru(bpy) ·Cl ·6H O was
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            desirable for achieving high speed and resolution in multi-  procured from Sigma-Aldrich (St. Louis, MO, USA).
            Volume 10 Issue 5 (2024)                       153                                doi: 10.36922/ijb.4091
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