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International Journal of Bioprinting                            Bioprinting for large-sized tissue delivery




            with the report by Bahney et al.  Likewise, 3× EY could   Furthermore, the cyclic loading compression tests were
                                      25
            not attain complete crosslinking, unless the exposure time   conducted at 80% strain to characterize the mechanical
            was extended over 10 min. For GelMA containing 4× EY,   fatigue  features of GelMA  and  GP  under  white  light-
            the crosslinking reaction occurred within 7.5 min of light   induced photocrosslinking (Figure 2E). The compressive
            exposure, and the samples reached full crosslinking under   stress of GelMA-EY rapidly decreased to 11% of the
            10 min of exposure. GelMA was then cast in cylindrical   initial status after 50 deformation cycles, suggesting poor
            molds and cultured long-term to assess mechanical   fatigue resistance (Figure 2F). However, all GP-EY samples
            stability. After a 12-day culture period, severe material   endured  100  cyclic  deformations  without  apparent
            degradation and irregular edges were observed (Figure   fatigue or decrease in mechanical stress (Figure S4,
            2B), suggesting suboptimal mechanical behavior when   Supporting Information), among which 10G2.5P samples
            using GelMA alone.                                 could resist up to 500 cycles (Figure 2G). These results

               As an acrylate derivative of polyethylene glycol, PEGDA   indicate  significantly  enhanced  fatigue  resistance  upon
            is a soft  elastomer  that can be crosslinked with GelMA   incorporating the specific type of PEGDA into GelMA.
            to improve the degradation behavior.  Previous studies   In contrast, GelMA-LAP and GP-LAP exhibited no signs
                                           28
            utilizing PEGDA (M  < 1000 Da) (Table S2, Supporting   of fatigue resistance behavior and fractured rapidly after
                             w
            Information) reported improved elastic modulus but   5 cyclic compressions at 70% and 60% strain, respectively
            decreased toughness. 15,29  Hence, linear-chained PEGDA   (Figure S5, Supporting Information).
            with large M  (6000 Da) was selected for this study. We   The GP hydrogel expressed remarkable superelasticity
                      w
            hypothesize that the selected PEGDA will introduce   and fatigue resistance. We hypothesized the reinforcement
            flexible chains into the GelMA crosslinking network,   mechanism of the GP hydrogel from two aspects, i.e.,
            thereby  enhancing mechanical  properties,  including   (i) white light-induced crosslinking mechanism and
            deformation capacity.                              (ii)  microstructure  features.  Regarding  the  reaction
                                                               mechanism, the EY system requires an extended
               Based on the above optimization, we standardized the                             22
            final concentration of GP prepolymer at 12.5% and the   crosslinking time of up to several minutes  for facilitating
                                                               the full reaction of PEGDA with GelMA to form a hybrid
            photoinitiator concentration at 4× EY. During the material   crosslinking network. With the outstanding deformation
            mixture and photocrosslinking procedures, no signs of   capacity of PEGDA (M : 6000 Da),  flexible chains can be
                                                                                           31
            phase separation were observed (Figure S2, Supporting   transformed into rigid crosslinking chains of acryl groups
                                                                                 w
            Information). We discovered a nonlinear relationship   in GelMA, thus improving the deformation capacity and
            between  PEGDA  concentration  and  exposure  time,   reinforcing the GP hydrogel (Figure 2I). Nevertheless, the
            with a minimum exposure time observed for 10% (w/v)   LAP  system  is  characterized by  rapid photocrosslinking
            GelMA and 2.5% (w/v) PEGDA (referred to as 10G2.5P)    within tens of seconds,  which complicates achieving a
                                                                                  30
            (Figure 2C). To assess the mechanical properties of GP   complete reaction among long-chain PEGDA with the
            hydrogel, we analyzed the mechanical behaviors of fully   GelMA matrix, thereby compromising mechanical fatigue
            crosslinked GP under different prepolymer concentrations   features. Similarly, He et al.  and Li et al.  have reported
                                                                                                33
                                                                                     32
            and compared them across different hydrogel types (GP   that  long-chain PEGDA/GelMA  mixtures  exhibited
            and GelMA) and photoinitiator systems (EY system   enhanced toughness under the LAP photoinitiator system
            for white light-induced crosslinking and LAP system   (Table  S2,  Supporting  Information).  However,  neither
            for UV-induced crosslinking) (Table S3, Supporting   superelasticity nor fatigue resistance was mentioned.
            Information). LAP is widely used as a UV/near-UV   For  the microstructure features, SEM  analysis  displayed
            photoinitiator with higher crosslinking efficiency and   interconnected macroporous structures similar to cryogel
            lower cytotoxicity compared to Irgacure 2959 (I2959).  In   scaffolds in the GP hydrogel, with an average pore
                                                       30
            cyclic compression tests, all GP-EY and GelMA-EY groups
            displayed superior endurance  when the strain increased   diameter of 33.0 ± 9.0 μm and pore wall thickness of 4.2 ±
            from 10 to 80%  (Figure S3A, Supporting Information;   0.8 μm (Figures 2J and S6, Supporting Information). The
            Video S1, Supporting Information), suggesting remarkable   macroporous structure with thin walls likely contributes to
            superelasticity. The corresponding stress–strain curves of   the reinforced mechanical behavior of GP. The large pores
            10G2.5P are presented in Figure 2D, indicating a maximum   serve as deformation units to absorb and release elastic
            strain of 80% and a maximum stress of 192 kPa. Conversely,   energy, while the thin walls provide sufficient stretchability
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            UV-induced crosslinking led to decreased elasticity,   under large deformations.
            with GelMA-LAP fracturing at 70% strain (Figure S3B,   At this stage, we conducted a comprehensive literature
            Supporting Information) and GP-LAP fracturing at 60%   review on previous reports involving GP mixture in the
            strain (Figure S3C, Supporting Information).       PubMed database. To our knowledge, all the reports


            Volume 10 Issue 5 (2024)                       432                                doi: 10.36922/ijb.3898
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