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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Methacrylic anhydride-assisted one-step in situ

                                        extrusion 3D bioprinting of collagen hydrogels
                                        for enhanced full-thickness skin regeneration



                                        Xiaxia Yang 1,2 id , Linyan Yao 1,2 id , Wenhua Li 1,2 id , Xiaodi Huang , Na Li ,
                                                                                                   1,2
                                                                                            1,2
                                        and Jianxi Xiao *
                                                     1,2 id
                                        1  State Key Laboratory of Applied Organic Chemistry, College of Chemistry and Chemical
                                        Engineering, Lanzhou University, Lanzhou, Gansu, China
                                        2  Gansu Engineering Research Center of Medical Collagen, Lanzhou, Gansu, China




                                        Abstract
                                        Full-thickness skin injuries cause extended inflammation, compromised
                                        angiogenesis, and protracted wound healing, presenting considerable health risks.
                                        Herein, we introduce an innovative technique utilizing methacrylic anhydride
                                        (MA)-enhanced, one-step  in situ extrusion 3D bioprinting of collagen hydrogels,
                                        specifically engineered for the effective repair of full-thickness skin injuries.
                                        This method capitalizes on the inherent bioactivity of collagen, surmounting its
                                        mechanical constraints via a streamlined, one-step extrusion process enabled by MA.
                                        The resultant biomaterial ink, an optimized mix of collagen, MA, and photoinitiator,
                                        demonstrates superior printability, mechanical robustness, and stability, making it
                                        an ideal candidate for direct application to wound sites. The bioprinted collagen
            *Corresponding author:      scaffolds exhibit improved mechanical strength, reduced swelling, and enhanced
            Jianxi Xiao (xiaojx@lzu.edu.cn)  resistance to enzymatic degradation, providing a durable matrix for cell proliferation
            Citation: Yang X, Yao L, Li W,   and tissue in-growth. In vitro assessments reveal that the scaffolds support human
            Huang X, Li N, Xiao J. Methacrylic   foreskin  fibroblast  adhesion,  proliferation,  and  migration,  creating  a  conducive
            anhydride-assisted one-step in situ
            extrusion 3D bioprinting of collagen   environment for skin regeneration. In vivo evaluations, conducted using a rat full-
            hydrogels for enhanced full-  thickness skin injury model, further validate the scaffold’s efficacy in promoting
            thickness skin regeneration.    rapid and orderly tissue repair, characterized by accelerated re-epithelialization and
            Int J Bioprint. 2024;10(5):4069.
            doi: 10.36922/ijb.4069      organized collagen deposition. This MA-enhanced, in situ extrusion 3D bioprinting
                                        technique generates collagen hydrogel scaffolds that significantly accelerate
            Received: June 28, 2024     wound healing, offering promising advancements in tissue engineering and
            Revised: August 5, 2024
            Accepted: August 7, 2024    regenerative medicine.
            Published Online: August 9, 2024
            Copyright: © 2024 Author(s).   Keywords: Collagen; Extrusion 3D bioprinting; Full-thickness skin regeneration
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,   1. Introduction
            provided the original work is
            properly cited.             The skin, as the body’s primary protective barrier and largest organ, is highly susceptible
                                                         1–4
            Publisher’s Note: AccScience   to external damage.  Full-thickness skin injuries are particularly vulnerable to
            Publishing remains neutral with   infections from environmental bacteria, leading to prolonged inflammatory responses,
            regard to jurisdictional claims in
                                                                                     5,6
            published maps and institutional   diminished angiogenesis, and delayed wound healing.  Existing approaches, such
            affiliations.               as  autologous  and  allogeneic  transplantation,  seek  to  improve  wound  healing,  but

            Volume 10 Issue 5 (2024)                       542                                doi: 10.36922/ijb.4069
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