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International Journal of Bioprinting                                    3D bioprinting of collagen hydrogels











































            Figure 7. Histological evaluation of the rat full-thickness skin injury: (A) hematoxylin and eosin (H&E) staining, (B) Masson’s trichrome staining, (C) extent
            of epithelialization, and (D) deposition of regenerated collagen fibers of skin regeneration on days 4, 7, 14, 21, and 28 after modeling and collagen biomaterial
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            scaffold (CML-scaffold) implantation. Data is expressed as mean ± standard deviation (n = 6);  p < 0.01,  p < 0.001,  p < 0.0001. Scale bars: 200 µm.
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            4. Discussion                                         In this  study, we  successfully printed scaffolds in
                                                               situ  on full-thickness skin lesions in rats by combining
            Skin damage requires timely intervention to prevent   collagen with MA and LAP in a single-step process. The
            complications and promote healing. Traditional treatments,   printability of the CML-Ink was evaluated based on its
            such as skin transplantation, pose risks including infection   gelatinization, extrudability, and rheological properties.
            and rejection. In contrast, 3D bioprinting can create   The gelatinous collagen, obtained by dialysis to neutral
            personalized bionic skin, enhancing wound healing. 53,54    pH, gains colloidal properties through the addition of
            Compared to gelatin and dextran, collagen is the primary   trace amounts of MA and LAP.  This crosslinking allows
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            component of skin and possesses a complete triple   the CML-Ink to be cured immediately after extrusion from
            helix  structure,  making  it more suitable  for  3D  printing   the print needle, eliminating the need for a support bath
            biomaterials. This structural integrity better mimics the   or secondary treatment. 32–41  The CML-Ink exhibits shear-
            natural extracellular matrix, which is crucial for enhancing   thinning behavior, and its Gʹ is significantly greater than
            cell adhesion, proliferation, and differentiation in 3D   its G˝. These properties make the ink well-suited for direct
            printing applications, thereby improving the performance   extrusion 3D printing. 56
            and efficacy of the printed scaffolds. 13–16  However, current   The physical and chemical properties of 3D-printed
            3D  printing  methods  face  challenges,  such  as  complex   biological scaffolds significantly impact their biomedical
            procedures and standalone application difficulties,   applications. Sufficient mechanical strength of the
            limiting their clinical use.  In  situ bioprinting, which   biological scaffold is crucial for simulating the properties of
            deposits biomaterials directly at the injury site, offers a   normal skin and accelerating the healing of full-thickness
            solution by allowing real-time adjustments and better   skin wounds.  Notably, the CML-scaffold exhibits a higher
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            tissue integration.                                compression modulus compared to 3D-printed scaffolds

            Volume 10 Issue 5 (2024)                       555                                doi: 10.36922/ijb.4069
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