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International Journal of Bioprinting                                    3D bioprinting of collagen hydrogels




            with high collagen concentrations.  Additionally, its   offers  automated  precision  for  intricate  biomimetic
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            aperture size is conducive to cell growth,  rendering it   tissue structures using collagen. Presently, extrusion-
                                              59
            more appropriate for applications necessitating enhanced   based 3D printing of collagen presents challenges such as
            strength and cellular proliferation. To effectively promote   complex operation, residual support bath, and the risk of
            skin regeneration, the printed scaffold must possess an   collagen denaturation.
            appropriate degradation rate. 60
                                                                  In this study, we have presented an innovative approach
               The  CML-scaffold  significantly  enhances  the  involving MA-assisted one-step  in situ extrusion 3D
            proliferation, adhesion, migration, and differentiation of   bioprinting of collagen to significantly improve full-
            HFF-1 cells, demonstrating its excellent biocompatibility   thickness skin regeneration. We prepared collagen-based
            and biological activity. This suggests that the CML-scaffold   biomaterial ink for extruded 3D printing by directly
            is a promising material for supporting cellular functions   mixing a trace amount of MA and the photoinitiator LAP
            essential for effective tissue regeneration. During the  in   with collagen. This method is straightforward, enabling in
            situ printing process, the animal is positioned within   situ 3D bioprinting of collagen through a one-step process,
            the bioprinter, which facilitates the direct deposition of   without the need for secondary crosslinking steps, thereby
            the scaffold onto the wound site. This method improves   minimizing the risk of collagen denaturation. The resulting
            the integration of the scaffold with the surrounding   collagen scaffolds from 3D printing exhibited micron-
            tissue, thereby enhancing binding efficiency and   scale resolution, significant mechanical strength, and
            functional recovery. Additionally, it allows for the precise   stable anti-swelling and anti-degradation properties. The
            customization of the scaffold to match the unique geometry   scaffolds demonstrated good cell compatibility, promoting
            of the damaged tissue, reducing the risk of contamination   the proliferation, adhesion, migration, and differentiation
            and complications associated with handling, disinfection,   of human foreskin fibroblasts. In a rat full-thickness skin
            and implantation.  In situ bioprinting also permits real-  injury model, the collagen scaffold exhibited excellent
            time adjustments to accommodate changes in the surgical   biological activity, significantly enhancing epidermal
            environment or tissue properties, thereby simplifying the   regeneration and orchestrating collagen deposition in the
            treatment process and increasing overall efficiency.  injured skin. This one-step in situ 3D printing of collagen-
               The CML-scaffold, characterized by its excellent   based biomaterial ink represents a novel strategy for the
            biocompatibility and mechanical properties, in conjunction   regeneration of damaged skin, providing vast potential for
            with the precision and adaptability of in situ bioprinting,   applications in tissue engineering and clinical medicine.
            demonstrates significant potential for advancing tissue
            regeneration and skin tissue engineering. Future research   Acknowledgments
            will focus on incorporating cells into the scaffold to   None
            enhance its regenerative capabilities and overall treatment
            efficacy.  This approach aims to investigate the potential   Funding
                  61
            improvements in scaffold performance in supporting   This work was supported by grants from the National
            tissue repair and regeneration through cellular integration.
                                                               Natural Science Foundation of China (grant nos. 22074057
            5. Conclusion                                      and 22205089), the Natural Science Foundation of Gansu
                                                               Province (grant no. 20YF3FA025), and the Fundamental
            The skin, the body’s primary barrier, is prone to damage,   Research Funds for the Central Universities (grant
            especially in full-thickness injuries, which can lead to   no. lzujbky-2021-it15).
            prolonged inflammation, compromised angiogenesis, and
            delayed wound healing, posing significant health risks.    Conflict of interest
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            Conventional methods, like transplantation, aim to enhance   The authors declare no competing interest.
            the healing process; however, they encounter challenges
            such as the risk of infections and immune rejection.   Author contributions
            Tissue engineering for skin, an emerging technology,
            strives to establish a personalized microenvironment to   Conceptualization: Xiaxia Yang, Linyan Yao, Jianxi Xiao
            enhance wound healing. Collagen, as a critically important   Data curation: Xiaxia Yang, Jianxi Xiao
            biomaterial, holds extensive potential applications in tissue   Formal analysis: Xiaxia Yang, Jianxi Xiao
            engineering processes. However, achieving precise tailoring   Funding acquisition: Jianxi Xiao
            for skin wounds remains a challenge in traditional tissue   Investigation: Xiaxia Yang, Xiaodi Huang
            engineering.  3D  bioprinting,  a  cutting-edge  technique,   Methodology: Xiaxia Yang, Jianxi Xiao

            Volume 10 Issue 5 (2024)                       556                                doi: 10.36922/ijb.4069
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