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International Journal of Bioprinting                                  Medical regenerative in situ bioprinting




            Table 3. Bioink materials utilized for in situ bioprinting
                                             Gelation   Bioprinting
             Source  Materials  Category                            Advantages  Disadvantages  Applications
                                             mechanism  approach
                                             pH and                             Uncrosslinked   Bone 41,105 , dermis ,
                                                                                                        109
                     Collagen                temperature-  Extrusion, LAB,   Highly bioactive  solution lacks   skin 37,34 , and cartilage   4
                                                        and inkjet
                                             induced                            stability    defect repair
                                                                    Facilitate cellular
                                             Enzyme-                            Poor mechanical   Muscle tissue
                     Gelatin                            Extrusion   attachment and
                                             induced                            properties   engineering 110
                                                                    growth
                                                                                                  112
                                                                                                         56
                                                                                Poor mechanical   Muscle , cartilage ,
                                             Photo-     Extrusion and   Fast gelation;
                     GelMA                                                      properties at low   bone 35,113 , and skin 69,90
                                             induced    SLA 111     biocompatible
                                                                                concentrations  tissue engineering
                                Natural proteins                    Biocompatible;   High viscosity
                                                                                                   114
                     Fibrin                  Photo-     Extrusion   nanofibrous   hindering   Cartilage  defect
                                             induced                structural   extrusion   repair
                                                                    properties
             Natural
                                             Enzyme-                Rich in growth   Rapid
                     PRP                                Extrusion   factors and active       Skin repair 63,108
                                             induced                            degradation
                                                                    ingredients
                                             Enzyme-,               Excellent
                                             ultrasound-,           mechanical   Poor cell
                     Silk fibroin                       Extrusion                            Tendon  repair
                                                                                                  115
                                             and photo-             and biological   attachment
                                             induced                properties
                                             Chemical-                                       Cartilage 66,55,116  and
                     HA/HAMA                            Extrusion   Biocompatible  Slow gelation
                                                                                                1
                                             induced                                         bone  regeneration”
                                Natural                                         Poor cell
                                polysaccharides  Chemical-  Extrusion and   Biocompatible;   attachment;   Bone  and skin
                                                                                                118
                                                                                                        88
                     Alginate
                                             induced    LAB 117     fast gelation  low mechanical   defect repair
                                                                                strength
                                                                    Biocompatible;
                                             Temperature-
                     PCL                                Extrusion   low melting   Not bioactive  Bone repair 58
                                             induced
                                                                    temperature
                                Synthetic
             Synthetic          polymer-based   Temperature-        Excellent   Poor cell
                     PLA                                Electrospinning  mechanical          Skin repair 46
                                hydrogel     induced                            attachment
                                                                    properties
                                             Photo-     Extrusion and   Biocompatible;   Poor cell   Cartilage  and bone
                                                                                                   119
                                                                                                           120
                     PEGDA
                                             induced    SLA 111     hydrophilic  attachment  tissue engineering
            Abbreviations: GelMA, gelatin methacryloyl; HA, hyaluronic acid; HAMA, hyaluronic acid methacrylate; LAB, laser-assisted bioprinting; PCL,
            poly(caprolactone); PEGDA, poly(ethylene glycol diacrylate); PLA, poly(lactic acid); PRP, platelet-rich plasma; SLA, stereolithography.
               Bioinks  used  in  extrusion-based  in situ  bioprinting   to ensure fluidity and provide mechanical strength.
            require specific printability, i.e., to possess viscosity   The pore morphology of bioinks is essential for many
            that supports the maintenance of extrusion line shape.   biological processes, such as cell migration, infiltration,
            Photo-crosslinked bioinks, such as GelMA, often employ   printability,  and tissue vascularization. 77,102  Porous
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            pre-crosslinking strategies to achieve suitable viscosity.   scaffolds can also be printed by customizing the stiffness
            Conversely, the viscosity of bioinks should be reduced when   and composition of microgels. Jalandhra et al.  developed
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            printing to improve the biocompatibility of bioinks, which   a porous microgel scaffold to control the direction of stem
            compromises the mechanical strength required to maintain   cell differentiation by adjusting the microgel stiffness
            the support structure. At present, microgels have garnered   and gap-filling hydrogel volume. Other researchers have
            attention due to their good rheological properties and   used lyogels, or freeze-dried hydrogels, to introduce
            biocompatibility. Xie et al.  developed a microgel-based   microchannel structures. Lyogels offer an advantage over
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            bioink, consisting of (i) a GelMA microgel to load cells   conventional hydrogels in that they can be stored in a dry
            and (ii) a GelMA precursor solution with a photoinitiator   state and used readily.  The pore morphology of lyogels is
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            Volume 10 Issue 5 (2024)                        59                                doi: 10.36922/ijb.3366
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