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Zhang, et al.
           carbon nanotubes (CNT). The CNT improved the        ink was higher than those of inks containing three
           mechanical behavior of the scaffolds. The in vitro   types of cells. As the cell density in the alginate
           results showed that HA improved bioactivity;        inks is increased, a reduction in viscosity can be
           good cell adhesion and spreading were noted on      obtained. The results suggest that cells containing
           the scaffold surface. Although the use of SBE 3D    cytoplasm  can  be  treated  as  a  fluid  with  low
           printing to create polymer/ceramic composites is    viscosity; as such, the interactions among cells
           promising for TE applications, only a few studies   likely act as lubricants and reduce the viscosity .
                                                                                                            [38]
           to this point have investigated the ink printability   Dávila and d’Ávila  formulated laponite/alginate
                                                                                 [39]
           and  processing parameters.  Additional  studies    inks without cells and analyzed the ink rheology in
           should be performed to understand optimization      terms of viscosity, viscoelasticity behavior, and ink
           of the ink rheology, processing parameters,  and    recovery behavior. As the laponite concentration
           cross-linking mechanisms for fabrication of SBE     increased from 0 to 6 wt%, an increase in viscosity
           scaffolds.                                          was noted at the same shear rate (Figure  2A).
                                                               Higher laponite concentrations causes strong
           3.3 Ink rheological behavior in SBE 3D printing
                                                               shear-thinning behaviors. Understanding the
           The biomaterial ink solution should have            viscoelastic behavior of the ink through evaluation
           appropriate rheology since the printed structure is   of storage and loss modulus values can determine
           prone to collapse if the viscosity of the solution is   if the material behaves more like a “viscous flow”
           low. Inks with the non-Newtonian flow and shear     or “elastic gel.” Figure 2B shows the oscillation
           thinning behavior are preferred. In shear thinning,   shear  test results of  laponite/alginate  inks;  by
           high shear rate causes the viscosity of the material   increasing the concentration of laponite particles,
           solutions to decrease so that it easily flows through   the gap between storage modulus and loss modulus
           the needle. The cells within the ink can influence   is increased. In addition, the ink recovery behavior
           ink rheology; they can be seen as “non-soluble”     was also investigated to mimic the ink extrusion
           microparticles suspended in the solution. Ning et   process from the nozzle. Figure 2C shows the results
           al.  investigated the influence of various types of   of viscosity recovery studies. It was observed that
             [37]
           cells and cell density on the viscosity of alginate ink.   the ink viscosity recovered almost instantaneously
           The results reveal that the viscosity of pure alginate   when a high shear load was removed; this result


                         A                        B                    C














                         D




           Figure 2. The relationship between viscosity (η) and shear rate (  γ ) for the inks with 1 wt% alginate and
           a laponite concentration (cL) between 0 and 6 wt% (A); storage modulus (G’) (elastic modulus) and loss
           modulus (G’’) (viscous modulus) as a function of strain (γ) (B); viscosity as a function of the time (t) for
           the ink recovery test (C); microscopy images of the extrusion of alginate/laponite inks with the laponite
           between 0 and 6 wt%. The scale bar is 1 mm (D) .
                                                          [39]
                                       International Journal of Bioprinting (2020)–Volume 6, Issue 1        33
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