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Solvent-based extrusion 3D printing
           is associated with elastic energy stored  by  the   modulus  values  and  biological  functionality .
                                                                                                            [44]
           alginate chains. As shown in Figure 2D, filament    Ouyang et al.  studied thermal cross-linking by
                                                                            [45]
           formation with several concentrations of laponite   investigating the influence of printing temperature
           was evaluated; filaments were formed at laponite    on ink printability and the viability of embryonic
           concentrations greater than 5 wt%. The ink solution   stem  cells.  They  defined  the  bioink  printability
           with  higher  viscosity  is  relatively  more  difficult   based  on  the  printing  of  a  square  shape.  The
           to flow or spread; this phenomenon can serve to     temperature  was  shown  to  affect  the  gelation
           maintain the printed filament shape.                degree. Samples at 30°C were proper gelatin; on
                                                               the  other hand, 25°C resulted  in  over gelation.
           3.4 Ink cross-linking mechanisms for SBE 3D         It should be noted that  gels formed by thermal
           printing                                            cross-linking  usually  lack  sufficient  mechanical
           Apart from increasing the ink concentration  and    strength;  furthermore,  the incorporated  cells
                                                    [40]
           adding ceramic nanoparticles , ink cross-linking    would be sensitive to temperature changes.
                                       [39]
           is a method to improve  the ink elastic  modulus      Photo-cross-linking   is   the   photoinduced
           and  facilitate  filament  formation.  Particularly   formation of a covalent bond between
           in  the  case  of  a  hydrogel-based  ink,  the  cross-  macromolecules to form a cross-linked network
           linking procedure can facilitate  the transition    with illuminated light. Ultraviolet (UV) light is
           from solution to gel.  The most common  used        commonly used for polymer cross-linking    [38,46] .
                                                                                [47]
           cross-linking procedures include ionic, covalent,   Schuurman  et al.   investigated  the  stiffness  of
           thermal,  and  photo-cross-linking.  Ionic  cross-  gelatin methacrylate after exposure to various UV
           linking occurs when a water-soluble and charged     light doses.  The results shows that compressive
           polymer  undergoes cross-linking  with an ion of    modulus increases with UV exposure time.
           opposite charge . It is an important mechanism      Hyaluronic acid is a material that is commonly
                          [38]
           in bioprinting  since it enables mild and instant   used for cartilage tissue repair due to its structural
           gelation  of hydrogel bioinks.  The cross-linking   and  biological  properties.  However,  unmodified
           solution can be mixed, immersed, or sprayed with    hyaluronic acid exhibits poor stability.  To solve
                                                                                                            [48]
           the ink during the printing process. Freeman and    this issue, photo-cross-linkable dextran derivates
                                                                                   [30]
           Kelly   investigated  alginate  ink  stiffness  by   or acrylate pluronic  were added to improve
                [41]
           varying the calcium chloride (CaCl ) crosslinking   the mechanical properties and printability of
                                             2
           ratio.  The  results  indicate  that  the  spatial   hyaluronic acid ink. The incorporated chondrocytes
           microenvironment was found to have a significant    showed good compatibility with the formulated
           effect on the differentiation of MSCs within the    inks  and  high  cell  viabilities.  They  indicate  that
           alginate  bioinks;  stiffer  regions  of  the  printed   the photo-cross-linking procedure can be used
           construct preferentially  supported osteogenesis    with cell-containing inks since light exposure is a
           over adipogenesis.  Chung  et  al.  incorporated    minimally invasive process.
                                           [42]
           gelatin  within  an alginate  solution;  the  alginate/  3.5  The processing parameters  for SBE 3D
           gelatin  scaffold  showed  better  print  resolution   printing
           than the alginate scaffold after CaCl -crosslinking.
                                             2
           In addition, alginate hydrogels can form covalent   In addition  to the  ink  material,  ink  rheology,
           crosslinking through reacting with poly (ethylene   and cross-linking mechanism, the  processing
           glycol)-diamine . Liu and Li  combined  a           parameters also affect the performance of the SBE
                          [43]
                                           [40]
           covalent  cross-linking  polyacrylamide  and ionic   3D printing  process.  The processing parameters
           cross-linking  k-carrageenan  to  synthesize  the   in SBE 3D printing  include  the extrusion rate,
           k-carrageenan/polyacrylamide    double-network      needle-moving  speed, substrate,  and parameters
           hydrogels.  Their results showed  that newly        of the scaffold. The extrusion rate can be affected
           synthesized hydrogels displayed high elastic        by several  factors, including the  ink rheology,

           34                          International Journal of Bioprinting (2020)–Volume 6, Issue 1
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