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Gantumur, et al.
           the non-cross-linked Rho-Gel-Ph. Subsequently,      complex construct was printed. It was previously
           10T1/2 cells were seeded at 1 × 10  cells/cm  and   noted that CNF  can mimic the bulk collagen
                                            4
                                                      2
           incubated in DMEM at 37°C.                          matrix for cartilage tissue . Thus, the hydrogel
                                                                                        [40]
                                                               construct  resembling  human  nose,  which  is  one
           3 Results and discussion                            of the cartilage tissues was  successfully printed
           3.1 Characterization and printability of inks       using the selected ink. Even during up to 20 min
                                                               of printing procedure and slow cross-linking
           To determine the optimal printing condition of CNF   process, the printed construct maintained its shape
           and alginate-based ink, the variable concentrations   without collapsing (Figure 3A). In addition, if it
           of  CNF  (from  0  to  1.5  w/v%)  and  the  fixed   is required to let the cross-linking more slowly
           concentration of Alg-Ph (0.5 w/v%) were mixed       for longer printing procedure, the concentrations
           to prepare four different inks. The concentrations   of HRP and glucose  can be decreased      [32,33] .
           of HRP (100 units/mL) and glucose (44 mg/mL)        After  cross-linked  through  glucose-mediated
           were determined based on the previous findings      HRP-catalyzed reaction, the printed human nose
           in terms of gelation time [32,33] . Comparing to the   construct became mechanically stable and showed
           direct supply of H O  as an aqueous solution ,      elastic deformation after squeezing (Figure 3B).
                                                        [38]
                             2
                               2
           the gelation time of this method is much longer       Furthermore, the stability of hydrogel after
           and that  makes  it  possible  to mix  all  the  ink   cross-linking in cell culture medium was
           components at the same time. Figure 2A shows the    examined before evaluating the  cell behavior
           viscosity changes of the prepared inks at various   inside it. The diameters of disk-shaped hydrogels
           shear rates. The ink non-containing CNF (CNF 0)     obtained using the selected ink increased <15%
           has low zero-shear viscosity at the beginning of    when compared with their initial sizes for the
           cross-linking  resulting  in  a  poor  shape  fidelity   first  2  days  of  soaking  in  medium.  After  that,
           during the printing (Figure 2D). The  viscosity     the changes in the size of hydrogels were barely
           of  Alg-Ph solution  gradually  increased  with     noticeable and stayed stable during the 8 days of
           increasing the concentration of incorporated CNF.   soaking (Figure  4).  Taken together the results
           As already known , the shear-thinning property      from rheology, printability, and stability, it is
                            [35]
           of  the  ink  containing  CNF  was  confirmed  by   possible to print complex and stable hydrogel
           showing high viscosity at low shear rates and low   constructs  with  good  shape  fidelity  using  the
           viscosity at high shear rates. Dynamic viscoelastic   proposed ink and the cross-linking method.
           measurements  in  Figure 2B also show that  the
           storage modulus (G) and loss modulus (G )           A                              B
                                ʹ
                                                         ʹʹ
           substantially  increased  with a higher  proportion
           of CNF in the ink. These rheological  responses
           of the prepared inks were in agreement with the
           printing resolution indicated  by the widths of
           printed lines (Figure 2C). The inks with higher
           viscosities improved the printing resolution. Then,
           the  high printing  resolution gave  nicely  printed
           lattice-shaped  hydrogel  construct  (Figure  2D).
           Based on the results, the ink containing 1.5 w/v%
           CNF was selected from the prepared inks as an
           appropriate ink for printing. Incorporating more
           high concentration of CNF  into the ink caused
           nozzle clogging.                                    Figure  3. Printed  human nose construct based
             Once an optimal  concentration of CNF             on blueprint (A) before and (C) after postcross-
           incorporated  in the ink was determined,  a more    linking. Scale bars: 1 cm.

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