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3D freeform printing of nanocomposite hydrogels
           because  of their  materiality, micro-  and  macro-  hydrogels  with  a  relatively  slow  solidification
           structures and functions are comparable  to         rate [15-19] . Compared with conventional 3D printing
           those  of biological  tissues, with  their  enhanced   in air, embedded freeform 3D  printing requires
           intrinsic  mechanical  strength  and bioactivity    the two shear thinning materials to have matching
           compared  to  pure hydrogel  systems [5-8]   Among   properties, particularly  their shear moduli  and
           various hydrogel systems, hyaluronic acid (HAc)-    shear thinning yield  stresses [19,20] . How material
           based  composite  hydrogels have  been  applied     parameters influence printability and print quality
           for  tissue  scaffolds  due  to  non-immunogenic,   has been extensively studied [15,20] . Shear thinning of
           biocompatible,  and enzymatically  biodegradable    viscous matrices has been achieved by fabricating
           natures  of HAc [9-11] . By incorporating  calcium   polymer–nanoparticle  composites or dispersing
           phosphate (CaP), HAc composites exhibited           the hydrogel particles in water [15,17,19,20] . Moreover,
           significantly  improved  mechanical,  biochemical,   in addition to the mechanical support provided by
           and biological  properties, which could be used     the printed soft filaments, a crosslinking agent that
           for dermal fillers or spacers [6,12,13] . Most inorganic-  induces the solidification of the printed material is
           hydrogel composites are printed using composite     often included in the matrix. Alginate (Alg) or silk
           inks consisting of inorganic particles dispersed in a   fibroin-based inks have been successfully printed
           hydrogel-forming ink before 3D printing [6,7] . This   and crosslinked within hydrogel-based  beds for
           simple  mixing approach  to  prepare  composites    biomedical applications [17,19] . One of the greatest
           not  only  allows easy  control  over  the  loading   advantages of printing in the liquid is the unique
           of inorganic particles but is also cell-friendly to   flexibility of the chemical environment. However,
           enable bioprinting with cells. However, optimizing   despite the revolutionary achievements in freeform
           the printability  of the composite inks and print   printing,  viscous  fluid  matrices  have  not  been
           quality  often becomes  more challenging  with      used for the functionalization or hybridization of
           increased particle  loading.  The previous studies   printed materials.
           have demonstrated that composite inks with only       Here, we present a hybridization  process
           up to 10% nanoparticle  loading show suitable       for a 3D  freeform printing system to fabricate
           printability  and structural accuracy. Moreover,    composite hydrogel scaffolds in conjunction with
           the mechanical properties of composite hydrogels    in situ precipitation of a mineral phase. By varying
           depend on the particle-hydrogel interactions and    the concentration of CaP in a HAc-Alg hydrogel,
           often require an additional modification of either   we  developed  HAc-Alg/CaP  nanocomposite
           the particles or hydrogels for enhancement  of      scaffolds  with  a  two-step  crosslinking  strategy,
           mechanical properties .                             including physical crosslinking of  Alg and
                                [6]
             To overcome these limitations,  in situ           photo-crosslinking  of glycidyl  methacrylate
           incorporation of nanoparticles has been proposed,   HAc  (GM-HAc).  To  review  the  effectiveness
           whereby permeated  ions within the hydrogel         of our method, we compared the structural
           structures  are  reacted  by drastically  increasing   compositions, mechanical,  physiological,  and
           the pH, and nanocrystals are nucleated  on the      biological  properties between our printed HAc-
           functional  groups of the polymer  chains within    CaP nanocomposite scaffolds and pure hydrogels
           the  hydrogels. This  in situ precipitation  method   or composite hydrogels generated through ex situ
           achieves uniform distribution of the nanoparticles,   CaP incorporation. Furthermore, by varying the
           strong particle–polymer bonding, and remarkable     concentrations  of calcium or phosphate  ions,
           mechanical  reinforcement  in the hydrogel [5,13,14] .   multi-material printing of HAc-Alg/CaP with the
           One  of  the  possible  printing  methods  to  enable   differing  extent  of  mineralization  was  achieved
           in situ precipitation-coupled 3D  printing is       with high precision. Taken together, we envisage
           freeform  printing  in  viscous  fluid  matrices.   that our method can accelerate  3D printing
           Freeform 3D printing allows an omnidirectional      using various  functional  or hybridized  materials
           printing path using mechanically  unstable          with complex geometries through the design

           30                          International Journal of Bioprinting (2020)–Volume 6, Issue 2
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