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3D freeform printing of nanocomposite hydrogels
           a printed hydrogel using their precursors. As proof-  first material and ink change time. However, both
           of-concept, two multi-material structural designs   printed structures exhibited good mechanical
           were created and printed with two nanocomposite     stability and no delamination at the interface
           hydrogels, HAc-Alg/15 wt% CaP and HAc-Alg/30        of the two materials. More importantly, in the
           wt% CaP (Figure 8).                                 freeform printing of hydrogel inks in aqueous
             The  mineral  contents  of  HAc-Alg/CaP           solutions, all of the printed gels were maintained
           were varied by altering the phosphate ion           in the swollen state and reacted in situ during
           concentration in the HAc-Alg hydrogel inks,         printing.  Thus,  the  introduction  of  different
           as illustrated in  Figure  8A. As the precursors    materials with various swelling behaviors did not
           of  CaP  nanoparticles  were  ions,  different      induce any structural mismatch or distortion of
           concentrations of these  precursors did not         the multi-material systems when the hydrogels
           change the viscosity of the printing inks or        were immersed in water.
           gelatin-containing viscous medium. Two types          The composite hydrogel systems can be applied
           of  HAc-Alg  inks  with  different  phosphate  ion   for scaffolds of interface tissue engineering (ITE),
           concentrations were printed in a gelatin bath       which aims to regenerate  the native  enthesis  or
           with  excess  CaCl   using  the  same  printing     interface tissue between hard and soft tissues. Thus,
                              2
           parameters.  We  had  already  confirmed  that      ITE requires multiphase and gradient biomaterials
           the precipitated CaP nanocrystals distributed       to engineer both types of tissue [46-51] . As gradient
           uniformly within the hydrogel matrix regardless     biomaterials often mimic the complex structures
           of the precursor concentrations. During 3D          and material properties of each soft and hard tissue,
           printing, the printed inks contained the non-       advanced  micro-  and nano-technologies  such as
           crosslinked GM-HAc liquid phase.  Therefore,        microfluidics,  electrospinning,  and  bioprinting
           sequential 3D printing of two different hydrogel    have  been  introduced  into  the  conventional
           inks using only one printer head was feasible.      fabrication  process of biomaterials  to capture
           This avoided any interfacial problem because        these dimensions . In particular, recent advances
                                                                               [47]
           the  GM-HAc  liquid  diffused  into  the  contact   in 3D printing technologies have facilitated  the
           region around the joints of the printed filaments,   development  of composite biomaterials  through
           which promoted joint fusion and improved            the  ability  to fabricate  structurally, functionally,
           bonding  strength  among  the  filaments  of  the   and compositionally intricate constructs [1-4] . Thus,
           adjacent layers.  The two structural designs,       our approach for multiphase composite scaffolds
           vertical stacking and horizontal stacking of the    can  be applied  for the  fabrication  of various
           two  composite  hydrogels  resulted  in  different   functional  or hybridized  gradient  biomaterials
           printing sequence and interfaces between the        with complex geometries for ITE scaffolds.
           two  materials  with  different  mineral  contents
           (Figure  8B and C). In the case of vertical         4 Conclusion
           stacking, the bottom layer of HAc-Alg/10 wt%
           CaP  could  be  deposited on  the  top  layer of    In this study, by introducing an in situ inorganic
           HAc-Alg/30 wt% CaP, thus minimizing the time        nanoparticle precipitation process to a 3D freeform
           lapse between the printing of each material due     printing  system with a two-step crosslinking
           to ink change. In contrast, horizontal stacking     strategy, we successfully fabricated HAc-Alg/CaP
           was  achieved  by  printing  the  inner  part  with   nanocomposite  hydrogel  scaffolds  with  various
           HAc-Alg/10 wt% CaP, followed by printing the        mineral contents and good structural integrity. The
           external part of the structure with HAc-Alg/30      first ionic crosslinking of Alg provided structural
           wt% CaP (Supplementary Figure 11). In this          stability  during printing, while the secondary
           case, the time lapse between the first layers of the   crosslinking of photo-curable GM-HAc improved
           two materials was more than 5 min, which was        the mechanical  stability of the nanocomposite
           equivalent to the summation of; printing time of the   hydrogels by virtue of the superior bonding

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