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Applications of 3D bioprinted iPSCs
           in a spatially controlled  layer-by-layer fashion   drugs,  and  scaffolds.  Droplet-based  bioprinting
           precisely  to biofabricate  3D tissue constructs.   is derived from inkjet printing technology. It has
           Extrusion printing permits printing of cell-dense   been noted as a prominent technique widely used
           high viscous hydrogels, but cells may experience    in regenerative medicine to print cells due to its
           high shear force stress during the printing process.   flexibility.  The  droplet-based  bioprinting  can  be
           All three germ layers , neural tissues , cortical   subdivided into inkjet, acoustic, and micro-valve
                               [66]
                                                [67]
           neural  constructs , chondrocytes , cardiac         bioprinting  modalities.  The  drawback  of using
                                              [69]
                             [68]
           tissue,  and peripheral blood mononuclear cells     this technology is that the rage of biomaterials
                 [70]
           have been bioprinted from iPSC or iPSC derived      compatible  for this  method of bioprinting  is
           cells using extrusion method.                       limited .  A valve-based  bioprinting  method is
                                                                     [77]
             SLA and digital  light  projection  (DLP) are     used  to  print  iPSCs  differentiated  post-printing
           popular nozzle-free bioprinting techniques work     into hepatocyte-like cells (HLC cells). A 40-layer
           through photopolymerization.  The liquid resin      thick  alginate  bioink  containing  HLC cells
           is  solidified  by  UV  laser  beam  in  SLA.  The   showed typical  liver  tissue structure  and the
           DLP uses visible light for polymerization of the    construct secreted hepatic albumin throughout
           resin [71,72] . There are two types of SLA and DLP,   the differentiation protocol. The work proved that
           i.e., bottom-up and top-down approach. The layer    the  valve-based printing  process is safe to print
           of resin on a support platform is cured by a light   human iPSCs by maintaining  pluripotency  and
           from above in bottom-up biofabrication, while the   differentiation .
                                                                            [19]
           light source is located under a transparent platform   The laser-assisted bioprinting uses pulsed laser
           in  the  top-down fabrication.  iPSC-derived  3D    beam with a focusing device. It consists of an
           liver models which mimic the native liver module    energy-absorbing layer coated with further layers
           architecture were printed using this technique .    of cell-encapsulated hydrogel. It is a nozzle-free
                                                        [73]
           The flipside of SLA is that, it can be detrimental to   bioprinting method that excludes clogging during
           the living cells by damaging the genetic materials   printing . Human iPSCs combined with bioinks
                                                                      [78]
           due to the use of UV. Moreover, the use of photo-   were bioprinted with laser-assisted bioprinting
           initiator resins may be cytotoxic to the cells . Vat   method and the cells were evaluated  for their
                                                    [74]
           polymerization (VP) based bioprinting is a novel    efficacy, pluripotency, and differentiation capacity.
           and accurate bioprinting method tissue engineering   The hyaluronic  acid-based  bioinks are ideal  for
           applications .  Various types of photo-initiators   laser-assisted bioprinting [16,79] . While  designing
                      [75]
           are used for the cross-linking of the printed tissues   a tissue structure for bioprinting, factors such as
           in the VP based bioprinting. VP use light sensitive   shape, size, resolution, scaffold materials, iPSCs,
           hydrogels such as polyethylene glycol–diacrylate    or iPSC derived cellular  components,  and post-
           (PEGDA) and gelatin-methylacryloyl  (GelMA).        processing tissue dynamics are to be considered.
           Label-free diamagnetophoretic printing is another   Bioprinting can be carried out as direct printing,
           method for microtissue  printing uses intrinsic     crosslinking during the bioprinting, post-printing
           diamagnetic forces to control positioning of cells   crosslinking,  and  hybrid  methods,  where  more
           in a paramagnetic medium. Magnetic bioprinting      than one technique is used for printing the final
           is a contactless technique  which does not use      tissue  construct.  The  factors  appear  to  affect
           nozzles and therefore promise less contamination    cell survival after bioprinting are shear stress,
           of cell suspension. Whole blood cells were printed   laser exposure, duration, temperature,  humidity,
           using this  technique , this technique  may  be     mechanical pressure, and vibration of the printing
                               [76]
           efficient to adopt to print iPSCs as there is fewer   process. The selection of the printing techniques
           chemical manipulations that are involved.           depends on the end use of the printed tissues, such
             Droplet-based bioprinting is simple, fast, and    as organ/tissue transplantation, disease modeling,
           precisely controlled bioprinting method to deposit   or drug evaluation.  Among, all the methods
           composites of cells, growth factors, biomolecules,   mentioned,  extrusion bioprinting is the most

           64                          International Journal of Bioprinting (2020)–Volume 6, Issue 4
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