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Soman and Vijayavenkataraman
           gelatin, or a combination of PEGDA and GelMA        additive elements in the bioinks [150] . PCL and
           were used as the scaffold material for printing skin   Poly (propylene fumarate) are polymers utilized
           models [145-147] .                                  in bioprinting due to its superior viscoelastic
                                                               and rheological  properties, biodegradability,
           5 Bioinks used in iPSC bioprinting                  and biocompatibility  compared  to the natural

           Native tissue has complex architecture consisting   compounds. Synthetic hydrogels such as PEGDA
           of  different  cell  types,  ECM  materials,  growth   are used as resins in 3D bioprinting, where cells
                                                                               [147]
           factors, and many signaling molecules.  ECM is      can be entrapped   . The major limitation of these
           organized in a highly delicate manner in a tissue   kind of hydrogels is that the bioprinted structure
           to serve the tissue specific functions such as shape,   tends to collapse because of low viscosity and
           consistency, mechanical  strength,  and  molecular   low mechanical  strength [151] . New generation
           miscibility. Bioinks are cell  laden  hydrogels     bioprinters have enabled us to print combinatorial
           containing ECM components of the tissue to be       bioinks with spatial  and nanoscale  resolution  in
           printed. The materials used in the bioinks should   seamless  swift ways, aiming  to  reproduce  the
           be biocompatible without eliciting any undesirable   complex architecture of the native tissues. There
           response inside the body, should allow seamless     are  different  types  of  bioinks  available  depends
           printing, and should have tissue compatible         up  on  the  tissue  structure.  One  example  is  that
           rheological properties . The bioink components      researchers bioprinted  hepatic  tissue constructs
                                [56]
           can be natural, synthetic, different types of cells,   using iPSC derived  hepatocytes,  endothelial
           and  soluble  growth  factors  specific  for  the  cell   cells, and mesenchymal cells resuspended in two
           types used. Natural polymers such as collagen,      different  bioinks;  GelMA  with  stiffness  similar
           gelatin,  fibronectin,  laminin,  and  silk  fibroin   to healthy liver tissues, and a mix of glycidyl
           have been widely used in bioinks to augment cell    methacrylate-hyaluronic   acid/GelMA      which
           attachment and migration in the matrix material [148]    supported vascularization [73,152] . New generation
           Polysaccharides such as alginate,  agarose, and     polymers responsive to light, thermal, magnetic,
           chitosan are also widely using in bioinks. Alginate   humidity, and pH stimuli  would allow  the  3D
           is obtained from a type of brown algae and is widely   bioprinting to leap to the next level.
           used in 3D bioprinting applications due to its      6 Challenges associated with the use of
           biocompatibility, promotion of cell proliferation,   reprogrammed iPSCs and bioprinting:
           low price,  and  the  ability  of crosslinking  in
           calcium  ion  solutions.  However, alginate  lacks   The combinatorial application of 3D bioprinting
           sufficient mechanical stiffness for 3D bioprinting.   and iPSC technologies would have a major impact
           Agarose is another biocompatible polysaccharide     on regenerative medicine research. However, how
           but it liquifies above physiological temperatures.   much have we achieved to take this technique to
           Chitin  and chitosan  obtained from crustaceous     clinics and how far we have to go? Many obstacles
           animal are widely used polysaccharide component     still remain regarding the production of safer
           of  bioinks,  but  it  is  slow  in  solidification.  The   iPSCs that are to be resolved to take full advantage
           methacrylated  form of gelatin  (GelMA) is a        of this technology for therapeutic  purpose .
                                                                                                            [67]
           popular bioink component to print iPSCs which       One of the most important problems is the use of
           possess easily tunable physiochemical properties    retroviral  and  lentiviral  vectors  to  introduce  the
           to use in bioprinters [149] .                       transcription  factor genes into somatic  cells  for
             Still,  many  of these  polysaccharides  are  too   cell reprogramming, which can cause mutagenesis
           fragile  and  lack  sufficient  mechanical  strength   and tumor induction in the host cell. The iPSCs
           to  retain  in the  transplant tissue  site  and  often   derived  using viral  vectors may  be still  suitable
           suffer  from  low  mechanical  properties,  and     for the study of disease mechanisms or for drug
           thus, other  materials  have been combined  as      testing but they lack the suitability  for clinical

                                       International Journal of Bioprinting (2020)–Volume 6, Issue 4        71
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