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3D-printed bioreactors for in vitro modeling and analysis
           uniform metal structures with distinct cavities, and   been  fabricated  with  3D-printing  to  study  the
           precisely  control  geometric  parameters  down  to   response of these cells to the smallest details of their
           several hundred microns using laser power as low    local environments such as substrate geometric
           as 90 W [22,23] . Extrusion printing and its common   arrangement, chemistry, and mechanics [28,29] .
           variants such as FDM  and FFF extrude molten          Much of our understanding of fundamental
           polymer in a layer-by-layer manner to construct     cellular mechanisms is garnered from the aberrant
           3D objects [17,24] . This 3D-printing technique is cost-  interactions of cells on 2D substrates. As we move
           effective and could be easily adopted as a viable   toward  more-compliant  microenvironment,  it  is
           manufacturing  option to create  3D constructs      vital to demystify exactly what factors are operative
           with  high  resolution,  structural  integrity,  and   in 3D systems rather than simply considering a
           transparency.  Jetting-based  methods,  including   dimensionality factor at play . The  increased
                                                                                            [30]
           inkjet, PolyJet, and material jetting deposit fluidic   capabilities  of  3D-printers  have  resulted  in  well-
           materials in a controlled fashion through a nozzle   architecture  constructs  with  fine  features  and
           onto a 3D platform and are used to create highly    application-specific geometries. The key challenge
           complex constructs . These direct cell printing     here lies in achieving the geometry that provides
                              [25]
           techniques  will  not  be  discussed  in  this  review.   the correct degree of biomimicry, mechanical
           Another  widely  used  3D-printed  method  is  the   and  chemical  cues  needed  for  sufficient  cell-cell
           vat photopolymerization,  including SLA and         signaling, cell development, and gene expression.
           DLP, which prints by curing photosensitive resins   Indeed, surface parameters such as porosity,
           with ultraviolet light [17,26] . SLA uses a laser beam   roughness, and curvature are tunable according
           that scans line-by-line to cure the photosensitive   to  experimental  needs,  and  their  effect  on  the
           resin, whereas DLP uses a digital light projector   collective cell behavior including adhesion, growth,
           to cure each layer of photoreactive resin in one    alignment,  proliferation,  and  differentiation  has
           go. Compared to DLP, SLA-based printers offer       been demonstrated as well. Ideally, the role of 3D-
           a higher spatial resolution, resulting in structures   printing is to provide cells a suitable environment
           with  dimensions  <10  µm.  µSLA-based systems      supporting their transition into functional tissue in
           that  utilize  two-photon  optics  further  improve   vitro.  With  3D-printing,  we  are  able  to  fabricate
           the resolution to submicrons . The  resulting       bioreactors  of  different  sizes  and  shapes  and
                                         [17]
           ultrafine  features  may  influence  the  mechanistic   introduce cells into the bioreactors post-printing for
           properties of cells in tissues. Nevertheless, resins   in vitro testing. Overall, this article aims to cover
           used for SLA printers often contain methacrylate    3D-printed bioreactors for the in vitro study of both
           and/or acrylate monomers that have a reputation     mammalian and bacterial cell culture.
           to be cytotoxic .
                         [17]
                                                               2.1 3D-printed bioreactor for mammalian cell
           2 3D-printed bioreactor for biological              culture
           applications
                                                               3D-printed  bioreactors  used  in  mammalian
           3D-printing is a rapidly evolving technology that   cell  culture  applications  for assessment of cell
           provides an opportunity to fabricate complex 3D     viability, cell encapsulation, cell/tissue  models,
           structures for biological  applications [5,27] . It is   cell imaging, testing of therapeutics, and organ-
           an important tool for translational  research that   on-chip  applications  are  discussed  below  and
           focuses on the in vitro biology and disease models   summarized in Table 1.
           in bioreactors.  The increasing accessibility  to   2.1.1 Cell viability in 3D-printed bioreactors
           3D-printing has spurred substantial efforts toward
           many  creative developments of 3D-printed           Bioreactors are an indispensable tool for
           bioreactors for the cultivation of mammalian  as    maintaining   cellular   microenvironment     to
           well as microbial cells. Various bioreactors have   promote cell viability, growth, and proliferation.

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