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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        Extrusion bioprinting from a fluid mechanics

                                        perspective



                                        Reza Gharraei 1 id , Donald J. Bergstrom 2  id , and Xiongbiao Chen *
                                                                                              1,2 id
                                        1 Division of Biomedical Engineering, University of Saskatchewan, Saskatoon, Saskatchewan,
                                        Canada
                                        2 Department of Mechanical Engineering, University of Saskatchewan, Saskatoon, Saskatchewan,
                                        Canada




                                        Abstract

                                        Bioprinting is an emerging technology for fabricating intricate and diverse
                                        structures that closely mimic natural tissues and organs for applications, such
                                        as tissue engineering, drug delivery, and cancer research. Among the various
                                        bioprinting techniques, extrusion-based bioprinting stands out due to its capability
                                        to apply a wide range of biomaterials and living cells and its controllability over
                                        printed structures. In bioprinting, bioink stored in a syringe is extruded through a
                                        nozzle connected to the syringe and deposited onto the printing stage to form 3D
                                        structures. The bioprinting process involves the flow of bioink through the syringe
                                        and nozzle, then spreading on a printing stage. As a result, fluid mechanics plays a
                                        crucial role in extrusion bioprinting. Notably, the biomaterials used in bioprinting
                                        are typically non-Newtonian fluids, which have complex viscoelastic and thixotropic
                                        behaviors; the influence of these behaviors on the bioprinting process has garnered
                                        considerable attention, with various methods employed, including numerical
            *Corresponding author:
            Xiongbiao Chen              simulations via computational fluid dynamics (CFD). This paper reviews the latest
            (xbc719@mail.usask.ca)      developments in the fluid mechanics of extrusion-based bioprinting to shed light
            Citation: Gharraei R, Bergstrom DJ,   on the challenges and key considerations involved. This review covers the topics of
            Chen X. Extrusion bioprinting from a  extrusion bioprinting (including driving mechanisms, printability, and cell viability),
            fluid mechanics perspective.   biomaterial rheology and its effect on bioprinting, multi-material bioprinting, and
            Int J Bioprint. 2024;10(6):3973.
            doi: 10.36922/ijb.3973      numerical simulations of bioprinting. Key issues and challenges are also discussed
                                        along with recommendations for future research.
            Received: June 18, 2024
            Revised: August 9, 2024
            Accepted: August 20, 2024   Keywords: 3D bioprinting; Fluid Mechanics; Viscoelasticity; Tissue engineering
            Published Online: August 30, 2024
            Copyright: © 2024 Author(s).
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   1. Introduction
            License, permitting distribution,
            and reproduction in any medium,   Biofabrication is an emerging technology aiming to address the lack of tissue/organ
            provided the original work is   donors for transplantation in patients with severe injuries or diseases. Among various
            properly cited.             biofabrication techniques, three-dimensional (3D) bioprinting stands out for its ability
            Publisher’s Note: AccScience   to deposit cell-laden biomaterials (bioink) layer-by-layer to fabricate 3D constructs
            Publishing remains neutral with   with spatial control over scaffold design,  enabling consistent production of patient-
                                                                         1
            regard to jurisdictional claims in
                                                         2,3
            published maps and institutional   specific 3D scaffolds.  These scaffolds can be fabricated using the patient’s native
            affiliations.               biological materials. 4–7


            Volume 10 Issue 6 (2024)                       114                                doi: 10.36922/ijb.3973
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