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International Journal of Bioprinting                                  Bioprinting for wearable tech and robot




            2. Bioprinting process                             pivotal element in the bioprinting process.  The laser-
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                                                               based approach utilizes a focused laser beam to locally cure
            2.1. Bioprinting methods                           bioinks through a process known as laser-induced forward
            Principal  bioprinting  methods  include  inkjet,  extrusion,   transfer (LIFT).  Conversely, SLA typically involves the
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            laser, and stereolithography (SLA)-based approaches.   use of a digital light projector or laser that scans across the
            In this section, we categorize the various bioprinting   surface of a photopolymer resin, curing it layer-by-layer to
            methods  based  on  the  type  of  physical  field  used.  For   form the desired 3D structure.  Compared with extrusion
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            example, extrusion and inkjet printing are classified as   or  inkjet  bioprinting, the  use  of  optics  usually  enables
            force-controlled methods, whereas laser and SLA printing   higher-resolution patterning, necessary for producing
            are considered light-controlled methods.           constructs with finely detailed architecture.

            2.1.1. Extrusion and inkjet bioprinting               Laser  and SLA-based  methods  can  be distinguished
            Extrusion and inkjet bioprinting fundamentally share   based on their requirements in printing materials and
            several similarities. 21,22  The techniques involve the precise   preservation of biological activity within the printed
            deposition of bioinks, consisting of living cells and   structures. Laser-based bioprinting requires bioinks that
            biomaterials, through a computer-controlled delivery   are suitable for accurate LIFT and enable rapid solidification
            system. Recently, Yang et al. proposed a mechanical   without compromising the viability of encapsulated cells.
            extrusion-based  bioprinting  strategy to  load cells into   Afting et al. proposed a platform for minimally invasive
            hollow hydrogel-based scaffolds (HHSs). The scaffolds had   microimplant manufacturing based on one-photon
            high mechanical responsiveness to load cells and provided   photopolymerization and multi-photon 3D laser printing,
            an efficient and promising way for cell-based therapy.    displaying significant promise for engineering complex
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            Both extrusion and inkjet methods require careful tuning   microarchitectures.  SLA often requires selective curing
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            of printing parameters, including pressure, speed, and   of the material within a container to develop the desired
            resolution, to ensure high cell viability and precise control   structure in a layer-by-layer manner. Nonetheless, the
            over the mechanical and structural properties of the final   SLA method surpasses the laser-based method in terms
            construct. Another similarity of both approaches is their   of printing efficiency by allowing multiple structures to be
            capability to print a wide range of biomaterials, including   printed in a single run without vat cleaning, which reduces
            hydrogels, polymers, and ceramics, for fabricating various   the printing time and increases productivity.  Kam
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            tissue types. Buduo et al. utilized inkjet bioprinting to print   et al. presented a thermal initiator for 3D printing that
            silk fibroin, a natural protein derived from Bombyx mori   enabled localized polymerization using near-infrared and
            cocoons. The printed structure had viscoelastic, shear-  visible light. The proof-of-concept successfully fabricated
            thinning, thixotropic, and transparent features, and was   hydrogel and polymeric objects using SLA and two-photon
            employed as enzymatic sensors for quantitative analysis. 24  printing techniques, offering versatility and potential
               There  are  also  several  differences  between  the  two   for new applications, especially in creating scaffolds
            modalities. 25,26  Extrusion-based bioprinting utilizes a   for bioprinting. 36
            process  where  a  continuous  stream  of  biomaterials  is   Laser and SLA-based bioprinting offers high resolution
            extruded through a nozzle and deposited in a predetermined   and precision for fabricating intricate tissue structures. In
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            pattern.  Conversely, inkjet printing utilizes the deposition   contrast, extrusion and inkjet methods are more scalable
            of small droplets of bioink. Inkjet printing features higher   and versatile but may lack the level of detail and accuracy.
            printing precision but may result in lower cell viability   Additionally, electrospinning,  magnetic,  and acoustic
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            due to the forces exerted during droplet formation.  In   printing  have also been used in bioprinting. These methods
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            contrast, extrusion-based printing offers better control   incorporate diverse principles and techniques, including
            over the printing process, enabling the printing of highly   magnetic fields, ultrasonic vibrations, and electromagnetic
            complex structures with high cell viability. Additionally,   forces, for controlled deposition of cells and biomaterials.
            extrusion-based bioprinting is known for its ability to   The key criteria for selecting a bioprinting method include
            print more complex biomaterials, such as thermoplastic   features like accuracy, resolution, speed, capacity for
            polymers and alginate gels, which may be challenging to   creating complex structures, material biocompatibility,
            deposit using inkjet printing. 29,30               and potential for scalability in manufacturing. 40
            2.1.2. Laser and stereolithography-based bioprinting  2.2. Bioprinting materials
            Laser and SLA-based bioprinting are two advanced   The progress and innovation in bioprinting have
            biofabrication techniques that conceptually emphasize   fundamentally relied on advancements in material science.
            light-initiated polymerization or crosslinking as the   The development of materials with specific properties has


            Volume 10 Issue 6 (2024)                        19                                doi: 10.36922/ijb.3590
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