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International Journal of Bioprinting                                  Bioprinting for wearable tech and robot




               Bioprinting can further enhance the development of   Bioprinting for bone and cartilage repair and
            neuromorphic systems. Firstly, soft biomaterials, such   regeneration is currently a flourishing area of interest.  By
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            as biocompatible hydrogels and organic polymers, can   using customized biomaterials and bioinks, researchers can
            mimic the pliable and dynamic characteristics of biological   create scaffold-like structures that mimic the natural ECM
            synapses. Cheng et al. reported a hardware synapse that   of bone and cartilage for cell growth and tissue stimulation.
            utilizes  a  photonic  integrated-circuit  approach.  The   Li et al. used bioprinting to fabricate a biomimetic scaffold
            synapse incorporates phase-change materials with silicon   for humeral head regeneration. The strategy was versatile
            nitride waveguides, where synaptic weight can be adjusted   and scalable for repairing large joints and represented a
            by the number of optical pulses applied. The research offers   modulation of endochondral ossification for bioprinted
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            a simple but effective method to achieve synaptic plasticity   anisotropic scaffolds (Figure 5a).  Liu et al. proposed a
            that closely mimics the analog behavior of biological   hierarchical fabrication strategy for ceramic-reinforced
            synapses (Figure 4e).  In parallel, advances in bioprinting   organo-hydrogels, which exhibited high stiffness, strength,
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            enable the creation of customized neural networks (i.e.,   and toughness through multi-scale energy dissipation. The
            brain-on-chip  models),  where  specific  neuronal  types   study extended the design principles of natural materials
            and connections can be accurately positioned according   to fabricate composite hydrogels with mechanical and
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            to predefined designs. This capability allows researchers   functional enhancement (Figure 5b).  Du et al. combined
            to explore various neural configurations and their impact   manganese silicate (MS) nanoparticles with tendon/bone-
            on  neuromorphic  system  behaviors,  providing  more   related cells to create immunomodulatory multicellular
            effective solutions in neurocomputing applications. Fu    scaffolds for tendon-to-bone regeneration. These scaffolds,
            et al. presented self-powered neuromorphic interfaces for   leveraging  biomimetic  cellular  distribution  and  MS
            biological signal matching through synthesized protein   nanoparticles, exhibited enhanced cellular differentiation.
            nanowires. Based on these protein nanowires, flexible   Animal studies confirmed that these scaffolds effectively
            neuromorphic systems capable of intelligently processing   achieved  immunomodulation,  regeneration,  and
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            biologically relevant stimuli for adaptive responses have   functional recovery at tendon-to-bone interfaces.  Jo
            also been developed. The sustainable nature and potential   et al. developed a bioink by integrating MXene nanoparticles
            multifunctionality of protein nanowires enhance the   with GelMA and Hyaluronic Acid Methacrylated
            potential for biological integration of these interfaces    (HAMA)hydrogels to enhance myogenesis in
            (Figure 4f). 113                                   3D-bioprinted constructs. These bioinks demonstrated

               Although the interdisciplinary study of bioprinting   excellent printability and cytocompatibility, as well as
            and neuromorphic technology is still in its nascent stages,   promoted skeletal muscle cell differentiation without
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            it presents a promising frontier for future exploration.   additional agents (Figure 5c).  Huan et al. developed
            Likewise, bioprinting applications in the brain may extend   a bioprinted autologous bone (AB) scaffold for bone
            to the development of brain organoids, personalized   regeneration using a PCL shell and bone marrow-derived
            medicine, neurodegenerative disease models, and drug   mesenchymal stem cell (BMSC) hydrogel. The scaffold
            testing platforms. Its ability to create intricate neural   demonstrated excellent cellular affinity and enhanced
                                                               osteogenic differentiation. It also promoted new bone
            networks and complex tissue structures opens diverse   and osteoid formation in beagle dog cranial defects
            possibilities for both basic research and clinical applications
            in neuroscience.                                   over nine months. Further  in vivo results indicated
                                                               BMSC differentiation into various tissues, highlighting
            5. Exoskeleton robots                              the potential of the bioprinting approach in clinical
                                                               applications (Figure 5d).
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            5.1. Bioprinted skeleton                              Future research in the bioprinting of bone and cartilage
            The skeletal system, consisting of bones and cartilage,   will likely emphasize the development of innovative
            serves crucial functions within the human body. Bones   biomaterials,  improvement  of  printing  technologies  for
            provide a rigid framework for the body and enable   higher-resolution structures, and exploration of dynamic
            movement, support, and protection of organs and tissues.   biophysical stimuli to enhance tissue functionality.
            Additionally, bones play critical roles in hematopoiesis,
            calcium homeostasis, and regulation of acid-base balance.   5.2. Bioprinting of exoskeleton
            Cartilage is a critical connective tissue that covers bone   The significant contributions of bioprinting in bone
            surfaces in joints, supporting load transmission and   research suggest its potential for developing user-friendly
            lubrication. Furthermore,  cartilage serves as  a shock   and  customizable  exoskeleton  robots.  Exoskeleton
            absorber and enables smooth movement in joints.    robots are wearable apparatuses that function as external

            Volume 10 Issue 6 (2024)                        28                                doi: 10.36922/ijb.3590
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