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International Journal of Bioprinting                                 3D-bioprinted respiratory disease model



































            Figure 13. Viral growth curve of influenza A virus (IAV) determined by plaque assay for static, dynamic, and dynamic with nanoparticle culture conditions.



            that some of the collagen and gelatin materials may have   the bioink’s ability to co-culture primary cells for an
            leached out of the crosslinked alginate material due to the   extended time with high viability. Other studies reported
            extended period spent at elevated temperatures (37°C)   in the literature, utilizing slightly different materials and
            during culture, resulting in the mass loss and downward   A549 cells instead of primary respiratory epithelial cells,
            trend in mechanical properties. This may be reduced by   have also demonstrated that the use of 3D-bioprinted
            crosslinking at a higher concentration for a greater length   co-culture can extend cell culture life beyond 28 days. 41,42
            of time to form a tighter polymeric mesh; however, this   Along with the use of primary respiratory cells in the
            would have to be balanced with the possible decrease in   form of HPFs and HBEpCs for increased physiological
            cell viability post-printing. While the Young’s modulus of   relevance of the model, the incorporation of other
            the printed lattice structure sat between 15 and 25 kPa, it   methods for increasing relevance, including the culture
            is within the range of that measured for native lung tissue   of the bioprinted constructs in a bioreactor mimicking
            throughout the 28-day culture period. In contrast, the   the biomechanical stimulus of the lung increased cellular
            compressive modulus of the bulk material and UTS are   proliferation/metabolism. Additionally, the incorporation
            higher than those of native lung tissue.  Although these   of HGF-loaded nanoparticles also resulted in a further
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            mechanical studies were carried out in cell-free scaffolds,   (though insignificant) increase in cellular metabolism at
            previous studies demonstrated that very similar values   the 28-day timepoint, building on the results of previous
            were found between cell-free and cell-containing scaffolds   studies. 33,34   While  live/dead  imaging  helped  confirm  the
            over a 14-day period. This similarity likely results from   presence of a high density of viable cells, the background
            cell  remodeling,  which  balances  material  degradation   autofluorescence of collagen within the green “live”
            caused by cells with the deposition of cellular matrix   channel created noise in the images that was challenging
            materials, but it cannot fully compensate for general   to fully remove without significant image manipulation.
            material degradation. 34                           Therefore,  an  improved  process  for  imaging  may  be
                                                               required for future studies. While live/dead imaging did
               Biological characterization of the bioink further   qualitatively confirm the increased cell density indicated
            demonstrates its ability to be used in RTE applications,   by the quantitative cellular metabolism studies, it also
            as cellular metabolism of printed HPFs and seeded   demonstrated that the incorporated cells did not take on
            HBEpCs measured through the XTT assays was seen to   physiologically relevant morphology. This may be due to
            steadily increase over the 28-day period. This highlights   the encapsulating bioink being challenging to remodel,


            Volume 10 Issue 6 (2024)                       425                                doi: 10.36922/ijb.3895
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