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International Journal of Bioprinting                              Bioprinted skin scaffolds with GNP exposure




            studies, effective treatment is crucial to prevent morbidity or   developed. The overall schematic of the 3D bioprinting
            mortality in patients with skin injuries resulting from burns,   hardware is displayed in  Figure S1, Supplementary File.
            infections, cancer surgery, and other genetic and somatic   This system is capable of accurately positioning cells,
            diseases.   To  address  these  challenges,  three-dimensional   extracellular matrix (ECM), and growth factors in any
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            (3D) bioprinting, as an additive manufacturing technology to   desired 3D configuration. Each dispenser operates
            fabricate biological constructs with hierarchical architecture   independently  with  electromechanical  valves  and  is
            similar to their native counterparts, offers significant   mounted on a high-precision XYZ robotic stage with three
            advantages in fabricating artificial skin substitutes.  3D   axes. The liquid materials are dispensed using pneumatic
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            bioprinting has adopted various techniques, including inkjet-  pressure during the micro-valves’ gate-opening phase.
            based bioprinting,  laser-assisted bioprinting,  extrusion-  Moreover, the volume of the dispensed droplets (drop size)
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            based bioprinting,  and stereolithography bioprinting,    can be adjusted by controlling the valve opening time and
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            to improve the viability of cells and biomaterials. Using a   air pressure. The non-contact dispensers can dispense cells
            pneumatic micro-extrusion-based 3D freeform fabrication   in volumes of 769.5 nL, maintaining high cell viability. The
            technology, artificial scaffolds can be fabricated by precisely   dispensed volume is regulated by digitally controlling the
            positioning various types of matrix materials and cells in   pressure and pulse duration (3 ms). The system allows for
            a layer-by-layer assembly, with appropriate structures and   continuous dispensing at an actuation frequency of 200 Hz,
            cell compositions in different sizes, high throughput, and   ensuring high-throughput printing. The minimum printing
            reproducible  fashion.   Artificial  skin  scaffolds are  mainly   resolution varies with material viscosity: 400 μm for aqueous
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            fabricated using cell lines and stem cells with adequate   materials (e.g., water and cell culture media), and higher
            structures  and  viability.  Recently,  organoid  engineering   resolution for viscous substances (e.g., collagen and matrix
            holds significant promise for fabricating skin substitutes,   proteins). The bioprinting resolution can be systematically
            leveraging the self-renewal and differentiation capabilities   adjusted by controlling the dispensed droplet volume. Both
            to create complex structures that mimic the morphology   the syringe and building plate were maintained at 4°C.
            and function of native tissues. 9–11  Thus, with these significant
            improvements in the areas of bioinks, printing techniques,   2.2. Optimization of bioprinting parameters
            and various cell types, 3D bioprinting has become a reliable   Before cell-laden scaffold bioprinting, we conducted
            and promising approach to fabricating artificial tissue for   experiments on the optimization of bioprinting parameters
            skin transplantation.                              with ultrapure water and different types of cells, such as
                                                               human epidermal keratinocytes (HEK; 2110; ScienCell,
               Besides grafts, 3D-bioprinted scaffolds can also be used   United States of America [USA]) and human dermal
            as implants for drug delivery, serving as physical protection   fibroblasts  (HDF;  2320;  ScienCell, USA).  Different air
            for wounds and a depot to release therapeutic drugs.    pressures (2, 4, 6, 8, 10, 12, 14, 16, 18, and 20 psi) and
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            Notably, nanoparticles, including gold nanoparticles   internal needle diameters (0.18, 0.23, 0.26, 0.3, 0.34, and
            (GNPs), are increasingly utilized as carriers for the delivery   0.41 mm) were investigated with ultrapure water to test the
            of drugs,  genetic materials,  and antigens. 15,16  For skin   performance and sensitivity of the machine. Furthermore,
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            wound healing, GNPs have been widely used as delivery   the required pulses of 1 mL ultrapure water were examined
            devices for drugs and antimicrobial agents. 17,18  Most studies   as a reference for comparison.
            employ GNPs for transdermal drug delivery. 19,20  In this
            regard, employing GNP delivery systems in artificial skin   Cell viability was tested at different bioprinting air
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            grafts raises concerns about potential risks.  However, the   pressures, internal needle diameters, and cell suspension
            retention, deposition, and biodistribution of GNPs in the   densities to determine the optimum conditions for each
            fabricated scaffold still require detailed investigation.  cell type. Combinations of various bioprinting air pressures
                                                               (2, 4, 6, 8, and 10 psi), internal needle diameters (0.2, 0.25,
               For this purpose, cell-laden scaffolds were bioprinted   0.3, 0.35, and 0.4 mm), and cell suspension densities (0.5,
            and transplanted on the dorsal back of nude mice for 11   0.75, 1, 2, and 3 × 10  cells/mL for HDF; 0.5, 1, 2, 3, and 5
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            days along with GNP exposure. Importantly, the retention   × 10  cells/mL for HEK) were tested. Various bioprinting
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            and biodistribution of GNPs in skin scaffolds and other   air pressures were examined with 0.2 mm internal needle
            tissues were investigated in transplanted mice after   diameter and cell suspension densities of 2 × 10  cells/
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            tail-vein injection.                               mL (Figure 1G and J). Additionally, various internal
                                                               needle diameters were examined with an air pressure of
            2. Methods                                         0.2 psi and cell suspension densities of 2 million cells/mL
            2.1. Development of a 3D bioprinter                (Figure 1H and K), as cell suspension densities were
            A robotic bioprinting system utilizing pneumatic micro-  examined with 0.2 mm internal needle diameter and an air
            extrusion-based  3D  freeform  fabrication  technology  was   pressure of 0.2 psi (Figure 1I and L).

            Volume 10 Issue 6 (2024)                       431                                doi: 10.36922/ijb.4692
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