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International Journal of Bioprinting                                 Nanomaterial-bioinks for DLP bioprinting




            Keywords: Hydrogel; Bone implant; Calcium phosphate; Graphene oxide; 3D printing; GelMa, Nanomaterials;
            Bioprinting


            1. Introduction                                    (CaP), to tailor their properties for bone regeneration. 32,42–55
                                                               The use of these nanomaterials has been mainly applied
            Bone tissue has a high natural regeneration capacity.   to extrusion-based or  other printing technologies. 56–59
            However,  in  cases  of  larger  or  more  complex  bone   However, for DLP-based bioprinting, the functionalization
            defects, as well as certain pathophysiological conditions,   of bioinks using nanomaterials has hardly been reported.
            surgical intervention is often needed to ensure adequate   In addition, data on nanomaterial-modified bioinks are
            reconstitution of bone stability and a proper healing   often not directly comparable due to different printing
                  1–6
            process.  In this context, 3D printing technologies offer a   technologies, bioinks, implant designs, and general
            tremendous potential to produce patient-specific implants   experimental conditions. Nonetheless, these nanomaterials
            that vary in size and shape, thus enabling the treatment   exhibit highly diverse effects on cellular viability and cell-
            of critical-sized bone defects.  While  3D printing   specific functions, which are not yet fully understood.
                                      7–9
            of material-based bone implants has progressed, the
            generation of bioprinted constructs containing vital cells is   Calcium phosphate (CaP) demonstrates excellent
            still a challenging task.                          bioactivity and provides a mineral component, resembling
                                                               the bone matrix. 60,61  Calcium and phosphate ions released
               In 3D bioprinting, various printing techniques
            exist, including extrusion-based bioprinting.  Another   from CaP are important inorganic materials known
                                                 10
                                                               to activate new bone formation.
                                                                                              In the context of
                                                                                          62–64
            technical principle for bioprinting is the use of digital   nanomaterials applied for 3D printing, we have recently
            light processing (DLP). 11–16  A significant advantage of DLP   demonstrated that CaP nanoparticles, integrated into
            bioprinting lies in its high printing resolution, enabling   3D-printed polycaprolactone bone scaffolds, improve
            the creation of complex and biomimetic shapes, along   osteoinductive properties.  In addition, we have
                                                                                     65
            with controlled and precise positioning of pores within   demonstrated that GO nanomaterials, particularly
            the cell-loaded hydrogel-based constructs. The porous   their non-reduced form, can improve cell adhesion of
            structure of the constructs, along with the high fluid   mesenchymal stem cells and support vascularization by
            content  in  the  hydrogel  bioinks,  facilitates  the  supply   active binding of vascular endothelial growth factor in
            of nutrients and oxygen. 17–20  The hydrogels applied as   clinically used bone substitute materials. 66
            bioinks need to fulfill a broad spectrum of prerequisites,
            ranging from rheological properties for the printing   In this study, we developed GelMa bioinks that contain
            process up to creating an environment for cell survival,   the nanomaterials CaP and GO  to investigate  their
            proliferation, migration, and highly cell-type-specific   suitability for DLP bioprinting. The impact of the scaffold
            bioactivities. 21–24  Collagen type 1, the major constitutional   design and the different nanomaterials was assessed in
            protein  in  the  bone,  is  rich  in  arginine-glycine-aspartic   direct comparison but has not yet been reported. The study
            acid (RGD) sequences, thus promoting cell adhesion. 25,26    aims to compare the impact of the individual nanomaterials
            After hydrolyzation and methacrylation of collagen,   on the DLP printing process, the mechanical properties of
            the  resulting  derivate  gelatin  methacrylamide  (GelMa)   the constructs, and the cellular viability and osteogenic
            enables ultraviolet (UV)-light-mediated formation of a   differentiation of human mesenchymal stem cells (hMSCs).
            stable hydrogel with tunable mechanical properties, high
            biocompatibility, and biodegradability. 15,27–36  Optimization   2. Methods
            of basic GelMa bioinks, in terms of the methacrylation   2.1. Design of 3D model with a cancellous bone-
            degree and the application of photo-initiators or photo-  inspired structure
            absorbers, is often a fine-tuning process that needs to   A 3D model with a bone-inspired structure was designed
            be  aligned  with  the  printing  technology,  the  parameters   using Shapr3D software (version 5.290). The 3D model
            applied in the printing process, and the desired biomedical   (Figure  1) provides a cylindrical shape featuring a
            goal. 37–41  To fulfill specific biological and mechanical   diameter of 7 mm and a height of 3.64 mm. The implant
            requirements, additional functionalization of GelMa   design includes interconnected pores with a  diameter
            bioinks is often desirable to enhance their potential for   of 500 µm, which are evenly distributed throughout the
            bone tissue bioprinting.
                                                               model (Figure 1). In addition, larger-sized channels with a
               Bioinks used for bone constructs can be modified with   diameter of up to 2500 µm with irregular-shaped structures
            a series of different nanomaterials, including graphene   were integrated into the 3D model, aiming to facilitate the
            oxide (GO) or different variants of calcium phosphate   ingrowth of vascular structures after the implantation.

            Volume 10 Issue 6 (2024)                       472                                doi: 10.36922/ijb.4015
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