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International Journal of Bioprinting                               Internally-crosslinked ADA/Alg/Gel bioinks




            closest G′ (2300 ± 65 Pa) to that of Algysil-LVR,  the Alg-  3.3. ADA/Alg/Gel hydrogels
                                                  59
            based hydrogel currently investigated in cardiac clinical   We then investigated the possibility of introducing Gel
            trials. Moreover, ADA/Alg_50/50_C6 exhibited an average   into the optimized ADA/Alg composition to improve
            E (derived from Equation III) of 6.8 ± 0.2 kPa (Figure 2B;   cell adhesion. ADA/Alg/Gel hydrogels with constant 50%
            Table S2, Supporting Information), which is within the   ADA composition were optimized by varying the Alg:Gel
            range of embryonic cardiac tissue stiffness (≈1–6  kPa)    relative weight ratios from 50:0 to 25:25, while maintaining
                                                         60
            and close to that of adult tissue (≈10–30 kPa). 61  their overall amount at 50% (Table 2).
               The influence of GDL on ADA/Alg_50/50_C6
            composition was then investigated. GDL hydrolysis into     3.3.1. Rheological characterization
            gluconic acid leads to the release of protons, which in turn   The ADA/Alg/Gel hydrogels were characterized for their
            induces the gradual release of calcium ions from CaCO 3   rheological properties by evaluating the G′ and G″ values
                   62
            particles.  Therefore, GDL content in the matrix needs to be   as a function of time (time sweep), strain (strain sweep),
            tailored to trigger the release of calcium ions from CaCO .   and frequency (frequency sweep) at 37°C.
                                                         3
            However, the decrease in pH should not have a detrimental   Time sweep analysis showed that the introduction of
            effect on cell viability  and should be maintained within   Gel caused a faster gelation: the gel point, evaluated as the
                             63
            physiological values. Hydrogels with five different   crossover of G′ and G″ curves versus time, could not be
            concentrations of GDL (1, 1.5, 2, 2.5, and 5% [w/v])) were   detected (data not shown) as the materials were already in
            characterized for their rheological properties. Time sweep   a gel state (G′ higher than G″).
            analysis was performed to evaluate the influence of GDL on
            crosslinking kinetics. As presented in Figure 3E and Table   Frequency sweep tests were performed within the LVE
            S1, Supporting Information, an increase in GDL content   range of each hydrogel to evaluate the influence of Gel on
            caused a reduction in crosslinking time (defined as the   the viscoelastic behavior of the hydrogels. As displayed in
            time in which G′ = G″). 18,27,62  Frequency sweep tests were   Figure 4A, all hydrogels expressed a G′ higher than G″,
            performed in the LVE region, and the results are reported   demonstrating viscoelastic solid-like properties.  Samples
            in Figure 3A and Table S3, Supporting Information. Elastic   with the lowest Gel contents (ADA/Alg/Gel_50/47.5/2.5
            modulus values for all the samples were derived from   and ADA/Alg/Gel_50/45/5) exhibited an average G′ (1300
            the rheological data and reported in Figure 3B and Table   ± 190 Pa and 1170 ± 115 Pa at 1 rad/s, respectively) similar
            S3, Supporting Information. Samples with reduced GDL   to that of ADA/Alg/Gel_50/50/0, with no statistically
            concentration (1 and 1.5% [w/v]) expressed a significant   significant differences. In contrast, hydrogel samples with
            G′ (and consequently E) decrease compared to the sample   a Gel content higher than 10% (ADA/Alg/Gel_50/40/10,
            with the highest GDL amount (5% [w/v]) (p < 0.0021 and   ADA/Alg/Gel_50/35/15, ADA/Alg/Gel_50/30/20, and
            p < 0.0001 for GDL1 and GDL1.5, respectively).     ADA/Alg/Gel_50/25/25) expressed a G′ significantly lower
                                                               than ADA/Alg/Gel_50/50/, with ADA/Alg/Gel_50/25/25
               The pH of eluates from hydrogels with increasing GDL   reaching the lowest G′ value of 650 ± 55 Pa (p < 0.0001,
            content was measured over time (i.e., after 1, 5, 7, 14, and   when compared to ADA/Alg/Gel_50/50/0). Based on G′
            21 days). The pH variation is reported in Figure 3C and D.   from the frequency sweep analysis, the E of ADA/Alg/Gel
            The composition with the highest GDL concentrations (i.e.,   samples was calculated to range between 2.0 ± 0.2 and 3.9
            5, 2.5, and 2% [w/v]) exhibited a rapid pH decrease after   ± 0.6 kPa (Figure 4B; Table S4, Supporting Information).
            one day of incubation (6.1 ± 0.2, 6.2 ± 0.1, and 6.56 ± 0.03,   Such values are still within the range of embryonic cardiac
            respectively), and physiological values of pH (i.e., 7.4) were   tissue (≈1–6 kPa). 60
            achieved only after seven days. In contrast, compositions
            with a lower content of GDL (1.5 and 1% [w/v]) displayed   In previous literature, injectable hydrogels and
            a smaller decrease in pH after one day (6.78 ± 0.04 and   3D-printed constructs based on Gel and Alg hydrogels
            6.8 ± 0.02, respectively; p < 0.0001). Additionally, the pH   have been obtained by an external crosslinking method. 64-69
            of the supernatant for these compositions returned to   Alg/Gel hydrogels have been commonly described as
            physiological levels within five days of incubation.  interpenetrated (IPN) or semi-interpenetrated (semi-
            Based on the rheological properties and pH variation   IPN) hydrogel networks, depending on the involved
            study, hydrogel composition with 3% (w/v) Alg, 3% (w/v)   crosslinking mechanism. Semi-IPN hydrogels have been
            ADA, 6% (w/v) CaCO , and 1.5% (w/v) GDL was selected   generally obtained by ionic crosslinking of Alg chains
                              3
            as optimal. This formulation displayed an average G′ of 1.5   through calcium ions from CaCl dissociation, with Gel
                                                                                          2
            kPa (corresponding to an E of 4.5 kPa), suitable for cardiac   physically entrapped in the Alg crosslinked network. 70-72
            TE applications while maintaining the pH close to in vitro   IPN hydrogels have also been obtained by combining
            physiological values.                              ionic crosslinking of Alg, with additional Gel crosslinking


            Volume 10 Issue 6 (2024)                       553                                doi: 10.36922/ijb.4014
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