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     Bottom-Up Microvessel Engineering
           A                                         B                                C
                                                                                   D
           Figure 2. The fabrication process of several kinds of modules. (A) Six fabrication methods of cell spheroids modules , including (A1)
                                                                                                 [34]
           suspension cell culture, (A2) hanging drop, (A3) microwell, (A4) microwell array from micropatterned agarose wells (Republished with
           permission from Rivron NC, Vrij EJ, Rouwkema J, et al., Proc Natl Acad Sci, 2012, 109:6886–91. ), and finally, (A5) microchannel
                                                                                    [35]
           forming (Reproduced from ref. 36 with permission from The Royal Society of Chemistry). (B) Fabrication process of fiber module by
           microchannels . (C) Fabrication process of microplates and rings by (C1) photolithography (Republished with permission from Teshima T,
                     [30]
           Onoe H, Kuribayashiashiashias K, et al., Small, © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim ). and (C2) dielectrophoresis
                                                                                        [38]
           (from ref.  licensed under Creative Commons Creative Commons Attribution License). (D) Layer-by-layer fabrication process of cell
                  [39]
           sheets .
               [44]
           years  ago.  Furthermore,  inspired  by  the  ancient  fiber   spinning introduced  in the  above, electrospinning,  wet
           production  methods  and  being  assisted  by the  recent   spinning, biospinning, and melt spinning are all feasible
           microfabrication techniques, researchers have developed   methods  for  fabricating  microfibers . Using these
                                                                                               [37]
           many methods to fabricate cell-embedded fiber modules.   fabrication  methods, encapsulation  of cells, fabrication
           Nearly all these methods follow the same way, which is   efficiency, damages to cells during the fabrication, size
           to make biocompatible  materials  (together  with some   control, and mechanical property of the fabricated fibers
           other materials) pass through narrow channels or pipes,   should be well considered.
           and  finally  fabricate  the  fibers  close  to  the  outlet  by
           solidification. The microfluidic manufacturing method is   3.3. Cell-laden 2D modules
           recognized as an efficient solution, as shown in Figure 2B   Compared  with  the  1D  cell  spheroids  and  fibers
           derived from the paper by Onoe et al. , which depicts an   embedded  cells,  2D modules with designed  geometry
                                          [30]
           advanced fiber manufacturing process. The extracellular   could accelerate the following assembling process. For
           matrix protein with cells in the pre-gel state is covered by   example,  assembling  the  ring-shaped 2D modules  to
           stiff Ca-alginate hydrogel formed by the chemical reaction   microvascular  structures  could  be  more  efficient  than
           between the Na-alginate solution and the CaCl  solution.   assembling the spheroids. Nowadays, photolithography
                                                  2
           Since the alginate in the outer layer forms a shell to avoid   and soft lithography are commonly utilized  in the
           the diffusion of the inner extracellular matrix protein gel,   fabrication  of 2D modules with arbitrary  shapes.
           the cells inside can proliferate and form the cell-embedded   Figure 2C shows the fabrication of cell-laden microplates
           fibers  under  suitable  conditions.  Finally,  the  outer   using photolithography [38,39] . The expected microplate is
           alginate shell is removed with enzymes, and the fibers   composed of the cell-adhesion layer, the core layer, and
           as the building blocks in “bottom-up” tissue engineering   the sacrificial layer. During the manufacturing process,
           can be obtained. In addition to the method of microfluidic   first, the core layer with a metal plate is covered to ensure
           6                           International Journal of Bioprinting (2021)–Volume 7, Issue 3





