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Fabrication of Layered Gradient Brain-like Tissue by 3D Bioprinting
           maintain good molding accuracy after gelation. Then,   smaller internal pores size of the structure. Therefore, this
           the samples were stained to characterize the alive and   highlights that the change of pore size as mentioned in this
           dead cells, and it was found that there were many dead   paper is caused by the change of collagen concentration.
           cells after 1 day of printing. Of note, the survival rate   Based  on  the  properties  of  collagen  forming  at
           of the cells in the printed structure in our research was   high temperature and that  of gelatin  forming  at  low
           maintained at 94.5%.  Vijayavenkataraman  et al.    temperature,  a set of ink mixing  schemes has been
                                                        [48]
           developed a biodegradable conductive hydrogel to    developed to minimize  the loss  of the bio-inks during
           provide a conductive environment for the proliferation   the mixing process as much as possible.  This paper
           and  differentiation  of  neurons.  However,  nerve  cells   also  focuses  on  the  effect  of  the  printing  performance
           have extremely demanding requirements for the growth   of the bio-inks by adjusting the printing parameters. By
           environment.  The printing system constructed in this   designing the orthogonal experiment, we found that the
           study cannot adjust the temperature and humidity in   diameter of the needle had the most significant influence
           the printing environment during the printing process,   on the line width of the printed structure, and the moving
           thereby providing a sterile environment that is more   speed  has  the  second  most  significant  impact.  These
           suitable for the growth of nerve cell. In our research, we   findings can provide some guidance in the selection and
           constructed a cell printing/culturing integrated operating   optimization of the printing parameters in the future.
           system that can provide a suitable environment for      In this study, we have further studied and optimized
           cell growth during the printing process. Moreover, the   the printing process. In the preliminary  study, we
           overall modulus of the printed tissue constructed in our   determined that the pre-treatment time of the bio-inks at
           study is 3.7 ± 0.8 kPa, while the neurons prefer a softer   low  temperature  was  a  key  parameter  that  affected  the
           substrate [49] .                                    printing performance of bio-inks. When the pre-treatment
               In view of the low elastic  modulus and layered   time was 3 min or 6 min, the extrusion form of the bio-
           structure of the natural cerebral cortex, this paper proposed   ink was spherical, and the printed grid structure appeared
           a method for manufacturing the layered structure with a   to  adhere  to  each  other.  These  phenomena  indicated
           gradient distribution of pore size. The density and position   that the bio-ink tended to be at liquid state, which was
           of cells in the printed structure can be precisely controlled   mainly related to the characteristics of gelatin forming at
           by extrusion 3D printing technology. By controlling the   low temperature. Thus, if the pre-treatment time was too
           different  nozzles  which  contain  different  bio-inks  to   short, the formation of gelatin would become incomplete,
           print the structure in turn, the layered structure can be   manifested  by the collapse  and adherence  of printed
           manufactured. By changing the concentration of collagen   structures.  When the  processing time  was 12  min,  the
           in the bio-ink, it is possible to achieve the gradient change   bio-ink had a rough surface morphology, indicating that
           of pore size in the printed  structure.  As the collagen   the gelatin  has been basically  formed at this time  and
           concentration increased from 0.5 mg/ml to 1.5 mg/ml, the   can be printed. However, at this time, the surface of the
           pore size of the printed structure also showed a significant   printed structure was too rough due to the over-molding.
           increase, thereby realizing the goal of manufacturing a   Based on these observations, we determined 9 min as the
           layered structure with gradient pore sizes that mimic the   appropriate pre-treatment time at 4℃.
           cortex in vitro. At the same time, by changing the printing   The  main  purpose of the  post-processing  in this
           path, more complex tissue models can be printed in vitro.  study was to reduce  the compression modulus of the
               At present, more and more studies have shown that   printed structure and obtain a smaller  aperture range
           changing the concentration of one or several biomaterials   (30 – 150 μm). The higher the concentration of Ca , the
                                                                                                         2+
           in the mixed bio-inks can change the internal pore size of   greater the osmotic pressure between the printed tissue
           the printed tissue so as to manufacture the gradient porous   and the post-processed solution.  The main reason of
           structure with heterogeneity. For example,  Xu  et al.    this  phenomenon  was that  the  increased  concentration
                                                         [31]
           obtained  smaller  internal  pore size by increasing  the   of Ca would cause the printed tissue to be more fully
                                                                   2+
           concentration of GelMA in hybrid bio-inks. Ng et al.    cross-linked.  Therefore,  as the  concentration  of Ca 2+
                                                         [14]
           based on the principle  of macroporous crowding and   increased,  the compressive modulus of the printed
           adopted  the  drop-on-demand  technology  to print  the   structure increased,  and the pore size decreased.  The
           samples, their experimental results have indicated that the   total compression modulus of 3D brain-like nerve tissue
           layered structures could be achieved by controlling the   printed by Gu et al.  was about 7.5 kPa, while that of the
                                                                               [45]
           number of microporous-based bio-ink drops printed on   printed structure reported in this paper was about 3.7 kPa.
           each printed collagen layer. In this study, all parameters   The total compression modulus of the printed structure
           remained unchanged, with the exception of the collagen   in our study was reduced by half compared to the results
           concentration  in the mixed bio-ink. Fischer  proved   of Gu et al. , which was closer to that of natural brain
                                                  [50]
                                                                         [45]
           that a higher concentration  of collagen  can lead to a   tissue.
           82                          International Journal of Bioprinting (2021)–Volume 7, Issue 3
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