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     Ng, et al.
           range of printable materials and rapid fabrication speed,   viability of the printed cells and improves the printing
           the  drop-on-demand  (DOD)  material  jetting  approach   outcome by mitigating droplet splashing. Furthermore, it
           is attractive for contactless deposition and patterning of   is important to limit the printing duration for each printed
           different  types  of  living  cells  and  biomaterials  within   layer within 2 min to prevent excessive droplet evaporation
           each layer to achieve improved cell-cell and cell-matrix   to maintain high cell viability. The cells were printed using
           interactions [30-33] .                              the recommended printing parameters – cell concentration
               Despite the advances in DOD material jetting-based   of 4 million cells/mL within printing duration of 2 min; the
           bioprinting techniques, there is limited understanding of   cells became elongated on day 1 and proliferated well over
           how the viability of the printed cells are affected. Droplet   a period of 7 days to reach almost 90% cell confluency
           impact  of  cell-laden  bio-inks  during  DOD  bioprinting   on day 7. The study has highlighted that controlling the
           process  affects  the  quality  of  the  printing  outcome   droplet impact velocity and droplet evaporation is critical
           (through droplet  splashing) and the cell  viability.   for achieving improved short-term cell viability and long-
           Although  the  droplet  splashing phenomenon  has been   term cell proliferation of printed cells.  The ability to
           studied extensively for more than 140 years , in-depth   maintain high cell viability and proliferation rate of the
                                                [34]
           and high-resolution studies were only conducted in the   printed cells is useful for various bioprinting applications,
           last 2 decades due to the advancement in the high-speed   such as fundamental studies of cell-cell or cell-matrix
           video technology . The outcome of the droplet impact   interactions, and fabrication of in-vitro tissue models.
                         [35]
           can be categorized into 6 different scenarios – deposition,
           prompt splash, corona splash, receding breakup, rebound,   2. Experimental section
           and partial rebound. To date, there are only limited studies   2.1. Cell culture
           that investigated the influence of droplet impact on the
           cell  viability  of the printed cells [36-39] . Several models   Primary human dermal fibroblasts (HDF) were purchased
           have been proposed to simulate the cell viability  post   from CellnTec  Advanced Cell  Systems and used in
           droplet impact, such as the Newtonian model where the   this  study. The  fibroblasts  were  cultured  in  CnT-Prime
           cells and the droplets are assumed as Newtonian , or   Fibroblast Proliferation Medium (CnT-PR-F, 1% serum
                                                     [37]
           a compound droplet model with both the cells and the   medium supplemented with fully defined growth factors
           droplets  modelled  as  viscoelastic  fluids  with  different   and co-factors) at a temperature of 37°C.  The culture
           properties, and the ambient fluid modelled as Newtonian   medium was changed once every 3 days. The cells were
           fluid .  Although these models provide some insights   routinely  passaged  in  tissue  culture  flasks  (passages  3
              [38]
           into how the cell viability might be affected by the fluid   – 5), and the adherent cells were harvested using CnT
           properties of the bio-ink, experimental results have not   Accutase cell detachment  solution (CnT-Accutase 100)
           been collected to verify the accuracy of the models. The   at  90%  confluency.  Different  concentrations  of  cell-
           influence of droplet impact velocity on cell viability is a   laden  bio-inks  were  prepared;  the  detached  fibroblast
           highly-complex phenomenon; an in-depth understanding   cells  were  suspended  in  1×  phosphate-buffered  saline
                                                                                     TM
           of the droplet impact velocity on cell viability would be   (PBS) solution – HyClone , 0.0067 M without calcium
                                                                  2+
                                                                                       2+
           useful for DOD cell printing applications.          (Ca ) and magnesium  (Mg ) to  get  the  desired  cell
               Another  important  consideration  during  DOD   concentration (0 – 5 million cells/mL). The PBS solution
           bioprinting  of  cell-laden  bio-inks  is  the  influence  of   was selected in this experiment for the following reasons:
           droplet evaporation on the viability of the printed cells   (i) it is a biocompatible  medium to deposit cell-laden
           within the encapsulated droplets. This is a critical aspect   droplets for fundamental  studies of cell-cell  and cell-
           of DOD bioprinting that has been overlooked, and there   matrix  interactions (whereby cell  encapsulation  in
           is a poor understanding of how the droplet evaporation   hydrogel matrix may not be desirable); and (ii) various
           influences the printed cell viability over time. The droplet   hydrogels may be printed at low concentrations using the
           evaporation  mechanism  is a highly-complex  process,   inkjet bioprinting approach; hence, the PBS solution was
           which is dependent  on various parameters  such as the   used to serve as a baseline to understand the influence of
           evaporation  mode  of  the  deposited  fluids,  the  physical   different printing conditions on cell viability.
           parameters such as temperature and pressure, the property   2.2. Characterization of bio-inks
           of the  solvent,  and  the  interactions  between  solvent,
           particles, and substrate .                          The  printability  of  the  bio-inks  can  be  evaluated  by
                              [40]
               In this study, we demonstrated using a DOD thermal   determining the dimensionless Z value – the inverse of the
           inkjet  bioprinting  system  that  an  increase  in  the  cell   Ohnesorge number (Oh), which can be defined as the ratio
           concentration resulted in slower droplet impact velocity   between the Reynolds number and the square root of the
           during  jetting  of  sub-nanoliter  cell-laden  droplets.  The   Weber number and is independent of the bio-ink velocity.
           decrease in the droplet impact velocity leads to higher   To investigate the influence of cell concentration on the
                                       International Journal of Bioprinting (2022)–Volume 8, Issue 1        25
     	
