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Multifunctional 3D Bioprinting System for Construction of Complex Tissue Structure Scaffolds
           model should be constructed by printing a variety of cells   composed  of  hydrogel  materials  have  low  mechanical
           and  biological  materials,  which  requires  the  ability  to   strength and are not suitable for animal experiments or
           simultaneously  realize  the  integrated  manufacturing  of   long-term culture in vitro; Scaffolds composed of fibrous
           multiple  materials  and  multiple  printing  processes  in  a   materials have poor degradation performance and cannot
           small space. The current bioprinting capabilities rely on   achieve  gradient  degradation.  Composite  scaffolds  of
           the mechanical placement of cells that can produce low-  mixed  ploymer  and  hydrogel  have  no  pre-vascularized
           resolution structures (>1 cm) to very high resolutions of   channels,  making  it  impossible  to  fabricate  bulk  tissue
           20  μm.  However,  even  the  highest  resolution  printing   or  organs.  At  the  same  time,  it  should  be  noted  that
           methods  are  limited  in  their  ability  to  reproduce   insufficient  developing  work  has  been  carried  out  on
           microstructural  anatomy  with  high  fidelity.  To  fully   the  miniaturization  and  easy-to-use  of  3D  bioprinting
           realize the potential of whole-organ bioprinting, macro-  systems  for  wide  adaptability  with  increasing  demand
           to-micro  (bioprinting)  and  nano-to-meso  (biomaterial/  on collaborative printing. The limitations of the current
           cell self-assembly) approaches must work in harmony.  3D  bioprinting  systems  are  their  few  printing  modes,
               The  extrusion-based  3D  bioprinting  strategies   complex modeling and printing procedures, large volume
           were  among  the  earliest  developed  modalities  and  are   and footprints, and single enabling technology results in
           now demonstrably the most widely used for fabricating   less printable materials. The above disadvantages cause
           3D  tissue structures [52-54] .  To  fabricate  the  previously   inconvenience  in  the  operation  processes  and  severely
           described  complex,  multiscale  and  multi-material   hinder  the  availability  of  this  technology  in  resource-
           biomimetic  tissues  and  organs  in  tissue  engineering   limited  or  special  care  setting  points.  Therefore,  there
           and regenerative medicine, it is necessary to provide a   is an urgent need to develop a portable, multifunctional
           multifunctional 3D bioprinting system for construction of   3D bioprinting system for construction of complex tissue
           complex tissue structure scaffolds. There have been some   structure scaffolds for laboratory, hospital, and industrial
           research reports on integrated 3D bioprinting applications,   applications, which can print almost all exist biomaterials
           for  example,  polycaprolactone  (PCL)  and  meniscal   in one platform.
           fibrocartilage chondrocyte-laden GelMA/MECM bioinks     To  achieve  this  goal,  we  present  a  versatile
           which  were  integrated  to  complete  the  biomimetic   bioprinting   system   manufacturing   methodology.
           meniscal scaffold, which had the best biomimetic features   A microextrusion-based modular 3D bioprinting platform
           in terms of morphology and components. This approach   was  developed  with  total  dimensions  of  300  mm  ×
           obviously  improves  both  the  level  and  efficiency  of   300 mm ×300 mm in width, length, and height (including
           biomimetic  meniscal  scaffolds  in  tissue  engineering .   the  motion  system,  nozzle,  additive  manufacturing
                                                        [55]
           Kolesky  et  al.  printed  vascularized,  heterogeneous   platform,  cartridges,  temperature  controller,  and  UV
           cell-laden  tissue  constructs  using  multi-material  of   controller  system).  Mechanical  piston-,  pneumatic-,
           cells,  and  ECM.  This  highly  scalable  platform  allows   and  screw-based  microextrusion  processes  can  be
           one  to  produce  engineered  tissue  structures,  in  which   implemented  on  this  bioprinting  platform.  Different
           vasculature  and  multiple  cell  types  are  programmably   from  the  traditional  design,  the  nozzle  and  the  motion
           placed  in  the  extracellular  matrix ;  Ouyang  et al.   platform  are  physically  separated.  Each  nozzle  can  be
                                          [56]
           presented  a  versatile  bioprinting  methodology  using   individually  controlled,  including  the  extrusion  speed,
           a  single  bioprinting  step  by  combining  two  nozzles  to   cartridge  temperature,  height  in  the  Z  direction,  UV
           fabricate a 3D complex blood vessel network without the   light  intensity,  and  duration.  The  appropriate  nozzle
           need for material casting or cell post-seeding. This dual   can be selected according to one’s needs, the movement
           materials printing approach can also be extended beyond   platform can be connected through the designed quick-
           tissue fabrication and toward customized hydrogel-based   release joint, and the signal transmission can be realized.
           microfluidics  and  self-supported  perfusable  hydrogel   Up to three nozzles can be mounted at the same time as
           constructs ;  Wang  et al.  presented  a  novel  integrated   one  needed.  Modular  assembly  makes  the  replacement
                   [57]
           printing  system  and  fabricated  a  beneficial  multiscale   of  nozzles  more  convenient.  Another  crucial  feature
           hierarchical scaffold which combined with meso-, micro-,   of  the  developed  bioprinting  system  is  the  Bluetooth
           and nano-fiber filaments. The obtained in vitro biological   communication  possibilities,  providing  an  accessible
           results  validate  the  ability  of  multiscale  hierarchical   user interface when using PAD for remote control. This
           scaffolds to enhance cell adhesion and proliferation and   is particularly beneficial for operating the 3D bioprinter
           promote cell alignment with the guidance of the aligned   in the biological safety cabinet. Furthermore, 3D models
           microfibers produced through melt electrospining writing   generated  from  commercial  3D  scanning  software  are
           in hierarchical scaffolds .                         facilitated by the established printing system, promoting
                               [58]
               However,  due  to  the  limitations  of  printing   on-demand applications. The 3D bioprinting system can
           processes and materials in the above reports, the scaffolds   print soft and hard materials, multiscale fiber filaments

           256                         International Journal of Bioprinting (2022)–Volume 8, Issue 4
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