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Multifunctional 3D Bioprinting System for Construction of Complex Tissue Structure Scaffolds
           GelMA, and 1% [w/t] alginate in outer) of the coaxial   extrusion (Figure 7K) materials can print micron-scale
           nozzle  of  the  printing  system.  When  the  temperature   diameter filaments with good orientation. The diameter
           of  the  nozzle  reached  20°C,  the  predesigned  computer   of  the  filaments  is  approximately  5  μm  (Figure  7K).
           3D  structure  was  printed  (the  nozzle  movement  speed   During  the  printing  process,  the  distance  between  the
           was 5 mm/s, the ejection speed was 0.4 mm /s for the   needle and the collector was approximately 3.5 mm, and
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           inner nozzle, and 3.6 mm /s for the outer nozzle). Then,   the applied voltage was approximately 3 kV. The moving
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           365 nm blue light was used with the nozzle to irradiate   speed of the nozzle is 40 mm/s. It is worth mentioning
           at 5 mW/cm  for 30 s of curing or 3% CaCl  soaking for   that air humidity and temperature affect the electric field
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           3 min to cure. Figure 7H shows the printing capability   strength required to generate stable filaments, as well as
           of the cell 3D printing system developed in this paper in   the distance between the needle and the collector.
           coaxial printing applications. From the results, it can be
           seen that the shape is coherent, the internal and external   3.6. Bioprinting afloat in suspension baths
           structures are clear, and the mechanical strength supports   Suspension  printing  (floating  printing)  is  a  3D  printing
           perfusion.  The  connectivity  of  the  printed  tubular   method  that  has  recently  emerged  and  does  not  require  a
           structure shows that the tubular structure printed with the   traditional support structure . Instead of depositing material
                                                                                    [65]
           coaxial nozzle has good connectivity. At the same time,   on a flat surface in the air, it places the printed material in a
           using 10% (w/t) GelMA and 1% alginic acid bioink to   suspension tank that prevents the material from settling and
           print BMSC cells, a good tubular structure was formed,   collapsing (Figure  4N). We verified the feasibility of the
           and the survival rate of printed cells was more than 90%.
                                                               multifunctional modular 3D bioprinting system developed in
           3.5. Electrohydrodynamic spinning                   this paper in suspension printing. Steps of printing structure in
                                                               the suspension glue are as follows: first, load the configured
           Due to the flexible design of the mounting position of the   GelMA  bioink  on  the  print  head  of  the  printing  system.
           printing nozzle, the maximum distance between the nozzle   When the temperature of the nozzle is 20°C, the syringe is
           and  the  printing  platform  can  reach  more  than  10  cm.   installed with a 1-inch length needle (25G) and penetrates
           Therefore,  the  system  can  be  applied  to  medium  field   into the suspension glue. Second, print out the predesigned
           electrospinning  (distance  approximately  1  ~  10  cm)  and   computer 3D structure (the movement speed of the nozzle is
           near-field  melt  electrospinning  (distance  approximately  i   5 mm/s, and the ejection speed is 0.8 mm /s). Finally, 365 nm
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           1 cm). During SE, the PCL solution is loaded into a syringe   blue light that comes with the nozzle was used to irradiate
           driven by a motor-driven piston, and the solution is then   the printed 3D structure for 30 s at 5 mW/cm . After the 3D
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           extruded from the needle tip of the 21G syringe at a constant   structure sample was printed, it was removed with tweezers
           rate.  Taylor  cones  can  be  formed  after  applying  a  high-  and then immediately washed with water or sodium chloride.
           voltage electric field (5 – 15 kV) between the needle and   In  the  suspension  printing  process,  a  series  of
           the collector, which, in turn, generates disordered nanofiber   complex  structures  are  printed,  such  as  vascular  branch
           filaments on the platform (Figure 7I[i]). Nanofiber filaments   structures (Figure 7L[i]), octopus models (Figure 7L[ii]),
           are approximately 500 nm in diameter (Figure 7I[ii]). When   hollow  polyhedral  structure  outlines  (Figure  7L[iii]),
           the nozzle is installed obliquely on the motion system and   liver contour stents (Figure 7L[iv]), heart contour stents
           a double thin disk collector is placed at a relatively long   (Figure 7L[v]), unilateral structures of vascular axis sections
           distance (>10 cm), the application of an electric field can   (Figure 7L[vi]), and salivary glands (Figure 7L[vii]). The
           generate oriented nanofiber filaments (Figure 7I[iii]).  above results fully demonstrate the ability of the cell 3D
               It is ground-breaking to increase the controllability   printing system developed in this paper to print complex
           of  a  single  fiber  by  reducing  the  needle-to-collector   structures in suspension glue. It can be seen from the results
           distance from more than 10 cm to less than 1 cm. It is   that the forming is good, and various complex structures
           possible to control and operate a single electrospinning   and  even  nested  structures  can  be  formed  to  meet  the
           fiber, including the position, shape, and morphology of a   requirements  of  use.  Furthermore,  HepG2  cells  (bioink,
           single electrospinning fiber . Near-field electrospinning   10% [w/t] GelMA) were printed in suspension glue to build
                                  [64]
           printing is suitable for melt printing but not for solution   grid stents, and the cell survival rate was tested. The results
           printing.  Therefore,  we  first  used  a  motor-driven   showed that the cell survival rate after printing exceeded
           metal  push  rod  to  extrude  the  material  for  testing  and   80%, which met the requirements for further use.
           conducted  a  printing  experimental  study  on  the  near-
           field electrospinning process, in which the high-pressure   4. Coupling results of using multiprinting
           gas directly drives the material extrusion. During near-  technology
           field  melt  electrospinning,  the  supplied  gas  pressure  is
           approximately  10  kPa.  The  experimental  results  show   Next, in the developed multifunctional modular bioprinting
           that  both  motor-driven  (Figure  7J)  and  pneumatic   system, four synergistic printing processes were explored,

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