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     International Journal of Bioprinting                             Bio-inks for 3D printing cell microenvironment
            extracellular calcium ions and the activation of electrical   each bioprinting technique must be paired with specific
            signals from the nervous system . Its physiological state is   biomaterials, which are known as bio-inks. Some of the
                                     [5]
            also maintained by mechanical stress . The neuromuscular   common combinations are as follows: low-viscosity liquid
                                         [6]
            junction, which allows cell-to-cell interaction, triggers   materials for droplet-based bioprinting, donor substrate
            action potentials in muscle cells; the concentration of   for laser direct-writing , shear-thinning materials for
                                                                                  [13]
            extracellular calcium ions, which determines the excitability   extrusion-based bioprinting , and liquid photocurable
                                                                                      [14]
            of muscle cells, is the chemical microenvironment,   materials  for  stereolithography  and  two-photon
            whereas the tension of tendon stretching muscle cells is   bioprinting . Regardless of the technique, the primary role
                                                                        [15]
            the mechanical microenvironment. The activity of cells   of bio-inks for living cells is the same; that is, as a substitute
            is highly dependent on the microenvironment; hence,   for ECM, thus providing a controllable microenvironment
            cells are prompted to make adaptive changes in face of   for cells. An ideal bio-ink should provide cells with a living
            fluctuations in the microenvironment. This may lead to a   environment comparable to that of the ECM.
            series of physiological changes or even pathological system   Currently, there is no bio-ink that can fully mimic the
            imbalances .                                       ECM, especially in the mechanical microenvironment.
                     [7]
               The mechanical microenvironment has not yet been fully   Given the diversity and potent modification potential of
            explored,  unlike  the  chemical  microenvironment,  which   bio-inks, this goal remains achievable in the future. Bio-inks
            has been extensively investigated. In the past two decades,   have been recognized as vital vehicles for the modulation
            a growing line of evidence has shown that mechanical   of cell mechanical microenvironment in 3D bioprinting.
            microenvironment  plays  a  crucial  role  in  regulating  cell   To date, some well-written review papers on bio-inks have
            behaviors .  Matrix stiffness,  viscoelasticity, topography,   been published with a focus on biofabrication techniques
                   [8]
            and dynamic mechanical stimulation are all included in the   or biological applications [12,16] . However, to the best of
            cell mechanical microenvironment; synergistically, they   our knowledge, there is no comprehensive summary of
            determine the cell fate . For instance, multipotent stromal   the  engineered bio-inks  used  for  3D bioprinting of cell
                             [4]
            cells can differentiate into bone, cartilage, or skeletal muscle   mechanical microenvironment. Herein, we summarize the
            tissue, depending on different matrix stiffnesses . Cells   typical mechanical microenvironment of cells, which was
                                                    [9]
            probe the mechanical microenvironment in various ways,   used as a standard to compare the mechanical properties
            and even if they are not adherent, cells in suspension rely   of existing engineered bio-inks, as well as characterize and
            on mechanical signals. Platelets control the coagulation   propose some methods for ink selection. Following that,
            process by sensing the stiffness of fibrin networks and the   we discuss the limitations of previous studies and suggest
            hydrodynamics  of  blood .  This  subverts the  previous   several future research directions.
                                [10]
            understanding of mechanical signals and widens the
            impact of the mechanical microenvironment on cells.   2. Cell mechanical microenvironments
               Simple mechanical cues have been added into the   In order to simulate the cell microenvironment in vitro,
            culture requisites in tissue engineering for a better harvest.   it is necessary to use the  in vivo state as the standard
            An example is the relocation of tissue engineering labs   and reference. It is also essential to understand the
            from rigid two-dimensional (2D) petri dishes to soft three-  mechanisms by which cells sense their microenvironment.
            dimensional (3D) biomaterials, as the spatially constrained   As  parenchyma,  cells can passively withstand various
            microenvironment and mechanical properties of 3D   external  mechanical  stimuli  and  transmit  mechanical
            biomaterials are closer to those of in vivo tissues . In vitro,   signals to the nucleus through the cell membrane and/
                                                 [11]
            the effects of mechanical signals may be easier to observe   or cytoskeleton to regulate cell behaviors (a process
                                                                                           [17]
            but  may also be  neglected  due  to simplified  conditions.   termed  as  mechanotransduction) .  Besides,  cells  can
            Therefore, it is still a challenge to simulate and regulate cell   also sense the mechanical microenvironment through the
            mechanical microenvironment in a precise manner.   cytoskeleton or by forming mechanical interaction with
                                                               the microenvironment. The cytoskeleton is an intracellular
               3D bioprinting is a promising manufacturing method   reticular organelle that is widely distributed in the cell,
            for precise control of the cell microenvironment .   and it consists of one of its three distinct subunits; i.e.,
                                                        [12]
            Droplet-based bioprinting, laser direct-writing, extrusion-  F-actin, microtubules, and intermediate filaments .
                                                                                                           [18]
            based bioprinting, stereolithography, and two-photon   The  regulation  of  the  cytoskeletal  network  affects  the
            polymerization are the common types of 3D bioprinting.   mechanical properties of cells, which in turn influence
            The 3D bioprinting technology is well developed for the   cell division, differentiation , and motility . The
                                                                                       [19]
                                                                                                      [20]
            fabrication of fine structures, thus enabling researchers to   cytoskeleton itself has a certain mechanical strength and
            construct fine and complex structures. Besides the structure,   maintains the cell shape when the cell is deformed . It
                                                                                                         [21]
            Volume 9 Issue 1 (2023)                        145                     https://doi.org/10.18063/ijb.v9i1.632





