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International Journal of Bioprinting                          3D bioprinting of tissue with carbon nanomaterials



            developed it into a 3D scaffold using extrusion-based   fabricated scaffolds (3D-PPF, 3D-PPF-ssDNA, 3D-PPF-
            3D printing pneumatically for BTE . According to the   CNTs, and 3D-PPF-ssDNA@CNTs) expressed osteogenic
                                         [98]
            in vitro results, the 3D PIC/MWCNTs scaffolds showed   differentiation markers, including alkaline phosphatase,
            excellent  cytocompatibility  with  rat  bone  marrow-  osteocalcin, and osteopontin, in conjunction with ES, as
            derived MSCs (rBMSCs). In addition, the PIC/MWCNTs   compared with the activity of the scaffolds without ES on
            scaffolds facilitated osteogenic differentiation of rBMSCs,   day 14 of culture.
            with increased osteogenesis-related gene upregulation
            and mineralized  matrix formation  compared  to PIC   3.1.2. Other CFNs in biomaterial ink
            scaffolds. A rat calvarial defect model was used to   Apart from graphene and CNTs, other CFNs have also
            investigate the bone tissue regeneration potential of the   been explored for 3D printing formulations. Serafin et
            prepared scaffolds (PIC and PIC/MWCNTs)  in vivo.   al. reinforced an alginate/gelatin (Alg–Gel) hydrogel
            Micro-computer tomography analysis revealed that   with commercially available carbon nanofibers (CNFs;
            bone regeneration occurred between 2 and 8 weeks   100 nm in diameter and 20–200 µm in length) for
            after implantation in both scaffolds. However, the PIC/  applications in cardiac or neuronal TE [102] . The tissue
            MWCNTs exceeded the PIC in terms of bone mineral   construct fabricated by EBB contained two layers (2 mm
            density  and  bone  volume/total  volume  ratio.  Lee  et al.   per layer) with a height of 4 mm and a width of 9 mm. It
            investigated the proliferative capacity and differential   was crosslinked in 200 mM CaCl  solution over 24 hours.
                                                                                          2
            potential of neural stem cells (NSCs) after seeding   The researchers investigated the mechanical properties,
            on   amine-functionalized  MWCNTs-incorporated     shear-thinning behavior, and electrical conductivity
            3D-printed scaffolds of PEG diacrylate (PEGDA) .   of the printable Alg–Gel scaffolds by using different
                                                        [99]
            A stereolithography-based 3D PBB bioprinter was    concentrations of CNFs (0.5%, 1%, 2%, and 5% [w/v]).
            employed to fabricate  neural scaffolds with intricate   Incorporating CNFs into the Alg–Gel system increases
            microarchitectures and a tunable porous structure. When   the viscosity of the scaffold, thus allowing for improved
            the scaffolds were subjected to biphasic pulse stimulation   ink extrusion. While optimizing the printability of the
            with a 500 µA current, they significantly stimulated   gels, all the scaffolds, except for Alg–Gel–CNFs-5, were
            NSC  proliferation,  early  neuronal  differentiation,  and   printed successfully. Although the  shape  of Alg–Gel–
            neuronal maturity. The research concluded that an   CNFs-5 scaffold was not affected, there were multiple
            electroconductive MWCNTs-based scaffold combined   breakages in the printed lines. The biocompatibility
            with electrical stimulation (ES) synergistically enhanced   study using NIH-3T3 cells demonstrated that the
            neurite outgrowth in nerve tissue regeneration.    proliferation of the cells at 96 hours was higher for the
                                                               Alg–Gel–CNFs-0 group (110.43 ± 56.5%), followed by
               Li et al. fabricated cylindrical large-sized blood vessels
            using a hybrid bioink containing gelatin, sodium alginate,   Alg–Gel–CNFs-0.5 (82.83 ± 23.9%).
            and CNTs through a combination of perpendicular       Skeletal muscle contains highly oriented and densely
            directional extrusion of the printing nozzle (EBB type)   packed myofibrils that are mechanically and electrically
            and axial rotary motion of the stepper motor module [100] .   active [114] . When injury occurs, the tissue’s self-regeneration
            Murine epidermal fibroblasts harvested from the skins   capacity may be limited in the case of volumetric loss.
            of BALB/c rats were inoculated into the inner wall   Although conventional therapeutic approaches have been
            (3 mm) and outer wall (0.5 mm) of a hollow tubular   developed to enhance the capacity, 3D bioprinting has
            scaffold to imitate  the vascular  construct. The  in vitro   been  found  to be  effective in  recapitulating  the  native
            study demonstrated that the doping of CNTs to the   microenvironment of tissues with a parallel-aligned
            scaffold reinforced its mechanical strength and electrical   structure that induces biophysical signals. In a study, Bilge
            conductivity, but the scaffold exhibited poor cell affinity.   et al. synthesized carbonaceous materials derived from
            Liu et al. prepared water-dispersible negatively charged   algae-based biomass via hydrothermal carbonization
            single-stranded deoxyribonucleic acid-stabilized CNTs   and blended them (2% w/v) within a polycaprolactone
            nanocomplex   (ssDNA@CNTs)    and   incorporated   (PCL) matrix in dichloromethane (70% w/v). They then
            them into a 3D-printed scaffold composed of amine-  developed  3D-printed  scaffolds  with  dimensions  of
            functionalized PPF for bone tissue regeneration [101] .   15 mm × 5 mm × 0.5 mm using an EBB printer for skeletal
            The VIPER si2 Stereolithography System based on PBB   muscle TE [103] . Murine C2C12 myoblasts were incubated
            equipped with a 365 nm UV laser was used to print the   on the electroactive scaffolds and electrically stimulated
            scaffold. The homogenous dispersion of the nanocomplex   during the culture period. The electroactive scaffold
            in the scaffold enhanced cell adhesion and proliferation   groups promoted enhanced myotube formation following
            as well as modulated cell behavior under ES. The various   electrical stimulation compared with their non-conductive


            Volume 9 Issue 1 (2023)                        191                      https://doi.org/10.18063/ijb.v9i1.635
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