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



            counterparts, suggesting that electrical cues have major   area than its non-printed counterpart containing the
            roles in the differentiation of myoblasts.         same amount of GelMA/GO. They demonstrated that by
                                                               adding a small amount of GO (<0.07% volume fraction)
            3.2. CFNs-containing bioink                        to  the gel, the  impedance  significantly  decreased  by  35-
            Huang et al. developed a graphene-based nanocomposite   fold, while the mechanical property increased by 2-fold
            hydrogel for neural TE by mixing water-dispersible   compared with GelMA alone. In addition, GO increased
            graphene (Pluronic stabilized, G-P) and GO with    the rheological properties of the GelMA composite,
            polyurethane (PU) [104] . NSCs-embedded gel was extruded   improving the printability, shape fidelity, and integrity of
            using a commercial EBB bioprinter, and the constructs were   the 3D-printed construct. The PC-12 pheochromocytoma
            then added to the cell culture medium while maintaining   cells incorporated with GelMA/GO-printed gel of 0.40
            it at 37°C. The addition of graphene nanomaterials (25   and 1.40 mg/mL GO concentrations demonstrated higher
            ppm) to NSCs (4  × 10  cells/mL)-embedded composite   metabolic activity compared to GelMA and GelMA/
                               6
            (PU/G-P 25 ppm or PU/GO 25 ppm) significantly      GO with GO concentration of 0.02 mg/mL 7 days post-
            increased adenosine triphosphate production and oxygen   treatment. These research findings have supported
            metabolism in cells by approximately two- to fourfold   the use of 3D-printed GelMA/GO composite gels in
            compared to PU hydrogel after 24 hours of culture.   electrically directed cell behavior in various types of tissue
            The NSCs-treated PU/G-P 25  ppm scaffold showed an   regeneration [107] .
            increased gene expression of the glial fibrillary acidic
            protein and β-tubulin after 3 days of culture by factors of 5.5   For biofabrication of cell-supportive cardiac patches,
            and 1.5, respectively, as compared to those of PU and PU/  the scaffold must be mechanically elastic, robust, electrically
            GO 25 ppm scaffolds. The synthesized hydrogel composite   conductive, and biologically active. Cardiac patches should
            system containing thermoresponsive PU and graphene   imitate  the myocardial  extracellular matrix with  the
            met both, the mechanical requirements of bioprinted   capacity for rapid integration with the native tissues [115] .
            scaffolds and the biological requirements for stimulating   Izadifar et al. developed a nanoreinforced methacrylated
            the differentiation of NSCs. Ajiteru  et al. formulated a   collagen–CNT  hybrid cardiac patch laden  with  human
            bioink using glycidyl methacrylated silk fibroin (SB) with   coronary artery endothelial cells (HCAECs) with excellent
            covalently reduced GO and fabricated a tissue construct   mechanical, electrical, and cellular responses [108] . Compared
            (SGOB) using a customized digital light processing printer   to the CNT-free hybrid constructs, the UV-integrated
            (PBB  type).  The  fabricated scaffold  exhibited enhanced   (365 nm, 45 seconds) EBB-printed hybrid constructs
            electroconductive, mechanical, and neurogenic properties,   have demonstrated much higher electrical conductivity
            as compared to SB alone, and the photocurable bioink   in the frequency range (approximately 5 Hz) associated
            containing Neuro2a neuroblastoma (1 × 10  cells/mL)   with the physiological state. The CNTs in HCAECs
                                                 7
            enhanced cell viability and proliferation, thus proving its   promoted enhanced cellular behaviors, such as migration,
            suitability as a biocomposite for neural TE [105] .  proliferation, and lumen-like formation, 10 days post-
                                                               incubation. “Electron hopping” or “tunneling” is known to
               Additionally, we have fabricated a 3D-printable bioink   govern the electrical conductivity of CNTs by affording a
            that is combined with phenol-rich gelatin (GHPA),   continuous electron path along the CNT interconnects [116] .
            GO, and C2C12 myoblasts via a dual enzyme-mediated   Janarthanan  et al. developed an ABT bioink with the
            crosslinking  reaction  (glucose  oxidase  and  horseradish   incorporation of various concentrations (0.098 g, 0.244 g,
            peroxidase) for skeletal muscle TE [106] . The 3D-printed   and 0.325 g) of CNTs and 0.02 × 10  cells/mL of MC3T3
                                                                                            6
            construct obtained via EBB retained its shape fidelity   osteoblasts or NIH3T3 fibroblasts. The EBB-printed disk-
            immediately after printing. As demonstrated in the live/  shaped scaffolds exhibited cell biocompatibility for up to
            dead assay, the printing process did not affect the loaded   21 days of the investigation .
                                                                                    [97]
            C2C12 myoblasts because most cells exhibited green
            fluorescence. The hydrogel (GO/GHPA) conferred a   4. Conclusion and perspectives
            suitable cellular microenvironment that facilitated the
            myogenic differentiation of myoblasts. The cells spread   The  primary  purpose  of  fabricating  3D-bioprinted
            their filopodia to adhere to the hydrogel structures on days   constructs is to aid in TE and tissue regeneration. Although
            3 and 5 and formed a mesh-like morphology on day 7, thus   3D bioprinting techniques demand advanced and costly
            denoting cell proliferation (Figure 5).            infrastructures, including software, robust computer
                                                               workrooms, and  cell culture  laboratory facilities, these
               Mendes  et al. formed a 3D-printed structure of   techniques allow us to fabricate scaffolds with complex
            photo-crosslinkable soft hybrid GelMA/GO using EBB.   biological arrangements with greater shape fidelity and
            The printed structure has a greater electroactive surface   patient-specific designs within a short duration. In this


            Volume 9 Issue 1 (2023)                        192                      https://doi.org/10.18063/ijb.v9i1.635
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