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International Journal of Bioprinting                         Cellulose-based bio-inks for bone and cartilage TE



            MC3T3-E1 cells using 3D printing and implanted it into   unexpected interactions between the components in
            the skull defect of a Sprague-Dawley rat . MA-treated   the final 3D product , which makes them a promising
                                                                                [56]
                                              [49]
            scaffolds exhibited excellent mechanical properties and   option for personalized medicine. Moreover, cellulose
            maintained MC3T3-E1 cell function. Kondo et al. invented   derivatives are widely used in 3D printing TE because of
            a new technique for the decomposition of biomaterials   their low toxicity, biodegradability, and biocompatibility
            into nanofibers using aqueous counter collision (ACC) .    (Table 3).
                                                        [50]
            ACC can effectively decompose BNC without chemical
            additives. Apelgren et al. used ACC to prepare a bacterial   3.1. Methylcellulose
            cellulose bio-ink containing hNCs, then used 3D    3.1.1. Physicochemical properties and
            bioprinting to prepare a bioprinted grid (5 × 5 × 1 mm ),   preparation of methylcellulose
                                                         3
            which was inserted into nude mice . The skin graft   Methylcellulose (MC) occupies an extremely important
                                           [51]
            was sutured to the scaffold to assess its biocompatibility.   position among all cellulose derivatives. It is usually
            ACC-BNC bio-ink has high fidelity and viscosity than   used as an additive in food and drugs because of its high
                                                                            [57]
            hydrolyzed BNC and has been used to print complex   biocompatibility . MC is an ether cellulose derivative
            structures, such as biological auricles. Cartilage formation   generated via the partial substitution of the three
            was  observed  in  the  biological network  scaffold, as  well   reactive hydroxyl groups of AGU (at C2, C3, and C6) in
            as in the GAG deposition. After transplantation, the skin   cellulose with methoxy groups. Unlike cellulose, which
            grafts revealed no adverse consequences, such as necrosis   is insoluble in water, MC hydrogels have controlled
            or inflammation, while the proliferation of chondrocytes   solubility, which allows them to be widely employed in
            was observed. This novel BNC bio-ink can also retain high   TE and regenerative medicine. The link between the
            biocompatibility in animal studies, paving the way for its   structural domains generated by the hydrophilic hydroxyl
            clinical use.                                      groups and hydrophobic methoxy groups provides the
                                                               foundation for the controllable solubility of MC. At low
               Owing to its excellent mechanical properties and high   temperatures, the hydrophobic methoxy groups in MC
            fidelity, BNC is often used in addition to other bio-inks to   interfere with the formation of hydrogen bonds between
            modulate their properties. Huang et al. applied BNC to a silk   hydroxyl groups, allowing water molecules to enter the
            fibroin (SF)/gelatin composite hydrogel scaffold to improve   polysaccharide structure and electrostatically bind to the
            its mechanical properties and print resolution . The   polar side chains, and subsequently forming hydrated
                                                    [52]
            scaffolds were also made macroporous and microporous   layers around the methyl group (–OCH3) to reach a sol
            via 3D printing and freeze-drying, respectively. The   state . When the temperature increases, the MC aqueous
                                                                  [58]
            interconnected macropores and micropores promote   solution absorbs heat energy and the hydrogen bonds
            cell adhesion, proliferation, and differentiation, as well   break down, resulting in intramolecular hydrophobic
            as cartilage regeneration and  cartilage-related gene   associations between MC molecules and the destruction of
            expression . The authors discovered that when the   the hydrated layer. This is the basis for its use as a thermally
                    [53]
            BNC concentration was increased, the scaffold displayed   reversible hydrogel . Thermally reversible injectable MC
                                                                              [59]
            improved pore connectivity, cell content, and cell   hydrogels have been investigated for bone defect repair,
            survival. Moreover, the authors demonstrated that the   using temperature changes to induce gelation, allowing
            BCN-0.70 wt% bio-ink had the best print resolution and   the encapsulated cells to maintain their viability and
            used it for the 3D printing of human meniscus models.   stimulate osteogenesis . The  temperature at  which the
                                                                                 [60]
            Furthermore, the scaffold had a stable structure, and the   transition from sol to gel occurs for MC is defined as the
            BCN-0.70 wt% scaffold showed considerably reduced mass   lower critical solution temperature (LCST) . LCST of MC
                                                                                                 [61]
            loss 1 month after subcutaneous implantation in nude   hydrogels is particularly important because cell activity is
            mice compared to the control group.                highly temperature-dependent. The LCST of MC depends
                                                               on a variety of variables, including concentration, degree
            3. Cellulose derivatives for 3D printing           of substitution (DS), molecular weight, sugar alcohols and
            The reaction of cellulose with chemical reagents can lead   anions. At the same time, the high viscosity of MC-based
            to different cellulose derivatives, the most common being   inks indicates good printability. It is generally accepted
            cellulose  ethers   and  cellulose  esters .  The  hydroxyl   that 10% MC is suitable for printing, and the viscosity of
                         [54]
                                            [55]
                                                                                                         [62]
            group of cellulose is replaced with methyl, carboxymethyl,   MC is related to its concentration and temperature . In
            and acetate groups to produce cellulose derivatives.   addition, the viscosity of MC is susceptible to sterilization
            Cellulose derivatives have different properties because   methods; γ-irradiation significantly reduces the viscosity
            of their substitution by different groups. Some properties   and stability . Owing to its properties, MC is widely used
                                                                         [63]
            of the original component can be retained and result in   as a bio-ink for 3D bioprinting. It can be added to other
            Volume 9 Issue 1 (2023)olume 9 Issue 1 (2023)
            V                                              219                      https://doi.org/10.18063/ijb.v9i1.637
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