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International Journal of Bioprinting                         3D printing of smart constructs for precise medicine



            Table 2. Responsive biomaterials and bioinks for 3D printing of smart constructs.
             Stimuli   Materials                  Responses           Fabrication methods  Applications
            Temperature  PLA/PCL/SOEA            Shape-morphing      FDM             Muscle tissue engineering [165]
                      Polyurethane               Shape-morphing      Microextrusion  Scaffolds for tissue engineering [166]
                      PLA/hydroxyapatite         Shape-morphing      Microextrusion  Bone tissue repair [167]
                      SOEA                       Shape-morphing      SLA             Muscle tissue engineering [168]
                      SOEA                       Shape-morphing      SLA             Cardiac tissue repair [169]
            pH        mPEG-silane                Programming release kinetics Microextrusion  Protein delivery for bone repair [170]
                      Polyvinylpyrrolidone       Programming release kinetics FDM    Producing delayed release tablets [171]
                      Hydrogel-based dressing    Programming release kinetics Microextrusion  Biosensor for monitoring pH of the
                                                                                     wound [172]
                      Single-walled carbon nanotubes  Changing resistance values  Inkjet printing  Biosensor to measure the change in
                                                                                     pH and fluid content in a wound [144]
            Electricity  Pluronic F127 and aniline   Changing the conductivity  Microextrusion  Muscle, cardiac, and nerve tissue
                      tetramer-grafted-polyethyleneimine                             repair [147]
                      Graphene/Poly (trimethylene Carbonate) Changing the conductivity  Microextrusion   Developing scaffolds for tissue
                                                                                     engineering [173]
            Light     Polyurethane               Shape-morphing      FDM             Soft robotics [174]
                      Poly (lactic-co-glycolic) acid/plasmonic   Programming release kinetics Microextrusion  Programmable Release Capsules [175]
                      gold nanorods
                      Alginate/polydopamine      Shape-morphing      Microextrusion   Artificial tissues and organs [13]
            Magnetic field PLA/Fe O 4            Shape-morphing      Microextrusion  Intravascular stent [176]
                           3
                      Fe O /bioactive glass/PCL  Programming release kinetics Microextrusion  Local anticancer drug delivery [177]
                        3  4
                      PCL/iron-doped hydroxyapatite   Changing cells behaviors  Microextrusion   Bone regeneration [178]
                      Collagen/agarose           Alignment of collagen fibers  Inkjet printing  Cartilage tissue engineering [179]
            Ultrasound  Alginate                 Programming release kinetics Microextrusion  Drug delivery [106]
                      Arginine-glycine-aspartic acid-serine   Changing cells behaviors  SLA  Bone regeneration [180]
                      peptide/nanocrystalline hydroxyapatite
            SOEA: Soybean oil epoxidized acrylate
            hydrogels stimulated by pH-triggered phase separation.   mechanical actuation/stimulation acting on the cells .
                                                                                                           [83]
            The fabricated structure can be tuned independently   Conductive polymers are among the most commonly
            of porosity and stiffness while superior mechanical   used biomaterials to interface with cells . This type of
                                                                                                [83]
            robustness can be included despite high porosity. With   polymer is used as a biomaterial and in tissue engineering
            these features, cell spreading, migration, and proliferation   applications and has several advantages over conventional
            can be improved.                                   conductive materials (e.g., metals).
            3.3. Electrically responsive biomaterials            Conductive polymers are used for mechanical

            Many tissues or organs in our body generate endogenous   stimulation on cells in “organ-on-a-chip” setups. They
            electrical  signals  critical  for  various  mechanisms,   can provoke electrical activity of internal calcium
                                                                                             [84]
            including mitosis, cell signaling, migration, wound   concentration of stimulated cells . The actuation
            healing, and angiogenesis . Therefore, the ability to   properties of conductive polymers in 3D structures
                                  [82]
            respond to electrical cues is essential for enhancing   have also been investigated.  For example, PPy-coated
            the functionality and homeostasis of the native tissues   poly(lactic-co-glycolic acid) (PLGA) fibers experienced
            and organs. In addition, applying exogenous electrical   cyclical shrinking and swelling when an electrical signals
            signals are shown to affect stem cell differentiation   were applied to the tissue structure. It induced directional
            and the maturity of engineered tissues/organs .    contraction and flowed through the pores of the structure
                                                        [82]
            Recently, the use of conductive biomaterials has been   to the seeded cells. The electrical stimulation significantly
            a focus when studying neural interfacing, drug or   downregulated Oct4 and upregulated the cardiomyocyte-
            molecule  release  from  engineered  structures,  and   specific genes  NKX2.5 and  GATA4 with or without


            Volume 9 Issue 1 (2023)                        239                      https://doi.org/10.18063/ijb.v9i1.638
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