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


            electrical stimulation. These results could influence stem   widely used for designing light-responsive structures
            cell differentiation and functionalities.          that regulate the extracellular environment . The use
                                                                                                   [97]
              Electrically responsive biomaterials have recently   of  light-responsive  graphene-based  materials  has  also
                                                                           [98]
            been shown to be capable of drug release with electrical   been reported . A  polydopamine-functionalized GO
            signals triggering rapid, localized, responsive, and   nanosheet (GO-PDA) was used to fabricate the micro
            controllable drug release . This facilitates localized burst   pattern. The GO-PDA structure transformed to form a box
                                [85]
            release, which is appropriate for long-term implants.   after 2.6  seconds of near-infrared (NIR) light exposure.
            Several growth factors and drugs are accommodated into   A  microbot and an artificial hand were also assembled.
            conductive polymers for controlled release, including   The artificial hand could fold and grasp an object when
            dopamine , naproxen , heparin , nerve growth factor   stimulated by NIR light, whereas the microbot moved
                              [87]
                                       [88]
                    [86]
            (NGF) , and dexamethasone . Specifically, drug release   forward upon the NIR stimulation and showed precise
                                    [90]
                 [89]
            can be controlled stepwise, and payload volume can be   remote control.
            controlled through electrical stimulation by modifying the   In  addition  to  mechanical  changes,  light-responsive
            electric potential used. Although controlled drug release   biomaterial inks can control the patterning of biochemical
            for cell manipulation within 3D structures has not been   signals and define signaling areas that affect cell behavior or
            widely studied, electrical stimulation and drug release   cell fate . Biomaterial inks can be considered to respond
                                                                     [99]
            have been shown to have remarkable effects on neuronal   to two-photon excitation by employing NIR light [100] . Using
            cell development and growth. An electroactive structure   a PEG hydrogel cross-linked with allyl sulfide groups,
            capable of controlled release of BMP4 has also been shown   Gandavarapuet et al. [101]  reported a ligand attachment and
            in a rabbit model with electrodes inserted into the bone   subsequent patterning within a 3D structure through two
            defects. Enhanced bone healing in the tested animals was   photons. This technique formed an RGD peptide pattern,
            demonstrated with the synergistic benefits of electrical   and the results demonstrated the selective attachment of
            stimulation and drug release.                      human mesenchymal stem cells (hMSCs) to the patterned
                                                               region. Similarly, Wylie  et al. [102]  showed the patterning
            3.4. Light-responsive biomaterials
                                                               of multiple growth factors within 3D biomaterial inks
            Light is a versatile stimuli for the control of engineered   through the two photons. A coumarin-photocaged thiols-
            structures due to the easiness of use . Optical stimuli   included agarose was activated through the reaction
                                           [82]
            were used to a localized region with a high spatial   of photon with the two distinct maleimide-conjugated
            resolution. The light intensity can affect the behavior of   linkers. It eventually allowed the independently controlled
            biomaterial inks mainly by manipulating the polymer   immobilization of two stem cell differentiation factors.
            chains.  Light-responsive  biomaterials  are  an  emerging   Light-responsive biomaterials can also be used to time the
            class of materials for biomedical engineering applications,   presentation of bioactive cues [103] . Kloxin et al. designed a
            including photothermal  and photodynamic therapy ,   platform with a time-controlled presentation of adhesive
                                                        [92]
                               [91]
            drug delivery , and regenerative medicine .        peptides and photo-controlled degradation. An RGD
                                              [94]
                      [93]
              Light-responsive  biomaterials  not only  enable   adhesive peptide linked to a PEG-based structure was
            spatiotemporal tunability of biomaterial ink but also   incorporated using a nitrobenzyl ether-derived photolabile
            provide biological cues that significantly affect cellular   tether. Photocleavage of RGDs from the structure on
            function and  behavior.  For instance, the  mechanical   day 10 after the culture increased the production of
            property of the biomaterial ink has a part in tumor cell   glycosaminoglycan and induced the differentiation of
            migration  since ECM stiffness is related with cellular   hMSCs  through  a  chondrogenic pathway  with their
                    [95]
            invasion and cell phenotype. Since these processes take a   viability retained during the culture.
            long time to complete, a dynamic change of the stiffness   3.5. Ultrasound stimulation
            by an external source is required. Lee et al.  presented a
                                               [96]
            novel method to manipulate cell adhesion through light-  Ultrasound pressure waves at frequencies above 20 kHz are
                                                                                                           [82]
            triggered activation of RGD peptide. Growth factors that   used as controllable remote stimuli for 3D structures .
            are delivered by light-responsive nanoparticles through   The pressure caused by oscillation and the resultant
            a biomaterial ink could also promote cell function and   mechanical effects have been widely used in various tissue
            activity. Therefore, recent achievements in the study of   engineering applications, including controlling the release
            novel applications of light-responsive biomaterial inks   from acoustically responsive carriers, enhancing the
            in 3D cell culture hold great promise for future clinical   transdermal permeability of agents through sonophoresis,
            applications. Carbon nanotube (CNT), gold nanoparticles,   and manipulating cells  in vitro into defined geometric
            graphene oxide (GO), and  graphite carbon nitride are   assemblies. Ultrasound waves are readily penetrated


            Volume 9 Issue 1 (2023)                        240                      https://doi.org/10.18063/ijb.v9i1.638
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