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International Journal of Bioprinting                                      Extrusion-based biomaterial inks



            expanded by integrating it with organ-on-a-chip [1,2]  and   can  be  engineered  by using multi-nozzle  extrusion-based
            organoids biofabrication . One representative work is that   bioprinting [7-9] . Extrusion-based biomaterial inks, including
                               [3]
            Grigoryan et al. fabricated a lung model with established   natural derived and synthetic polymers or their blends, have
            multivascular networks and functional intravascular   a wide range of viscosities, ranging from a minimum of
            topologies by bioprinting with biocompatible hydrogels .   30 mPa·s to a maximum of 6 × 10  mPa·s .
                                                                                               [10]
                                                                                         7
                                                        [4]
            In another report, an engineered heart with cardiac   Biomaterial ink plays the role of extracellular matrix
            ventricles, a product of co-bioprinting of collagen with   (ECM) by providing mechanical support for cells and
            cardiomyocytes, showed remarkable performance of   regulating their physiological activities. The selection
            synchronized contractions and directional action potential   of suitable biomaterial ink is an important aspect of
            propagation . The core of bioprinting is the bioink, which   bioprinting, and  it  is  necessary to  comprehensively
                     [5]
            is the combination of living cells and biomaterial inks   consider the printing conditions and the functional
            stored in a bioprinter cartridge . The bioink determines   requirements of the tissue constructs. Once the specific
                                     [6]
            the shape and function of printed constructs, which is   cell sources and tissues or organ types have been decided,
            closely related to the structure and function similarity   different aspects of biomaterial ink should be taken into
            of biomimetic tissue. The ideal bioinks require good   full consideration, such as bioactivity, biodegradability,
            bioactivity and printability as well as corresponding   printability, mechanical properties, and impact on the
            mechanical properties for 3D construction of tissue.   performance of  bioprinted 3D  constructs.  There  have
               According to the working principle of bioprinter,   been some reviews on bioinks [11-13]  and extrusion-based
            traditional bioprinting technologies can be classified into   bioprinitng [14-17] ; for example, Panwar  et al. reviewed
            four types: inkjet bioprinting, laser-assisted bioprinting,   bioinks for microextrusion-based bioprinting and focused
            digital light processing, and extrusion-based bioprinting.   on their printability . Recently, a systematic review
                                                                                [18]
            Among the existing bioprinting modalities, extrusion-  introduced the candidate of bioinks for extrusion-based
            based bioprinting is one of the most widely used bioprinting   bioprinting . The lack of ideal bioinks presents a major
                                                                        [19]
            technology with greatest flexibility to construct large   challenge to extrusion-based bioprinting technology.
            scale tissues and in situ tissue or organ. The advantages   However, there are a few systematic reviews that focused
            of extrusion-based bioprinting include low cost, simple   on  extrusion-based biomaterial  inks  and their  property,
            equipment, universality of biomaterials, and living cell-  classification, modification, and selection strategy.
            friendliness and compatibility, etc. Extrusion-based   In this review, we systematically explain the properties
            biomaterial inks (Figure 1) are biomaterial inks that can   of  extrusion-based  biomaterials  inks,  including
            be extruded through the printing nozzle, and exhibit   biocompatibility, biodegradability, mechanical strength,
            continuous filaments form during bioprinting process.   printability,  solidification  formability,  molecular
            Various biomaterials are compatible with extrusion-based   permeability,  and bionic  bioactivity  (Figure  2).  Then,
            bioprinter, such as biocompatible hydrogels, copolymers, and   we detail the advantages and usable ranges of many
            cell spheroids, thus multi-material complex 3D constructs

























                 Figure 1. Definition of extrusion-based biomaterial inks.  Figure 2. Performance of extrusion-based biomaterial ink.


            Volume 9 Issue 2 (2023)                         2                       https://doi.org/10.18063/ijb.v9i2.649
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