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International Journal of Bioprinting                                      Extrusion-based biomaterial inks



            it  the  first  choice  for  cell  embedding,  and  it  is  widely   GelMA  hydrogels,  thereby  forming  strong  interface
            used in extrusion-based bioprinting to promote the rapid   bonding between different hydrogels and improving the
            formation of 3D structures. Alginate is biologically inert   adhesion of printed layers . Carrageenan hydrogels are
                                                                                    [77]
            with a low cell adhesion rate, and its corresponding calcium   brittle and the mechanical stabilities are poor, resulting in
            ion crosslinking reagents will adversely affect cell viability.   the printed constructs structure unstable. To overcome this
            However, alginate can be chemically modified by adding   drawback, the polymer backbone is chemically modified.
            cell adhesion ligands to promote cell adhesion, stretching,   For example, methacrylated Kappa-carrageenan combined
            and proliferation [150] . Benefited from its rapid hydrogel   with NIH-3T3 cells was used as co-axial printing bioinks at
            gelation rate, alginate is often combined with other   room temperature, and the use of UV crosslinked hydrogel
            hydrogels, such as gelatin , collagen [151] , Matrigel , and   resulted in latticed constructs with high mechanical
                                                    [30]
                                [36]
            Pluronic [107] , to improve construct stability. Another main   strength .
                                                                     [78]
            application of alginate is to directly fabricate hollow tubes
            by coaxial printing [25,27]  so as to construct vascularized   3.2.4. Chitosan
            tissue for perfusion culture.                      Chitosan, a linear polysaccharide composed of
                                                               D-glucuronic acid and N-acetyl-D-glucosamine, is
            3.2.2. Gellan gum                                  obtained from deacetylation of chitin. Chitosan powders
            Gellan gum is a natural polysaccharide gum obtained by   are generally soluble at acidic pH lower than 6, and the
            the fermentation process of microorganism. Gellan gum,   dissolved  positively charged  chitosan  solution  has high
            an anionic polysaccharide, like alginate, is capable of   viscosity and shear-rate shinning behavior for extrusion-
            forming gels in the presence of Ca . Gellan gum is also   based printing . The mechanical integrity of chitosan
                                        2+
                                                                           [59]
            used in co-axial bioprinting owing to the rapid crosslinking   hydrogel is weak; therefore, it is hardly used as biomaterial
            mechanism . The addition of gellan gum to hydrogels,   ink alone. Blending alginate with chitosan can improve
                     [72]
            like GelMA , can significantly increase the viscosity due   the compression of printed constructs . Chitosan has
                     [73]
                                                                                               [58]
            to the ionic crosslinking. In addition to the low production   hemostasis, anti-bacterial, and antifungal activities, so it
            cost, gellan gum can achieve mechanical strength similar to   has great potential to be used in bioprinting skin tissue.
            that of gelatin at lower concentrations, which encourages   A study reported that chitosan/PEG composite hydrogel-
            increased use of the material . On the other hand, the   encapsulated keratinocytes and dermal fibroblasts were
                                    [72]
            gel brittleness is also similar to gelatin, which restricts   printed layer by layer to construct skin tissues for potential
            structural stability of printed constructs. The mechanical   skin regeneration . Although chitosan shows structural
                                                                             [54]
            properties of gellan gum can be modified by blending it   characteristics similar to those of hyaluronic acid, it is not
            with other biomaterial inks, such as alginate , PEGDA ,   conducive to cell adhesion and proliferation because it
                                                        [69]
                                               [70]
            and even nanoparticles, such as graphene oxide .   lacks cell binding domains. A study reported that blending
                                                  [71]
                                                               gelatin with chitosan formed physical polyelectrolyte
            3.2.3. Carrageenan                                 hydrogel at pH 6.3, which was extruded at room
            Carrageenan, a sulfated polysaccharide extracted from   temperature  to  fabricate  3D  constructs  with  high  shape
            red algae, is composed of repeated galactose units,   fidelity . Neonatal human foreskin fibroblasts that are
                                                                    [57]
            similar to natural glycosaminoglycans. Depending on the   seeded onto the polyelectrolyte hydrogel could attach and
            sulfate content, source of extraction and solubility, the   proliferate better compared to the pure chitosan hydrogel.
            carrageenan can be conventionally categorized into six
            basic forms: Kappa, Iota, Lambda, Mu, Nu, and Theta [152] .   3.2.5. Silk fibroin
            Kappa-carrageenan and Iota-carrageenan can perform   Silk fibroin, a natural fibrous protein polymer, is commonly
            thermogelation, that is, the polymer can form gels at low   derived from silkworm silk and spider silk. Silk fibroin
            temperature. Blending carrageenan with other hydrogels   usually lacks cell binding domains ; however, silk from
                                                                                           [18]
            can adjust rheological property due to the high viscosity.   Philosamia ricini has  the  intrinsic  presence of  the  cell-
            The addition of carrageenan to alginate hydrogels could   binding RGD tripeptide . The sol–gel transition of silk is
                                                                                  [82]
            increase rheological properties, such as shear shinning,   the change of secondary conformation from random coil
            thixotropic behavior, and viscoelasticity, which improve the   to β-sheet structure. Silk solution can form gel under the
            printability and structure fidelity of printed constructs .   action of shear force. Therefore, silk may cause frequent
                                                        [50]
            Carrageenans have negatively charged carboxyl and sulfate   nozzle clogging when it is used as biomaterial ink alone .
                                                                                                           [82]
            groups, which result in gelation through ionic crosslinking   Blending silk with other polymers, such as gelatin  and
                                                                                                        [82]
            with specific cations, such as Ca  and K . Due to the   PEG , can improve injectability in the self-supporting
                                       2+
                                                                   [68]
                                               +
            oppositely charged performance of GelMA, polyelectrolyte   printing process. The mechanical property of silk fibroin
            complexes are formed between Kappa-carrageenan and   is poor under physiological condition and can be easily
            Volume 9 Issue 2 (2023)                         11                      https://doi.org/10.18063/ijb.v9i2.649
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