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International Journal of Bioprinting                                      Extrusion-based biomaterial inks



                                                               engineering according to the mechanical performance. To
                                                               compensate for the absence of bioactive property, bioinert
                                                               PCL is conjugated to tissue-specific peptides, such as
                                                               bone morphogenetic protein mimetic peptide, glycine-
                                                               histidine-lysine peptide, and osteogenic growth peptide,
                                                               to promote chondrogenic or osteogenic differentiation of
                                                               stem cells [176,177] .

                                                               4.2. Chemical modification
                                                               Chemical modification of  biomaterial  ink  is usually
                                                               intended to form stronger intermolecular interactions
                                                               that are related to its viscoelastic properties and perform
                                                               more chemical functionalities, thereby improving
                                                               the biocompatibility, printability,  and  mechanical
                                                               properties . The well-described chemical modifications
                                                                       [31]
                                                               include thiolation, norbornene, and methacrylation that
                     Figure 6. Modification of biomaterial inks. 
                                                               could  create  more  functional  derivatives.  Photocurable
            constructs, there are several general and specific challenges   gelatin-based hydrogels, such as GelMA, are powerful
            in the application of the ink. Mechanical properties usually   light-responsive bioinks with adjustable hardness, excellent
                                                                                             [178]
            need to be well tuned and matched to ensure specific   biocompatibility,  and  printability  .  Norbornene-
            functional requirements of various cells, tissues, or organs.   functionalized gelatin (GelNB) mixed with a thiolated
            Alginate can be printed into 3D tissue structure with   crosslinker have recently gained increasing importance
            relatively high printability by pre-crosslinking or coaxial   as thiol-ene functional hydrogel systems. Methacrylated
            nozzle-assisted crosslinking. Its surface modifications   hyaluronic acid and norbornene-functionalized hyaluronic
            should be paid close attention as they can affect mechanical   acid were also used  as inks in in  situ photocrosslinking
                                                                        [24]
            properties, which vary greatly according to solution   bioprinting . In another case, thiolated hyaluronic acid-
            concentration and curing strategies, and immobilize cell   based bioink-encapsulated marrow-derived mesenchymal
            viability and interaction capabilities with the biomaterial   stromal cells were printed in scaffold structure with
            matrix. As shown in Figure 6, the bioactivity, mechanical   suitable mechanical property, and the constructs showed
            property and printability of biomaterial inks can be   cartilaginous ECM deposition with good biological
                                                                         [179]
            improved through molecular structure modification or   performance  .
            physical modification, including biological  modification,
            chemical modification, and pre-gel formation.      4.3. Pre-gel formation
                                                               To achieve high printability for complex layered
            4.1. Biological modification                       constructs, the biomaterial inks are printed in the form
            It is necessary to manipulate biological and biochemical   of pre-gels that are partially crosslinked. The viscoelastic
            environments of the bioprinted biological constructs,   properties of pre-gels tend to exbibit more elastic (solid)
            which are bioinert, for cell–cell and cell–ECM interactions,   behavior, rather than viscous (fluid) behavior, improving
            and to sustain the viability, spreading, and proliferation of   the structure stability. In most cases, crosslinking before
            living cell during long-term culture. Peptide modification   printing is physical. The prepared dECM bioink from
            of biomaterial ink that lacks cell-adhesion binding sites can   different tissue types may require different solubilized
            influence cell viability, proliferation and differentiation [172] .   concentration and incubation at physiological temperature
            The peptide modification is generally carried out with   for pre-gel formation and gelation, and their printability
            mechanical support materials. For example, peptide-  is decided by the pre-gel consistency prior to gelation for
            modified alginate that serves as biomaterial ink was printed   retaining the generated 3D structure [180] . Calcium chloride
            to fabricate bioactive constructs for cells adhesion , bone   solution  or calcium sulfate solution  was added into
                                                                                              [50]
                                                   [51]
                                                                     [29]
            tissue engineering [173] , nerve tissue engineering [174] , and   alginate-based biomaterial inks before printing to increase
            even tissue microvasculature [175] . In another study, primary   the fidelity of printed structure. Some biomaterial inks are
            cortical neurons and glial cells encapsulated in gellan gum   partially covalent-crosslinked before printing to control
            were bioprinted in brain-like layer structure, and cortical   viscosity. For example, thiolated hyaluronic acid and
            neurons responded better in RGD-modified gellan gum   gelatin composites were spontaneously crosslinked with
            constructs than in pure gellan gum . Stem cells are   PEGDA through thiol-acrylate binding, forming a soft and
                                           [72]
                                                                                    [37]
            seeded on printed PCL scaffolds for cartilage or bone tissue   extrudable biomaterial ink .
            Volume 9 Issue 2 (2023)                         14                      https://doi.org/10.18063/ijb.v9i2.649
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