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International Journal of Bioprinting                New fibrillar collagen for 3D printing and bioprinting



            Nowadays, tissue engineering (TE) can be defined as an   important, since the presence of cells would determine
            interdisciplinary field aiming to provide new strategies   the 3D bioprinting conditions and so, the feasibility and
            to repair, restore, maintain, or improve damaged tissues   success of the engineered tissue. Considering that the final
            and/or whole organs by applying engineering strategies   scope of TE is to artificially reproduce a certain tissue or
            to combine biological components (cells, growth factors),   organ, the formulation of bioinks and biomaterial inks is a
            drugs, and natural and/or synthetic materials. The resultant   crucial step, since they will determine the properties of the
            scaffolds or constructs obtained by the combination of   construct (mechanical, rheological), the cell environment
            these ingredients are intended to be implanted in the   and, ultimately, its performance and integration with the
            human body to regenerate and/or replace the damaged   native tissue(s) after implantation. With these premises,
            tissue, thus reducing (or even avoiding) the necessity of   the usefulness of natural, biocompatible materials is easily
            transplants.                                       foreseeable. Just to mention a few of them, materials

               From its inception, TE has made use of different   such as gelatin, alginate, collagen, hyaluronic acid, or
            techniques and approaches to shape the three-dimensional   de-cellularized extracellular matrix (dECM) have
            (3D) scaffolds, among which electrospinning and 3D   been proven suitable as ingredients of TE 3D scaffolds.
            bioprinting can be mentioned. Before the adaptation of   Nonetheless, due to their origin and intrinsic properties,
            3D printing to TE (3D bioprinting), the artificial tissues   these materials usually pose issues mainly related to their
            produced were limited to two-dimensional cell sheets,   mechanical performance, extraction, and reproducibility.
            which hindered their final performance . The potential   1.2. Collagen and 3D bioprinting
                                             [1]
            and usefulness of 3D bioprinting for this field of study is   In 3D bioprinting, collagen is one of the most useful
            undeniable, since it not only allows for the creation of cell-  and promising ingredients since it is a natural, fully
            laden, 3D structures (controlled deposition of materials,   biocompatible material for TE, together with the fact that it
            giving rise to precise shapes and scaffold dimensions), but   is a ubiquitous protein in the ECM. It possesses high affinity
            also offers remarkable versatility due to the great diversity of   for adherent cells due to the presence of peptide sequences
            3D printing techniques . In fact, the reviews of Ng et al.    recognized by cell receptors. Moreover, the biodegradability
                                                         [3]
                              [2]
            and Ashammakhi et al. , among others, gathered some of   of type I collagen by metalloproteinases act as chemotactic
                              [4]
            the most outstanding studies in this field. The 3D printing   for cells such as fibroblasts, which further improves tissue
            and bioprinting techniques can be classified according to   regeneration . Nevertheless, it is an ingredient with
                                                                         [16]
            the ISO/ASTM 52900  for additive manufacturing. When   important limitations, such as its extraction process and
                             [5]
            it comes to TE, the 3D printing technique must be as non-  the lack of batch-to-batch reproducibility, the influence
            detrimental as possible both with the materials and with   of the environmental conditions (e.g., temperature could
            the cells present in most cases. Briefly, other variations   modify collagen viscosity) during the 3D printing process,
            of this technique include material extrusion (mechanical   and the low mechanical properties in vitro of the printed
            and pneumatic) [6,7] , material jetting (inkjet, microvalve,   scaffolds [17,18] . At least 29 different types of collagens have
            laser-assisted, acoustic) [8,9]  and vat polymerization   been reported, which are classified, according to their
            (stereolithography, digital light processing, two-photon   structure, into: striatum (fibrous), non-fibrous (network
            polymerization) [10,11] . Extrusion, stereolithography, laser-  forming), microfibrillar (filamentous) and those which
            assisted, inkjet, and microvalve-based printers have been   are associated with fibril . Type I collagen (fibrous) is the
                                                                                  [19]
            the most used for 3D bioprinting in the last two decades .   most common, primarily in connective tissue, in tissues
                                                        [3]
            Extrusion are pressure-driving printing techniques, in   such as skin, tendons, and bones. It consists of three
            which the ink is propelled through a nozzle either by   polypeptide chains, two of which are identical, which are
            mechanical (axial piston or screw-driven) or pneumatic   called chain α1 (I) and α2 (I) [20,21] .
            forces (air flow). Extrusion 3D bioprinting is the most
            prevalent approach due to its fast fabrication speed, ease of   Most of the collagen inks available in the market are
            use, and compatibility with a wide range of materials, such   based on soluble collagen (limpid collagen solution, with
            as collagen and cells.                             no fibers), which requires a fibrillogenesis process before,
                                                               after, or during the printing process, thus complicating
               The difference between 3D printing and 3D bioprinting   the procedure, and possibly hinders cell viability and
            lies not only in the final scope of the 3D construct produced   reproducibility . The collagen extraction methods are
                                                                           [3]
            but also in the composition of the so-called “ink” [4,12-15] .   based on the solubility of this protein in neutral saline
            Briefly, the concept “bioink” is used when cells are present   solutions, acid  solutions, and acid solutions with added
            in the product to be printed. On the contrary, “biomaterial   enzymes. The method of extraction selected together
            ink,” “biomaterial,” or just “ink” can be used to make the   with the processing parameters used through it highly
            difference. To draw a line between these two concepts is   influence the length of the polypeptide chains and final


            Volume 9 Issue 3 (2023)                        312                         https://doi.org/10.18063/ijb.712
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