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International Journal of Bioprinting              Gelatin-PVA crosslinked genipin bioinks for skin tissue engineering


            provides a desirable property to enhance cellular activities   crosslinked with 0.1% of GNP, the degree of crosslinking
            and influence the moisture of the printed hydrogels.   findings revealed that the hydrogels had a crosslinking
            A  moist environment promotes wound healing by     level of >40%. Arif et al., who studied the effects of 0.1%
            enabling the encapsulated cells to migrate freely through   GNP crosslinking on the gelatin hydrogel, also found that
            the hydrogels that are often present in wound exudate .   the hydrogels have roughly a crosslinking degree of 39% .
                                                                                                           [56]
                                                        [47]
            Moreover, the previous studies by Zidaric et al. suggested   It was found that without crosslinking, gelatin hydrogels
            that the hydrophilicity and viscosity of the bioinks solution   will have poor shape stability and mechanical strength,
            have a significant impact on the printing accuracy and live   thereby limiting their biomedical applications .
                                                                                                   [57]
                          [47]
            cell encapsulation . Consequently, hydrophobic bioinks   Moreover, genipin is preferable over other crosslinkers
                                                        [48]
            prevent the bioinks from spreading well during printing .  not only because it functions as a crosslinker, but also
              Next, an ideal skin substitute is characterized by an   because of its biological activities, including anti-
            optimum water uptake capacity through swelling ratio.   inflammatory and antioxidant properties that are produced
            A study by Agubata et al. suggested that a hydrogel candidate   by the GNP . Continuous inflammation, pathogen
                                                                          [58]
            for wound healing applications should have a water holding   infection, and oxidative stress are a few variables that might
            capacity of about 500%, as this will prevent exudates from   adversely influence the healing process of wounds. The
            accumulating in the wound area . This finding was similar   antioxidant properties of the hydrogels were determined
                                     [49]
            with our swelling ratio results that were considered fit for   by measuring the free radical scavenging activity through
            wound healing application as it has >500% of swelling ratio.   DPPH and ABTS assay. After crosslinked with GNP, the
            However, the swelling ratio decreased in the presence of   hydrogels have been shown to have a scavenging activity
            PVA in the hydrogels. This finding was comparable with   of >25%, as shown in Figure 3F and G. Since 0.1% of GNP
            a previous study on the gelatin-PVA hydrogels by Jeong et   was employed in this research, it might have antioxidant
            al., which indicated that the swelling ratio decreased when   effects that maintain cell proliferation activity. Notably, a
                                         [50]
            the concentration of PVA increased . This phenomenon   significant finding by Kim et al. found that higher dosages
            occurred due to the formation of covalent bonds between   of GNP would increase the quantity of reactive oxygen
            the functional groups of the gelatin and PVA, which might   species (ROS) and induce cytotoxicity, whereas only low
            cause smaller pore sizes . In addition, an ideal WVTR   doses of GNP will have antioxidant properties . Moreover,
                                [50]
                                                                                                  [59]
            might keep skin at the proper degree of moisture and could   Fan et al. found that GNP seems to activate numerous key
            prevent dryness or maceration from damaging a wound by   genes encoding antioxidant and xenobiotic-metabolizing
            regulating the moisture of the microenvironment . In this   enzymes . Due to its antioxidant characteristics, genipin
                                                  [51]
                                                                      [60]
            study, the crosslinked hydrogels have WVTR in the range   has been explored as a possible cancer treatment . On
                                                                                                        [61]
            of 700–1200  g/m /h, which was ideal for rapid wound   the other hand, a comparison research carried out by
                          2
            recovery. This finding is similar with the previous studies   Zulkiflee & Fauzi found that gelatin and PVA polymers do
            by Sutar et al. and Lou, which indicated the normal WVTR   not have any antioxidant characteristics, unless additional
                                   2
            for normal skin was 204 g/m /24 h while for injured skin   antioxidant components are included .
                                                                                             [14]
                      2
            was 279 g/m /24 h [52,53] . Moreover, the literature also claims
            that human skin transpires water vapor at a rate of between   4.3. Hybrid bioinks printability through extrusion-
            240 and 1920 g/m  every 24 h .                     based bioprinting
                                   [54]
                          2
                                                               Viscosity of bioinks is crucial for extrusion-based
            4.2. Dual-functions of genipin on hybrid bioinks   bioprinting. Moreover, the hydrogels’ shear-thinning
            development                                        properties rely on the viscosity of the bioinks . Higher
                                                                                                     [16]
            Besides, degree of crosslinking was another criterion   viscosity of bioinks will clog the dispensing nozzle
            considered for skin application. Crosslinking of the   during extrusion, while lower viscosity of bioinks will
            hydrogel has been shown to be an effective method for   cause extruded filaments to overspread and collapse .
                                                                                                           [62]
            enhancing both the mechanical and thermal properties of   According to our finding, the viscosity of gelatin bioinks
            the hydrogels. As the gels successfully crosslinked with the   increased with the addition of PVA and crosslinker.
            genipin (GNP), the hydrogels turned blue. This is because   A previous study by Tung et al. suggested that the viscosity
            the hydrogel network contains amino groups, causing GNP   remained more stable with higher PVA content, preserving
            to interact with the hydrogels. As a result, this phenomenon   the usual pseudoplastic behavior of hydrogels [63],  and Masri
            occurs. Moreover, the results of this investigation are   et al. reported the similar finding in which the viscosity of
            consistent with other study by Butler et al., which indicated   the gelatin hydrogel increased with the addition of genipin
            that the polymerization of genipin by oxygen radicals   and PVA . On the other hand, the storage modulus (G’)
                                                                      [64]
            results in the formation of a blue pigment . After being   of  hydrogels  with  varying  viscosities  was  measured  to
                                              [55]
            Volume 9 Issue 3 (2023)                        436                          https://doi.org/10.18063/ijb.677
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