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


            toward HDFs. This discovery is confirmed by Barba et al.   properties based on  their  swelling characteristics.  The
            and Masri et al., who discovered that both gelatin and PVA   composite bioinks demonstrated excellent fluid absorption
            are biocompatible to HDFs, with cell viability of >88%,   capacity with hydrophilic properties. The addition of PVA
            evaluated on gelatin and PVA hydrogels [64,74] . Furthermore,   developed biostable rheological properties for the bioinks
            the live/dead assay that measures the cell proliferation   without impairing the printability and  in vitro testing
            activity revealed that the gelatin-PVA bioinks were able   towards HDFs. The in vitro cytotoxicity testing through live/
            to support HDFs proliferation and offered a conducive   dead staining showed that the addition of PVA resulted in
            environment for cell growth. Besides, an in  vitro wound   excellent cell viability after bioprinting. The GPVA bioinks
            scratch assay was performed to evaluate the migration   thus demonstrated outstanding physicochemical and
            activity of the HDFs for future wound healing application.   rheological qualities and satisfied all criteria for suitable
            The results in  Figure 7E demonstrated that both gelatin   medical applications. As a result, it has good physical and
            and gelatin-PVA  hydrogels  indicated  an efficient  cell   forming  qualities, making it  as a  potential cellular  skin
            migration  activity  after  72-h  exposure  to  the  hydrogel’s   replacement.
            leachate media. The cell monolayer scratch was partially
            closed after 24  h and fully closed after 72  h of leachate   Acknowledgments
            treatments as compared to the controls. A similar finding
            was observed in a previous study by George et al., which   All authors would like to express immense gratitude
            indicated that the cell monolayers moved toward the   to the Faculty of Medicine, UKM for the guidance and
            opening of the scratch region and partially closed after   resources to complete this manuscript. This study has
                                               [75]
            treatment with biomaterial leachate for 24 h .     been performed under good quality management of ISO
                                                               9001:2015 for research facilities.
              Gelatin-PVA scaffolds with particular ratios can
            mimic  natural  tissues  for  cell  adhesion  and  growth.   Funding
            However, a study by Kakarla et al. found that the higher
            PVA concentrations in the hydrogel may reduce HDFs   The study was funded by Ministry of Higher Education
            growth . Besides, due to PVA’s lack of cell adhesion   (MoHE) under the Skim Geran Penyelidikan Fundamental
                  [76]
            sites,  larger  amounts  may  limit  cell  attachment.  This   (FRGS), grant code: FRGS/1/2020/STG05/UKM/02/7.
            finding can be confirmed by a previous study on pure   Conflict of interest
            PVA by Jeong et  al., which found no cell adhesion activity
            due to the absence of ligands bound to cell-surface   The authors declare no conflict of interest.
            receptors . However, there was no distinct difference on
                   [50]
            cell attachment activity between gelatin and gelatin-PVA   Author contributions
            hydrogels. In addition, the morphological structure of cells   Conceptualization:  Syafira Masri, Ruszymah Idrus, Mh
            was observed using SEM after encapsulated in the bioinks.   Busra Fauzi
            Figure 7D demonstrates that the HDFs emerged as small   Investigation:  Syafira Masri, Izhar Abd Aziz, Mh Busra
            spherical forms and were evenly distributed on the surface   Fauzi
            of the gelatin-PVA hydrogels. Moreover, Thangprasert   Methodology:  Syafira Masri, Manira Maarof, Mh Busra
            et al. and Yannas  et al. reported similar results for the   Fauzi
            morphological structure of encapsulated cells in bioinks   Formal analysis: Syafira Masri
            with spherical-shaped cells and maintained cell viability   Writing – original draft: Syafira Masri
            in different types of hydrogels after days 5 and 7 [70,71] .   Writing – review & editing: Syafira Masri, Manira Maarof,
            According to the findings by Crosby et al., HDFs have an
            expanded morphology in softer hydrogels and appear as   Ruszymah Idrus, Mh Busra Fauzi.
            rounded/spherical shapes in stiffer hydrogels .    Ethics approval and consent to participate
                                                [77]
            5. Conclusion                                      The study design was approved by the Universiti
            GPVA bioinks were successfully fabricated using    Kebangsaan Malaysia Research Ethics Committee (Code
            extrusion-based bioprinting with promising printability at   no. FF-2021-376 and JEP-2021-605).
            optimum printing temperature (23 ± 2°C). The addition   Consent for publication
            of PVA increased the viscosity of the bioinks; therefore,
            a hydrogel construct with better shape fidelity is more   The human skin samples were obtained from six consented
            printable. In addition, the constructed bioinks, as cellular   patients (written and verbal) and permission was obtained
            skin replacement, also exhibit excellent physicochemical   from each of the subjects to publish their data.


            Volume 9 Issue 3 (2023)                        438                          https://doi.org/10.18063/ijb.677
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