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     International Journal of Bioprinting             3D-Bioprinted human lipoaspirate-derived cell-laden skin constructs
            adECM was 99.71% lower than that of native tissue (2.34 ±   extruded through the 3D printer nozzle without blockage,
            0.87  vs.  804.02  ±  72.74 ng/mg  dry weight,  respectively;   making them suitable for 3D-bioprinting.
            Figure 2E) and substantially below the minimal criterion   We also observed the modulus change after
            for decellularization (<50 ng/mg dry weight) . The sGAG   photocrosslinking. After 10 s of UV irradiation, the
                                               [37]
            content was 2.58 ± 0.26 and 3.03 ± 0.41 μg/mg dry weight in   moduli of both bioinks increased rapidly, and the value
            adECM and native tissue, respectively, indicating that most   of G′ changed from being lower than that of G″ before
            sGAG components were retained in adECM, although the   crosslinking to being much higher than that of G″. The
            difference between them was not significant (p  > 0.05)   G′ value of adECM–GelMA–HAMA increased by >79-
            (Figure 2F). The collagen content levels in adECM and   fold, whereas the value of G″ increased by approximately
            native tissues were 100.38 ± 4.21 and 90.8 ± 4.84 μg/mg   11-fold, and the respective increases for G′ and G″ values
            dry weight, respectively (Figure 2G). The collagen content   for GelMA–HAMA were approximately 72- and 4-fold,
            was remarkably increased in the adECM compared with   respectively (Figure 3E and F).
            that in native adipose tissue, and this may be due to the
            low proportion of collagen in adipose tissue, which would   These results indicate that the bioink may have acceptable
            naturally increase with the removal of adipocytes. This is   printability and shape retention ability. In particular,
            consistent with the results of Pati et al., who reported that   this shape retention ability could enable the printed
            the GAG content decreased, while the collagen content   scaffold to more effectively fill and contact the wound
            increased after decellularization of adipose tissue .   microenvironment for a sufficient time throughout wound
                                                        [38]
            This elevated collagen content could be an advantage for   healing, thus establishing a dynamic microenvironment
            adECM as a component of bioink for a 3D-printed skin   where cells in the scaffold interact with the wound and
            substitute.                                        those surrounding the wound interact with the scaffold.
            3.2. Printability of bioinks
            The rheological properties of hydrogels are an important   3.3. Physical characterization of bioinks
            basis for evaluating their printability . First, the   The water uptake capacity is an important criterion
                                              [39]
            gelation kinetics of bioinks were evaluated by performing   to consider because the encapsulated cells absorb
            temperature sweep experiments. Both bioinks exhibited   nutrients from the wound to maintain their growth and
                                                                         [41]
            thermally sensitive properties, with the storage (G′) and   proliferation . For analysis of bioink scaffold swelling, the
            loss modulus (G″) values changing abruptly when the   weight of hydrogel samples was measured at different time
            temperature neared the gel point, indicating that the bioinks   points within a 24 h incubation at 37°C. GelMA–HAMA
            were changing from a liquid to a gel, which is a prerequisite   and adECM–GelMA–HAMA samples exhibited rapid
            for ensuring that hydrogels form after printing. The gel   water absorption after 1 h of incubation, with SRs of 3.94 ±
            point is the temperature corresponding to the intersection   0.32 and 4.89 ± 0.34, respectively. After 12 h of incubation,
            point of G′ and G″. The gelation temperature ranges   the swelling plateaued, and by 24 h, the swelling ratios
            of adECM–GelMA–HAMA and GelMA–HAMA were            were 8.95% ± 0.72% and 11.18% ± 0.45%, respectively. The
            16.5°C and 17.4°C, respectively (Figure 3A). The viscosity   swelling ratio of GelMA–HAMA was remarkably lower
            of both bioinks decreased with increasing temperature   than that of adECM–GelMA–HAMA at different time
            from 0°C to 30°C (Figure 3B). The loss tangent (tanδ =   points (Figure 4A).
            G″/G′)  tended  to  increase  as  the  temperature  increased,   To analyze bioink degradation, we used collagenase
            showing a transition from solid-like behavior (tanδ < 1) to   treatment at several time points >72 h to calculate the rate
            liquid-like behavior (tanδ > 1; Figure 3C).        of weight loss. The RM of adECM–GelMA–HAMA was
                                                               remarkably higher than that of GelMA–HAMA after the
               Bioinks required a viscosity that was appropriate
            for controllable printing with excellent shape fidelity .   experimental time course, and approximately 53.06%  ±
                                                        [40]
                                                               5.16% of the adECM–GelMA–HAMA mass remained
            Bioink  viscosity was  recorded over  the  shear  rate  range   at 72 h compared with only 37.53% ± 4.52% of GelMA–
            of 0.1–100 Hz at 17°C. Rheological analysis showed that   HAMA (Figure 4B).
            the viscosity of adECM–GelMA–HAMA at 0.1 Hz was
            82.67 ± 6.71 Pa•s, which decreased to 1.62 ± 0.13 Pa•s at   SEM was performed to observe the pore structure of the
            the highest shear rate of 100 Hz. The viscosity of GelMA–  two bioinks, as this property can affect cell behaviors, such
            HAMA was 110.33 ± 5.02 Pa•s at 0.1 Hz and decreased   as cell spreading, as well as the nutrient and oxygen supply
            to 1.98 ± 0.09 Pa•s at the highest shear rate of 100 Hz.   and metabolite removal. The 3D structures of the two bioink
            Both bioinks exhibited shear-thinning properties, with   hydrogels showed a reticular porous morphology (Figure 4C
            the viscosity decreasing under increased shear strain   and D). The porous structure with a network distribution
            (Figure  3D). Therefore, both bioinks could be smoothly   is an important basis for promoting the attachment and
            Volume 9 Issue 4 (2023)                         35                          https://doi.org/10.18063/ijb.718
     	
