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International Journal of Bioprinting                         Application and prospects of 3D printable microgels



            ability than ordinary hydrogels. On the fifth day of using   fraction increases, the friction between microgels
            the microgel, hair follicles and sebaceous glands appeared   increases, causing the microgels to become more “solid”
            in the wound, almost achieving tissue regeneration .   in a blocked state. Theoretically, when the accumulation
                                                        [63]
            Hyaluronic acid-based microgels have demonstrated the   fraction reaches 0.64, single dispersed microgel can reach
            ability to facilitate the migration of neural stem cells toward   the maximum blocked state under random configuration.
            wounds and the formation of blood vessels, exhibiting good   When the accumulation fraction reaches 0.74, perfect
            tissue remodeling capabilities. This suggests a potentially   accumulation can be achieved. In the state of particle
            significant application in the context of irregular spinal   accumulation, the microgel exhibits shear thinning and
            injuries . The modified heparin chitosan microgel   self-healing  characteristics.  Studies  have  reported  that
                  [90]
            were found to effectively repair bone defects in type II   tyramine-modified hyaluronic acid  microgel  (particle
            diabetes rat models while also improving the immune   diameters of 40, 100, and 500 µm) have similar yield stress
            microenvironment . It has been consistently found in   (139 Pa). In repeated cycles at low (1%) and high (500%)
                           [91]
            these studies that the unique pore size of micromicrogel   strain, all bioinks transition from solid (G′ > G″) to liquid-
            plays a crucial role in improving cellular responses.  like (G″ > G′) under high shear stress. In low shear mode,
               The most notable biological characteristic of microgels   all bioinks exhibit excellent shear recovery performance,
            is their microscale pore network, which closely mimics   with the initial storage modulus reaching 100%. There is
            the  microenvironment for  cell survival. Compared to   a significant negative correlation between elastic modulus
            traditional hydrogels, microgels are more conducive   and pore diameter, with E = 9.9 ± 3.6, 7.5 ± 2.4, and 5.7 ±
            to cellular behaviors such as growth, proliferation,   2.2 kPa when the pore diameter is 40, 100, and 500 µm,
            differentiation,  and  migration.  According  to  extensive   respectively. This microgel exhibits excellent printability,
            research comparisons, the principle behind this may be   enabling the 3D bioprinting of cells with the ability to
            that the interconnected micropores and void spaces not   strengthen the printed structure through post-print
                                                                                       [96]
            only facilitate the transport of nutrients, thereby increasing   crosslinking (Figure 4B and C) . Microgels are not limited
            cell vitality, but also promote cell infiltration and vascular   to spherical microgels, as hydrogels with high aspect ratios
            formation without having to wait for hydrogel degradation.   (hydrogels) can also form microgels. Kessel et al. reported
            In addition to the above, microgels also exhibit excellent   a “microchain” microgel based on hyaluronic acid-methyl
            encapsulation properties, as they can modify the microscale   acrylate (HA-MA), with a microchain diameter of 40–
            features such as particle size and shape of microgels   100 µm and a microgel porosity ranging from 7.4 ± 0.9%
                                                                          [97]
            to  adjust  the  release  profile  of  growth  factors  or  drugs.   to 2.0 ± 0.8% . The yield stress of the microgel changes
            Meanwhile, microgel heterogeneity allows multiple release   with the degree of crosslinking and the diameter of the
            profiles and degradation behaviors of growth factors or   microchain, with higher crosslinking resulting in lower
            drugs to be incorporated into a single printing process,   yield stress and larger microchain diameters resulting in
            which is advantageous for many tissue repair strategies to   higher yield stress. Shear recovery was found to be the best
            match the multi-level biological signaling [63,92,93] .  in microgel with moderate crosslinking, at approximately
                                                               82%, while the highest crosslinked microgel had a shear
                                                               recovery of around 70% and the lowest crosslinked microgel
            4.2. Mechanical properties of microgels            had a shear recovery of around 20%. This microgel exhibits
            As a bioink, microgel possesses excellent shear viscoelastic   good cell loading ability, enabling the loading of cells prior
            capabilities, allowing it to be extruded through a printing   to microgel assembly or post-assembly (Figure 4E) .
                                                                                                       [97]
            head  while  protecting  encapsulated  cells  from  damage
            due to high shear forces. The elegance of using microgel   The mechanical strength of microgel is also a critical
            for 3D printing lies in the smooth transition between   factor in achieving 3D bioprinting. After 21 days of printing,
            the fluid and the solid states [94,95] . This transformation is   the elastic moduli of tyramine-modified hyaluronic acid
            highly related to the structural characteristics of microgel,   microgel with pore sizes of 40 µm, 100 µm, and 500 µm were
            which differ from hydrogels in that they are composed of   103.6 ± 18.5, 83.9 ± 19.7, and 78.1 ± 19.2 kPa, respectively,
            micrometer-sized hydrogel–microgel within their interior.   while the elastic modulus of the control group was 58.3 ±
            The  interaction  between these micromicrogels  results  in   30.2 kPa. After 63 days, the elastic moduli of microgel with
            the microgel exhibiting solid-like behavior but becoming   pore sizes of 40 µm, 100 µm, and 500 µm were 145.3 ±
            liquid-like under the influence of external stress. Therefore,   22.3, 201.6 ± 8.9, and 152.6 ± 47.2 kPa, respectively,
            the  porosity  and  hardness  of  the  micromicrogel  largely   while the elastic modulus of the control group decreased
            determine the mechanical properties of the microgel .   to 33.7 ± 17.2 kPa (Figure 4C) . Yang et al. reported on
                                                                                        [96]
                                                        [60]
            When the accumulation fraction of microgel reaches 0.58,   a PAAm/PAMPS microgel based on a resilient particle
            the microgel exhibits as solid state. As the accumulation   double network (P-DN) hydrogel, which possesses two

            Volume 9 Issue 5 (2023)                         94                         https://doi.org/10.18063/ijb.753
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