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



            disperse microgels required larger nozzles (410–610 μm)   may hinder cell diffusion and migration, and high pressure
            to print smoothly. For a monodisperse microgel, smaller   or shear forces may cause cell damage and/or death [103-105] .
            nozzle sizes (200 μm) are able to produce 3D structures   Microgels used as bioinks for direct writing can effectively
            with higher finesse than larger nozzle sizes (250 μm). In   overcome these limitations. The performance of microgels
            order to study the effect of the stiffness of water-based   prepared by different preparation and assembly strategies
            microgel on the printing process, three microgels (PEG5,   also varies in direct bioink writing.
            PEG10, and PEG20) were constructed, with Young’s moduli   5.1. Improvement of the geometric structure of
            of 30–40  kPa, 20 kPa, and 10 kPa, respectively. When   microgels
            subjected to the same pressure (15 μN) during the printing
            process, the PEG20 microgel showed greater deformability.   Generally, mechanical fragmentation method involves
            The stacking of cylindrical prints was performed without   the physical fragmentation of pre-formed hydrogels to
            secondary  crosslinking,  with  stack  heights  of  20  mm,   produce  microgel.  For  example,  crosslinked  hydrogels
            10 mm, and 5 mm for the three respective microgels. After   can be mechanically forced through a fine steel mesh to
                                                               form smaller microgel, with the size of the microgel being
            the cells were packaged and printed for three days, the   controlled by altering the aperture shape and size of the steel
            viability of cells within the microgel was approximately
            90%, 90%, and 40%, respectively. The increased stiffness of   mesh. The main advantages of mechanical fragmentation
            hydrogel microspheres improved mechanical strength, but   methods are their speed and simplicity, with the simple
            may also potentially affect cellular activity [33,59,99] .  process being able to rapidly generate a large amount of
                                                               micromicrogel.  However,  the  disadvantage  is  that  the
                                                               shape and size of the generated microgel are difficult to
            5. Current progress of developing                  accurately control, which justifies the limited number of
            microgels as bioinks in extrusion-based            reports concerning its performance in 3D bioprinting in
            3D bioprinting                                     the past decades .
                                                                            [27]
            Over the past decade, various 3D bioprinting strategies   Flégeau  et al.  reported  a  microgel  suitable  for  3D
            with distinct characteristics have been developed.   bioprinting made from tyramine-modified hyaluronic acid,
            Currently,  the  mainstream  strategies  include  inkjet   which was obtained through mechanical fragmentation
            bioprinting, stereolithography, laser-assisted bioprinting,   and enzymatically crosslinked through the addition of
                                                                                                     [96]
            electrospinning-based bioprinting, and extrusion-based   horseradish peroxidase and hydrogen peroxide . The gel
            bioprinting .  Extrusion-based  3D  bioprinting  is  one   was then screened through metal grids with pore sizes of
                     [10]
            of the most common printing methods, mainly due to   40, 100, and 500 µm, resulting in a microgel with tyramine
            several advantages of extrusion-based bioprinting over   residues that could undergo secondary crosslinking to
            other methods, including (i) the ability to use a variety of   stabilize the scaffold (Figure 4A and B). The product of the
            bioinks to create tissue structures; (ii) the manufactured   secondary crosslinking was found to fully degrade after
            structure having physiologically relevant cell density;   soaking in hyaluronic acidase for 20 days and demonstrated
            (iii) the relatively low cell damage during the bioprinting   excellent stability with no swelling in phosphate-buffered
            process; (iv) the ability to create scalable structures with   saline (PBS) for 21 consecutive days. After sieving, all the
            anatomically precise geometries; and (v) being relatively   microgels  displayed  shear-thinning  behavior,  with  the
            low-cost. Its main drawbacks are as follows: (i) it can   yield stress of approximately 139 Pa for microgels of all
            damage cells during the extrusion process; and (ii) the   sizes, which were capable of being printed, but the use of 40
            resolution of the printed product is relatively low and   μm-sized microgel resulted in higher-resolution products
            the feature size is limited. The application of microgels   (Figure 4C). Cells also displayed good viability in microgels
            is expected to address these issues, and therefore, in this   produced through mechanical fragmentation, with cell
            section,  we mainly focus  on  the  research  progress  of   viability at 75.7 ± 8.2%, 73.1 ± 9.4%, and 70.2 ± 9.0% on
            microgels in this type of printing strategy [100,101] .  day  1  for  40,  100,  and  500  µm-sized  microgel  products,
                                                               respectively, and maintained high viability at 94.5 ± 4.7%,
               Direct bioink writing refers to the direct extrusion of   93.4 ± 1.3%, and 94.1 ± 4.6% on day 21, respectively. The
            bioinks with rheological properties to form a predetermined   research  of  Flégeau  et al.  demonstrates  that  microgels
            shape and configuration at a designated location. During   produced through mechanical fragmentation possess
            the extrusion process, the bioink behaves like a fluid and   good cell compatibility and printing characteristics, and
            then transforms into a solid state upon extrusion [102] . The   the preparation method is simple and quick .
                                                                                                  [96]
            advantages of direct bioink writing lie in its simplicity
            and high repeatability. However, when using traditional   Kessel et al. utilized HA-MA as the raw material and
            hydrogels as bioinks, dense gels and/or other components   constructed a class of entangled microfiber-based large-

            Volume 9 Issue 5 (2023)                         96                         https://doi.org/10.18063/ijb.753
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