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



            cells unable to effectively carry out biological functions.   the bone matrix microgel group showed significantly
            In  order  to  promote  cartilage  regeneration,  Zhu  et al.   better rates, numbers, and lengths of vascular formation
            developed a microgel composed of hyaluronic acid, PEG,   compared to the GelMA group. The bone matrix microgel
            and gelatin that is capable of mixing with cartilage cells   group formed a stable vascular network on the first
            and maintaining cellular phenotype, promoting cellular   day, while the GelMA group only formed a relatively
            volume expansion and matrix deposition [136] . By injecting   stable vascular network on the third day. The number of
            the microgel directly into the site of cartilage defects and   formations in the bone matrix microgel group was 2.6
            reinforcing it through photopolymerization, a scaffold is   times that of the GelMA group, and the length was 6.1
            formed to support cartilage regeneration. This microgel   times that of the GelMA group [141] .
            has shown promising results in animal experiments, as
            demonstrated through immunohistochemical staining   6.3. Neuronal tissues
            that revealed an increased presence of  Aggrecan and   The construction of neuronal tissue is made difficult and
            COL2 within the interstices of the microgel and a matrix   complex by the presence of various types of cells, electrical
            more closely resembling native cartilage [136] . Flégeau et al.   conduction, growth factors, and cell orientation [142,143] .
            prepared an enzyme-crosslinked hyaluronic acid microgel   The incorporation of ECM-based polymers into ink in
            through mechanical crushing, which can be used as a bioink   combination with cells provides tissue specificity. Kajtez
            for 3D printing to repair cartilage tissue . Its advantage is   et al. developed self-healing, annealing particle-ECM
                                           [96]
            that the pore size can be adjusted (from 9% to 21%), and   (SHAPE) microgel as a biological ink [144] . SHAPE microgels
            the microgel containing human ear cartilage cells can form   are composed of a viscous polymer  (ECM) solution
            a stable 3D structure after printing and the printed product   (continuous phase, approximately 30% volume fraction)
            can develop stably in vitro. GAG, type II collagen, and type   and soft water gel (alginate) microgel (discontinuous phase,
            I collagen are uniformly and strongly deposited in the   approximately 70% volume fraction). These microgels
            gaps between the microgel scaffolds, and the mechanical   provide not only physical support for high-fidelity
            strength of the printed product can reach approximately   embedded printing, but also a microenvironment for
            200 kPa after 63 days of  in vitro cultivation . Chai   cellular interaction that supports healthy cellular growth,
                                                   [96]
            et al. prepared a SilMA/GelMA microgel by mixing low   maturation, and activity [144] . Hsu  et al. used mechanical
            concentrations of GelMA with a certain concentration of   disruption to construct a transparent hyaluronic acid
            methyl methacrylate silk protein (SilMA). The strength of   microgel loaded with human induced pluripotent stem
            the SilMA/GelMA microgel was greater than that of pure   cell (hiPSC)-derived cortical neurons [145] . The printed
            GelMA hydrogel, and it had good biocompatibility, which   product of this microgel was able to support the formation
            ensured higher cell survival rates. It also demonstrated   of  well-organized  neural  and  astrocytic  cell  clusters  and
            good  performance  in  repairing  bone  defects.  In  animal   high levels of axonal extension both within and outside the
            experiments, the average bone volume/total volume (BV/  scaffold. In comparison, the length of axons in the control
            TV) at 2 weeks was 6.98% in the rat calvarial defect model   group was three times shorter than that in the microgel.
            repair, which was significantly higher than the average BV/  Furthermore, this microgel scaffold supported long-term
            TV (4.56%) in the control group [137] .            culture of neural stem cells, with the cells proliferating and
                                                               differentiating into large and densely packed clusters of
            6.2. Vascularized tissues and structures           cells after 3 months of cultivation, with the majority being
            The vascular system is crucial for the regeneration of most   neural cells surrounded by extensively growing axons
            damaged tissues, as it facilitates the exchange of nutrients,   both within and outside the microgel scaffold, which were
            waste, and gases necessary for cell proliferation. Endothelial   well-organized and projecting [145] . Microgels have been
            cells arranged within the vasculature promote healthy   demonstrated to  simulate  ECM structure  to  promote
            blood flow and the exchange of nutrients with surrounding   neural regeneration. Yang  et al. further validated this
            tissues; therefore, the formation of these structures during   conclusion through their study in which they repaired a
            vascularization is crucial for guiding tissue growth [138-140] .   10-mm long gap in the sciatic nerve using hyaluronic acid
            Parthiban et al. studied the use of a microgel composed   microgel [146] .
            of methylacrylate-functionalized ECM proteins of bone
            cells for 3D-printing vascularized tissues [141] . This microgel   6.4. Organoids
            is primarily composed of frozen demineralized and   In addition to being used for printing tissue organs,
            decellularized bone matrix, which maintains the biological   microgel as a biological ink can also be used to simulate
            advantages associated with the composition of natural   tissue microenvironments, establish organoid models,
            ECM and has strong capacity for cell loading and vascular   and reconstruct and simulate  in vitro 3D environments,
            formation. In in vitro experiments for vascular generation,   providing  new  approaches  for  modeling and  disease


            Volume 9 Issue 5 (2023)                        101                         https://doi.org/10.18063/ijb.753
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