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International Journal of Bioprinting                                     Using droplet jetting for bioprinting































            Figure 6. Inkjet printing of cells. (A) Viability of human dermal fibroblast printed through profiling cell proliferation over 7 days . Reproduced under the
                                                                                             [60]
            terms of the Creative Commons Attribution 4.0 International License. (B) Heterogeneous patterning of cell population within region of interest forming
            color variation similar to home-based inkjet printers . Reproduced under the terms of the Creative Commons Attribution 4.0 International License.
                                              [58]
            (C) Layers of cells patterned with vertical variation [124] . Reproduced under the terms of the Creative Commons Attribution 4.0 International License.
            for drug response assays. Negro  et al. [124]  demonstrated   biological events in cancer progression, wound healing, and
            the capability to control heterogeneity in the z-layers by   embryogenesis [128] .
            printing several layers of cell-laden hydrogel. Examples   Other than patterning cells and biochemical agents in
            above showed that heterogeneous inkjet printing of   planar layers, researchers have developed printing strategies
            biomaterials, biomolecules, and cells of different geometries   to improve shape fidelity of inkjet-printed constructs. One
            has potential uses in high-throughput drug screening and   approach is to use a support bath containing crosslinking
            designing complex tissue structures.               agents that react with bioink [129-131] . Multicompartment
               Designing biomaterials with biochemical and mechanical   and multicellular structures can be created through
            gradients is important for studying cell-material interaction.   leveraging pixelation in inkjet printing technology, as well
            A platform for studying such interaction should be capable   as the integration of several manufacturing methods (also
            of reproducing this heterogeneity in a reproducible manner.   known as hybrid bioprinting) [132-134] . In the work by Yoon
            Phillippi used inkjet technology to control the distribution   et al. [130] , crosslinking agents were spray-coated before
            of biochemical cues, thereby inducing multilineage   each printing layer. The bioink is a modified gelatin-based
            differentiation of stem cells [125] . In this fabrication process,   bioink containing alginate, which reacts with the spray-
            a single source of autologous adult stem cells can be   coated layer of calcium chloride, forming a 3D laminated
            introduced to simultaneously regenerate heterogeneous   structure.
            tissue types using a platform patterned with different growth   Inkjet printing has been applied in planar 2D
            factors. Biomechanical cues influence cell behavior in the   patterning of cells and biomaterials and constructing 3D
            process known as mechanotransduction, where mechanical   tissue constructs for biological application. This is possible
            stimuli are transferred into chemical or electrical signal.   through formulating jettable bioinks and designing
            Cells are known to react differentially to various mechanical   printing  strategies  compatible  with  inkjet  technologies.
            stimulations. This is shown in cell behavioral experiments   Moving forward, biological functionality of bioprinted
            that demonstrate how MSCs differentiate into neurogenic,   constructs is an important criterion in determining the
            myogenic, and osteogenic cells based on the change of the   efficacy of bioprinted tissue.
            matrix stiffness from soft to stiff to rigid, respectively [126] .
            Epithelial-metastatic transition (EMT), a crucial biological   5. Conclusion
            program involved in embryogenesis, wound healing, cancer
            cell migration, and metastasis, is yet another illustration [127] .   From the perspective of material jetting technology
            Tuning  microenvironment  is  essential  for  studying   in bioprinting, we have a limited understanding of


            Volume 9 Issue 5 (2023)                        200                         https://doi.org/10.18063/ijb.758
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