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International Journal of Bioprinting                                         Hydrogels for 3D bioprinting



            spatial arrangement of cells and formation of spheroids in   polyethylene glycol (PEG), etc. have been modified by
            a short period of time using magnetic interactions, which   combining methacrylate. Remarkable hydrogel materials
            facilitates the cells to form their own 3D microenvironment   are limited to the application of light-based 3D bioprinting
            and ECM, and promotes their mutual responses. Moreover,   technologies [39-41] .  Nevertheless,  as  a  key  factor  of  light-
            the magnetic nanoparticles used in this study can   curing printing, obtaining light-curing hydrogel materials
            support cell proliferation and regulate their metabolism   is an important research direction, and it is also a challenge
            without triggering inflammation and oxidative stress. It   we must face in the future simultaneously.
            was found that extrusion-based bioprinting is  not only
            simple to operate and low cost, but also suitable for most   3. Polymer-based hydrogel bioink
            biomaterials, making this method the most widely applied   According  to  the  sources  and  properties  of  hydrogels
            in 3D bioprinting. However, the  preparation of non-  generally used in 3D bioprinting, they can be divided into
            synthetic bioinks with rheology and biocompatibility is   three main categories: natural polymer-based hydrogels,
            also one of the main challenges of extrusion bioprinting .  synthetic hydrogels, and modified natural hydrogels.
                                                        [31]
               In addition to the above-mentioned technologies,   3.1. Natural polymer-based hydrogels
            photocrosslinking-based 3D bioprinting technologies are   Natural hydrogels can more effectively mimic the
            also gradually being adopted for extensive use, including   biopolymers that exist in natural ECM, which have the
            stereolithography, two-photon polymerization (2PP), and   advantages of good biocompatibility, easy biodegradability,
            digital light processing (DLP) [32-34]  (Figure 1B–D). Besides,   and low toxicity . Natural hydrogels include sodium
                                                                             [33]
            another approach of stereolithography is the digital   alginate (SA), gelatin, silk fibrin (SF), collagen, fibrin, and
            micromirror device (DMD) bioprinting (Figure 1E) [35,36] .    hyaluronic acid [42-44] . Here, we mainly review the natural
            Ying  et al.  used this technique for bioprinting   polymer hydrogels that are most used in recent years.
                      [35]
            GelMA-PEO emulsion bioinks. They bioprinted the
            cell-filled construct using a pre-designed serpentine   3.1.1. Sodium alginate
            pattern, while the uncrosslinked bioink along with PEO   In 3D bioprinting, SA is one of the most studied and broadly
            droplets was washed off with PBS immediately after   applied cell-loaded hydrogel materials. Because it can be
            bioprinting. DMD  bioprinting  is  on  the  basis  of layer-  gelled through simple ionic crosslinking and has good
            by-layer photocrosslinking of the bioink in the reservoir,   biocompatibility, it has better mechanical properties than
            which  avoids  subjecting the  cells to  the  shear  stress   other protein hydrogels . However, the disadvantages of
                                                                                  [45]
            associated with the extrusion process that leads to cell   SA include poor printing performance, low mechanical
            fragmentation . However, DMD bioprinting technology   strength, and poor structural stability of printing, and
                       [37]
            also has some minor drawbacks, such as its layer-by-  it cannot promote cell proliferation and differentiation.
            layer photocrosslinking technology, which may inevitably   Increasing the viscosity of pure SA can meet the conditions
            reduce printing efficiency. To solve the problem, Kelly    such as the rheology of printing, but the fidelity of shape is
            et al.  proposed the computed axial lithography (CAL)   too bad after printing . Therefore, the current researches
                [38]
                                                                                [46]
            technique in a volume accumulation method for target   mainly focus on the composite of SA and other biological
            formation through photopolymerization, which is several   materials or the modification of SA and other materials [47-49] .
            ranks of magnitude faster than layer-by-layer printing   When mixing with other materials, it is generally considered
            (Figure 1F). The technique gives them the ability to   that the optimal concentration range of SA is 1% to 5%.
            synthesize 3D structures of arbitrary geometry through   When the concentration is lower than 1%, although it is
            photopolymerization. The CAL method presents several   easy to dissolve and mix, the shape fidelity becomes very
            strengths over traditional layer-based printing methods;   bad after printing, and it can easily collapse. When the
            for example, they can be used for circumventing support   concentration is higher than 5%, the SA solution decreases
            structures because it can print highly viscous liquids   cell viability, which is too viscous to be used as a bioink
            or even solids. It is also possible to use this technology   for extrusion printing. The concentration of the commonly
            to print 3D structures around pre-existing solid parts.   used crosslinking agent calcium chloride is generally
            In addition, CAL technology allows for larger print   0.5  M .  Sodium  alginate-gelatin  (SA-Gel)  hydrogels
                                                                    [31]
            volumes along with faster print speeds. Compared to   have  been  extensively  applied  for  extrusion  bioprinting,
            traditional extrusion-based bioprinting, the light-curing   which is the most common mixture form. Because the
            printing method has shown many advantages and will   optimization of bioinks is essential for printing and cell
            play a crucial role in the development of bioprinting. At   adhesion and survival, many researchers have made some
            present, particularly several natural and synthetic hydrogel   attempts to optimize the SA-Gel hydrogels. Liu  et al.
                                                                                                           [50]
            polymers such as gelatin, chitosan, hyaluronic acid (HA),   investigated the effect of different concentrations of nano-

            Volume 9 Issue 5 (2023)                        211                         https://doi.org/10.18063/ijb.759
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