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International Journal of Bioprinting                                         Hydrogels for 3D bioprinting



            attapulgite (nano-ATP) on the printability and mechanical   then crosslinked under ultraviolet (UV) light with the help
            properties of  SA-Gel  bioinks.  They  fabricated  sodium   of a photoinitiator. The third strategy is the crosslinking of
            alginate (SA)/gelatin (Gel) hydrogel scaffolds doped with   gelatin, which is divided into two situations: (i) the prepared
            different contents of nano-ATP via 3D printing. It was   gelatin hydrogel can usually be mixed with a crosslinking
            found that the compressive strengths and compressive   agent for reaction, and (ii) the gelatin used for printing is
            modulus of the composite hydrogel increased significantly   used to immerse the printed stent in a crosslinking agent
            with the increase of nano-ATP concentration. In addition,   solution for curing.
            as the nano-ATP amount increased, the swollen scaffolds
                                                                           [57]
            is able to better retain its shape and mechanical support.   Yang  et al.  described several crosslinking agents
            Thus, nano-ATP makes bioink more effective in inducing   for gelatin. Commonly used crosslinking agents include
            bone regeneration with the potential to repair bone   chemical  agents  and  enzymes,  such  as  genipin  (GP),
            defects. Chen  et al.  adjusted the physicochemical and   glutaraldehyde (GTA), 1-ethyl-3-(3-dimethylaminopropyl)
                            [51]
            biochemical properties of the hydrogel by changing the   carbodiimide  (EDC)/n-hydroxysuccinimide  (NHS),
            concentration and crosslinking sequence of SA-Gel. They   microbial transglutaminase (mTG), etc. They mixed a 4%
            used Ca -crosslinked SA molecules and transglutaminase   gelatin solution with four crosslinking agents respectively,
                  2+
            (TG)-crosslinked gelatin molecules to construct the SA-  and after gelation at 37°C, they were frozen at -20°C
            Gel  interpenetrating  polymer  network  (IPN),  which   for 8 h and then freeze-dried for 48 h to obtain gelatin
            provides the best interior for cell survival microstructure   sponge scaffolds. Based on the different properties of
            and environment. Ionic and covalently crosslinked SA-  crosslinking agents, they found that (i) GTA was one of
            Gel hydrogel is a material with great potential, not only   the most commonly used crosslinking agents with certain
            in tissue/organ printing but also in the field of drug   cytotoxicity; (ii) EDC/NHS had low toxicity and good
            screening models and pathological mechanism analysis.   biocompatibility,  but the  degradation rate is  excessively
            Moreover, SA is usually mixed with other different   quick; (iii) the mechanical strength of gelatin scaffolds is
            biological materials, such as collagen, agarose, PEG, and   weak after crosslinking. Hence, the scaffolds are insufficient
            carboxymethylcellulose  (CMC) [31,49,52,53] .  Geevarghese   to  provide  a  suitable  living  environment  for  the  cells,
            et al.  used a mixture of gelatin, CMC, and SA as a printing   which in turn leads to cell death. Genipin has a slighter
               [54]
            bioink to prepare scaffolds for cartilage tissue engineering.   toxicity compared to glutaraldehyde. But its crosslinking
            As the concentration of CMC in the mixture increased, the   effect is over powerful, which results in lower swelling
            viscosity of the bioink also increased. Among them, 2%   and high hardness of the gelatin sponges. Gelatin scaffolds
            CMC has excellent printability and mechanical stability,   crosslinked by genipin are not suitable for soft tissue
            while the bioink containing 4% CMC is highly viscous and   repair, while it is suitable for hard tissue repair. The authors
            not extrudable.                                    reported gelatin sponges crosslinked with transglutaminase
                                                               for the first time, and found that mTG sponge had the best
            3.1.2. Gelatin                                     performance compared to the other three crosslinkers:
            Gelatin (Gel) has antigenicity and low immunogenicity,   good internal and external biocompatibility, uniform
            and cell adhesion motifs (RGD peptides). Therefore,   pores, and resistance to degradation. Compared with the
            gelatin can be used as cell adhesion and metalloprotease-  other three crosslinking agents, it is the most suitable for
            driven degradation sites, which can be effectively absorbed   soft tissue repair. The required properties of soft tissues are
            in the body without toxic degradation. Additionally, the   different, so the corresponding concentration of gelatin
            raw materials of gelatin products are easily available and   and the crosslinking agent are also different. Besides, as a
            inexpensive . In adipose tissue regeneration, gelatin is   bioink for 3D bioprinting, it is necessary to consider factors
                     [55]
            one of the most commonly used natural polymer materials   such as the temperature and viscosity of gelatin. Most
            for soft tissue repair . Yet, the fundamental problem that   importantly, the crosslinking agents are not limited to the
                            [56]
            needs to be solved urgently is maintaining the stability of   list above, and there are some other chemical crosslinking
            the gelatin scaffold structure after printing. Currently, there   agents. Negrini et al.  mixed gelatin with concentrations
                                                                               [58]
            are usually three strategies to resolve this problem. The first   of 15% w/v and 25% w/v with different ratios of N-N’-
            strategy is to mix the gelatin solution with other polymers.   methylenebis(acrylamide)  (MBA)/gelatin  amino
            To form a stable 3D structure after printing, researchers   crosslinkers. Gelatin does not need to be mixed with other
            use the properties of other materials to crosslink. In this   polymers or chemically modified, and the crosslinking
            case, since gelatin does not participate in the crosslinking   reaction can be initiated by adding MBA crosslinking agent.
            reaction, it is unstable and easily degradable. The second   They consider that the suitable concentration of gelatin is
            strategy is what we will introduce in detail in section 3.3.   15% w/v in terms of mimicking the mechanical properties
            The gelatin is modified, grafted with methacrylate, and   of adipose tissue. The concentration of MBA is 0.4% w/v,


            Volume 9 Issue 5 (2023)                        212                         https://doi.org/10.18063/ijb.759
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