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International Journal of Bioprinting                                         Hydrogels for 3D bioprinting



            and the optimal crosslinking temperature of the gelatin   while achieving high hepatocyte activity. Khati  et al.
                                                                                                           [66]
            scaffold is 20°C after printing. Chemically crosslinking   blended decellularized liver matrix (dLM) with gelatin
            gelatin hydrogels is a simple method. In vitro cytotoxicity   and PEG for 3D bioprinting. The addition of gelatin and
            experiments using 3T3-L1 pre-adipocytes showed that the   PEG improved the rheology, printability, and mechanical
            bioprinted scaffolds will not produce indirect cytotoxicity   stability of the bioink, and the 3D-printed structure and
            to cells. Finally, they also tested that the scaffold can   dLM-rich growth factors supported the growth of HepG2
            promote the adhesion, proliferation, and adipogenic   cells and improved the cytocompatibility of the hydrogel.
            differentiation of human primary pre-adipocytes .  The highly crosslinked dLM-G-PEG laid the foundation
                                                   [56]
                                                               for subsequent toxicological studies on HepG2 cells.
            3.1.3. Silk fibroin
            Silk fibrin (SF) is a natural fiber polymer extracted   3.1.5. Collagen
            from silk. It not only has the characteristics of a natural   As one of the major components of dECM, collagen is the
            hydrogel material but also has high tensile strength,   most widely distributed protein in the body. Its presence in
            excellent biological properties, and low inflammation.   all connective tissues makes it the most studied biomolecule
            Because of the above characteristics, it has a wide range of   in the ECM . Collagen is widely studied and applied in
                                                                         [67]
            applications in skin regeneration and wound healing [59,60] .   tissue engineering and regenerative medicine because of its
            SF is modified by grafting, coupling reaction, and amino   biodegradability, biocompatibility, low immunogenicity,
            acid modification compared with fibrin, hyaluronic acid,   and easy availability. However, after applying them to 3D
            and  collagen .  Silk  fibroin-gelatin  (SF-Gel)  hydrogel   bioprinting, researchers  found that, similar  to dECM,
                       [61]
            bioink is one of the most commonly used combinations.   collagen often exhibits poor mechanical properties and
            This is because of their inherent biocompatibility,   structural stability , so exogenous crosslinking methods
                                                                              [68]
            bioactive signatures, binding affinity for cells, and tunable   have  been  introduced  to  increase  the  crosslink  density
            mechanical properties. Castilho et al.  fabricated a new   to improve its mechanical properties and printability.
                                          [62]
            type of photocrosslinkable bioinks based on proteinaceous   Chemical methods often include  the  introduction of
            polymers, namely gelatin and silk fibroin, and allowed   chemical crosslinking agents such as aldehydes ,
                                                                                                           [69]
            the 3D writing of microscale, cell-laden fibers through a   genipin , and carbodiimide  to enhance the mechanical
                                                                                      [71]
                                                                     [70]
            cell electro-writing process (CEW). They were found to   properties  of  collagen.  Physical  methods  such  as  UV
            have good mechanical properties, reduced cell-filled fiber   irradiation  and dehydrogenation heat can eliminate
                                                                       [72]
            size (5–40 μm), and wonderful resolution and patterning   the negative effects of using chemical crosslinking agents.
            accuracy compared to conventional extrusion bioprinting.   Serna et al.  introduced a photo-reactive agent, riboflavin,
                                                                       [73]
            These significant features of the new photosensitive   which was used in conjunction with UV irradiation to
            hydrogel bioinks and CEW processes will allow the creation   enhance the mechanical properties of collagen. However,
            of micro-structured scaffolds that can better mimic the   physical methods inevitably cause conformational
            cellular microenvironment of regenerative medicine (RM)   changes in the polypeptide chains as well as collagen
            (e.g., muscle fibers, tendons, and neural networks) and   denaturation .  In  addition  to  the  above-mentioned
                                                                         [74]
            organ-on-a-chip models.                            exogenous crosslinking methods, combining collagen with
                                                               some polymeric materials (e.g., sodium alginate) can also
            3.1.4. Decellularized extracellular matrix         improve its mechanical properties and printability. Clark
            While a variety of hydrogels are already being used by   et  al.  modified collagen and mixed it with different
                                                                   [75]
            many researchers today to configure bioinks for 3D   concentrations of thiolated HA 3:1 and loaded HepG2
            bioprinting, decellularized extracellular matrix (dECM)-  and patient-derived glioblastoma multiforme (GBM) cells.
            based bioinks with tissue specificity are gaining popularity.   The concentration of HA was finally optimized to 15 mg/
            The dECM of chemically- and physically-removed cells   mL to match the bioprinting, and the printed organoid
            resembles the ECM of target tissues in terms of chemical   had excellent mechanical properties and could be used in
            composition and structural complexity in an idiosyncratic   subsequent drug screening applications.
            environment . However, it is difficult to use dECM
                      [63]
            alone as a bioprinting ink due to its poor mechanical   In  summary,  most  of the  above-mentioned  natural
            stability . Therefore, dissolved dECM is often mixed   polymer-based  hydrogels  as  bioinks  for  3D bioprinting
                  [64]
            with other polymers or printed with other structural   have good biocompatibility, low immunogenicity, and low
            support  materials.  Zhuang  et al.   mixed  dECM  and   inflammation as well as suitable biodegradability, and these
                                        [65]
            modified gelatin with nanoclay to make a new bioink.   advantages make them widely used in tissue engineering
            The concentration of dECM was as high as 75%, and the   and regenerative medicine. However, as they mostly exhibit
            composite bioink maintained good printing performance   weak mechanical properties and poor structural stability, it


            Volume 9 Issue 5 (2023)                        213                         https://doi.org/10.18063/ijb.759
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