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International Journal of Bioprinting                                         Hydrogels for 3D bioprinting



            cellulose nanocrystals (CNCs), which are principally used   4.4. Gold nanoparticle composite hydrogels
            as reinforcement materials for other hydrogels. The second   In the construction of bone and heart tissues, the poor
            category is cellulose nanofibrils (CNFs), which serve as   electrical conductivity of polymer-based hydrogel
            potential carriers for functional ingredients like proteins.   materials  is  one  of  the  major  challenges  for  their  wide
            The third category is bacterial nanocellulose (BNC),   application, and this is where the addition of materials with
            which shows exceptional potential, but one of the biggest   electrical conductivity is needed to induce the formation
            limitations is the technical problem of BNC production    of new tissues and promote intercellular signaling. There
            at present [131,132] .                             are  several  types  of  conductive  nanomaterials  such  as
                                                               graphene, GO,  and CNTs  mentioned in  carbon-based
               The addition of cellulose nanofibers to the SA hydrogel   nanomaterials. However, although CNT is a popular
            can improve the rheological properties of its printing [31,49] .   conductive material, its cytotoxicity is controversial.
            Jessop et al.  used biomass-derived cellulose nanocrystals   Currently, among various conductive nanomaterials, gold
                     [31]
            (CNCs, 3%), biomass-derived cellulose nanofibers (CNFs,   nanomaterials are emerging as the best candidates due to
            6%), and a unique mixture of the two (NCB, 3%) as   the fact that they often exhibit several attractive properties,
            extrusion.  For  the  bioinks,  they  optimized  the  formula   including good cytocompatibility, no cytotoxicity, easy
            of the bioinks. By printing a single-layer square grid with   preparation and  sizing,  high  reproducibility,  and easy
            a  height  of  1.7  mm,  they  tested  the  resolution of  three   surface modification, as well as the ability to propagate
            different formulations of nanocellulose and SA, which   electrical signals efficiently [131,132] . It binds to various thiol-
            showed high resolution. The results showed that the bioink   containing biomolecules through gold–thiol bonds to
            has good shear thinning characteristics and great shape   promote cell proliferation and increase cell–cell signaling.
            fidelity after  printing. Among  them,  the transmission   Overall,  gold  nanostructures  are  extremely  promising
            scanning electron microscope of NCB-AG (Figure 6C,   materials for biomedical research, and researchers often
            (C1)) shows the entanglement state between the nanofibers   use conductive hydrogels containing gold nanorods
            before the calcium chloride crosslinking, forming a sparse   (GNRs) for cardiac tissues because of their excellent
            and scattered  structure. Moreover,  the  pores between   electrical conductivity.
            nanofibers are very large, resulting in an unstable structure.
            Figure 6C (C2) is the state after crosslinking. It is obvious   However, except for repair sites that are in need of
            that the crosslinking effect of SA entangles nanofibers   biomaterials with electrical conductivity, gold nanoparticle
            and CNCs together, forming a dense and firm structure,   composite hydrogels may not be as effective as other
            and the arrangement is orderly. Therefore, they used the   polymer-based hydrogels when applied to tissues such as
            NCB–AG combination of bioinks to print several complex   the urethra and skin, due to their lack of bioactivity and
            shapes, such as hollow and solid cylinders, pyramids, and   relatively uncertain  biostability. Therefore,  researchers
            cubes, as well as human right ear models. They continued   have often incorporated them into many cell-containing
            to test the compatibility of human wing chondrocytes. The   bioinks and biomaterials to enhance and expand their
            results showed that bioinks provide a suitable environment   functionality and printability for tissue engineering and
                                                                                          [134]
            for cell survival and differentiation while maintaining the   regenerative medicine applications  .
            shape and structure of the scaffold. Sultan et al. [133]  used   In the construction of bone tissues and heart tissues,
            SA/gelatin hydrogel bioinks reinforced with CNCs to form   materials with conductive functions need to be added
            an interpenetrating polymer network structure through   to induce the formation of new tissues and promote
            a double crosslinking reaction of covalent and ionic   signal conduction between cells. There are several
            crosslinking. Because the crystals are oriented, they found   types of conductivity nanomaterials such as graphene,
            that when the orientation of CNCs is consistent with the   GO, and CNTs, which are mentioned in carbon-based
            printing direction, a scaffold with uniform pore size can be   nanomaterials. Besides, gold nanoparticles are also
            obtained. In short, CNCs not only improve the rheology of   conductive and can transmit electrical signals [135,136] .
            hydrogels but also make it easy to print controllable pore   Although CNT is a popular conductive material, its
            sizes and gradient pore structures. Besides, the scaffold is   cytotoxicity  is  disputed.  Gold  nanomaterials  exhibit
            suitable for cell interaction, which once again proves that   some attractive properties, including good cell
            CNCs have great potential to be used in 3D bioprinting   compatibility, non-cytotoxicity, easy preparation and
            bioinks. Some studies on nanocellulose have found that   size, high reproducibility, and easy surface modification.
            nanocellulose has great potential as a bioink that can be   It  combines  with  various  thiol-containing  biological
            used for bioprinting. In the future, more tests on printing   molecules through gold–thiol bonds to promote cell
            performance, mechanical properties, and cell compatibility   proliferation and increase cell–cell signal transmission .
                                                                                                           [36]
            will be needed in this regard.                     Gold nanostructures are exceedingly promising materials

            Volume 9 Issue 5 (2023)                        223                         https://doi.org/10.18063/ijb.759
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