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International Journal of Bioprinting                            3D printing of tough and self-healing hydrogels



            together. The samples were brought into contact, and after   our proposed hydrogel in combination with additional
            3 min, they had self-healed to form an integrated structure   CNT fillers. Compared to previously reported hydrogel
            and could withstand stretching, and also the printed   with multi-functionality (Table S1 in Supplementary File),
            PVA/TA /PAA hydrogels displayed self-healing ability   the proposed hydrogel, which implemented the features of
                   1:1
            within 3 min (Figure S5  in Supplementary File). Then,   conductivity, toughness, stretchability, self-healing ability,
            by comparing the original maximum (N) tensile strength   and 3D printability in one platform showed excellent
            and  the tensile strength  after self-healing (N’),  the  self-  performance especially in self-healing with rapid recovery
            healing efficiency of the bulk hydrogel, (N’/N) ×100 (%),    and printability with high resolution.
            was calculated at various time points (Figure 3I). It
            revealed a 30% recovery in 30 s, and the healing efficiency   CNT functionalized with a carboxyl group was used
            increased dramatically as the time increased, showing self-  since it is water soluble and can be distributed within our
            healed 80% after 5 min. Figure 3J is the results of strain–  PVA, TA, and PAA-based hydrogel network via H-bond
                                                                                                  [42]
            stress curve tested with the hydrogels after self-healing   through their carboxyl and hydroxyl groups . As shown
            times at 30, 60, 180, and 300 s. As previously explained,   in  Figure 4A, the carboxyl functionalized CNT with DI
            this rapid autonomous self-healing ability is a result of   water was sonicated and poured into the PVA/TA hydrogel
            the weak H-bond formation of TA in the PVA/TA/PAA   at a mass ratio of 1:1. PAA was then introduced into the
            network and the disulfide bond within PAA, which enables   PVA/TA/CNT hydrogel to obtain the PVA/TA/PAA/
            the breakage and reformation of reversible bonds .   CNT ink. To prove whether the CNT was mixed into the
                                                        [29]
            Afterward, the maximum tensile tests after self-healing   PVA/TA/PAA hydrogel without significant impairment of
            in 180 s with different value of pH and temperature were   existing features, the rheological properties of an ink with
            also investigated (Figure S6 in Supplementary File). The   CNT concentration of 6 mg/mL were investigated in terms
            pH did not significantly affect the self-healing property,   of its printability and mechanical properties. It exhibited
            which is due to the non-swellable characteristics of PVA/  a shear-thinning effect in which viscosity decreased as
            TA /PAA hydrogel, as confirmed in the previous swelling   the shear rate increased and both G’ and G’’ decreased
              1:1
            ratio test. Meanwhile, when the strain–stress curve tests of   monotonously as temperature increased, with similar
            the hydrogel according to temperature were conducted, it   values  of  G’  and  G’’  (Figure S7  in  Supplementary  File).
            showed that the higher the temperature applied, the lower   Based on these rheological measurements, the printability
            the tensile strength of the hydrogel, but the better the   of PVA/TA /PAA/CNT hydrogel inks was verified by
                                                                        1:1
            stretchability. It elongated to 890% when heated to 85°C.   examining printing fidelity using nozzles of various
            As shown in Figure 2D of the rheological property, when   diameters and successfully printed a 3D structure through
            the temperature is applied, the storage and loss modulus   layer-by-layer stacking (Figure S8  in Supplementary
            of the hydrogel decreases. Hydrogels with a lower storage   File). The mechanical properties of bulk PVA/TA /PAA/
                                                                                                       1:1
            and loss modulus tend to be more stretchable, as they can   CNT hydrogels with CNT concentrations of 0 (without
            dissipate less energy and withstand larger deformation.  CNT), 1, 3, 6, and 9 mg/mL were also verified as shown in
                                                               Figure 4B. The measured stress–strain curves represented
            3.6. Synthesis process and characterization of PVA/  that as CNT incorporation increased, the maximum tensile
            TA/PAA/CNT hydrogel ink                            strength improved while the elongation at break was
            Electrically conductive hydrogels using various types   reduced. Although the stretchability of the hydrogel was
            of conductive materials such as carbon nanotube-based   weakened compared to without CNT hydrogel, the results
            and graphene-based materials have been developed for   showed a consistent tendency that the tensile strength was
            bioelectronics . However, one of the main challenges   enhanced according to the CNT concentration. It indicates
                       [39]
            of the incorporating such nanoparticles or nanotubule-  that the CNTs were homogeneously dispersed inside the
            doped hydrogels is achieving a homogeneous dispersion   PVA/TA/PAA hydrogel network without breaking the
            of the particles within the hydrogel matrix . Aggregation   crosslinking  structure.  In  addition,  it  presents  that  the
                                              [40]
            of the particles hinders the dense crosslinking within the   mechanical properties can be tuned by the concentration
            hydrogel matrix, which leads to poor mechanical properties   of CNTs. Then, the self-healing behavior was further tested
            and rheological properties, thus preventing the tough,   and displayed in  Figure S9  (Supplementary File). The
            self-healing, and printable hydrogel implementation. In   samples were attached for 3 min (180 s), and they showed
            addition, some nanoparticles, such as certain types of metal   successfully self-healed to form an integrated structure and
            nanoparticles, have been shown to have toxic effects on   could withstand stretching. Compared to without CNT
            tissues , therefore not suitable for biomedical applications.   hydrogel, as expected, it showed higher tensile strength
                 [41]
            To address these problems, we attempted to realize a tough,   while the value of elongation at break decreased. Then,
            self-healing, and printable conductive hydrogel ink using   to investigate the potential applicability of PVA/TA/PAA/


            Volume 9 Issue 5 (2023)                        348                         https://doi.org/10.18063/ijb.765
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