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International Journal of Bioprinting                CECM-GelMA bioinks of DLP 3D printing for corneal engineering
































            Figure 10. (A) HE staining images of corneal defect, CG hydrogel-treated, and normal tissue at 8 weeks after surgery. (B) Quantitative results(epithelial,
            stroma, and total thickness) of repaired cornea (* p < 0.05, ** p < 0.01; experiment: CG hydrogel; control: corneal defect and normal tissue). The scale bar
            of overall is 200 μm; and the scale bar of part is 100 μm.(C) IHC staining images of corneal defect, CG hydrogel-treated, and normal tissue at 8 weeks after
            surgery (* p < 0.05, ** p < 0.01). (D) Quantification of IHC staining results (experiment: CG hydrogel; control: corneal defect and normal tissue). Scale
            bars = 100 μm.

            microscope (SEM), hydrogels have a soft surface and high-  process of GelMA hydrogels are strong, in hydrogels with
            water content. Traditional measurement methods cannot   a high degree of modification, the increase in the degree
            be utilized . As shown by the imaging findings of OCT   of crosslinking will lead to an increase in the brittleness
                    [40]
            scanning  (Figure  1),  the manufactured  artificial cornea   of the material. Overall, in rheological experiments,
            has a smooth hyperbolic structure, achieving a biomimetic   CECM-GelMA hydrogels showed weak shear frequency
            shape. Although on-demand , extrusion-based printing,   dependency, higher gel strength, and shorter viscoelastic
                                   [41]
            and mold construction  have shown better single-   chain sizes (Figure 2A and B). The rheological behavior
                                [37]
            curvature results, this automated, free-form construction   remains in a steady state . Since parameters such as the
                                                                                   [43]
            will be more attractive for customized manufacturing.  size of the indentation tip, the depth of the indentation,
                                                               the sample size, and the loading speed affect the results
               On the foundation of form bionics, the creation of a               [44]
            natural corneal microenvironment is also crucial. Based   of the compression test , this leads to a huge difference
                                                               in the compressive modulus of the cornea (the average
            on the photocurable properties of GelMA, it is considered   compression modulus of the natural cornea is from 3.54 ±
            to be a popular hydrogel material in the field of tissue   0.30 MPa  to 3.06~26.38 kPa ).
                                                                                       [46]
                                                                      [45]
            engineering. However, it has poor robustness and a
            narrow stiffness range and needs to be compounded with    The findings of the subsequent uniaxial compression
            other  materials  to  achieve  corresponding  performance.   test in our study served as additional confirmation of
            Moreover, dECM, which has excellent physical properties   the excellent mechanical qualities of the composite
            and a wide range of biochemical factors, has recently   hydrogels (Figure 2C and D). Afterward, the promotion
            become widely accepted as the best material for simulating   in  compression  of  CECM-GelMA  is  caused  by  a
            complex natural microenvironments and has considerable   combination of many factors. Bioink based on CECM
            potential for tissue regeneration and biochemical   is  rich  in collagen,  which  is responsible  for  conferring
                                     [42]
            environment  reconstruction .  To  impart  high    strength and elasticity, so it is easy to form physical
            biocompatibility and photocurable ability, a functional   crosslinks through intermolecular interactions. CECM can
            bioink with a unique microenvironment, GelMA mixed   provide proteoglycans and elastin that confer viscoelastic
                                                                                        [47]
            with CECM, was created, which can build corneal tissue   properties to the whole cornea . Due to the extremely
            with highly adjustable mechanical properties. Although   low number of polar residues in elastin and the resistance
            the covalent bonds formed during the photocurable   due to attachments between proteoglycans or other matrix


            Volume 9 Issue 5 (2023)                        488                         https://doi.org/10.18063/ijb.774
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