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International Journal of Bioprinting                              Bioprinting cell-laden protein-based hydrogel




            biodegradation, and crosslinking, as well as biochemical   permit the fabrication of complex 3D structures with high
            factors, including chemical structure, growth factors,   reproducibility and shape fidelity [11-13].
            and signaling molecules, on protein structure and cell   Hydrogels  are  popularly  employed  as  bioinks  in  the
            behavior. Additionally, key considerations for bioprinting   bioprinting process because of their chemical structure
            PBHs and their impact on the successful regeneration of   and the favorable 3D environments they provide for
            tissues are discussed. Furthermore, the review highlights   cellular growth [14-17] . Incorporating cells into inks (i.e.,
            current advancements, existing challenges, and promising   biomaterials or biological materials) to create a “bioink”
            prospects  in  the  development  of  cell-laden  PBHs  for   is the cornerstone of producing intricate, biologically
            bioprinting applications and the regeneration of bone   applicable 3D tissue structures [18,19] . The use of PBHs as
            and cartilage.
                                                               bioinks for bioprinting has several advantages over other
                                                               hydrogel systems. PBHs are biocompatible, biodegradable,
            Keywords: Bioprinting; Protein; Bioink; Cartilage; Bone;   and can be functionalized with cell adhesion peptides and
            Tissue engineering                                 growth factors (GFs) to enhance cell behavior and tissue
                                                               regeneration [20,21] . Moreover, they can be crosslinked  in
                                                               situ by various mechanisms, such as physical, chemical, or
                                                               enzymatic crosslinking, to achieve the desired mechanical
            1. Introduction                                    properties and stability. In recent years, several PBHs have
            The field of tissue engineering (TE) and regenerative   been developed for the bioprinting of cartilage and bone
            medicine may undergo a revolution due to the development   tissue constructs. These hydrogels offer several advantages
            of bioprinting, a rapidly developing technology. An   over other materials, such as synthetic polymers or
            important application of bioprinting is in cartilage and   decellularized extracellular matrix (ECM) scaffolds. PBHs,
            bone TE, where it can be used to fabricate complex three-  such as collagen, gelatin, and fibrin, are biocompatible and
            dimensional (3D) structures that mimic the structure and   biodegradable and can support cell adhesion, proliferation,
            mechanical properties of natural tissues . As a potential   and differentiation [22-24] . By providing spatial factors, such as
                                            [1]
            method for fabricating cartilage and bone tissue constructs,   porosity, protein alignment, and network density, the tissue
            bioprinting of cell-laden protein-based hydrogels (PBHs)   structure can influence cellular behavior, shape, migration,
            has emerged in recent years [2-4] .                and fate. Therefore, PBHs aim to replicate the ECM’s
                                                               complex and unique structure to develop functional tissue
               Traditional scaffolds cannot  efficiently  transport   constructs that can mimic the native tissue’s mechanical and
            nutrients or exchange oxygen without porous structures   biological properties [25-28] . The ability to imitate the native
            interconnected in a complex geometry, and cells are   tissues’ ECM and the tendency to experience shear-thinning
            typically deposited randomly using TE fabrication   before regaining their original shape are other desirable
            techniques [5,6] . In order to overcome these barriers, 3D   features of protein-based materials. Furthermore, protein-
            bioprinting techniques can be used to construct cell-  based polymers can be utilized to adjust the rheological and
            laden 3D structures [7,8] . By using cell-laden hydrogels,   biochemical properties of bioinks, thereby enhancing the
            bioprinting makes tissue constructs with a high cell   shape fidelity [29-32] . Further, these materials are renewable
            density, which plays a vital role in tissue regeneration.   and green compared to fossil-derived synthetic polymers,
            Bioprinting technology is divided into two distinct groups   and their availability and ease of large-scale production
            that are not mutually exclusive. Two basic categories can be   via bioengineering methodologies and biotechnological
            distinguished: distributed versus aggregated cells and single   techniques make them attractive to researchers [33,34] . Thus
            versus multi-cellular. Cell aggregate bioprinting involves   far, more natural proteins of animal origin have been used
            embedding preformed cell aggregates in bioinks and   in the fabrication of hydrogels, the reasons for which are
            then printing them. Unlike single-cell bioprinting, which   easier access, lower cost, and simplicity of extraction,
            involves printing one cell at a time, multi-cell bioprinting   which will  be  followed  by  their  introduction and  review
            involves suspending several cells in bioink and depositing   in the synthesis of biological inks for osteochondral and
                                      [9]
            them in a filament or droplet . The incorporation of   cartilage TE.
            multiple cell types, such as chondrocytes and osteoblasts,
            into bioprinted osteochondral tissue constructs enhances   The protein sequence of hydrogels can significantly
            the formation of a functional interface between cartilage   influence bioprinting processes and tissue constructs [35,36] .
                   [10]
            and bone . The fabrication of cartilage and bone tissue   PBHs differ in terms of their mechanical properties,
            constructs has been achieved using multi-cell bioprinting   degradation rates, and cell adhesion properties, which can
            technologies, including  inkjet printing, extrusion-based   have a major impact on the printability of hydrogels and
            printing,  and  laser-assisted  printing.  These  technologies   the behavior of cells. As an example, collagen hydrogels

            Volume 9 Issue 6 (2023)                        467                          https://doi.org/10.36922/ijb.1089
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