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




            beyond  this  temperature,  hydrogen  bonds  weaken,  and   wavelength and exposure times of 15, 38, and 60 s) and
            the helices disappear, leading to a gel-sol transition. As a   determined their ideal combination in the case of optimal
            result of this well-defined feature, gelatin has proven to be   stiffness for cartilage bioengineering. Human chondrocyte
            a versatile additive for the formulation of a wide variety of   collagen type II–alpha-I–Gaussia luciferase reporter
            composite PBHs. Analogous to gelatin, collagen can also   system (HuCol2gLuc) (cell density: 2 × 10  cells/mL) were
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            form gels at different temperatures and pH levels [104,105] .   embedded within the GelMA/HAMA bioink (15% w/v and
            Compared with native tissues, its secondary helical   2% w/v), and the bioink was printed utilizing a pneumatic
            conformation initiates a sol-gel transition for bioprinting   extrusion printing device. It was revealed that the HAMA
            but  can commonly cause mechanical  weakness.  Hence,   addition to GelMA enhanced chondrogenesis, compared
            the molecular assembly of collagen is not controlled   to GelMA (15% w/v) alone. Two ratios of GelMA/HAMA
            sufficiently, and therefore, native structural hierarchy is   bioinks (1:1 and 2:1) with different stiffness (32 and 57.9
            not present [106] . Moreover, fibrin and silk fibroin hydrogels   kPa) were assessed for cellular mobility and survival. High
            display favorable outcomes and have unique advantages   cellular viability (≥ 90%) was achieved for both bioprinted
            in  certain  applications,  including  ease  of preparation   materials on all days. Furthermore, the GelMA/HAMA
            and manipulation for fibrin and superior toughness and   bioink with 1:1 ratio had considerably more fluorescent-
            thermal stability for silk fibroin [107-110] . Secondly, PBHs   labeled mobile cells (~2.5) compared to the 2:1 one (~1),
            should  have  appropriate  mechanical  features,  especially   and the cells also moved further (~26 μm) and faster
            elastic stiffness, which facilitate mechanical signaling   (~1 µm/min) in the 1:1 ratio. All in all, the softer printed
            to the cells for guiding differentiation, proliferation,   construct (1:1) showed a higher level of cellular mobility
            and ECM deposition [102] . In the case of stiffness, bioinks   compared with the stiffer one (2:1). Notably, if multiple
            with high stiffness or rigidity can inhibit the movement,   kinds of cell are contained in the PBHs, the characteristics
            growth, and differentiation of cells, whereas those with   of the PBHs should possess tenability to accommodate the
            high softness are able to provide sufficient support for   various cellular requirements and allow spatiotemporal
            the encapsulated cells [111-113] . Concerning these subjects, a   control if required.
            team of scientists [114]  optimized the mechanical stiffness
            of alginate/gelatin bioinks (crosslinking approach: ionic   3.1.2. Biodegradation
            crosslinking with 2% w/v CaCl  for 10 min) so as to   Bioinks that degrade too rapidly cannot provide adequate
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            improve  ECM  mineralization  and cell organization  for   mechanical stability for long-term tissue development,
            bone TE. With the aid of extrusion bioprinting, alginate/  while those that degrade too slowly may hinder tissue
            gelatin bioinks (4.1% w/v for gelatin and 0.8% as well as   growth and ECM remodeling. In addition to being an
            1.8% w/v for alginate) loaded with P3 human mesenchymal   essential feature for ECM deposition, PBHs’ optimal
            stem cells (hMSCs) (cell density: 1.67 × 10 , 5 × 10 , and   degradation is indeed necessary for cell proliferation and
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            15 × 10  cells/mL) having various stiffness were printed.   mobility in the gel as well as the nearby host tissue [116] . In
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            They illustrated that soft scaffolds (0.8% w/v  alginate,   order to prolong the degradation rate of GelMA hydrogel,
            stiffness: 0.66 ± 0.08 kPa) possessed higher content   glycidyl-methacrylated HA (GMHA) was introduced
            of deoxyribonucleic acid  (DNA) at day 28, enhanced   into this system to obtain a novel bioink with a suitable
            expression of collagen type I alpha-II (6.7-fold increment   degradation rate for cartilage regeneration applications.
            from day 1 to day 28), increased alkaline phosphatase (ALP)   Employing extrusion bioprinting, GelMA/GMHA bioinks
            activity at day 28, and stimulated osteogenic differentiation   (crosslinking approach: photo-crosslinking with 0.03% w/v
            in comparison with the stiff ones (1.8% w/v alginate, 5.4   LAP) with various concentrations (7% w/v for GelMA and
            ± 1.2 kPa). Moreover, considerably less mineralized tissue   3% and 5% w/v for GMHA) encapsulating tonsil-derived
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            was formed in stiff constructs than in soft ones at day 42   MSCs (cell density: 10 × 10  cells/mL) were printed, and
            (22.6 ± 6.0 mm versus 43.5 ± 7.1 mm ) (Figure 3A). The   the  achieved  constructs  were  subcutaneously  implanted
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            mineral formation rate in the soft bioprinted scaffold was   into female Bagg albino (BALB)/c nude mice models so as
            significantly higher than the stiff one at days 28–35 and   to observe the hydrogels’ degradation characteristics after
            35–42. Interestingly, cells in soft scaffolds displayed a 3D   3 weeks. It was illustrated that the 7% GelMA/5% GMHA-
            cellular network in the mineralized matrix and osteoblast-   printed scaffold was fairly stable within the physiological
            and early osteocyte-related gene expressions at day 42.   environment and preserved its shape well with a low
            Within a pioneering investigation, Martyniak  et al. [115]    rate of degradation, allowing for tonsil-derived MSCs’
            developed gelatin methacryloyl (GelMA)/hyaluronic acid   chondrogenesis. Cells had high viability in the implanted
            methacrylate (HAMA) bioinks (crosslinking approach:   hydrogel, and cartilage-like tissues, that were regenerated
            photo-crosslinking with 0.05% w/v lithium phenyl-  over time, could be observed. Furthermore, enhanced
            2,4,6-trimethylbenzoylphosphinate  [LAP]  at 405  nm   expression of collagen type II and formed hyaline matrices

            Volume 9 Issue 6 (2023)                        472                          https://doi.org/10.36922/ijb.1089
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