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




            leading to the weaker crosslinking, while for the other   powder from porcine skin type A in 800 µL of silk fibroin
            crosslinked ones, the cell release was deterred from the   solution) loaded with human bone marrow-derived MSCs
            strut owing to the stronger crosslinking. Among those   (hBMSCs) (cell density: 1 × 10  cells/mL) were bioprinted.
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            constructs with controllability (T-0.5 and T-1 ones), the   In order to assess the cellular morphology and cartilaginous
            T-0.5 scaffold with better cellular behaviors was chosen as   matrices generated by cells after 21 days of chondrogenic
            the optimum scaffold for further analyses in future studies.   differentiation  in  constructs,  scientists  used  histological
            Table 2 summarizes the biophysical parameters influencing   staining. They revealed that the GelMA structures displayed
            PBHs’ bioprinting in the cartilage and bone TE.    a sparse cells distribution, although the cells had spherical
                                                               morphology (Figure 3C(i, ii)). The silk fibroin/gelatin
            3.2. Biochemical factors                           constructs showed a homogenous distribution of cells, and
            3.2.1. Chemical structure                          some of these cells exhibited a spread morphology on day
            Cells’  behaviors  are  impacted  by  diverse  signals  they   21 (Figure 3C(iii, iv)). The observed spread morphology
            receive from the ECM and neighboring cells; indeed,   could be owing to the adhesive sites in the silk fibroin/
                                                                             [138]
            these received signals are capable of promoting adherence,   gelatin constructs  .
            morphogenesis, differentiation,  and proliferation of   3.2.2. GFs and signaling molecules
            cells [134] . Regarding the chemical structure as a biochemical   Promoting  cellular  proliferation,  inducing  cell
            cue, proteins in bioinks can exert effects in various ways,   differentiation, or enhancing tissue regeneration via
            one of which is that they are able to promote cell spreading,   incorporating GFs or other signaling molecules into
            survival, proliferation, and adhesion to the hydrogel matrix   bioinks  is  another  topic  worthy  of  discussion [139-141] .  The
            via presenting adhesive sites and specific ligands like matrix   desired cell/tissue-related properties of PBHs can be
            metalloproteinase (MMP) sequence and RGD sequence,   achieved by adding several GFs, such as insulin-like growth
            which bind to the integrin receptors on cells surface [135] .   factor [142] , vascular endothelial growth factor (VEGF)
            Concerning this matter, cross-linker-free gelatin/silk   [143] , stromal cell-derived factor-1α [144] , fibroblast growth
            fibroin bioinks (1.5% and 7% w/v) encapsulating primary   factor [145] , and BMP-2 [146] , as well as signaling molecules,
            chondrocytes (cell density: 10  cells/mL) for the cartilage   including exosomes, ECM granules, DNA, microRNA
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            TE were printed by employing an extrusion printing   (miRNA), cytokines, bioceramics, and bioactive polymers,
            approach. They revealed enhanced cellular viability,   to name a few [147] . For instance, these biochemical factors
            improved cell adhesion, and increased ECM formation   are capable of improving cell differentiation by presenting
            compared to the control group, which could be attributed to   cues that direct the differentiation of stem cells into specific
            the RGD presence in both silk fibroin and gelatin proteins.   cell types like bone or cartilage cells [148,149] . In this regard, a
            Moreover, improved printability due to the shear-thinning   team of scholars [150]  worked on the functional vasculature
            behavior  of  silk  and  the  high  viscosity  of  gelatin  was   and osteogenesis of GelMA-based bioinks for application
            achieved [136] . Özenler et al. [137]  designed mouse MC3T3-E1   as large-scale bone tissue constructs. Within this novel
            preosteoblasts-loaded sodium alginate dialdehyde/gelatin   study, GelMA bioinks (crosslinking approach: photo-
            bioinks (7.5% and 15% w/v) containing fish scale (FS)   crosslinking with 0.1% w/v Omnicure S2000 at 360–480
            particles (1%, 3%, 5%, and 10% w/v) (cell density: 5 × 10    nm wavelength, UV light with 6.9 mW/cm , and exposure
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                                                                                                 2
            cells/mL) for bone regeneration. Then, they printed the   time of 20 s) functionalized/loaded with VEGF and
            bioinks using extrusion printing device and physically and   silicate nanoplatelets that contained human umbilical vein
            chemically crosslinked the structures employing CaCl  and   endothelial cells (HUVECs) and hBMSCs (cell densities:
                                                      2
            microbial transglutaminase, respectively (Figure 3B). As   2 × 10  cells/mL) were bioprinted using extrusion-based
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            one of the results, the promotion of cellular proliferation   printing. To construct a pattern with both capabilities of
            during  28 days of cultivation was reported due  to the   vascularization and osteogenesis, a HUVECs/hMSCs-
            gelatin’s favorable RGD sequence. Another investigation   encapsulated GelMA hydrogel (5% w/v) was bioprinted in
            developed arch-like bioprinted constructs utilizing GelMA   the central area so that a blood vessel could be formed, and
            and silk fibroin/gelatin bioinks (crosslinking approaches:   around this structure, they bioprinted silicate nanoplatelets-
            photo-crosslinking with 0.25% w/v LAP at 365 nm    loaded, VEGF-functionalized GelMA hydrogel (10% w/v)
            wavelength (ultraviolet [UV] light with 700 mA) and   embedded with hMSCs (cell density: 2 × 10  cells/mL) for
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            exposure time of 2 min as well as enzymatic crosslinking   inducing osteogenesis. It was revealed that a perfusable
            with mushroom tyrosinase (800 units/mL), respectively)   lumen possessing an endothelial lining at the construct’s
            for cartilage regeneration. Employing extrusion printing,   center was generated post-bioprinting. The hMSCs in the
            two compositions of bioinks (GelMA bioink: 10% w/v of   inner gel differentiated to the smooth muscle cells that
            GelMA and silk fibroin/gelatin bioink: 80 mg of gelatin   could promote the formation, stabilization, and maturation


            Volume 9 Issue 6 (2023)                        475                          https://doi.org/10.36922/ijb.1089
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