Page 491 - IJB-9-6
P. 491

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




            the extrusion. Notably, a bioink’s viscosity relies on factors   a short period of time in a bioprinted structure, but those
            like temperature, concentration, molecular interactions,   with high yield strengths can hold shapes much longer. The
            and molecular weight [174] .                       yield stress is generated as a result of the viscosity peak, and

               Owing to the interactions that occur between    when viscosity is plotted against shear stress, yield stress
            hydrophobic domains within the sequence of proteins,   can be determined as the threshold value beyond which
                                                                                     [186]
            shear forces moderately transform the liquid into   the material begins to flow  . Shape-retaining structures
            solid  structures  (random  coils  to  β-sheets)  during  the   are typically produced by inks with high yield stresses;
            extrusion  process.  Unfortunately,  degradation  occurs  in   accordingly, adding bulking agents and thickeners, such as
                                                                                              [187]
            the production of proteins, affecting their rheological   gellan, improves the PBHs’ yield stress  . Moreover, high
            properties and printing. Besides, bioprinting lacks the   yield stresses can negatively influence cells when bioinks
                                                                        [188]
            solution’s flow-induced extensional stretching, which   initiate flow  . Another subject is that hydrogels with cell-
            diminishes the hydrogel viscosity and makes maintaining   laden networks should be able to self-recover following
            a stable structure difficult [175-177] .           printing because their physical crosslinking  network  is
                                                               broken by the shear stress [189] . For the rapid  recovery of
               Before printing, the distribution of velocity and   the hydrogel’s viscosity after applying a shear rate, a sharp
            shear stress across the cross-section of a nozzle is zero.   decrease in the viscosity when the shear rate is applied
            Additionally, a dispensing process cannot be carried out   is indeed ideal [190] . In addition to being mechanically
            without shear stress [173] . In fact, hydrogels are subjected   strong, the extruded hydrogel filament must be capable of
            to shear stresses, at the nozzle walls in particular, at the   maintaining its shape subsequent to printing, as mentioned
            time of printing. A number of parameters determine   previously; thus, thixotropic properties are essential factors
            the amount of shear stress exerted on the bioink and   when evaluating a hydrogel’s suitability for bioprinting [164] .
            embedded cells, such as printing pressure, nozzle diameter,   From another viewpoint, for achieving optimum
            and bioink viscosity [178] . In general terms, cells exposed to   features of cell-laden printed structures, such as obtaining
            low shear forces tend to survive longer; conversely, high   a filament diameter that matches the diameter of the
            shear stresses can decrease cellular viability [179] .
                                                               nozzle, strand uniformity, and accurate strand placement,
               The shear stress generated in bioprinting does not pose   printing parameters like pressure and dispensing speed are
            an obstacle for small, globular proteins, but in the case of   often varied; nevertheless, these factors can influence the
            their larger, more fragile counterparts, structural integrity   viability of extruded cells [191] . According to the scholars’
            can be threatened [180] . As Nishioka et al. [181]  argued higher   investigation, increasing the applied pressure reduced the
            compression rates that were employed to create droplets   survival of encapsulated cells, regardless of whether the
            resulted  in more protein  denaturation  and biological   bioinks were liquid or gel [192] . The nozzle’s diameter and
            inactivity, and without the use of stabilizing additives, the   shape  should  also  be  considered; within  this context,  a
            enzyme activity was reduced under all printing conditions.   study by Billiet  et al. [193]  reported that cells in gel-phase
            It could have been possible to mitigate the adverse effects   bioinks were more viable when loading bioinks in conical
            of  bioprinting  if  sugars  like  trehalose and  glucose  were   nozzles compared with cylindrical ones. Furthermore,
            added to help preserve the enzymatic activity. This   the shear stress increases with the increment of nozzle
            outcome raises some interesting queries regarding how   length, so analyzing varying nozzle lengths is of crucial
            proteins are denatured on the nanoscale as a corollary   significance for drawing firm conclusions between using
            to maintain their bioactivity while growing crystals. It   tapered conical nozzles and cylindrical ones. Cell viability
            is worthy to mention that a protein’s native secondary   is also decreased when the nozzle diameter is reduced in
            structure may be primarily determined by its amino acid   cylindrical nozzles; to be more specific, the majority of cells
            sequence if the protein is small and globular; however,   are under highly stressful conditions, meaning that high
            if the protein has deeply folded pockets functioning as   pressure and a small diameter can cause necrosis rather
            catalytic sites, such as most of the active enzymes, then   than apoptosis, and the nucleus experiences morphological
            this rule may not always hold true [182] .         and irreversible damage [194] .
               By the same token, when printing biomaterials, yield   In addition, strand stretching and thinning can result
            stress specifies the force required in order to permit   from bioprinting with a high speed at a given pressure [195] .
            smooth, continuous extrusion [87,183]  and ensures the   The polymer matrix probably introduces potentially
            homogeneity of encapsulated cells within bioinks. In the   undesirable tensile and compressive forces to the cells,
            absence of forces, hydrogels with low yield stress leak out   assisting with cell alignment along the bioprinted strand.
            of nozzles or experience phase separation [184,185] . Of note,   Depending  on the cells’  location within a filament,  cell
            bioinks with high viscosities may maintain their shape for   survival and morphology may differ [196] . For instance, in the


            Volume 9 Issue 6 (2023)                        483                          https://doi.org/10.36922/ijb.1089
   486   487   488   489   490   491   492   493   494   495   496