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




            viable and preserved their survival within various bioink   irradiation for 60 s. The results indicated that the swelling
            compositions after 14 days of cultivation (Figure 5D) [137] .  ratio was strongly influenced by the crosslinking density
                                                               of the 3D network; a higher crosslinking density caused
            4.3. Crosslinking considerations                   segments between joint points to become smaller, thereby
            A bioprinted construct’s degradation rate can be impacted   preventing swelling. As a result of the photo-crosslinking
            by its composition, concentration, temperature, mechanical   of GelMA polymer chains, a covalent crosslinking network
            force, and cell culture medium; thus, the degradation   formed, which prevented the hydrogel from dissolving.
            rate of the bioprinted structure should be considered [164] .   The slow degradation of MC/GelMA hydrogel ensured that
            Specifically, the degradation rate of the PBHs is highly   it retained its mechanical properties so that newly formed
            dependent on the β-sheet crystals’ orientation, content, and   tissues and cells could be supported during regeneration.
            non-crystalline domains [210,224] . The mechanical properties   The MC/GelMA bioink’s shape integrity was characterized
            of bioinks may decrease too rapidly during culturing. To   by its complex modulus and yield stress, which were higher
            further enhance the integrity of the printed structures,   than those of the pure MC ink, resulting in self-supporting
            crosslinking is most commonly performed for the printing   behavior  once  printed.  Additionally,  human  primary
            of the dispensed cell-laden PBHs as stated [225] . It was   osteoblasts that were encapsulated within the MC/GelMA
            mentioned that there are several kinds of crosslinking   hydrogels illustrated a cell survival of over 95%. This
            approaches used in PBHs bioprinting, including physical,   work  emphasizes  the importance  of rheological  features
            chemical, and enzymatic crosslinking before, during, and   and the post-crosslinking process in the production
            after printing. Furthermore, thermal crosslinking can be   of physiologically scaled tissue implants [228] . Overall,
            used to print PBHs; in this case, temperature-induced   the selected crosslinking method for PBHs bioprinting
            gelation improves the printed construct’s initial stability   impacts cellular viability and behavior, and the application
            since it is faster than the gelation by Ca  cations as physical   should be considered while selecting the appropriate
                                          2+
            crosslinkers. Nevertheless, it is challenging to precisely   technique [29,229-231] .
            control how much crosslinking occurs, and overheating
            in this process may adversely affect cell viability. Natural   Printed droplets do not merge in these constructs,
            hydrogels, such as collagen, will lose mechanical strength   thereby increasing their mechanical stability. In addition to
            because of enzymatic hydrolysis, and thermally sensitive   enhanced cellular functions, physical crosslinking produces
            hydrogels can also lose their shape when the environment’s   no toxic byproducts and contributes to rapid gelation [232] .
            temperature changes [120] . For instance, due to the collagen   Notably, the plasma membrane  can  initially become
            helices’ collapse to random coil structures at 30–35°C,   damaged at low points in cells printed with low fluences
            the dissolved collagen’s storage modulus and viscosity   and short gelation time, but the cells will recover rapidly
            are rapidly reduced without gelation; hence, the thermal   through the sealing mechanism [233] . Consequently, despite
            sensitivity of PBHs should be noticed in the bioprinting   providing a cushioning effect, all polymer concentrations
            process [121,211] . Owing to this subject, scholars should   require a suitable gelation time [234] . If the encapsulation
            meticulously select hydrogels and their associated 3D   process fails, the cells will not adhere to the scaffold and
            structures in a way that the degradation rate will be   proliferate on the well plate instead; consequently, the cells
                                                                                        [195,235]
            appropriate. One of the most common approaches in   are not able to be 3D cultivated  .
            bioink printing is the employment of UV crosslinking to   For bioprinting, Visscher et al. [236]  developed cartilage-
            augment mechanical characteristics and degradation after   derived decellularized ECM-based photo-crosslinkable
            bioprinting [169] . Nonetheless, variations in the UV exposure   porcine  auricular  cartilage  hydrogels/methacrylate
            times decrease cell viability by increasing crosslinking after   (cdECMMA). Subsequent to the printing, cdECM-based
            bioprinting [226] . Post-printing crosslinking can provide   constructs were chemically modified by methacrylate
            hydrogels with a higher modulus, as well as longer rates of   reactions, providing structural integrity. Moreover, the
            degradation in vitro and in vivo, together with providing   bioink was prepared with a solution consisting of 37.5 mg/
            cells  with  proper  stiffness [218,227] .  Within  a  brand-new   mL gelatin type A, 3 mg/mL HA, and photoinitiator (0.1%
            assessment, bioprinting of methylcellulose (MC)/GelMA   v/v, Irgacure 2959). A UV light intensity of 200 mW/cm
                                                                                                             2
            bioinks with great shape integrity was performed. This   was used for 2 min to induce photo-crosslinking in this
            research project introduced a new type of MC/GelMA   bioink  formulation,  and  various  concentrations  (20, 30,
            bioink that could maintain its shape integrity over several   and 40 mg/mL) of cdECMMA hydrogels were produced.
            months in the biological media. Unlike pure MC inks,   With the increment of cdECMMA concentrations, the
            distorting and dissociating in the biological media, MC/  hydrogels’ stiffness was considerably enhanced (20 mg/mL:
            GelMA  bioinks maintained their  stability because  of   3837 ± 462 Pa, 30 mg/mL: 10381 ± 1339 Pa, and 40 mg/mL:
            the GelMA’s permanent photo-crosslinking under UV   25,050 ± 2573 Pa). In addition, all cdECMMA constructs’

            Volume 9 Issue 6 (2023)                        487                          https://doi.org/10.36922/ijb.1089
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