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International Journal of Bioprinting                                Dual tuning of 3D-printed SilMA hydrogel




            1. Introduction                                    phases  without  surfactants.  The  higher  volume  fraction
                                                               is used as the continuous phase, and the smaller volume
            Articular cartilage injuries caused by aging, obesity,   fraction  is  used  as  the  dispersed  phase  (water-in-water
            occupational injury, and trauma often develop into   emulsion).  Combining ultraviolet (UV)-curable gelatin
                                                                       16
            osteoarthritis,  a leading  cause  of  disability worldwide.   precursors with poly(ethylene oxide) (PEO) solutions has
            While approximately 300 million people were affected in   yielded porous hydrogels compatible with 3D printing.
                                                                                                            17
            2019, this number surged to 3.53 billion by 2021.  Articular   However, gelatin’s inherent mechanical weakness might
                                                  1
            cartilage is a highly hydrated connective tissue devoid of   be exacerbated by internal porosity, limiting its utility in
            nerves, blood vessels, and lymphatic vessels, consisting   osteochondral engineering. Thus, enhancing hydrogel
            primarily of chondrocytes and dense extracellular matrix   mechanical stability while retaining porosity is crucial. 18
            (ECM).  These histological structural characteristics limit
                  2
            its self-repair capacity,  placing a substantial burden  on   Silk fibroin (SF), a natural polymer known for its robust
            the global healthcare  system  and economy.  In response,   mechanical  properties,  biocompatibility,  degradability,
            advancements in tissue engineering and regenerative   aqueous  processability, and functionalizable chemical
            medicine have led to the development of various scaffolds   groups, presents a promising  matrix  for biomedical
                                                                      5,19
            designed to support cartilage repair.              scaffolds.  Silk methacryloyl (SilMA) and methacrylated
                                        3–5
                                                               SF serve as an advanced bio-ink for 3D printing,
               Hydrogels are three-dimensional (3D) hydrophilic   outperforming methacrylated gelatin in simulating tissues
            polymer networks capable of water absorption. They   like the heart, blood vessels, trachea, and cartilage. Kim
            mimic the biphasic structure of cartilage, offering   et al.  detailed  the  synthesis  of SilMA  and its
                                                                    20
            a suitable environment for cell growth and matrix   characterization in  3D-printed hydrogel applications  for
            formation.  Compared to conventional two-dimensional   tissue engineering. It was found that a 30% SilMA hydrogel
                    6
            cultures (2D), 3D cell cultivation within hydrogels more   was suitable for cartilage tissue engineering,  fulfilling
            accurately replicates in vivo conditions, enhancing matrix   mechanical  and  biological  requirements.  Although  the
            production. Nevertheless, uneven cell distribution within   high concentration of  SilMA  enhanced mechanical
            these gels can hinder uniform matrix formation.   3D   properties and clinical operability, it also significantly
                                                      7
            bioprinting emerges as a refined technique, precisely   reduced  the  pore  size  of  the  hydrogel  (well  below  100
            controlling biomaterial deposition and cellular placement,   μm), which diverges from the ideal pore size for cartilage
            and fabricating intricate and biomimetic scaffolds.  It   scaffolds  (150–250  μm).  This reduction in porosity
                                                       8
                                                                                    21
            can also produce large channels (typically  hundreds of   hinders efficient gas–liquid exchange, adversely affecting
            micrometers) within the scaffolds. However, the intrinsic   the cells loaded in the hydrogel scaffold material through
            pore structure of  most  hydrogel scaffold materials  is   3D bioprinting. A recent study has explored the fabrication
            often limited to the submicron or nanometer scale, which   of porous gelatin methacryloyl hydrogels by incorporating
            impedes the acquisition of nutrients and the exchange of   PEO.  However, this approach also compromised the
            metabolic waste in hydrogels,  potentially compromising   mechanical properties of the hydrogel.
                                                                                             22
            long-term cell viability and tissue functionality. 9
                                                                  Recent advances in nanotechnology have integrated
               Porous hydrogels exhibit advantages over their non-  nanomaterials into hydrogels to enhance their mechanical
            porous  counterparts in  supporting  3D cell  culture.   properties,  broadening  their  tissue  engineering
            However, traditional methods of porosity introduction, 10,11    applications. Electrospun  NFs are widely used as tissue
            such as particle leaching, gas foaming, and freeze-drying,   regeneration scaffolds due to their structure and size
            involve cytotoxic agents, rendering them unsuitable for   resembling collagen fibers in  the  ECM, as well as their
            live cell encapsulation or integration with 3D printing.    high specific surface area. 23,24  However, the  inherent 2D
                                                         12
            The Pluronic micellar template method offers a gentle, all-  architecture  of electrospun membranes  substantially
            aqueous approach to hydrogel pore formation, but struggles   limits cellular infiltration into the scaffold interior,
            to create macropores due to micelle size constraints.    compromising their effectiveness in 3D tissue regeneration.
                                                         13
            Consequently, developing a biocompatible, porous bio-  This structural limitation has driven recent investigations
            ink that supports cell encapsulation remains a formidable   into developing 3D nanofibrous scaffolds with enhanced
            challenge.  Alternative strategies, like phase separation   cellular interactivity. In our previous study, we developed
            in emulsions, are hindered by surfactant-induced   an innovative 3D SF aerogel  by incorporating short
            cytotoxicity, restricting their use in 3D bioprinting. 14,15    electrospun SF NFs into an SF hydrogel matrix, followed
            The  water-in-water  system  circumvents  this  issue  by   by  freeze-drying.  The  resulting  nanofibrous  aerogel
            segregating two hydrophilic polymer solutions beyond a   exhibited significantly improved mechanical  properties
            critical concentration, forming two immiscible aqueous   compared to conventional hydrogels. More importantly,


            Volume 11 Issue 4 (2025)                       279                            doi: 10.36922/IJB025140118
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