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International Journal of Bioprinting                                 GradGelMA 3D-bioprinted vascular skin




            cells/mL) were seeded onto the epidermal base to construct   the SA/gelatin composite hydrogel  was used for the
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            the skin substitute structure, and fluorescence staining was   extrusion printing of a five-pointed star model and a
            performed after 14 days of culture.                human ear model (Figure 2B). The printing system offers
                                                               stable output and can construct complex, large-volume
            2.15. BALB/c nude mice and rabbit full-thickness   hydrogel tissues, meeting the requirements for skin
            excisional wound creation and transplantation      substitute printing. The height of the printed multi-layer
            All  animal  procedures  were  performed  according  to  the   model  can reach over  4 mm  (Figure  2C), meeting  the
            protocols approved by the Zhejiang University Health   thickness requirement of 1–4 mm for human skin.  The
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            Sciences Animal Care and Use Committee. All experiments   multi-layer structure of the model is visible, which meets
            were performed following Animal Care and Use Committee   the  construction requirements  of the  multi-layer skin
            guidelines and regulations. All mice were male BALB/c nude    substitutes in this study.
            (n = 12; 4), aged 6 weeks and weighing between 16 and 20 g,
            were divided into three groups: untreated (control), blank   3.2. Characterization of gelatin methacryloyl
            GelMA (BG), and VS. A dimension of 2 × 1 cm  (L × W)   The  proton  nuclear  magnetic  resonance  spectroscopy
                                                  2
            full-thickness skin was removed from the dorsal midline   spectra (Figure  3A) showed the degree of modification
            surface of mice, and a printed hydrogel was implanted into   of methacryloyl groups to gelatin molecules. The
            the wound. A Band-Aid was applied to cover the wounds.   appearance of peaks at δ = 5.4 and 5.7 ppm (the protons
            Then, the wounds were wrapped with sterile gauze and   of the methacrylate vinyl group of methacryloyl) and the
            surgical tape to prevent bandage damage and photographed   disappearance of peak at δ = 3.0 ppm (the protons of the
            at 0, 1, 2, and 3 weeks, respectively. The mice were euthanized   methylene of lysine signal) indicated that methacryloyl
            after 3 weeks for analysis.  The New Zealand rabbits    was successfully grafted on the gelatin. Using the peak area
            (n = 12; 3), aged 4 months and weighing between 2 and 3 kg,   normalization method, the degree of functionalization of
            were divided into four groups: untreated (control), GelMA   GelMA samples was improved from 30% to 90%.
            (blank), epidermis  skin  (E),  and endothelial  keratinocyte
            skin (EK). A dimension of 3 × 3 cm  (L × W) full-thickness   The results of tensile and compression tests are shown
                                        2
            skin was removed from the dorsal of  rabbits, and the   in Figure 3B and C. The data interval in the strain range
            wound was treated as described above. The wounds were   of 2–10% was selected to calculate the elastic modulus.
            photographed at 0, 1, 2, 3, and 4 weeks, respectively, and the   It was observed that the mechanical properties of the
            rabbits were euthanized after 4 weeks for analyses.   tensile modulus and the compression modulus of GelMA
                                                               hydrogels with different concentrations become stronger
            2.16. Statistical analysis                         as the concentration increases. This characteristic provides
            All data analyses were performed using the Statistical   a theoretical basis for studying the functional performance
            Package for Social Sciences version 17.0. Statistical   of skin cells in GelMA with varying concentrations.
            significance was analyzed using a one-way analysis
            of variance, with the Bonferroni  method applied for   Hydrogel swelling is a phenomenon where the hydrogel
            multiple comparison corrections to adjust the  p-values   absorbs water and increases in volume. The swelling is
            of individual tests. A  p-value of ≤0.05 was considered   caused by the balance between osmotic pressure and elastic
            statistically significant and marked with an asterisk (*). As   force. The osmotic  pressure results from the  difference
            the level of significance increased, the number of asterisks   in solute concentration inside and outside the hydrogel.
            correspondingly increased. All data are presented as mean   This difference drives water molecules to penetrate from
            ± standard deviation.                              the low-concentration region to the high-concentration
                                                               region, thus causing the hydrogel to expand. The elastic
            3. Results and discussion                          force comes from the cross-linking points between polymer
                                                               chains and entropy elasticity, which work together to resist
            3.1. Replacing the sprinkler head: Positioning     excessive expansion.  Figure  3D shows that the swelling
            accuracy adjustment and print testing              ratio of GelMA hydrogels is negatively correlated with the
            The repeated positioning was randomly tested 10 times.   concentration, and there are significant differences among
            After replacing the inner tube, the repeated positioning   groups. This can directly reflect the pore structure of the
            accuracy of the printhead in the XY plane was 104.93 μm.   hydrogel. Generally, the pore structure is also larger for
            Since  the  printing  structure  is  a  single-layer  membrane   hydrogel components with a larger swelling ratio.
            plane, the displacement deviation in the XY plane has
            a relatively small impact. This accuracy can meet the   Scanning electron microscopy (Figure  3E)  reveals
            requirements of constructing a multi-layer skin structure   significant differences in pore structure sizes among groups.
            by planar printing (Figure 2A). With excellent formability,   Wang et al.  demonstrated that larger pores facilitate more
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            Volume 11 Issue 4 (2025)                       334                            doi: 10.36922/IJB025090069
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