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International Journal of Bioprinting                                 GradGelMA 3D-bioprinted vascular skin




            efficient transport of nutrients and oxygen while providing   such as secreting extracellular matrix and growth factors,
            sufficient space for cell attachment and extension, enabling   and is often used to study the role of fibroblasts in tissue
            them to perform their biological functions. Human   repair and regeneration. HFF cells have a high survival rate
            fibroblasts and vascular endothelial cells are relatively   at 5%, 10%, 15%, and 20% (w/v) GelMA (Figure 5A and C).
            large, necessitating the selection of hydrogels with larger   On the first day, HFF cells in the 5% (w/v) GelMA group
            pores,  i.e.,  lower-concentration  GelMA  hydrogels,  as   had slightly extended. By the seventh day, almost all cells in
            carriers for printing.                             the 5% (w/v) GelMA group had extended and multiplied
                                                               exponentially. In the 10%  (w/v)  GelMA group, only
               The rheological properties of hydrogels directly
            influence the material flow and molding quality during   some cell extension and a small amount of proliferation
                                                               were observed, while cells in other groups remained
            the printing process. Rheology refers to the property of   spherical. When HFF cells in the 5% (w/v) GelMA group
            hydrogels to deform and recover under  external force.   were cultured until the tenth day, the cells extended into
            Figure 3F indicates that for GelMA of all concentrations,   long, spindle-shaped structures, and the extension length
            both G´ and G˝ decrease as the temperature rises, but the   exceeded 200 μm (Figure 5B). Type I collagen is a fibrous
            decrease rate of G’ is greater. The intersection point of G’   collagen that maintains tissue elasticity in the human
            and  G’’  represents  the  gel  point.  When the temperature   dermis and is mainly secreted by fibroblasts. Fibrinogen,
            is lower than the gel-point temperature, G´ > G˝ for the   as a natural biomaterial with excellent biocompatibility,
            hydrogel shows a solid state; conversely, above the gel point,   is a key material for manufacturing skin substitutes in
            where G˝ > G´, it shows a liquid state. Figure 3G shows   traditional tissue engineering.  According to the numerical
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            the “shear-thinning” phenomenon of GelMA hydrogels,   analysis of the gray value, the content of type I collagen in
            where the viscosity decreases as the shear rate increases.   the 5% (w/v) GelMA group is significantly higher than that
            This may be because when subjected to a large shear force,   in the high-concentration groups but slightly lower than
            the entanglement points of the polymer chains inside   that in the fibrinogen group (Figure 5D). Therefore, among
            the hydrogel are opened, and the structure undergoes   GelMA groups with different concentrations, 5%  (w/v)
            directional stretching, resulting in a decrease in viscosity.   GelMA is more suitable for the functional performance of
            Kim et al.  and Won-woo et al.  have demonstrated the   human skin fibroblasts.
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                    36
            shear-thinning behavior of porous hydrogels.
                                                                  The human skin epidermis  mainly comprises
            3.3. Printability and biocompatibility             keratinocytes,  melanocytes,  and Langerhans  cells.
            The printing test results are shown in Figure 4A. All GelMA   Keratinocytes are derived from the ectoderm and account
            hydrogels of different concentrations have a printable   for over 90% of human epidermal cells. Scholars have
            interval and can form a stable and regular two-layer   conducted extensive research on the culture methods
            hydrogel grid structure. When the concentration of GelMA   of  keratinocytes.  Research  shows  that  keratinocytes
            hydrogel increases, its suitable printing pressure and   must be cultured under air–liquid interface conditions
            temperature will also increase. For a single concentration of   to differentiate into a multi-layer epidermal structure
            GelMA, if the printing pressure or temperature is too low,   in  vitro. 40-42  Keratinocytes can attach and proliferate on
            over-gelling and irregular extrusion will occur. Conversely,   the surfaces of 5%, 10%, 15%, and 20% (w/v) GelMA
            under-gelling and excessive softening extrusion will occur   solidified through manual dropping (Figure 5E). On Day
            if the printing pressure or temperature is too high.  2, HaCaT cells in the 20% (w/v) group grew in a sheet-like
               Cell viability staining (Figure 4B) shows that HFF cells’   manner. By Day 5, HaCaT cells in the 20% (w/v) group
            survival rates  for both  mesh and membrane structures   formed a film and covered the hydrogel surface, which was
            on Day  0 and Day 7 are greater than 90%, and the cell   significantly better than the other three groups. Moreover,
            viability increased with prolonged culture time. This   higher concentration results in better attachment and
            indicates that GelMA is a hydrogel bio-ink with excellent   proliferation of HaCaT cells throughout the growth and
            biocompatibility, allowing cells to maintain good vitality.   reproduction cycle. By Day 10, there was an obvious basal-
            Song et al.  demonstrated that bio-inks made from GelMA   epidermal layer interface in the 20% (w/v) GelMA group
                    38
            exhibit cell morphology on the first day of cell seeding on   and the collagen group, with clear epidermal structures,
            the GelMA bio-ink, with cell confluence exceeding 90% by   and the thicknesses were 53.63 ± 11.27 and 52.26 ± 26.33
            the seventh day.                                   μm, respectively. By Day 28, a relatively thick epidermal
                                                               layer structure could be seen in both groups of samples,
            3.4. Skin cells adapted to composite ink           with thicknesses of 130.61 ± 8.84 and 119.29 ± 18.87 μm,
            The HFF cell line is derived from human neonatal foreskin   respectively, both approaching the 200 μm thickness of
            tissue. It has the normal functions of human fibroblasts,   the human epidermis. However, the printed GelMA group


            Volume 11 Issue 4 (2025)                       337                            doi: 10.36922/IJB025090069
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