Two-step screening process to evaluate printability of inks for extrusion-based bioprinting

One of the key bottlenecks of biofabrication are suitable ink materials. These materials need to meet various requirements and combine good printing properties with adequate cytocompatibility. Many scientists try to overcome this bottleneck by designing novel inks. Their approaches range from multimaterial inks to alternative crosslinking strategies. To encourage efficient application of new strategies, we developed a two-step assessment (Fig. 1) focusing on ink printability with extrusion-based bioprinters. The first step only requires a syringe, a nozzle and the material. We have shown that simple screening based on fiber formation and layer stacking properties was an efficient method to assess printability. In a second step, the materials were transferred to a rheometer and evaluated regarding their shear thinning and post-printing recovery properties. We demonstrated that mathematical modelling of the extrusion process can help gaining deeper understanding of the material behavior and enables better evaluation by estimating the conditions present in the nozzle. The data from the shear viscosity plot was fitted and the shear-rate, extrusion velocity, shear stress and residence time profiles for the conditions present in the nozzle during dispensing were calculated (Fig. 2). This approach enabled calculation of the mean shear rate that was used for the recovery tests. These investigations helped to estimate if a material will be printable with a given printer and how needle diameter changes, among other factors, influence the pressure suitable for printing, considering the velocity limits of the device. Furthermore, we demonstrated how these findings can help design bioinks. Please click Additional Files below to see the full abstract

Volumetric Printing across Melt Electrowritten Scaffolds Fabricates Multi-Material Living Constructs with Tunable Architecture and Mechanics

Major challenges in biofabrication revolve around capturing the complex, hierarchical composition of native tissues. However, individual 3D printing techniques have limited capacity to produce composite biomaterials with multi-scale resolution. Volumetric bioprinting recently emerged as a paradigm-shift in biofabrication. This ultrafast, light-based technique sculpts cell-laden hydrogel bioresins into 3D structures in a layerless fashion, providing enhanced design freedom over conventional bioprinting. However, it yields prints with low mechanical stability, since soft, cell-friendly hydrogels are used. Herein, the possibility to converge volumetric bioprinting with melt electrowriting, which excels at patterning microfibers, is shown for the fabrication of tubular hydrogel-based composites with enhanced mechanical behavior. Despite including non-transparent melt electrowritten scaffolds in the volumetric printing process, high-resolution bioprinted structures are successfully achieved. Tensile, burst, and bending mechanical properties of printed tubes are tuned altering the electrowritten mesh design, resulting in complex, multi-material tubular constructs with customizable, anisotropic geometries that better mimic intricate biological tubular structures. As a proof-of-concept, engineered tubular structures are obtained by building trilayered cell-laden vessels, and features (valves, branches, fenestrations) that can be rapidly printed using this hybrid approach. This multi-technology convergence offers a new toolbox for manufacturing hierarchical and mechanically tunable multi-material living structures

On the reproducibility of extrusion-based bioprinting: round robin study on standardization in the field

The outcome of three-dimensional (3D) bioprinting heavily depends, amongst others, on the interaction between the developed bioink, the printing process, and the printing equipment. However, if this interplay is ensured, bioprinting promises unmatched possibilities in the health care area. To pave the way for comparing newly developed biomaterials, clinical studies, and medical applications (i.e. printed organs, patient-specific tissues), there is a great need for standardization of manufacturing methods in order to enable technology transfers. Despite the importance of such standardization, there is currently a tremendous lack of empirical data that examines the reproducibility and robustness of production in more than one location at a time. In this work, we present data derived from a round robin test for extrusion-based 3D printing performance comprising 12 different academic laboratories throughout Germany and analyze the respective prints using automated image analysis (IA) in three independent academic groups. The fabrication of objects from polymer solutions was standardized as much as currently possible to allow studying the comparability of results from different laboratories. This study has led to the conclusion that current standardization conditions still leave room for the intervention of operators due to missing automation of the equipment. This affects significantly the reproducibility and comparability of bioprinting experiments in multiple laboratories. Nevertheless, automated IA proved to be a suitable methodology for quality assurance as three independently developed workflows achieved similar results. Moreover, the extracted data describing geometric features showed how the function of printers affects the quality of the printed object. A significant step toward standardization of the process was made as an infrastructure for distribution of material and methods, as well as for data transfer and storage was successfully established

On the reproducibility of extrusion-based bioprinting: round robin study on standardization in the field

The outcome of three-dimensional (3D) bioprinting heavily depends, amongst others, on the interaction between the developed bioink, the printing process, and the printing equipment. However, if this interplay is ensured, bioprinting promises unmatched possibilities in the health care area. To pave the way for comparing newly developed biomaterials, clinical studies, and medical applications (i.e. printed organs, patient-specific tissues), there is a great need for standardization of manufacturing methods in order to enable technology transfers. Despite the importance of such standardization, there is currently a tremendous lack of empirical data that examines the reproducibility and robustness of production in more than one location at a time. In this work, we present data derived from a round robin test for extrusion-based 3D printing performance comprising 12 different academic laboratories throughout Germany and analyze the respective prints using automated image analysis (IA) in three independent academic groups. The fabrication of objects from polymer solutions was standardized as much as currently possible to allow studying the comparability of results from different laboratories. This study has led to the conclusion that current standardization conditions still leave room for the intervention of operators due to missing automation of the equipment. This affects significantly the reproducibility and comparability of bioprinting experiments in multiple laboratories. Nevertheless, automated IA proved to be a suitable methodology for quality assurance as three independently developed workflows achieved similar results. Moreover, the extracted data describing geometric features showed how the function of printers affects the quality of the printed object. A significant step toward standardization of the process was made as an infrastructure for distribution of material and methods, as well as for data transfer and storage was successfully established

Etablierung und Verbesserung von Methoden für die Biofabrikation

Die Biofabrikation ist ein junges und sehr dynamisches Forschungsgebiet mit viel Potential. Dieses Potential spiegelt sich unter anderem in den ambitionierten Zielen wieder, die man sich hier gesetzt hat. Wissenschaftler in diesem Gebiet wollen eines Tages beispielsweise funktionale menschliche Gewebe nachbilden, die aus patienteneigenen Zellen bestehen. Diese Gewebe sollen entweder für die Testung neuer Arzneimittel und Therapien oder sogar als Implantate einsetzt werden. Der Schlüssel zum Erfolg soll hier die Verwendung automatisierter Prozesse in Verbindung mit innovativen Materialien sein, die es ermöglichen, die Hierarchie und Funktion des zu ersetzenden natürlichen Gewebes nachbilden. Obwohl in den letzten Jahren große Fortschritte gemacht worden sind, gibt es immer noch Hürden, die überwunden werden müssen. Ziel dieser Arbeit war es deshalb, die derzeit eingeschränkte Auswahl kompatibler Materialien für die Biofabrikation zu erweitern und bereits etablierte Verfahren wie den extrusionsbasierten Biodruck noch besser verstehen zu lernen. Auch neue Verfahren, wie etwa das Melt Electrospinning Writing (MEW) sollten etabliert werden. In Kapitel 3 dieser Arbeit wurde das MEW dazu verwendet, tubuläre Strukturen zu fertigen, die sich aus Polymerfasern mit einem durchschnittlichen Durchmesser von nur etwa 12 μm zusammensetzen. Die mit Hilfe von Druckluft in Verbindung mit einer hohen elektrischen Spannung aus einer Nadelspitze austretende Polymerschmelze wurde hierbei auf zylinderförmigen Kollektoren mit Durchmessern zwischen 0.5 und 4.8mm gesammelt. Auf diese Weise wurden röhrenförmige Faserkonstrukte generiert. Das Hauptaugenmerk lag auf dem Einfluss des Durchmessers, der Rotations- und Translationsbewegung des Kollektors auf die Morphologie der Faserkonstrukte. Hierzu wurden die Fasern erst auf unbewegten Kollektoren mit unterschiedlichen Durchmessern gesammelt und die entstehenden Muster analysiert. Es zeigte sich, dass das Fasermuster mit zunehmendem Durchmesser des Kollektors mehr den symmetrischen Konstrukten mit runder Grundfläche glich, die auch von flachen Kollektoren bekannt sind. Je kleiner der Kollektordurchmesser wurde, desto ovaler wurde die Grundfläche der Muster, was den Einfluss der Krümmung deutlich machte. In weiteren Experimenten wurden die zylindrischen Kollektoren mit Geschwindigkeiten von 4,2 bis 42 Umdrehungen pro Minute um ihre Längsachse gedreht. Die von flachen Kollektoren bekannten Übergänge der Fasermorphologie konnten auch für runde Kollektoren bestätigt werden. So änderte sich die Morphologie mit zunehmender Geschwindigkeit der Oberfläche von einer achterförmigen Gestalt über eine sinusförmige Ausrichtung der Fasern hin zu einer geraden Linie. Der Einfluss des Kollektordurchmessers wurde auch hier deutlich, da sich etwa die Amplitude der bei Rotationsgeschwindigkeiten im Bereich sinusförmiger Ausrichtung abgelegten Fasern mit abnehmendem Radius erhöhte. Im nächsten Schritt wurde neben der Rotation der Kollektoren auch eine Translation induziert. Durch geeignete Kombination von Rotation und Translation konnten Konstrukte mit definiertem Wickelwinkel hergestellt werden. Es zeigte sich, dass die Wiedergabe des vorher kalkulierten Winkels unter Verwendung von Oberflächengeschwindigkeiten, die nahe am Übergang zur geraden Faserausrichtung waren, am besten war. Im Rahmen dieser Arbeit konnten Winkel zwischen 5 und 60° mit hoher Präzision wiedergegeben werden. Im Falle von sich wiederholenden Mustern konnte auch in Bezug auf die Stapelbarkeit der Fasern aufeinander eine hohe Präzision erreicht werden. Kapitel 4 dieser Arbeit befasste sich mit dem extrusionsbasierten 3D-Druck. Das etabliere Verfahren wurde auf eine bisher wenig untersuchte Materialzusammensetzung von Nanopartikeln-beladenen Hydrogeltinten ausgeweitet. Die Tinte bestand aus einer Kombination von funktionalisierten Polyglyzidolen und einer unmodifizierten langkettingen Hyaluronsäure. Dieser wurden mesoporöse Silika-Nanopartikel mit unterschiedlicher Ladung zugesetzt und deren Freisetzung aus gedruckten Konstrukten mit einstellbarer Geometrien untersucht. Da die Hyaluronsäure selbst negativ geladen ist, wurde erwartet und auch gezeigt, dass aminofunktionalisierte Partikel mit positiver Ladung langsamer freigesetzt werden als carboxylfunktionalisierte Partikel mit negativer Ladung. Interessanterweise änderten die Partikel nicht die rheologischen Eigenschaften der Tinte und es konnten Hydrogele, die mit positiv geladenen Partikeln beladen waren, bei den gleichen Druckparametern verdruckt werden, wie Hydrogele, die mit negativ geladenen Partikeln beladen waren. Die guten Druckeigenschaften der Tinten ermöglichten die präzise Fertigung von Konstrukten mit einer Größe von 12x12x3mm^3, also von Konstrukten mit bis zu 16 aufeinanderfolgenden Lagen. Die Strangdurchmesser betrugen hierbei 627±31μm und die Verteilung der Partikel innerhalb der Stränge war sehr homogen. Zudem konnten auch Strukturen gedruckt werden, bei denen beide Tintenarten, mit positiven und mit negativen Partikeln beladene Hydrogele, in einem Konstrukt kombiniert wurden. Hierbei zeigte sich, dass die Freisetzung der Partikel, die über 6 Wochen hinweg untersucht wurde, auch stark von der Geometrie der zwei-Komponenten-Konstrukte abhing. Insbesondere die Auswirkung des direkten Kontakts zwischen den Komponenten innerhalb eines Konstruktes war hier sehr deutlich. Wurden die Stränge über Kreuz aufeinander abgelegt und hatten direkten Kontakt an den Kreuzungspunkten, konnte beobachtet werden, dass die positiv geladenen Partikel aus ihrem System in das mit den negativ geladenen Partikeln wanderten. Wurden die Stränge ohne direkten Kontakt parallel nebeneinander abgelegt, wurden die positiv geladenen Partikel in umgebendes Medium freigesetzt, konnten aber selbst nach 6 Wochen nicht in den Strängen mit den negativ geladenen Partikeln nachgewiesen werden. Dies verdeutlicht, dass Geometrie und Ladung der Partikel einen Einfluss auf die Freisetzung der Partikel hatten und sich die Freisetzung der Partikel durch eine geschickte Kombination beider Parameter steuern lässt. In Kapitel 5 dieser Arbeit wurde eine neue Materialklasse als Biotinte für den extrusionsbasierten Biodruck untersucht. Bei dem Material handelte es sich um Hydrogele auf Basis rekombinanter Spinnenseidenproteine. Diese konnten ab einer Proteinkonzentration von 3 %Gew./Vol. ohne die Verwendung von Verdickungsmittel oder anderen Additiven und auch ohne eine nachträgliche Vernetzung verdruckt werden. Sowohl Hydrogele auf Basis des rekombinanten Proteins eADF4(C16) als auch eine mit einer RGD-Sequenz versehene Modifikation (eADF4(C16)-RGD) konnten mit einer hohen Formtreue verdruckt werden. Die RGD-Sequenz zeigte einen positiven Effekt auf das Anhaften von humanen Fibroblasten, die auf gedruckte Konstrukte ausgesät wurden. Zudem konnten mit Hilfe der Hydrogele auch zellbeladene Konstrukte gefertigt werden. Hierzu wurden die Hydrogele mit einer Zellsuspension so vermengt, dass eine finale Konzentration von 1,2 Millionen Zellen/ml erreicht wurde. Die beladenen Gele wurden verdruckt und es konnte eine Überlebensrate von 70,1±7,6% nachgewiesen werden. Das in diesem Kapitel etablierte Materialsystem ermöglichte zum ersten Mal das Verdrucken lebender Zellen in einer neuen Klasse von Tinten, die weder die Beimengung von Verdickungsmittel noch einen zusätzlichen Nachhärtungsschritt für die Herstellung zellbeladener stabiler Konstrukte benötigt.Biofabrication is an advancing new research field that might, one day, lead to complex products like tissue replacements or tissue analogues for drug testing. Although great progress was made during the last years, there are still major hurdles like new types of materials and advanced processing techniques. The main focus of this thesis was to help overcoming this hurdles by challenging and improving existing fabrication processes like extrusion-based bioprinting but also by developing new techniques. Furthermore, this thesis assisted in designing and processing materials from novel building blocks like recombinant spider silk proteins or inks loaded with charged nanoparticles. A novel 3D printing technique called Melt Electrospinning Writing (MEW) was used in Chapter 3 to create tubular constructs from thin polymer fibers (roughly 12 μm in diameter) by collecting the fibers onto rotating and translating cylinders. The main focus was put on the influence of the collector diameter and its rotation and translation on the morphology of the constructs generated by this approach. In a first step, the collector was not moving and the pattern generated by these settings was analyzed. It could be shown that the diameter of the stationary collectors had a big impact on the morphology of the constructs. The bigger the diameter of the mandrel (smallest collector diameters 0.5 mm, biggest 4.8 mm) got, the more the shape of the generated footprint converged into a circular one known from flat collectors. In a second set of experiments the mandrels were only rotated. Increasing the rotational velocity from 4.2 to 42.0 rpm transformed the morphology of the constructs from a figure-of-eight pattern to a sinusoidal and ultimately to a straight fiber morphology. It was possible to prove that the transformation of the pattern was comparable to what was known from increasing the speed using flat collectors and that at a critical speed, the so called critical translation speed, straight fibers would appear that were precisely stacking on top of each other. By combining rotation and translation of the mandrel, it was possible to print tubular constructs with defined winding angles. Using collections speeds close to the critical translation speed enabled higher control of fiber positioning and it was possible to generate precisely stacked constructs with winding angles between 5 and 60°. In Chapter 4 a different approach was followed. It was based on extrusion-based bioprinting in combination with a hydrogel ink system. The ink was loaded with nanoparticles and the nanoparticle release was analyzed. In other words, two systems, a printable polyglycidol/hyaluronic acid ink and mesoporous silica nanoparticles (MSN), were combined to analyze charge driven release mechanism that could be fine-tuned using bioprinting. Thorough rheological evaluations proved that the charged nanoparticles, both negatively charged MSN-COOH and positively charged MSN-NH2, did not alter the shear thinning properties of the ink that revealed a negative base charge due to hyaluronic acid as one of its main components. Furthermore, it could be shown that the particles did also not have a negative effect on the recovery properties of the material after exposure to high shear. During printing, the observations made via rheological testing were supported by the fact that all materials could be printed at the same settings of the bioprinter. Using theses inks, it was possible to make constructs as big as 12x12x3 mm3 composed of 16 layers. The fiber diameters produced were about 627±31 μm and two-component constructs could be realized utilizing the two hydrogel print heads of the printer to fabricate one hybrid construct. The particle distribution within those constructs was homogeneous, both from a microscopic and a macroscopic point of view. Particle release from printed constructs was tracked over 6 weeks and revealed that the print geometry had an influence on the particle release. Printed in a geometry with direct contact between the strands containing different MSN, the positively charged particles quickly migrated into the strand previously containing only negatively charged MSN-COOH. The MSN-COOH seemed to be rather released into the surrounding liquid and also after 6 weeks no MSN-COOH signal could be detected in the strand previously only containing MSN-NH2. In case of a geometry without direct contact between the strands, the migration of the positively charged nanoparticles into the MSN-COOH containing strand was strongly delayed. This proved that the architecture of the printed construct can be used to fine-tune the particle release from nanoparticle containing printable hydrogel ink systems. Chapter 5 discusses an approach using hydrogel inks based on recombinant spider silk proteins processed via extrusion-based bioprinting. The ink could be applied for printing at protein concentrations of 3 % w/v without the addition of thickeners or any post process crosslinking. Both, the recombinant protein eADF4(C16) and a modification introducing a RGD-sequence to the protein (eADF4(C16)-RGD), could be printed revealing a very good print fidelity. The RGD modification had positive effect on the adhesion of cells seeded onto printed constructs. Furthermore, human fibroblasts encapsulated in the ink at concentrations of 1.2 million cells per mL did not alter the print fidelity and did not interfere with the crosslinking mechanism of the ink. This enabled printing cell laden constructs with a cell survival rate of 70.1±7.6 %. Although the cell survival rate needs to be improved in further trials, the approach shown is one of the first leading towards the shift of the window of biofabrication because it is based on a new material that does not need potentially harmful post-process crosslinking and allows the direct encapsulation of cells staying viable throughout the print process

Extrusion-Based 3D Printing of Calcium Magnesium Phosphate Cement Pastes for Degradable Bone Implants

This study aimed to develop printable calcium magnesium phosphate pastes that harden by immersion in ammonium phosphate solution post-printing. Besides the main mineral compound, biocompatible ceramic, magnesium oxide and hydroxypropylmethylcellulose (HPMC) were the crucial components. Two pastes with different powder to liquid ratios of 1.35 g/mL and 1.93 g/mL were characterized regarding their rheological properties. Here, ageing over the course of 24 h showed an increase in viscosity and extrusion force, which was attributed to structural changes in HPMC as well as the formation of magnesium hydroxide by hydration of MgO. The pastes enabled printing of porous scaffolds with good dimensional stability and enabled a setting reaction to struvite when immersed in ammonium phosphate solution. Mechanical performance under compression was approx. 8–20 MPa as a monolithic structure and 1.6–3.0 MPa for printed macroporous scaffolds, depending on parameters such as powder to liquid ratio, ageing time, strand thickness and distance

Virtue ethics and social psychology

Virtue ethics has emerged as an alternative to deontological and utilitarian theory in recent moral philosophy. The basic notion of virtue ethics is to reassert the importance of virtuous character in ethical judgement in contrast to the emphasis on principles and consequences. Since questions of virtue have been largely neglected in modern moral theory, there has been a return to Aristotle’s account of virtue as character. This in turn has been questioned as the basis of virtue ethics and there has been a search for alternative accounts of moral agency. One aspect of this critical reflection on virtue ethics is an engagement with social psychology as a source of criticism of the Aristotelian conception of character and as a more plausible alternative foundation for a theory of moral character with contemporary relevance. This paper aims to introduce this area of moral theory to a psychological audience and reflect on the interpretation of social psychological theory and evidence in criticisms of virtuous character, focusing on the use of Milgram’s (1974) experiments on obedience to authority as an argument for situationism. A number of questions emerge concerning the interpretation and use of social psychological theory and evidence in debates within moral philosophy

Events with an isolated lepton and missing transverse momentum and measurement of W production at HERA

Events with high energy isolated electrons, muons or tau leptons and missing transverse momentum are studied using the full e ± p data sample collected by the H1 experiment at HERA, corresponding to an integrated luminosity of 474 pb -1. Within the Standard Model, events with isolated leptons and missing transverse momentum mainly originate from the production of single W bosons. The total single W boson production cross section is measured as 1.14±0.25 (stat.)±0.14 (sys.) pb, in agreement with the Standard Model expectation. The data are also used to establish limits on the WW γ gauge couplings and for a measurement of the W boson polarisation