Printheads of varied convergence rates and diameters were fabricated to achieve the printing of multiple types of materials. The nozzles obtained with increasing pull strength are shown in Figure 1B. The nozzles were divided into three areas: reservoir (III), contraction (II), and printhead (I). The reservoir was the unprocessed part of the nozzle, in which the liquid provided static pressure and bioink input for printing. The contraction area was the main part for generating downward driving forces. The pull strength had a significant effect on the printhead, demonstrating a lower convergence rate with extended pull strength. The narrower and longer printhead increased the surface tension during printing, making the formation of discrete microdroplets more difficult, but facilitated the cutting of smaller-diameter tips in subsequent operations. Afterward, with the needle forging instrument, the printhead was cut off at the designated diameter (Figure 1C). Tips with various diameters, including 100, 120, 150, and 200 µm, were available to generate microcarriers of different sizes, meeting the requirements of various in vitro microtissues.
The stability and controllability of the printing process were first verified by printing droplets onto Petri dishes. With a 30 µm tip nozzle, multiple bioink, including PBS, 1.5% alginate, and 1.5% gelatin were stably printed (Figure 2A,B). The difficulty of printing a certain bioink was reflected in the sampling rate and Vpp used for printing. Low viscosity bioink such as NaCl solution were printed at smaller parameters, resulting in smaller droplet diameters. With increasing viscosity, the printing process became correspondingly more difficult, as the greater drive forces were needed and larger droplets would obtain (Figure 2B). With this mechanism, the adjustment of parameters and drive forces for a given bioink can be used to adjust different droplet sizes, as shown in Figure 2C. Figure 2D shows the arrangement of droplets forming the specific letters "THU" on a flat surface. Besides, the combination of microscopic observations allowed for the localization of microdroplets at smaller scales within 100 µm.
Alginate microcarriers (Figure 3A) and HA microcarriers (Figure 3C) were printed with tips of different diameters. The effects of the tip diameter on the alginate microcarrier diameter are shown in Figure 3B. Limited by the blockage caused by the volatilization of the solution when the size is too small, the smallest diameter of the printed alginate microcarriers was approximately 100 µm. While the largest diameter could reach up to 300 µm. The diameter of the printed microcarriers increases in line with the tip diameter and is always larger than the latter. When the diameter of the tip is larger than 250 µm, the bioink cannot be printed out. The diameter of printed modified HA microcarriers was 76.7 ± 1.8 µm with tip diameters of 75 µm (Figure 3C).
A549 cells and alginate-collagen microcarriers were seeded in a plate and placed on a shaker in the incubator. The cells were observed to adhere to the alginate-collagen microcarriers after mixing for 2 days. Cells progressively cover larger surface of microcarriers by proliferation. After cultivation for 6 days, A549 cells almost fully covered the microcarrier surfaces. This result confirms that the developed microcarriers can bind cells well and provide a suitable growth environment for the cells. Bright field images and confocal images of A549 cells adhering and proliferating on the surface of the microcarriers are shown in Figure 4.

Figure 1: The AVIFJ printing system and the preparation of nozzles of various diameters. (A) The installation of AVIFJ nozzle. (B) Under specific PULL parameters, the printhead of the nozzle was shaped to converge at different rates. Scale bar: 200 μm. (C) With the needle forging instrument, the tip was cut off at designated positions. Scale bar: 200 μm. Please click here to view a larger version of this figure.

Figure 2: Printing of multiple types of biomaterials at various concentrations by AVIFJ. (A) The nozzle used in this section of results. The diameter of the tip was 30 μm. Scale bar: 100 μm. (B) Printing of multiple types of hydrogel materials including PBS, 1.5% alginate, and 1.5% gelatin at various parameters. M: a million samples per second, reflecting the duration of a single vibration. V: peak-to-peak voltage, reflecting the stroke of a single vibration. Scale bar: 100 μm. (C) The printing of 0.5% alginate at various parameters. Scale bar: 100 μm. (D) 2D arrangements and close positioning of droplets. Scale bar: 200 μm. Please click here to view a larger version of this figure.

Figure 3: Microcarriers printed with different diameters of the nozzle tip. (A) 2% alginate microcarriers, printed with nozzle tip diameters at 70, 100, 130, 160, 210, and 250 μm, respectively. Scale bar: 100 μm. (B) Effect of the nozzle tip diameter on the size of microcarriers. The sizes of the microcarriers printed with nozzles of different diameters were statistically analyzed using ImageJ software. Ten microcarriers for each nozzle were selected and calculated. Data are presented as mean ± s.d. (C) Printed modified HA microcarriers with tip diameters at 75 μm. Scale bar: 100 μm. Please click here to view a larger version of this figure.

Figure 4: Seeding cells on alginate-collagen microcarriers. (A) Bright field images of A549 cells adhering and proliferating on the surface of the microcarriers. Scale bar: 100 μm. (B) Confocal images of A549 cells adhering and proliferating on the surface of the microcarriers. Scale bar: 100 μm. Dotted ellipses are used to highlight the border of microcarriers. Please click here to view a larger version of this figure.