Jingxia
Zheng
a,
Canjie
Zhu
a,
Xun
Xu
b,
Xinwei
Wang
b and
Jun
Fu
*a
aKey Laboratory of Polymeric Composite and Functional Materials of Ministry of Education, Guangdong Functional Biomaterials Engineering Technology Research Centre, Guangzhou Key Laboratory of Flexible Electronic Materials and Wearable Devices, School of Materials Science and Engineering, Sun Yat-sen University, Guangzhou Higher Education Mega Centre, 132 Waihuan Road East, Panyu, Guangzhou 510006, China. E-mail: fujun8@mail.sysu.edu.cn
bState Key Laboratory of Polyolefins and Catalysis, Shanghai Research Institute of Chemical Industry, Shanghai 200062, China
First published on 22nd May 2023
Biomedical materials with outstanding biochemical and mechanical properties have great potential in tissue engineering, drug delivery, antibacterial, and implantable devices. Hydrogels have emerged as a most promising family of biomedical materials because of their high water content, low modulus, biomimetic network structures, and versatile biofunctionalities. It is critical to design and synthesize biomimetic and biofunctional hydrogels to meet demands of biomedical applications. Moreover, fabrication of hydrogel-based biomedical devices and scaffolds remains a great challenge, largely due to the poor processibility of the crosslinked networks. Supramolecular microgels have emerged as building blocks for fabrication of biofunctional materials for biomedical applications due to their excellent characteristics, including softness, micron size, high porosity, heterogeneity and degradability. Moreover, microgels can serve as vehicles to carry drugs, bio-factors, and even cells to augment the biofunctionalities to support or regulate cell growth and tissue regeneration. This review article summarizes the fabrication and the mechanism of supramolecular assemblies of microgels, and explores their application in 3D printing, along with detailed representative biomedical applications of microgel assemblies in cell culture, drug delivery, antibacterial and tissue engineering. Major challenges and perspectives of supramolecular microgel assemblies are presented to indicate future research directions.
10th anniversary statementCongratulations on the 10th anniversary of the Journal of Materials Chemistry family. I am grateful to have had twenty papers published in Journal of Materials Chemistry B covering topics from implantable polymers, tough hydrogels, tissue engineering scaffolds, soft actuators, and hydrogel-based flexible electronics. All these research articles and reviews have been well acknowledged by readers, thanks to the outstanding efforts by the editorial team and the volunteer referees. I am honored to have served as an Advisory Board Member since 2017. It provides me with great opportunities to make more contributions to this journal and the community. This review article introduces an emerging field of microgel-based 3D printing for biomedical materials. This important concept proposes to utilize microgels as functional building blocks to construct multifunctional and high performance biomedical devices. Supramolecular chemistry plays critical roles in spontaneously and efficiently assembling microgels together. This supramolecular strategy can be readily applied to integrate microgels loaded with drugs, factors, peptides, enzymes, and even cells into soft chips, organoids, and artificial biotissues. I hope this review will be of broad interest to readers in the field of biomedical materials and engineering. |
Hydrogels have broad application prospects as biomaterials due to the high water content, adjustable physicochemical properties and structural similarity to the natural extracellular matrix (ECM).9 However, the tight nanometer-scale cross-linking network of traditional block hydrogels is unfavorable for the penetration of cells and blood vessels, and it is hard to process or damage the biological activity and endogenous healing performance during extruding. To tackle this problem, many types of hydrogels have been processed into microgels via a variety of fabrication techniques,10 including mechanical crushing,11–13 emulsion polymerization,14–17 microfluidic and microchannel,18–21 and templating methods.22–24 By using various assembly principles including jamming,25–27 chemical bonding,28–30 or non-covalent interactions,31–33 microgels have been processed into assemblies with many excellent characteristics, including softness, micron size, high porosity, heterogeneity and degradability.9,34
Supramolecular microgels are made of a variety of materials, which mainly include host–guest molecules such as cyclodextrin, Cucurbit[8]uril, adamantane, azobenzene, and ferrocene, synthetic polymers such as polyethylene glycol (PEG), poly(N-isopropyl acrylamide) (PNIPAAM), and natural polysaccharides, like hyaluronic acid, sodium alginate, etc. The structures of supramolecular microgel assemblies determine multifunctional performance and biomedical applications. Supramolecular microgel assemblies are cross-linked by non-covalent interactions, which are weak and dynamic, and result in beneficial properties, including self-healing, shear thinning, injectability, or printability.12,30,35 The micron size of microgels allows for minimal invasive injection. Most microgels are amiable to protect cells during injection and transportation, and are ideal candidates for 3D printing bioinks to fabricate artificial tissues and organs. Therein, collective dynamic supramolecular interactions help maintain the stability of printed scaffolds. Moreover, microgels with different formulations like materials, composition, size and contents can be used as modules to create multifunctional materials and constructs. Microgel scaffolds are usually porous, which is conducive to cell invasion, proliferation and migration.36,37 What's more, multi-stimuli responsiveness is another important feature of supramolecular microgel assemblies, which respond to a variety of physical or biochemical stimuli38–40 like temperature, light, magnetic/electric field, mechanical force, pH, and redox, etc. Responsive microgels serve as intelligent carriers for bioactive molecules such as drugs, proteins, carbohydrates and DNA. Based on the micro porous structures and multifunctional characteristics of supramolecular microgel assemblies, they are suitable for broad biomedical applications, including cell transplantation,41 drug delivery,42–44 antibacterials,45 biocatalysis,46 and tissue engineering,34,36etc.
In this review article, we discuss the latest advances of supramolecular assemblies of multifunctional microgels for biomedical applications. Firstly, we simply introduce the fabrication of microgels. Next, we introduce the mechanism of supramolecular assemblies of microgels, including host–guest interactions, hydrogen bonding, metal coordination and electrostatic interaction, etc. Then, we briefly describe 3D printing of supramolecular microgels, and summarize in detail representative applications of microgel assemblies in cell culture, drug delivery, antibacterial and tissue engineering. Finally, we present the major challenges and perspectives of supramolecular microgel assemblies to indicate future research directions (Fig. 1).
Fig. 2 Fabrication techniques of microgels, including (a) mechanical crushing, (b) emulsion polymerization, (c) microfluidic and microchannel and (d) templating methods. Reproduced with permission from ref. 47. Copyright 2019 Springer Nature. |
Surfactant-free emulsion polymerization (SFEP) means that no surfactant is added at all or only a small amount of surfactant is added in the reaction process (with a concentration lower than the critical micelle concentration CMC), which usually applies for thermosensitive monomers, typically with a lower critical solution temperature (LCST).50 Such monomers are fully dissolved in water below the LCST to form a homogeneous system, and undergo phase separation to form droplets above the LCST. Therein, polymerization and crosslinking take place to yield microgels with collapsed configurations. Xue et al. prepared different microgels with narrow size distribution by SFEP of six acrylamide-type thermoresponsive monomers through free radical copolymerization.15 However, SFEP is applicable to only a few thermosensitive monomers.
Emulsion polymerization with added surfactant includes conventional emulsion polymerization and inverse emulsion polymerization, which can form oil-in-water or water-in-oil emulsion by high-speed dispersing different monomers in the oil phase or water phase, respectively. Then, polymer microgels are formed by thermal initiation or photoinitiation before purification centrifugal washing. A homogeneous emulsification method, speed and time will affect the size and dispersity of microgels.51 Inverse emulsion polymerization has the advantages of simplicity, rapidity and small particle size, and is suitable for the synthesis of various water-soluble microgels, including poly(2-acrylamido-2-methyl-propanesulfonic acid) (PAMPS), poly-acrylamide (PAAm), poly-acrylic acid (PAAc), poly(N-isopropylacrylamide) (PNIPAm), poly(2-hydroxyethyl methacrylate) (PHEMA), poly(ethylene glycol) (PEG), etc., as well as biocompatible and degradable polysaccharide-based hybrid microgels like gelatin, alginate, chitosan, hyaluronic acid cellulose, etc.16,17
In addition, the microfluidic droplet generator can be used to generate highly uniform microgel building blocks, manufacture controlled interconnected microporous scaffolds, promote cell proliferation and network, and accelerate wound healing.57–59 For example, Di Carlo et al. described a method for manufacturing highly uniform microgel building blocks in a continuous, scalable, high-throughput manner, so as to form a highly modular microporous environment for cell and tissue growth.19 Hydrogel precursors are injected into the parallel step emulsification microfluidic device at a reduced nonreactive pH to generate uniform spherical microgel templates. Then, a unique pH adjustment was used to induce controllable and uniform crosslinking of microgel building blocks, and the productivity was one to two orders of magnitude higher than that of similar projects.20,21 These controllable and degradable microgels fabricated by microfluidic and microchannel methods have the potential of non-uniform or gradient reactors, which can be used for 3D cell culture scaffolds and as components of complex and natural-inspired robots.
Fig. 3 (a) Host–guest recognition. Reproduced with permission from ref. 40. Copyright 2022 John Wiley and Sons. (b) Different kinds of host–guest complexes. Reproduced with permission from ref. 44. Copyright 2021 Elsevier. |
Fig. 4 The host–guest recognition for CDs and CB[8]. (a) Schematic structures of α-, β-, and γ-CD. Reproduced with permission from ref. 64. Copyright 2014 American Chemical Society. (b) A reversible host–guest interaction between microgel particles functionalized with Ad and β-CD. Reproduced with permission from ref. 75. Copyright 2021 The Royal Society of Chemistry. (c) Guest molecules (β-CD) and host molecules (Fc) for the construction of Fc-containing hydrogels. Reproduced with permission from ref. 76. Copyright 2020 Elsevier. (d) Supramolecular hydrogel fabrication through the host–guest interactions between the FGG-EA and CB[8]. Reproduced with permission from ref. 77. Copyright 2017 American Chemical Society. (e) Supramolecular assembly between HBPCB[8] and HEC-Np. Reproduced with permission from ref. 31. Copyright 2018 John Wiley and Sons. |
Hydrogels with host and/or guest moieties can form assemblies through supramolecular recognition at the interface between dangling host or guest groups. Of particular interest is the supramolecular assembly of microgels as multifunctional building blocks into macroscopic constructs with biomimetic structures and functionalities for drug release, cell encapsulation, and tissue engineering. In order to synthesize microgels functionalized with host and/or guest groups, four-armed PEG is functionalized on the ends by using thiol click chemistry to bond either β-cyclodextrin or adamantane. Microgels separately synthesized from β-CD- or Ad-functionalized four-arm PEGs self-assemble through reversible guest–host interactions between microgel particles when mixed, generating an interlinked network (Fig. 4b).75 Burdick et al. used a PDMS microfluidic device78 to manufacture cross-linked hyaluronic acid (HA) microgels with covalent cross-linking in modular particles. The microgels modified with cyclodextrin and adamantane formed hydrogels through interparticle guest–host linking.20,79 The two-component microgels show shear-thinning and self-healing, which makes it easy to inject into dynamic environments. The multiple material components and high porosity make the microgels suitable for cell delivery. Besides, methacrylate modified β-cyclodextrin (host) and vinyl ferrocene (guest) formed redox cleavable crosslinkers through host–guest inclusion for the synthesis of microgels with variable content of redox cleavable crosslinkers through precipitation polymerization. The microgel assemblies were used for effective loading and release of anticancer drugs.80
Host–guest supramolecular assemblies are usually responsive to external stimuli, including light, temperature, and redox reactions,76,81–83 primarily depending on the responsive properties of the guests. Such responsiveness is usually reversible and can be utilized for injection, advanced manufacturing, drug delivery, cell encapsulation and delivery, etc.
Self-assembly of soft colloids with light-switchable supramolecular interactions can be triggered to dissociate upon exposure to light. Azobenzene (Azo) functionalized nanogels (the guest colloid) and α-cyclodextrin functionalized microgels (the host colloid) can form stable colloid clusters through supramolecular recognition between the Azo and α-CD moieties dangling on the surfaces of the nanogels.81 When exposed to UV light, the Azo groups experience a transition from trans-conformation to cis-conformation. Since the cis-Azo has a much lower association constant with α-CD than that for trans-Azo/α-CD,84,85 the interface recognition becomes weaker, thus the colloidal clusters disassemble under UV light. Subsequently, when the solution is exposed to visible light, the colloids re-assemble into clusters. The reversible colloidal self-assembly can be controlled by the interplay between the supramolecular and covalent crosslinking, and can also be adjusted by the addition of competitive host molecules. Han et al. incorporate supramolecular assembling and electrostatic interactions between microgels, and investigate the delicate balance between colloidal-range electrostatic repulsion and supramolecular-range host/guest driven attraction in α-CD/azobenzene modified host/guest co-assembling microgel systems.86 By labeling microgels with fluorescent moieties, the authors identified three different states of assembly (disassembled, dispersed co-assembled clusters, co-assembled flocculates). The kinetic balances between the multivalent and cooperative binding of the host/guest complexes and the electrostatic repulsion leads to trapped metastable configurations and reconfiguration into string-like assemblies.
Redox reactions can change the chemical structure and hydrophilicity of guest molecules, which trigger disassembly of host–guest microgels.76 Ferrocene (Fc) is a famous guest molecule that complexes with β-CD through supramolecular recognition (Fig. 4c). Once ferrocene is oxidized into Fc ions, the complex decomposes. Microgels copolymerized from acrylic acid, ferrocene-modified N-(3-aminopropyl) methacryl-amide and N,N′-methylenebisacrylamide (MBAA) are responsive to electrochemical oxidation of the ferrocene groups.82 Such electrochemical responsive Fc-containing microgels may find applications as particle stabilizers for potential-stimulated Pickering emulsions. Microgels are synthesized from cyclodextrin functionalized 8-arm poly(ethylene glycol) (8A PEG-CD) and ferrocene modified counterparts (8A PEG-Fc) via CD/Fc host–guest chemistry to form Pickering emulsions. Taking advantage of the redox reaction of Fc, the formation and deformation of the microgels and corresponding Pickering emulsions can be reversibly triggered by external potential.83 Poly(ionic liquid) (PIL) microgels modified with ferrocene (Fc) are electrochemically active and can respond reversibly to redox stimulus. Fc-Anchored PIL microgels are used as the building blocks for supramolecular self-assembly with a β-cyclodextrin (β-CD) dimer through host–guest inclusion complexation. The assembled PIL microgels could undergo reversible association and dissociation as triggered by electrochemical redox reaction.87 Such supramolecular crosslinking on the basis of Fc-β-CD host–guest interactions is cleavable.80
Supramonomers assembled from reactive host and guest molecules have been developed for the synthesis of supramolecular microgels. Zhang et al.77 devised and assembled tripeptide Phe–Gly–Gly/cucurbit[8]uril (CB[8]) host–guest supra-monomers with one acrylate moiety on each end (Fig. 4d). Then the supramonomers were copolymerized with N-isopropylacrylamide (NIPAm) in aqueous solution to synthesize thermo-responsive supramolecular microgels. Moreover, the microgels exhibited stimuli-responsive and degradable properties benefitting from the dynamic nature of supramonomers.92 Yu et al.31 encapsulated two kinds of guests (viologen and naphthyl) in the cavity of macrocyclic host molecule CB[8] through molecular recognition to form a solid hetero-ternary host–guest supramolecular copolymer to prepare microgels (Fig. 4e).93,94 The interaction between molecules is reversible, so the scaffolds formed by microgels are dynamically stable and self-healing. Inclusion complexes of alkyl pyridinium-containing acrylamide monomers with CB[8] facilitate supramolecular crosslinking in a series of hydrogels formed through in situ polymerization. The resulting hydrogels show greatly enhanced mechanical properties over a purely acrylamide-based gel. Moreover, by selecting fluorescent pyridine moieties, the materials exhibit fluorescence properties for sensing applications.95
Fig. 5 Hydrogen bonding. (a) Hydrogen bond interactions of DNA base complementation on the specified surfaces of PEGDA microgel. Reproduced with permission from ref. 33. Copyright 2013 Springer Nature. (b) Microgels based on complementary nucleobase molecular recognition. Reproduced with permission from ref. 98. Copyright 2022 John Wiley and Sons. |
Microgels crosslinked by tannic acid (TA)99 or catechin100 contain abundant hydrogen bonds between the catechol groups and other functional groups. The tannic acid content has a key influence on the microgel properties. The microgels exhibit reversible temperature-dependent swelling/deswelling and undergo pH-triggered degradation in aqueous solutions.101 PNIPAM–TA microgels contain both physical cross-linking via hydrogen bonding between TA and PNIPAM chains and chemical cross-linking via capturing the radicals of propagating polymer chains by catechol and pyrogallol groups of TA (Fig. 6).102 The microgels and hybrids with Fe3O4 nanoparticles are thermoresponsive and degradable dependent on pH values.
Fig. 6 PNIPAM–TA microgels fabricated via hydrogen bonding and the pH-dependent degradation. Reproduced with permission from ref. 102. Copyright 2019 American Chemical Society. |
Fig. 7 Reversible metallo supramolecular assemblies of the [MIITPy2]2+ complexes with metal cation (Fe(II) or Co(II)). Scale bar: 5 μm. Reproduced with permission from ref. 107. Copyright 2020 John Wiley and Sons. |
Highly anisotropic supramolecular microtubules and soft spherical fluorescent microgels carrying charges self-assembled into various suprastructures. Microgels with positive and negative charges are synthesized by using polystyrene nanoparticles as seeds modified with cationic CTAB and anionic V50 respectively for polymerization with PNIPAM and PNIPMAM. These charged microgels self-assemble with supramolecular bile salt tubules with cationic or anionic charges to form hierarchical self-assembly into various superstructures varying from virus-like assemblies to supracolloidal networks.108
Zwitterionic moieties, comprised of equivalent negative and positive charges linked by a spacer of a few C–C bonds, can form strong ion–dipole and dipole–dipole interactions between polymer chains and microgels. Hydrogels formed from pure zwitterionic polycarboxybetaine (PCB) have been reported to inhibit the foreign body response and resist collagenous encapsulation in vivo,109 and shield proteins from immunogenic responses.110 Moreover, stem cells encapsulated in PCB hydrogels maintain their therapeutic multipotency and avoid nonspecific differentiation.111 Zwitterionic microgels based on carboxybetaine acrylamide monomers are used as self-healing “building blocks” for injectable and malleable PCB hydrogel platform and cell-protective constructs (Fig. 8).112 The microgels are beneficial to evade the foreign body reaction and preserve stem cell multipotency. The non-covalent interactions between microgels enhance the overall self-healing associations (zwitterionic fusion) and increase construct elasticity, with an ideal modulus for cell culture and injection applications.
Fig. 8 Injectable hydrogels formed by electrostatic and dipole interactions between zwitterionic microgels. Reproduced with permission from ref. 112. Copyright 2018 John Wiley and Sons. |
Fig. 9 (a) Self-healing pre-cross-linked hydrogel microparticle (pcHμPs) inks; (b) a variety of bionic structures. Reproduced with permission from ref. 12. Copyright 2020 John Wiley and Sons. |
Dynamic cross-linking reactions among microgels have been utilized to assemble microgels for extrusion bioprinting with great printability, microporosity, tissue-adhesion, and self-healing.122 Feng et al. proposed a new strategy to prepare dynamic cross-linked microgel assembly (DC-MA) bioink (Fig. 10a). By using a droplet microfluidic device, methacrylate and phenylboronic group modified hyaluronic acid (HAMA-PBA) and methacrylic gelatin (GelMA) were crosslinked to produce microgels, and then the dynamic crosslinker (dopamine modified hyaluronic acid, HA-DA) was assembled into the DC-MA bioink to strengthen interactions between microgels through dynamic covalent bonds while maintaining the relatively low mechanical modulus of microgels in order to achieve high printability, shape-fidelity and cell viability.32 The addition of dynamic crosslinking agent (HA-DA) also improved the microporosity, tissue adhesion and self-healing of DC-MA bioink, which is beneficial for tissue engineering and regenerative medicine applications.
Fig. 10 Microgel inks. (a) Dynamic cross-linked microgel assembly (DC-MA) bioink. Reproduced with permission from ref. 32. Copyright 2020 John Wiley and Sons. (b) Double network granular hydrogel (DNGH) inks. Reproduced with permission from ref. 123. Copyright 2022 American Chemical Society. |
Microgels can act as sacrificial inks to improve cell infiltration and migration in scaffolds, while maintaining the printability of the microgel inks. Seymour et al. blended UV-crosslinkable gelation methacryloyl (GelMA) microgels with sacrificial gelatin microgels to obtain composite inks high void fraction by optimizing the ratio of GelMA to sacrificial gelatin microgels.27 It was observed that human umbilical vein endothelial cells (HUVEC) seeded onto printed constructs migrated into the microgel inks depending on the void fraction. This strategy has potential for applications in 3D printing and tissue engineering.
Many 3D printing structures by using microgel (JM) bioinks may gradually lose mechanical properties in the long term, in comparison to natural soft tissues,36,124,125 which limits their applications in tissue engineering. To address this problem, microgel particles with a high swelling ratio are dissolved in a second monomer solution to integrate the microgels together to produce microgel-based biphasic (MB) bioinks with both printability and fidelity. Amstad et al. synthesized poly(2-acrylamido-2-methyl-propanesulfonic acid) (PAMPS) microgels by inverse emulsion polymerization, and mixed them with a second monomer solution that is comprised of AAm monomers, initiators, and cross-linkers to create double network granular hydrogels (DNGHs) (Fig. 10b).123 The obtained hydrogels can bear tensile loads up to 1.3 MPa. Zhao et al. prepared various microgels by ball milling, and polymerized the same monomers in the presence of microgels to generate particle-based double-network (P-DN) hydrogels.17 The hydrogels show excellent adhesion and temperature sensitivity. This strategy can be used to print multi-functional hydrogel structures with high mechanical properties and strong adhesion to various materials.
Microgel-based biphasic (MB) bioinks can be combined with different types of cells to form a heterogeneous cell microenvironment in a single printed fiber.126 Zhang et al. swelled sodium alginate microgels or GelMA microgels containing cells into GelMA solution to obtain tightly stacked biological ink127 for printing 3D complex structures including nose, ear, bronchus and brain models with high shape fidelity. In MB bioink, the cell density was increased locally through a space cell pattern, which accelerated cell reorganization and vascularization, and further promoted the functional maturity of printed liver tissue constructs. In general, the MB bioink has mechanical adjustability, hyperelasticity and a heterogeneous microenvironment,128,129 providing new possibilities for 3D bioprinting in biomedical applications such as tissue engineering and soft robots.
Carbomer is a kind of supramolecular polyacrylic acid (PAA) polymer. The carboxylic groups on the molecular chain can firmly grasp water through hydrogen bonding. It shows a sol to gel transition in aqueous solution as the pH is raised above its pKa (about 5.5).137 Carbomer microgel has been widely used as a 3D printing supporting bath due to its stable, tunable viscoelasticity, and rheological behavior in a biological environment.138,139 Serpooshan et al.140 used Carbomer as the support bath and gelatin-methacryloyl (GelMA) as the 3D printing bioink to create a 3D hydrogel structure with high fidelity and biocompatibility through embedded bioprinting technology, further expanding the application of bioprinting soft tissue construction in various biomedical fields. Huang et al.141 developed a Carbomer microgel supporting material as a bath to support the 3D structure constructed by gelatin-alginate ink, which avoids the instantaneous gelation of each printed layer and nozzle clogging caused by the resultant surface tension. It has been realized as the overall ‘printing-then-gelation’, which is suitable for building a variety of homogeneous soft structures. Angelinl et al.142 generated several complex structures by writing in a Carbomer microgel bath, including a 4 cm-long model of DNA, a thin-shell model and a complex vascular network. It's possible to write and grow living tissue cells in the microgel supporting bath and the jammed microgel provided stability and versatility in a simple framework that can be integrated into a powerful platform in the application of bioprinting soft tissue constructs in various biomedical fields.
The alginate chain is rich in mannuronic acid (M) and glucose uronic acid (G) units. In aqueous solution, the G blocks in different alginate chains can coordinate with multivalent cations (such as Ca2+, Co2+, Cu2+) to form non-covalent crosslinks between alginate chains, thus generating alginate hydrogels.143 As commonly used as a 3D printing supporting bath, alginate microgels show many advantages like cell friendliness, high transparency for realtime monitoring of printing, and can be removed by non-toxic, delicate procedures after printing. Alsberg et al.144 presented a 3D printing strategy in which a bioink rich in stem cells was printed into a support bath comprised of alginate microgels prepared by double crosslinking, oxidation and ionic crosslinking of methacrylate alginate (OMA). The microgel support medium showed similar properties to Bingham plastic fluid, maintaining high-resolution printing of human bone marrow mesenchymal stem cells (hMSCs). Dvir et al.145 used a mixed material comprised of calcium-alginate nanoparticles and xanthan gum as a supporting bath for the printing of extracellular matrix-based biomaterials, allowing high-resolution printing as low as 10 microns to manufacture complex structures and cell structures. It has been proved that the mixed medium can support at least 18 hours of long-time accurate printing. All these characteristics make it a promising supporting medium for 3D printing of tissues and organs. Ozbolat et al.146 studied the feasibility of using human mesenchymal stem cell (hMSC) spheres with an alginate microgel support bath for aspiration-assisted freeform bioprinting (AAfB), which has achieved unprecedented positioning accuracy, and improved the fusion efficiency of bioprinting in alginate microgels with different particle sizes. These studies demonstrated the potential of using alginate microgels as a support bath, which can be used in many different applications, including free bioprinting of spheres, cell loaded hydrogels and unstructured inks, to form viable tissue structures.
Besides, gelatin is a partially hydrolyzed collagen with excellent biocompatibility and degradability, which is widely used in many 3D cell culture, tissue engineering and drug delivery applications. The gelation process of gelatin microgels is thermally reversible.147 Due to the weak interaction between chains, it can automatically transform into a hydrogel at low temperature and reversibly change into a liquid state when heated, which has been widely used in supporting bath materials. For example, Huang et al.148 used the cross-linked composite hydrogel filled with gellan and gelatin microgels with a self-thinning property as the matrix bath to support the fabrication of 2D and 3D fluid network channels to increase the metabolic activity of living cells in the cross-linked matrix. The composite microgel matrix has sufficient mechanical strength to maintain the mechanical integrity of the structure during the removal of sacrificial materials. This method has potential for in vitro and in vivo applications, and may be particularly suitable for chip-based systems. Lee et al.138 proposed a method of 3D biological printing collagen directly by precisely controlling the composition and microstructure (Fig. 11). They used the freeform reversible embedding of suspended hydrogels (FRESH) to design the composition of the human heart at various scales from capillaries to the whole organ in the thermo-reversible gelatin microgel supporting bath, which proved that FRESH v2.0 collagen printing can be used as a platform to build advanced tissue scaffolds for various organ systems.
Fig. 11 A thermo-reversible gelatin microgel as the supporting bath for FRESH printing. Reproduced with permission from ref. 138. Copyright 2019 The Authors. |
There are many supramolecular biopolymers used to prepare microgels for 3D cell culture. For example, chitosan-based microgels have been applied as microcarriers for cell culture. The water soluble, UV crosslinkable and injectable N-methacryloyl chitosan (N-MAC) was synthesized through a one-step chemically selective N-acylation reaction, which allows for rapid, robust and cost-effective production of patterned cell loaded polysaccharide microgels with unique amino groups, as a building block for cell culture and local and continuous protein delivery.153 PEG-based biocomposite microgels have been widely used in the field of biological applications. The host–guest supramolecular interaction is introduced into the PEG microgel to provide a reversible non-covalent bond and generate a permeable interpenetrating network to form a polyethylene glycol maleimide (PEG-MAL) microgel scaffold.75 The porous structures of the scaffold can enable rapid migration of THP-1 monocytes, which can be used to simulate a natural ECM environment to study the immune cell interaction in the matrix.
Different technologies have been developed to rapidly assemble a heterogeneous 3D cell microenvironment with microgels, including droplet microfluidics, bioprinting, microforming and stop-flow lithography.154 Among them, droplet microfluidics has many advantages, such as accurate diameter control, rapid preparation speed and controllable microsphere structure, which makes the delivery of cells and drugs more flexible, efficient and controllable. It has proved most suitable for continuous high-throughput production of monodisperse spherical microgels.155 For example, Li et al. combined the microdroplet-array-based method with surface-wettability-guided assembly (SWGA) to guide the rapid assembly of heterogeneous 3D cell microenvironment arrays (Fig. 12a).156 This method can accurately control the shape, size, chemical concentration, cell density and 3D spatial distribution of multiple components, which provides a cost-effective solution to meet the growing needs of stem cell research. Besides, the method based on microfluidics was used to encapsulate single cells in the alginate layer of about 6 microns,157 which has increased the proportion of microgels containing cells by 10 times, the encapsulation efficiency exceeding 90%, and helps keep the cells alive in vitro for three days. The intravenous injection of single encapsulated bone marrow stromal cells into mice could maintain the soluble factor provided by the donor in vivo. Single cells encapsulated in tunable microgels can be used in various tissue engineering and regenerative medicine applications (Fig. 12b).
Fig. 12 Cell culture. (a) The microdroplet-array-based method with SWGA to guide the assembly of heterogeneous 3D cell microenvironment arrays. Scale bar, 50 μm. Reproduced with permission from ref. 156. Copyright 2016 John Wiley and Sons. (b) A method based on microfluidics used to encapsulate single cells. Reproduced with permission from ref. 157. Copyright 2017 Springer Nature. |
A wide range of small molecules, proteins and nucleic acid drugs have been encapsulated and released in a controlled manner using supramolecular microgels. Anionic copolymer microgels based on N-isopropylacrylamide and acrylic acid can load a cationic local anesthetic, bupivacaine. The microgel was compounded with an in situ-gelling hydrogel network cross-linked by hydrazide-aldehyde supramolecular chemistry to form hydrogel–microgel soft nanocomposites.159 These nanocomposite hydrogels can provide sustained drug release for up to 60 days, which is significantly longer than the time (<1 week) that can be achieved by using hydrogels or microgels alone. In addition, microgels fabricated via microfluidics are used to encapsulate interleukin-10 (IL-10).8 The degradation and release rate of the microgels can be controlled by the crosslinker. The microgels are injected into a rat model of myocardial infarction (MI), where the released IL-10 reduces macrophage density in 1 week, and improves scar therapy, ejection fraction, cardiac output, and the size of vascular structures in 4 weeks.
The soft nanocomposite hydrogels with long-term local drug delivery have great potential for clinical use. Host–guest supramolecular microgels based on CD have become a promising nanomaterial in biomedical drug delivery applications, benefiting from the complexing ability of CD with a wide range of drugs and hydrophobic molecules.160 Qian et al.161 combined the hydrophobic drug paclitaxel (TAX) and macrocyclic molecule β-CD with the poly-acrylic acid hydrogel skeleton, and then cross-linked it into PAA-β-CD/PAA-TAX nanogels with multiple host–guest contents, which can be used as a new delivery carrier of mucosal adhesive to extend the residence time of TAX in the cervix and reverse the MDR of tumors to improve drug efficiency, and enhance the therapeutic effect of cervical cancer. Si et al.162 designed a supramolecular nanogel for RNase cytoplasmic delivery, and the nanogel was prepared by host–guest interaction between azobenzene (Azo) and β-cyclodextrin (β-CD) conjugated with poly(L-glutamic acid)-graft-poly(ethylene glycol) methyl ether (PLG-g-mPEG). RNase can be loaded into nanogels under mild aqueous conditions. Due to the conformational transformation of azo triggered by UV light, the cross-linking points based on Azo/β-CD recognition were destroyed, which thus ensured the hypoxia sensitive release of nanogels to goods in tumors with NTR overexpression. The hypoxia sensitive supramolecular nanogel provides a universal platform for the delivery of RNase, highlighting its applicability in cancer treatment (Fig. 13a).
Fig. 13 Drug Delivery. (a) A supramolecular nanogel for RNase cytoplasmic delivery. Reproduced with permission from ref. 162. Copyright 2020 Elsevier. (b) A bionic microgel with tumor microenvironment pH response characteristics to achieve controlled release and delivery of paclitaxel (PTX) and IL-2. Reproduced with permission from ref. 163. Copyright 2017 American Chemical Society. |
Stimulation responsiveness is another important feature of supramolecular microgel assemblies, which can respond to single or multiple exogenous/endogenous physical or biochemical stimuli (such as: heat, light, magnetic/electric field, mechanical force, pH value, redox potential, etc.).40 Through fine adjustment of the gel–sol phase transition or volume expansion/contraction of microgels, it can be used as intelligent carriers for on-demand drug delivery. According to specific body parts or pathological conditions (such as inflammation), the loaded therapeutic goods can be accurately released in a continuous manner to improve the therapeutic effect. Song and colleagues163 developed a bionic microgel with tumor microenvironment pH response characteristics to achieve co-delivery and controlled release of paclitaxel (PTX) and IL-2 (Fig. 13b). The 2-hydroxypropyl-β-cyclodextrin (HP-β-CD) is compounded with two chitosan derivatives with opposite charges to prepare supramolecular nanocomposite microgels, which are used to embed the anticancer drug paclitaxel, and can precisely control the pH response ability to the weak acidic tumor microenvironment. The RBCm is further coated on the nanogels to enhance the adsorption, protection and delivery of physically and chemically unstable IL-2. The drug released in response can effectively play its role and achieve a promising synergistic anti-tumor effect. Another batch of supramolecular hydrogels used as drug delivery platforms are based on thermal gel polymers with thermal responsiveness.44 Antoniuk et al.164 used electrostatics and host–guest self-assembly to coat positively charged β-cyclodextrin polymers in PNIPAAm microgels to prepare host–guest supramolecular hydrogels through inclusion complexation with adamantane substituted dextran to generate a β-cyclodextrin adamantane (β-CD-Ada) inclusion complex. Due to the synergistic effect between the shrinkage of microgels and the dissociation of β-CD-Ada crosslinks at higher temperatures, the hydrogels exhibit a completely reversible thermally driven gel–sol transition at the temperature range from 37 to 41 °C, opening up attractive prospects for their potential applications in biomedical applications such as stimulation responsive drug delivery.
Other than drugs, commonly used antimicrobial agents include quaternary ammonium compounds (QACs),166,167 antimicrobial peptides (AMPs),168–170 and antimicrobial enzymes (AMEs).171,172 Many studies have involved the delivery of antimicrobial agents using supramolecular microgel systems.45,173 Self-assembled polyethylene glycol (PEG) and polyethylene glycol-co-acrylic acid (PEG-AA) microgels can regulate surface cell adhesion on a micron scale comparable to the size of bacteria, and are used for local storage/release of antimicrobial agents to inhibit bacterial colonization on synthetic surfaces.174 Due to electrostatic interactions, the microgels can load cationic antimicrobial peptides (L5). The load in PEG-AA microgels was significantly higher than that in pure PEG microgels. These microgels can be deposited through a nonlinear visual self-assembly process, hinder bacterial colonization, and reduce infection rates associated with biomaterials.
Hydrophilic microgels and nanogels can be utilized to encapsulate and deliver hydrophobic antibacterial agent175 that is urgently needed to tackle antibiotic resistance through nano-injection. Nanogels based on poly(N-isopropylacrylamide-co-N-[3-(dimethylamino) propyl] methacrylamide) and poly(NIPAM-co-DMAPMA), for example, are quaternized with 1-bromododecane to form hydrophobic domains inside the network through self-assembly of aliphatic chains (C12). Triclosan is loaded within the hydrophobic domains serving as containers to load Triclosan inside the nanogels, and the nanogels can adhere to the bacterial cell wall via electrostatic interactions and induce membrane destruction via the insertion of the aliphatic chains into the cell membrane. Thus, Triclosan can be injected into the cell through the destroyed membrane to dramatically increase the effective Triclosan concentration at the bacterial site. As a result, both the minimal inhibitory concentration and minimal bactericidal concentration against the Gram-positive bacteria S. aureus and S. epidermidis are reduced by 3 orders of magnitude, in comparison with free Triclosan. The strategy achieves synergetic physical destruction and active nano-injection, which significantly enhances the antimicrobial efficacy. The designed nanoinjection delivery system shows great promise for combating antimicrobial resistance, and extending applications of hydrophobic drugs delivery for previously challenging applications.
Nanogels with an inherent antibacterial part have been studied.45 The positively charged part causes physical damage to the bacterial cell membrane, which is one of the main antibacterial mechanisms of functional nanogels. The strong charge interaction leads to pore formation and changes in membrane permeability, eventually leading to bacterial cell death.176 Among different cationic compounds for applications to functionalize nanogels, quaternary ammonium salt (QAS) is the most explored. QAS-based PNIPAM (QAS-PNIPAM) microgels177 are synthesized and utilized to modify the surface of a range of materials including metal, plastic, and elastomer. Bacterial culture on QAS-PNIPAM microgel-modified surfaces shows a bactericidal efficiency of nearly 100% (Fig. 14a). The highly efficient bactericidal performance of the QAS-PNIPAM microgel film is attributed to the cationic QAS component. Moreover, the microgel film is robust and cyto-compatible. The cytocompatibility of QAS-PNIPAM microgel thin films can be further improved by modifying with a glycopolymer containing sulfonate groups via attractive electrostatic interactions (Fig. 14b).178 Introduction of the sugar units improves the cytocompatibility of the microgel film without compromising its bactericidal efficacy.
Fig. 14 Antibacterial. (a) The antibacterial thin films modified by QAS-based PNIPAM (QAS-PNIPAM) microgels. Reproduced with permission from ref. 177. Copyright 2020 American Chemical Society. (b) Modification of quaternized QPM films with P(SS-co-Mag) via electrostatic interactions has improved the cytocompatibility. Reproduced with permission from ref. 178. Copyright 2020 Elsevier. (c) Polypeptide nanogels (PNGs) with mannose-conjugated AMPs show potential bactericidal effects. Reproduced with permission from ref. 179. Copyright 2019 American Chemical Society. |
In addition, AMPs interact with bacteria through non-specific (electrostatic) mechanisms, and have potent antibacterial, anti-inflammatory and other host defense properties.173 A series of polypeptide nanogels (PNGs) have been prepared by using coordination assisted self-assembly of mannose-conjugated AMPs, with poly(arginine)-mannose as the ligand, and Zn2+ ions as a metal ion source, which can minimize the toxicity of the original polypeptide without compromising antimicrobial activity.179 PNG shows potential bactericidal effects on Staphylococcus aureus and Escherichia coli. Compared with the original polypeptide, PNG exhibits higher cell viability (higher than 80%) on mammalian cells (Fig. 14c).
Tissue engineering scaffolds play an important role in filling tissue defects, providing mechanical support, promoting cell infiltration, growth and metabolism, achieving the required interactions between cells, releasing encapsulation factors (such as growth factors, chemokines and cytokines) and other functions, so that cells can adhere to biological material scaffolds to form cell-material composites. The compound is implanted into the damaged parts of tissues or organs of the body.182 With gradual degradation and absorption of biomaterials in the body, the implanted cells continue to proliferate and secrete extracellular matrix in vivo, eventually forming the corresponding tissues or organs to achieve the purpose of repairing trauma and rebuilding functions.183 In the past three decades, hydrogel materials have been widely applied in tissue engineering scaffolds for tissue repair and regeneration due to their high-water content, excellent biocompatibility, and biological modulus close to that of tissues and organs, which can be engineered to simulate the natural tissue environment.
Supramolecular microgels are promising for repair and regeneration of different types of tissues and organs due to their highly hydrated nature, tunable microporous structure, ability to encapsulate bioactive factors, and tailorable properties such as stiffness and composition.34 In particular, reversible supramolecular interactions between microgels make the hydrogels injectable and self-healable.184 Supramolecular microgels, as well as their composites with drug, factors, and cells, are ideal candidates for 3D printing ink to fabricate tissue engineering scaffolds with tunable properties to match those of target tissues.36 Microgel-based tissue engineering materials have been recognized for regenerative medicine in the fields of cartilage, cardiac vascular tissue repair, neuron tissue engineering, etc.
Reconstruction of the cartilage defect structure through self-assembly of microgels has a promising application in cartilage tissue engineering and regenerative medicine.185 Microgel assemblies provide a mechanical microenvironment to regulate stem cell chondrogenesis.186 Gelatin/hyaluronic acid hybrid microgels with low, medium and high crosslinking densities are fabricated in microfluidic devices by Michael addition reaction between thiolated gelatin (Gel-SH) and ethylsulfated hyaluronic acid (HA-VS) with different substitution degrees of vinyl sulfone groups. The mouse bone marrow mesenchymal stem cells (BMSC) show a clear trend of differentiating into hyaline cartilage in microgels with a low crosslink density, and fibrocartilage in microgels with medium and high crosslinking densities. Besides, dynamic nanocomposite microgel assemblies are composited with cyclodextrin nanoparticles loaded with kartogenin (KGN) and encapsulate BMSCs via droplet-based microfluidics and photo-crosslinking. The composite hydrogels are bottom-up assembled via dynamic crosslinking between dopamine-modified hyaluronic acid and phenylboronic acid groups on the microgel surface.187 The microgel assemblies can avoid cell endocytosis, ensure high BMSC viability during cell culture, cryopreservation and injection process, and promote chondrogenic differentiation of BMSCs. Injection of the composite hydrogels into articular cartilage defects in animals leads to regeneration of articular cartilage (Fig. 15a). Moreover, injectable hBMSC-laden microgels can be assembled as building blocks into highly ordered tissue-like structures for long-term maintenance and chondrogenesis.188 Cell-laden microgels can be linked by using a 4-arm poly(ethylene glycol)-N-hydroxysuccinimide (NHS) crosslinker into a 3D construct, with the viability and cellular functions of encapsulated hBMSCs well preserved. This assembled microgel construct facilitates upregulation of chondrogenic markers in both gene and glycosaminoglycan (GAG) expression levels, and regeneration of hyaline-like cartilage and high content of type II collagen.
Fig. 15 Tissue engineering. (a) BMSC-laden microgel assembly can repair cartilage in vivo. Reproduced with permission from ref. 187. Copyright 2021 John Wiley and Sons. (b) A two-component HA microgel assembly applied in cardiovascular tissue repair. Scale bar = 500 μm. Reproduced with permission from ref. 20. Copyright 2018 John Wiley and Sons. |
Cardiac vascular tissue repair aims at cardiac regeneration and vascular repair after injury or myocardial infarction. As a cardiovascular scaffold, microgels can effectively retain and/or deliver cells to affected tissues.189 Mealy et al.20 developed a two-component HA microgel assembly containing protease-cleavable and stable microgels through host–guest interaction, showing shear thinning and self-healing properties, making it easy to inject. More importantly, after injection into the myocardial wall of male Wistar rats with myocardial infarction, the lysable microgels showed significantly accelerated degradation due to the high protease activity under myocardial infarction conditions, while the stable microgels still existed in an undegraded spherical form. The composite properties and high porosity of the two-component granular hydrogel provide unique disease-dependent behavior and high-level cell invasion after injection into myocardial tissue (Fig. 15b). In addition, heparin-modified Pluronic F127 supramolecular nanogels containing basic fibroblast growth factor and VEGF165pDNA introduce proteins and genes into EPCs to promote neovascularization in animal models of limb ischemia,190 effectively promoting the vascularization of female BALB/c mice with femoral artery resection, and form artificial blood vessels.
Nerve degeneration, scar formation and loss of communication between neurons and cells are the main problems of nerve injury. Various neural tissue engineering methods based on supramolecular microgels have been developed to treat nerve injury.191 Hsu et al.192 propose an adaptive microporous hydrogel (AMH), in which high, medium and low concentrations of neuronal growth factor are loaded into negatively charged GelMA microgels, and then mixed with an equal volume of positively charged chitosan methacrylate microgels. The interconnected injectable porous scaffold constructed by electrostatic interaction has suitable micropores to promote cell migration, provides mechanical support, and transports biomolecular clues to manage cell adhesion and growth. Chitosan degradation products have been shown to contribute to peripheral nerve regeneration, inducing a significant bridging effect (axon growth of 4.7 mm) on peripheral nerve defects in SD rats (Fig. 16a). Zhao et al.193 developed a bifunctional microgel to simultaneously reduce the concentration of Ca2+ and glutamate in the extracellular environment and inhibit excessive Ca2+ influx. The microgels are formed by hydrogen bonding between dextran and loaded Ω-conotoxin GVIA (DexGVIA). The DexGVIA significantly accelerates the recovery of motor function in spinal cord injury rats by reducing the injury cavity, protecting neurons and glial cells from injury, improving the continuity and integrity of the spinal cord, and promoting nerve tissue regeneration.
Fig. 16 Tissue engineering. (a) An adaptive microporous hydrogel (AMH) has been developed to treat nerve injury and nerve regeneration. Reproduced with permission from ref. 192. Copyright 2019 John Wiley and Sons. (b) The cell-laden OMA microgels are applied in the construction of artificial tissues and organs. Scale bar, 1 cm. Reproduced with permission from ref. 194. Copyright 2019 John Wiley and Sons. |
Human organs are composed of complex tissues and have gradient characteristics on various length scales, which is the basis of morphology and function. Microgels have been widely used as building blocks of 3D printed artificial tissues and organs due to their adjustable physical properties, cell adhesion and printability.195,196 So far, many studies have proved the application of cell-laden microgels in the construction of artificial tissues and organs.197 Dual-crosslinkable alginate microgels comprised of oxidized and methacrylated alginate (OMA) are synthesized to encapsulate cells. The cell-laden OMA microgels are directly assembled into well-defined 3D shapes and structures under low-level ultraviolet light. The stem cell-laden OMA microgels can be successfully cryopreserved for long-term storage and on-demand applications (Fig. 16b). The recovered encapsulated cells maintained equivalent viability and functionality to the freshly processed stem cells. The cell-laden microgels can be assembled into complicated 3D tissue structures via freeform reversible embedding of suspended hydrogel (FRESH) 3D bioprinting.194 Then, the second generation of FRESH v2.0 3D bioprinting technology was developed to design the tissue composition of the human heart on multiple length scales.138 Through the use of collagen198 a tri-leaflet heart valve 28 mm in diameter and a human heart chamber of newborn scale were printed,199 and it has proved that FRESH v2.0 collagen printing can be used as a platform to build advanced tissue scaffolds for various organ systems. This bottom-up strategy provides a powerful and highly scalable tool for fabrication of customized and biomimetic 3D tissue constructs.200
Despite many excellent properties of supramolecular microgel assemblies, there are still many challenges and unmet demands that remain to be addressed. First, massive production of multifunctional microgels is desired to fabricate macro 3D structures by using microgels as building blocks. However, most current manufacturing methods are difficult to simultaneously achieve both high yield and size uniformity of microgels. It is necessary to develop new methods or improve existing technologies to realize high-throughput production, long-term storage and transportation of cell-encapsulated microgels. Second, the degradation rate is preferred to match the regeneration rhythm of tissue regeneration. Besides, the cytotoxicity of degradation by-products may raise problems for applications of supramolecular microgels in cell culture and drug delivery, including possible host immune reactions. It is very important to explore non-toxic, controllable degradation functional microgels for targeted drug delivery through drug matrix affinity supramolecular design.
In addition, supramolecular microgels composed of natural biomaterials are usually cross-linked by non-covalent interactions, and have weak mechanical properties that usually affect the structural integrity of engineering structures. Synthetic biomaterials can provide higher mechanical strength and structural integrity, and become an appropriate choice for load-bearing tissues and nerve conduits. It is necessary to build hybrid microgel tissue engineering scaffolds by combining the advantages of natural and synthetic entities in a single construct. A second network can be incorporated during post-processing to form an interpenetrating network to further stabilize the structures. Moreover, the directional assembly of microgels into arbitrary 3D structures is still in its infancy. Using biomaterials with biocompatibility, heterogeneity and versatility to integrate various biophysical/biochemical clues into the microgels or use signal factors secreted by encapsulated cells or peripheral tissue cells may help promote the spatiotemporal assembly of microgels in vivo. In general, great opportunities and challenges need extensive studies and exploration to broaden the biological applications of supramolecular microgel assemblies for forefront research and clinical applications.
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