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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Mol. Biosci.</journal-id>
<journal-title>Frontiers in Molecular Biosciences</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Mol. Biosci.</abbrev-journal-title>
<issn pub-type="epub">2296-889X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">783268</article-id>
<article-id pub-id-type="doi">10.3389/fmolb.2021.783268</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Molecular Biosciences</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A Minireview of Microfluidic Scaffold Materials in Tissue Engineering</article-title>
<alt-title alt-title-type="left-running-head">Tong and Voronov</alt-title>
<alt-title alt-title-type="right-running-head">Minireview of Microfluidic Scaffold Materials</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Tong</surname>
<given-names>Anh</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1481754/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Voronov</surname>
<given-names>Roman</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1599052/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Otto H. York Department of Chemical and Materials Engineering, Newark College of Engineering, New Jersey Institute of Technology</institution>, <addr-line>Newark</addr-line>, <addr-line>NJ</addr-line>, <country>United&#x20;States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Biomedical Engineering, Newark College of Engineering, New Jersey Institute of Technology</institution>, <addr-line>Newark</addr-line>, <addr-line>NJ</addr-line>, <country>United&#x20;States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1223694/overview">Oleg V. Kim</ext-link>, University of Pennsylvania, United&#x20;States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1250239/overview">Amrinder Nain</ext-link>, Virginia Tech, United&#x20;States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1566585/overview">Ruoxiao Xie</ext-link>, Imperial College London, United&#x20;Kingdom</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Roman Voronov, <email>rvoronov@njit.edu</email>; Anh Tong, <email>anh.tong@njit.edu</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Biophysics, a section of the journal Frontiers in Molecular Biosciences</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>01</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>8</volume>
<elocation-id>783268</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>12</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Tong and Voronov.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Tong and Voronov</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>In 2020, nearly 107,000 people in the U.S needed a lifesaving organ transplant, but due to a limited number of donors, only &#x223c;35% of them have actually received it. Thus, successful bio-manufacturing of artificial tissues and organs is central to satisfying the ever-growing demand for transplants. However, despite decades of tremendous investments in regenerative medicine research and development conventional scaffold technologies have failed to yield viable tissues and organs. Luckily, <italic>microfluidic</italic> scaffolds hold the promise of overcoming the major challenges associated with generating complex 3D cultures: 1) cell death due to poor metabolite distribution/clearing of waste in thick cultures; 2) sacrificial analysis due to inability to sample the culture non-invasively; 3) product variability due to lack of control over the cell action post-seeding, and 4) adoption barriers associated with having to learn a different culturing protocol for each new product. Namely, their active pore networks provide the ability to perform automated fluid and cell manipulations (e.g., seeding, feeding, probing, clearing waste, delivering drugs, etc.) at targeted locations <italic>in-situ</italic>. However, challenges remain in developing a biomaterial that would have the appropriate characteristics for such scaffolds. Specifically, it should ideally be: 1) <italic>biocompatible</italic>&#x2014;to support cell attachment and growth, 2) <italic>biodegradable</italic>&#x2014;to give way to newly formed tissue, 3) <italic>flexible</italic>&#x2014;to create microfluidic valves, 4) <italic>photo-crosslinkable</italic>&#x2014;to manufacture using light-based 3D printing and 5) <italic>transparent</italic>&#x2014;for optical microscopy validation. To that end, this minireview summarizes the latest progress of the biomaterial design, and of the corresponding fabrication method development, for making the microfluidic scaffolds.</p>
</abstract>
<kwd-group>
<kwd>microfluidic scaffold</kwd>
<kwd>biomaterial</kwd>
<kwd>tissue engineering</kwd>
<kwd>regenerative medicine</kwd>
<kwd>biomanufacturing</kwd>
<kwd>3D printing</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>According to the U.S. Department of Health &#x26; Human Services, nearly 107,000 people in the U.S needed a lifesaving transplant in 2020, while only &#x223c;35% of them have received it. Yet, almost no FDA-approved (<xref ref-type="bibr" rid="B1">Administration, U.S.F.a.D., 2019</xref>) artificial organs are commercially available today&#x2014;3&#xa0;decades after the inception (<xref ref-type="bibr" rid="B32">Langer and Vacanti, 1993</xref>) of tissue engineering and after billions of dollars invested into its development. Therefore, a new approach to biomanufacturing is needed. Yet, there are still major obstacles restricting the progress of 3D culturing technologies towards the biomanufacturing of complex organs and tissue recreation <italic>in&#x20;vitro</italic> (<xref ref-type="bibr" rid="B65">Ye et&#x20;al., 2018</xref>):<list list-type="simple">
<list-item>
<p>1) Product Size Limitations&#x2014;due to the lack of an active vasculature and blood circulation within lab-grown tissues, it is difficult to deliver nutrients to/clear metabolic waste from the inner pore spaces of organ-sized scaffolds. As a result, cell survival in the deep portions of the large scaffolds is compromised due to hypoxia, metabolic waste accumulation and insufficient nutrient availability.</p>
</list-item>
<list-item>
<p>2) Sacrificial Analysis&#x2014;due to the inability to sample cells and fluids from within scaffolds nondestructively, and because live long-term 3D microscopy is challenging. This makes it necessary to perform destructive testing at the conclusion of each experiment, such as histological sectioning or crushing the scaffold for plate reader assays. As a result, a different sample must be cultured for each new time point. This balloons the cost of experiments and slows down the scientific progress tremendously.</p>
</list-item>
<list-item>
<p>3) Product Variability&#x2014;due to the absence of a native supervision over the <italic>in&#x20;vitro</italic> cell behavior, and lack of access to the cells post seeding, there is no orchestration over their actions within the scaffolds. For example, even if one were to bioprint the perfect artificial tissue (i.e.,&#x20;deposit the cells into precise locations within a scaffold), the cells within it would be free to do a number of undesirable things afterwards: a) migrate away uncontrollably (<xref ref-type="bibr" rid="B62">Wu et&#x20;al., 2014</xref>), b) differentiate into the wrong tissue type (e.g., a patient grew mucus tissue in her spine, as a result of stem cell therapy) (<xref ref-type="bibr" rid="B16">Dlouhy et&#x20;al., 2014</xref>), and c) deposit tissue in the wrong locations and occlude the scaffold pores. All this leads to nonviable tissue and poor product consistency.</p>
</list-item>
<list-item>
<p>4) Technology Adoption Barriers&#x2014;Even if one could generate the perfect tissue in a laboratory, training hospital staff in custom culturing protocols for each new product remains another critical hurdle holding back biomanufacturing technologies from entering the market. Therefore, there is a need for an automated 3D cell culturing platform capable of minimizing the variations between experiments.</p>
</list-item>
</list>
</p>
<p>Recently, a lot of progress has been made in generating <italic>microscopic</italic> 3D cell culturing environments (e.g., posts, fibers, etc.) in microfluidics devices (<xref ref-type="bibr" rid="B42">Raman et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B36">Morrow et&#x20;al., 2019</xref>). Therefore, adopting the <italic>microscopic</italic> cell manipulation technologies for the creation of <italic>macroscopic</italic> cultures (aka &#x201c;microfluidic scaffolds&#x201d;) can potentially overcome <italic>all</italic> of the bottlenecks above by providing the following key elements: 1) An Active &#x201c;Vasculature&#x201d; for distributing metabolites and clearing waste throughout organ-sized scaffolds; 2) Non-Disruptive Mini-Probing of the cells and of the fluids within them for <italic>ex-situ</italic> analysis [as was done in Supplementary Figure S1 of (<xref ref-type="bibr" rid="B55">Tong et&#x20;al., 2020</xref>)]; 3) Long-term Live Microscopy validation of the cell/fluid probing/assaying in &#x23;2, where possible (e.g., at objective focal length depths within the scaffold, assuming an optically transparent scaffold material); 4) Tissue Modulation via cell and bio-active chemical (e.g., chemo-attractants, growth and differentiation factors, drugs, etc.) delivery, in order to minimize product variability; and 5) Automated Spatiotemporal Control over the tissue development in a closed-loop manner, based on optical and chemical assaying feedback, in order to enable computer-driven culturing. The overall idea is depicted in <xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>
<bold>(A)</bold> Concept of the microfluidic scaffold with active &#x201c;vasculature&#x201d; that enables targeted real-time fluid and cell manipulation within the cultured tissue. External pumping acts like a &#x201c;heart&#x201d;, while the whole process is orchestrated by a computer acting like a &#x201c;brain&#x201d;. The computer&#x2019;s closed-loop responses are based on feedback from non-destructive chemical analysis and long-term live microscopy throughout the entire duration of the culture. Viable artificial tissue is cultured automatically and reproducibly. <bold>(B)</bold> Types of cell and/or fluid manipulations possible in tissue engineering scaffolds. &#x2a;&#x201c;Static&#x201d; refers to one-time manipulations&#x2014;usually performed at the start of the experiment. The addressable valve microfluidics hold numerous advantages over the conventional culturing methods, including the potential for enabling minimally disruptive localized additive (e.g., cell and drug delivery) and subtractive (e.g., probing cell secretions, collecting biopsies, making corrections by removing tissue overgrowth, etc.) manipulations, which can be used to implement <italic>closed</italic> (i.e.,&#x20;in response to real time feedback) loop controls. These are essential for growing complex spatial tissue patterns that evolve over time: for example, some bones in our bodies start out as cartilage and only subsequently calcify through endochondral ossification(<xref ref-type="bibr" rid="B46">Scotti et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B17">Farrell et&#x20;al., 2011</xref>).</p>
</caption>
<graphic xlink:href="fmolb-08-783268-g001.tif"/>
</fig>
<p>Therefore, the microfluidic scaffolds offer numerous advantages over the conventional culturing/biofabrication methods (see <xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>). And, this technology has been applied to create numerous tissue type and disease models, as well as biosensors: kidney (<xref ref-type="bibr" rid="B35">Miller et&#x20;al., 2012</xref>), heart (<xref ref-type="bibr" rid="B67">Zhang et&#x20;al., 2018</xref>), lung (<xref ref-type="bibr" rid="B23">Grigoryan et&#x20;al., 2019</xref>), liver (<xref ref-type="bibr" rid="B67">Zhang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B23">Grigoryan et&#x20;al., 2019</xref>), blood coagulation (<xref ref-type="bibr" rid="B68">Zhang et&#x20;al., 2016</xref>), vascularization (<xref ref-type="bibr" rid="B29">King et&#x20;al., 2004</xref>; <xref ref-type="bibr" rid="B61">Wang et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B48">Shen et&#x20;al., 2019</xref>), cancer (<xref ref-type="bibr" rid="B8">Bettinger et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B40">Pimentel et&#x20;al., 2018</xref>), and implantable biosensors (<xref ref-type="bibr" rid="B69">Zhao et&#x20;al., 2016</xref>). However, there are two main challenges preventing from unlocking the full potential of these promising technologies:<list list-type="simple">
<list-item>
<p>1) An automated plumbing architecture, which offers numerous advantages over valve-free microfluidic scaffolds and other conventional biomanufacturing/culturing methods (see <xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>), capable of localized fluid and/or cell manipulations needs to be developed: Although several attempts have been made in the past to create the microfluidic scaffolds (<xref ref-type="bibr" rid="B29">King et&#x20;al., 2004</xref>; <xref ref-type="bibr" rid="B8">Bettinger et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B7">Bettinger et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B61">Wang et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B35">Miller et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B68">Zhang et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B69">Zhao et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B40">Pimentel et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B67">Zhang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B23">Grigoryan et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B48">Shen et&#x20;al., 2019</xref>), these studies mostly focused on developing novel biodegradable <italic>materials</italic> for this purpose, while the plumbing in these devices consisted of rudimentary straight-through pores (i.e.,&#x20;without any valves or automation) for simplicity. Most recently, however, our group has laid a foundation for an automated &#x201c;addressable&#x201d; plumbing that uses Polydimethylsiloxane (PDMS) microfluidic <italic>valves</italic> for achieving 2D (with the 3D version being in progress) fluid and/or cell manipulations at targeted XY locations within a single culturing space (<xref ref-type="bibr" rid="B55">Tong et&#x20;al., 2020</xref>). A big advantage of this technology is that it is scalable to <italic>organ-sized</italic> scaffolds and can enable single cell manipulation (which is ideally required for complex tissue patterning and nondisruptive analysis <italic>in-situ</italic>);&#x20;and,</p>
</list-item>
<list-item>
<p>2) The scaffold&#x2019;s material should be <italic>biocompatible</italic> (i.e.,&#x20;nontoxic and be able to support cell adhesion) and <italic>biodegradable</italic> (with a tunable degradation time). This is to give way to the newly formed tissue synthesized by the cells in the 3D culture. Ideally, the degradation rate of a scaffold should be synchronized with the <italic>in vivo</italic> tissue regeneration rate: for example, soft tissues (e.g., skin) require around 14&#x2013;21&#xa0;days, while hard tissues (e.g., bone) need 8 to 12&#x20;&#x2b; weeks for complete healing (<xref ref-type="bibr" rid="B66">Yildirimer et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B52">Sukpaita et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B14">Choi et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B34">Ma et&#x20;al., 2021</xref>). Therefore, &#x223c;6&#xa0;weeks is an optimal <italic>half-life</italic> requirement for a material to be considered to have a degradation long enough to be used for long-term tissue regeneration strategies. Furthermore, the material should have mechanical properties similar to that of PDMS (i.e.,&#x20;an elastic modulus of 1.32&#x2013;2.97&#xa0;MPa and an elongation at break (i.e.,&#x20;stretchability) of 40% (<xref ref-type="bibr" rid="B27">Johnston et&#x20;al., 2014</xref>)), in order to make the microfluidic valves (as in the addressable plumbing published by our group (<xref ref-type="bibr" rid="B55">Tong et&#x20;al., 2020</xref>)) needed for the localized fluid and cell manipulations within the scaffold. Moreover, the material should also be <italic>photo-crosslinkable,</italic> if a light-based fabrication approach (e.g., stereolithography 3D printing) would be used to manufacture the microfluidic scaffolds. Although, methods that don&#x2019;t require crosslinking (e.g., micro-extrusion 3D printing) could be used instead, the light-based ones tend to yield the highest resolution (which is desired for the microfluidic scaffolds capable of precise cell and fluid manipulation <italic>in situ</italic> (<xref ref-type="bibr" rid="B54">Tong et&#x20;al., 2021</xref>)). Lastly, another consideration is the <italic>refractive index (RI)</italic> of the material, which for optical microscopy should ideally be in between that of water &#x3d; 1.33 and of glass &#x3d; 1.52 (<xref ref-type="bibr" rid="B4">Bashkatov and Genina, 2003</xref>; <xref ref-type="bibr" rid="B59">&#xdc;rek et&#x20;al., 2021</xref>). Although not a hard requirement, it would reduce the light aberrations experienced by water-dipping objectives commonly used by the popular 3D long term fluorescence imaging methods (e.g., Lattice Light Sheet Microscopy).</p>
</list-item>
</list>
</p>
<p>Hence, given that the foundation for the addressable plumbing and the automation design have been described in our recent publication (<xref ref-type="bibr" rid="B55">Tong et&#x20;al., 2020</xref>), the remainder of this minireview is dedicated to the development of the novel <italic>materials</italic> for the microfluidic scaffolds. Although many excellent reviews of materials used for microfluidics <italic>devices</italic> have been published in the past (<xref ref-type="bibr" rid="B26">Huang et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B39">Papaefthymiou, 2013</xref>; <xref ref-type="bibr" rid="B43">Ren et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B25">Hou et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B37">Mou and Jiang, 2017</xref>; <xref ref-type="bibr" rid="B15">Convery and Gadegaard, 2019</xref>; <xref ref-type="bibr" rid="B64">Xie et&#x20;al., 2020</xref>), none of them have focused on the creation of microfluidic <italic>scaffolds</italic> with an addressable (i.e.,&#x20;with valves) plumbing. Thus, the discussion is focused solely on the materials needed for creating the envisioned device. Furthermore, it does so without assuming a tissue type that the scaffolds would be used to culture. Hence, the reviewed material properties do not account for tissue-specific requirements, such as cell adherence and mechanotransduction. Instead, it is presumed that such customizations would be accomplished by coating the interior pore space of the envisioned device with the tissue-specific proteins <italic>via</italic> its microfluidic plumbing.</p>
</sec>
<sec id="s2">
<title>Microfluidic Scaffold&#x2014;Materials and Manufacturing</title>
<p>According to our literature search, the different types of biomaterials, and corresponding fabrication techniques, developed for the construction of the microfluidic scaffolds are summarized in <xref ref-type="table" rid="T1">Table&#x20;1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Comparison of candidate biomaterials that have been used, or could potentially be used, to make microfluidic scaffolds.</p>
</caption>
<table>
<thead>
<tr>
<td align="left">Material</td>
<td align="center">Fabrication Type</td>
<td align="center">Automated multilayer alignment</td>
<td align="center">Photo- crosslinkable</td>
<td align="center">Optically Transparent</td>
<td align="center">Slow degradation</td>
<td align="center">Stretchable</td>
<td align="center">Flexible</td>
</tr>
</thead>
<tbody valign="top">
<tr>
<td colspan="8" align="left">
<italic>Naturally-derived Materials</italic>
</td>
</tr>
<tr>
<td align="left">&#x2003;Fibrin</td>
<td align="center">3D</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">X</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
</tr>
<tr>
<td align="left">&#x2003;Alginate</td>
<td align="center">3D</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
</tr>
<tr>
<td align="left">&#x2003;Matrigel</td>
<td align="center">3D</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">N/A</td>
<td align="center">X</td>
</tr>
<tr>
<td align="left">&#x2003;Silk Fibroin</td>
<td align="center">2D</td>
<td align="center">X</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
</tr>
<tr>
<td align="left">&#x2003;Gelatin</td>
<td align="center">3D</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">X</td>
<td align="center">X</td>
</tr>
<tr>
<td align="left">&#x2003;GelMA</td>
<td align="center">3D</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
</tr>
<tr>
<td colspan="8" align="left">
<italic>Synthetic Materials</italic>
</td>
</tr>
<tr>
<td align="left">&#x2003;PLGA</td>
<td align="center">2D</td>
<td align="center">X</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
</tr>
<tr>
<td align="left">&#x2003;PGS</td>
<td align="center">2D</td>
<td align="center">X</td>
<td align="center">X</td>
<td align="center">N/A</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
</tr>
<tr>
<td align="left">&#x2003;APS</td>
<td align="center">2D</td>
<td align="center">X</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
</tr>
<tr>
<td align="left">&#x2003;POMaC</td>
<td align="center">3D</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">N/A</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
</tr>
<tr>
<td align="left">&#x2003;F127-DA</td>
<td align="center">2D</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
</tr>
<tr>
<td align="left">&#x2003;PEGDA</td>
<td align="center">3D</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
<td align="center">X</td>
<td align="center">&#x2713;</td>
<td align="center">&#x2713;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>For reference, we consider a material to be: &#x201c;Optically Transpartent&#x201d;, if its RI is between that of water (1.33) and of glass (1.52) (<xref ref-type="bibr" rid="B4">Bashkatov and Genina, 2003</xref>; <xref ref-type="bibr" rid="B59">&#xdc;rek et&#x20;al., 2021</xref>); &#x201c;Flexible&#x201d;, if its elastic modulus is within the PDMS range of 1.32&#x2013;2.97&#xa0;MPa (<xref ref-type="bibr" rid="B27">Johnston et&#x20;al., 2014</xref>); &#x201c;Stretchable&#x201d;, if its &#x201c;Elongation at Break&#x201d; is greater than that of PDMS (which corresponds to a value of 40%) (<xref ref-type="bibr" rid="B27">Johnston et&#x20;al., 2014</xref>). Lastly, if a material has a degradation half-life of at least 6 weeks, it is considered to be able to support long-term tissue growth.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<sec id="s2-1">
<title>Naturally Derived Materials</title>
<p>The first line of materials reviewed here belongs to those derived from <italic>natural</italic> sources, such as: Alginate from seaweed, Gelatin from animal skin, Silk from worm cocoons, Matrigel from extracellular matrix and Fibrin from blood. These are attractive for scaffold manufacturing due to their biocompatibility with cell and tissue growth.</p>
<p>
<bold>Extracellular Matrix (ECM) and Cell Wall Materials (e.g., Fibrin, Matrigel, and Alginate)</bold> (<xref ref-type="bibr" rid="B35">Miller et&#x20;al., 2012</xref>): 3D perfusable vascular networks were created by casting of Fibrin, Alginate, or Matrigel hydrogel solutions onto a dissolvable carbohydrate-glass lattice via a 3D printed sacrificial molding technique. All three gels were polymerized either chemically or thermally (as opposed to via photo-crosslinking). Once a hydrogel was solidified, the sacrificial lattice was dissolved out, generating a complex 3D vascular network without the need for any manual alignment or bonding. The optical properties of Alginate and Matrigel, with an RI &#x223c;1.335&#x2013;1.34.(<xref ref-type="bibr" rid="B13">Choi et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B20">Funane et&#x20;al., 2018</xref>), are close to that of water; while the Fibrin&#x2019;s RI of 1.53&#x2013;1.62 (<xref ref-type="bibr" rid="B30">Kirichenko et&#x20;al., 2021</xref>) is slightly higher than that of glass. Despite these attractive properties, however, these hydrogels are too soft for microfluidic valve fabrication: the elastic modulus of Alginate is &#x223c;0.1&#x2013;10&#xa0;KPa (<xref ref-type="bibr" rid="B9">Candiello et&#x20;al., 2013</xref>), of Matrigel &#x223c;0.14&#x2013;1.3&#xa0;KPa (<xref ref-type="bibr" rid="B31">Kiss et&#x20;al., 2011</xref>) and of Fibrin &#x223c;9.29&#x2013;30&#xa0;kPa (<xref ref-type="bibr" rid="B38">Murphy and Leach, 2012</xref>; <xref ref-type="bibr" rid="B2">Bachmann et&#x20;al., 2020</xref>). Thus, despite having an excellent elongation at break (e.g., &#x223c;400% for Alginate and 52% for Fibrin (<xref ref-type="bibr" rid="B58">Underwood et&#x20;al., 2001</xref>)), the mechanical properties of these hydrogels are significantly weaker than that of the PDMS (increasing the likelihood of device collapse and deformation). Furthermore, they have shown to degrade too rapidly <italic>in vivo</italic>: &#x223c;1&#x20;week (<xref ref-type="bibr" rid="B5">Benavides et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B50">Shkand et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B57">Trujillo et&#x20;al., 2019</xref>).</p>
<p>
<bold>Silk Fibroin</bold> (<xref ref-type="bibr" rid="B69">Zhao et&#x20;al., 2016</xref>): A microfluidic Silk Fibroin hydrogel scaffold has been created via soft lithography using PDMS stamps and sacrificial molding. To the best of our knowledge, this is the only transparent (RI &#x3d; 1.34 (<xref ref-type="bibr" rid="B47">Shan et&#x20;al., 2018</xref>)) biodegradable material in <xref ref-type="table" rid="T1">Table&#x20;1</xref> that has actually been used to create functional microfluidic valves. The Silk Fibroin was crosslinked via enzymatic reactions. Next, new layers were manually cast onto a semi-crosslinked ones to achieve good bonding. It has an excellent tunable degradation half-life from hours to years. However, it has not been shown that the material can be used to generate valve sizes for single cell manipulation&#x2014;the construct&#x2019;s feature sizes in (<xref ref-type="bibr" rid="B69">Zhao et&#x20;al., 2016</xref>) were quite large: 800&#x2013;1,200&#xa0;&#x3bc;m, with a layer thickness of &#x223c;2,500&#xa0;&#xb5;m. Therefore, the fabrication method needs to be optimized to achieve a finer feature resolution of &#x223c;100&#xa0;&#xb5;m for precise cell and fluid manipulations within the microfluidic scaffolds. Another drawback of Silk Fibroin is that its elastic modulus of 1&#xa0;kPa - 1&#xa0;MPa (<xref ref-type="bibr" rid="B69">Zhao et&#x20;al., 2016</xref>) and elongation at break of 15&#x2013;35% (<xref ref-type="bibr" rid="B24">Gu et&#x20;al., 2020</xref>) are lower than that of the PDMS. In fact, a PDMS support was used with the device in (<xref ref-type="bibr" rid="B69">Zhao et&#x20;al., 2016</xref>).</p>
<p>
<bold>Gelatin</bold> (<xref ref-type="bibr" rid="B40">Pimentel et&#x20;al., 2018</xref>)<bold>/Gelatin Methacrylate (GelMA)</bold> (<xref ref-type="bibr" rid="B68">Zhang et&#x20;al., 2016</xref>): 3D perfusable vascular networks were fabricated from Gelatin/GelMA by casting an aqueous hydrogel solution on a 3D printed sacrificial molding. The mold was then dissolved within the solidified hydrogel to generate complex 3D vascular networks without any manual alignment or bonding. Both of the materials are transparent, with optical properties close to that of water (RI &#x3d; 1.35&#x2013;1.39 (<xref ref-type="bibr" rid="B19">Fu et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B44">Rinawati et&#x20;al., 2018</xref>)). After being crosslinked chemically, Gelatin had an elastic modulus of &#x223c;0.3&#x2013;20&#xa0;kPa (<xref ref-type="bibr" rid="B69">Zhao et&#x20;al., 2016</xref>) and an elongation at break of &#x223c;70% (<xref ref-type="bibr" rid="B33">Lee et&#x20;al., 2019</xref>). GelMA, on the other hand, is a UV crosslinkable material. Its elastic modulus is around 3.08&#x2013;184.52&#xa0;KPa (<xref ref-type="bibr" rid="B63">Wu et&#x20;al., 2019</xref>), and its elongation at break can be as large as 80% (<xref ref-type="bibr" rid="B49">Shin et&#x20;al., 2012</xref>). Unfortunately, both Gelatin and GelMA have a really short degradation half-life: &#x223c;25&#xa0;days for gelatin (<xref ref-type="bibr" rid="B45">Saito and Tabata, 2012</xref>) and &#x223c;3&#xa0;h for GelMA (<xref ref-type="bibr" rid="B70">Zhu et&#x20;al., 2019</xref>). Finally, like the other <italic>naturally</italic> derived hydrogels, Gelatin/GelMA are generally so soft that they require other materials to serve as mechanical support(<xref ref-type="bibr" rid="B26">Huang et&#x20;al., 2011</xref>).</p>
</sec>
<sec id="s2-2">
<title>Synthetic Materials</title>
<p>The second group of materials reviewed here are <italic>artificially</italic> designed to have better mechanical properties than their <italic>naturally</italic> derived counterparts. Specifically, most of the latter materials are too soft to make microfluidic valves. Hence the <italic>synthetic</italic> materials have been made to improve stiffness and stretchability, and are therefore, generally better candidates for the microfluidic scaffolds.</p>
<p>
<bold>Poly-lactic-co-glycolic acid (PLGA)</bold> (<xref ref-type="bibr" rid="B29">King et&#x20;al., 2004</xref>): Patterned 2D PLGA layers were with complex branching pore networks has been created via soft lithography. Once microstructured the films were fabricated, manual layer-by-layer alignment and thermal bonding were used to stack them into a 3D scaffold. Thus, given the use of manual fabrication, we are not aware of this material being compatible (i.e.,&#x20;photo-crosslinkable) with SLA 3D printing. Besides that, PLGA has an elastic modulus of 1.4&#x2013;2.8&#xa0;MPa (<xref ref-type="bibr" rid="B3">Barrett and Yousaf, 2009</xref>), which makes sufficiently rigid (like PDMS). Furthermore, its RI of 1.47 (<xref ref-type="bibr" rid="B47">Shan et&#x20;al., 2018</xref>) is close to the range of water and glass (1.33&#x2013;1.52), making it suitable to be used with optical microscopy. Moreover, PLGA has an attractive degradation half-life of 5&#x2013;6&#xa0;weeks (<xref ref-type="bibr" rid="B22">Gentile et&#x20;al., 2014</xref>). However, its maximum elongation at break is just 10%, making PLGA making it likely that the microfluidic valves made from this material could tear during&#x20;use.</p>
<p>
<bold>Poly(glycerol sebacate) (PGS)</bold> (<xref ref-type="bibr" rid="B8">Bettinger et&#x20;al., 2006</xref>): Microfluidic scaffolds made out of up to five layers of PGS have been created using soft lithography with manual alignment and thermal bonding. The material is reported to be transparent, though we were unable to find out its exact RI. It also has a good elastic modulus of 0.77&#x2013;1.9&#xa0;MPa (<xref ref-type="bibr" rid="B60">Vogt et&#x20;al., 2021</xref>) and a high elongation at break 267% (<xref ref-type="bibr" rid="B3">Barrett and Yousaf, 2009</xref>). However, it is known to degrade too fast (a half-life of &#x223c;21&#xa0;days (<xref ref-type="bibr" rid="B41">Pomerantseva et&#x20;al., 2009</xref>)) for long-term tissue regeneration. Therefore, more work needs to be done to slow down its degradation time and to make it crosslinkable for light-based fabrication.</p>
<p>
<bold>Poly(1,3-diamino-2-hydroxypropane-co-polyol sebacate) (APS)</bold> (<xref ref-type="bibr" rid="B61">Wang et&#x20;al., 2010</xref>): Single layer APS vascular networks were created via soft lithography in conjunction with thermal curing and bonding. The material is transparent with an RI &#x3d; 1.5 (<xref ref-type="bibr" rid="B53">Thomas et&#x20;al., 2012</xref>) and has a degradation half-life that is tunable between 6 and 100&#xa0;weeks (<xref ref-type="bibr" rid="B6">Bettinger et&#x20;al., 2009</xref>). Additionally, with an elastic modulus of 0.56&#x2013;4.34&#xa0;MPa (<xref ref-type="bibr" rid="B6">Bettinger et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B61">Wang et&#x20;al., 2010</xref>) and an elongation at break of 21&#x2013;151% (<xref ref-type="bibr" rid="B6">Bettinger et&#x20;al., 2009</xref>), APS&#x2019; mechanical properties can be made sufficiently close to that of the PDMS. However, given that it has not been made photo-crosslinkable and has only been used with 2D manufacturing methods, better approaches need to be developed for fabricating 3D microfluidic scaffolds with valves out of the&#x20;APS.</p>
<p>
<bold>Poly(octamethylene maleate (anhydride) citrate) (POMaC)</bold> (<xref ref-type="bibr" rid="B67">Zhang et&#x20;al., 2018</xref>): A multilayer POMaC scaffold with a branching microchannel network was created via 2D soft lithography, in conjunction with ultraviolet light (UV) photo-crosslinking, manual alignment and inter-layer bonding using UV irradiation. Like PGS, the POMaC scaffold was shown to be transparent, though its RI has not been measured. Additionally, the material has excellent mechanical properties: an elastic modulus of 0.03&#x2013;1.54&#xa0;MPa and an elongation at break of 48&#x2013;534% (<xref ref-type="bibr" rid="B56">Tran et&#x20;al., 2010</xref>). Consequently, 25&#x2013;50&#xa0;&#xb5;m thin vascular walls of the POMaC scaffold proved to be elastic enough to support pulsating blood flow in an artificial cardiac tissue implanted into a rat. Furthermore, in a different application, Digital Micromirror Device Projection 3D printing was used to photo-crosslink the material(<xref ref-type="bibr" rid="B10">Cha et&#x20;al., 2014</xref>). Hence, POMaC is one of the best candidate materials that has all (less the missing RI) of the desired properties in <xref ref-type="table" rid="T1">Table&#x20;1</xref>.</p>
<p>
<bold>Pluronic F127&#x20;di-acrylate (F127-DA)</bold> (<xref ref-type="bibr" rid="B48">Shen et&#x20;al., 2019</xref>): A single layer perfusable microchannel network was created from the F127-DA hydrogel via a serial soft lithography using 3D printed molds and PDMS stamps. The material was photo-crosslinked under UV irradiation. It is transparent and is non-swelling at 37&#xb0;C, which helps the microfluidic construct to maintain its desired channel morphology. Furthermore, it can be stretched to an incredible 11x (or 1,100%) of its original length before breaking. Additionally, the F127 hydrogel is transparent with an RI lower than 1.4 (<xref ref-type="bibr" rid="B21">Galy et&#x20;al., 2020</xref>). However, its elastic modulus of just &#x223c;75&#xa0;kPa, making failure more likely due to the mechanical properties of this material significantly weaker than that of the PDMS. For example, the microfluidic construct made from this material has been shown to have a burst limit at &#x223c;600&#xa0;mmHg (11 psi) due to leakage from its tubing connections. Hence, the F127-DA is potentially unsuitable for microfluidic valve fabrication, since a bursting limit pressure of &#x223c;2x (i.e.,&#x20;20&#x2013;25 psi) is needed to maintain microfluidic valve integrity during operation(<xref ref-type="bibr" rid="B28">Kellogg et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B55">Tong et&#x20;al., 2020</xref>). Furthermore, F127-DA has a relatively short degradation half-life of &#x223c;21 days. Therefore, more work would need to be done on improving its mechanical and degradation properties, before the material can be used for 3D microfluidic scaffolds with valves.</p>
<p>
<bold>Photocrosslinkable poly(ethylene glycol) diacrylate (PEGDA)</bold> (<xref ref-type="bibr" rid="B23">Grigoryan et&#x20;al., 2019</xref>): Multiple 3D perfusable multi-vasculature networks were created out of PEGDA using rapid prototyping SLA 3D printing. The construct was crosslinked automatically via UV exposure, and no manual bonding was needed. Similar to POMaC, PEGDA is a transparent material with an RI &#x3d; 1.35 (<xref ref-type="bibr" rid="B12">Choi et&#x20;al., 2013</xref>) which is close to that of water. Furthermore, it can be synthesized to exhibit a wide range of mechanical flexibility values varying from relatively soft &#x223c;0.1&#xa0;MPa to very stiff &#x223c;18&#xa0;MPa (<xref ref-type="bibr" rid="B51">Skornia et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B11">Chen et&#x20;al., 2018</xref>). And PEGDA has an elongation at break ranging from &#x223c;21 to above 65% (<xref ref-type="bibr" rid="B11">Chen et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B18">Feng et&#x20;al., 2020</xref>). It&#x2019;s one downside, however, is a short degradation half-life of just &#x223c;25&#xa0;days. Nonetheless, with future work, it can likely get tuned to the appropriate levels. Therefore, PEGDA is also considered to be a potential candidate for the microfluidic scaffolds, which meets most of the criteria outlined in <xref ref-type="table" rid="T1">Table&#x20;1</xref>.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s3">
<title>Conclusion</title>
<p>In conclusion, microfluidic scaffolds hold the potential to revolutionize the biomanufacturing of artificial tissues and organs. However, an easily manufacturable biomaterial capable of supporting cell growth for extended periods of time, while maintaining the flexible microfluidic valves and optically transparent properties, needs to be found to make this happen. We have reviewed the potential candidate materials available in the literature and have determined that most <italic>naturally</italic> derived hydrogels (e.g., Gelatin/GelMA, and ECM/Cell Wall hydrogels) generally lack the mechanical properties for generating sturdy microfluidic valves. For example, Silk fibroin had to be used in conjunction with supports made from other (stronger) materials, like PDMS and Acrylic. They also tend to be leaky, which makes the hydrogels unlikely candidates for fabrication of the 3D microfluidic scaffolds with non-rudimentary plumbing. Consequently, synthetic materials (e.g., PLGA, PGS, APS, POMaC, F127-DA, and PEGDA) have been specifically designed to have the mechanical properties that are more tailored towards the microfluidic valve fabrication, while still retaining the biocompatibility and degradation profiles of an implantable material. Among these, the best overall candidate materials for making the microfluidic plumbing with valves appear to be POMaC and PEGDA, because they fit most of the criteria in <xref ref-type="table" rid="T1">Table&#x20;1</xref>. While the former appears to meet&#x20;all the requirements, we were not able to find data on its transparency. Meanwhile, the latter has the drawback of having a relatively short degradation half-life of &#x223c;25&#xa0;days. However, even with this duration, the material can still be used for tissues that do not require long-term mechanical support. Ideally, though, we anticipate that a more stable version will soon be designed to accommodate all tissue types. Lastly, despite some of the materials being photocrosslinkable, all the microfluidic scaffolds reviewed in this manuscript were made either via solvent casting or manual stacking/bonding of 2D layers fabricated via soft lithography. Thus, the manufacturing approaches need to be improved also, ideally to use automated high-resolution approaches, such as stereolithography 3D printing. Once such a material is designed, the advanced microfluidic scaffolds will, without a doubt, begin to play a more dominant role in tissue engineering and biomanufacturing.</p>
</sec>
</body>
<back>
<sec id="s4">
<title>Author Contributions</title>
<p>AT: Performed review of the literature and wrote the paper; RV: Devised the paper, provided feedback, and edits on all aspects of the&#x20;paper.</p>
</sec>
<sec id="s5">
<title>Funding</title>
<p>This work was supported by the Gustavus and Louise Pfeiffer Research Foundation&#x2019;s Major Investment Grant, New Jersey Health Foundation Research Award&#x2014;Grant &#x23;PC 22-19, The National Science Foundation&#x2019;s Innovation Corps (I-Corps&#x2122;)&#x2014;Grant &#x23;1953890, The National Center for Advancing Translational Sciences (NCATS)&#x2014;Grant &#x23;UL1TR003017.</p>
</sec>
<sec sec-type="COI-statement" id="s6">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s7">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>Moreover, the authors would like to thank Ph.D. candidate Thanh Danh Nguyen for contributing to <xref ref-type="fig" rid="F1">Figure&#x20;1</xref>.</p>
</ack>
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