Combining regenerative medicine strategies to provide durable reconstructive options: auricular cartilage tissue engineering
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- 作者：Zita M. Jessop ; Muhammad Javed ; Iris A. Otto…
- 刊名：Stem Cell Research & Therapy
- 出版年：2016
- 出版时间：December 2016
- 年：2016
- 卷：7
- 期：1
- 全文大小：1,829 KB
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Muhammad Javed (1) (2)
Iris A. Otto (3) (4)
Emman J. Combellack (1) (2)
Siân Morgan (1) (2)
Corstiaan C. Breugem (4)
Charles W. Archer (1)
Ilyas M. Khan (5)
William C. Lineaweaver (6)
Moshe Kon (4)
Jos Malda (3) (7)
Iain S. Whitaker (1) (2)
1. Reconstructive Surgery & Regenerative Medicine Research Group, Swansea University Medical School, Room 509, ILS2, Swansea, SA2 8SS, UK
2. The Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, SA6 6NL, UK
3. Department of Orthopaedics, University Medical Center Utrecht, Utrecht, 3584 CX, The Netherlands
4. Department of Plastic and Reconstructive Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
5. KhanLab, Swansea University, ILS2, Swansea, SA2 8SS, UK
6. Division of Plastic Surgery, University of Mississippi Medical Center, Jackson, Mississippi, 39216, USA
7. Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Domplein 29, 3512 JE, Utrecht, The Netherlands - 刊物主题：Stem Cells; Cell Biology;
- 出版者：BioMed Central
- ISSN：1757-6512
文摘
Recent advances in regenerative medicine place us in a unique position to improve the quality of engineered tissue. We use auricular cartilage as an exemplar to illustrate how the use of tissue-specific adult stem cells, assembly through additive manufacturing and improved understanding of postnatal tissue maturation will allow us to more accurately replicate native tissue anisotropy. This review highlights the limitations of autologous auricular reconstruction, including donor site morbidity, technical considerations and long-term complications. Current tissue-engineered auricular constructs implanted into immune-competent animal models have been observed to undergo inflammation, fibrosis, foreign body reaction, calcification and degradation. Combining biomimetic regenerative medicine strategies will allow us to improve tissue-engineered auricular cartilage with respect to biochemical composition and functionality, as well as microstructural organization and overall shape. Creating functional and durable tissue has the potential to shift the paradigm in reconstructive surgery by obviating the need for donor sites. Zita M. Jessop and Muhammad Javed contributed equally to this work.