Experimental Station, DuPont Applied BioSciences,Wilmington, DE 19880, USA.
Biotechnol J. 2010 Dec;5(12):1309-23. doi: 10.1002/biot.201000230. Epub 2010 Nov 17.
Tissue engineering is increasingly being recognized as a beneficial means for lessening the global disease burden. One strategy of tissue engineering is to replace lost tissues or organs with polymeric scaffolds that contain specialized populations of living cells, with the goal of regenerating tissues to restore normal function. Typical constructs for tissue engineering employ biocompatible and degradable polymers, along with organ-specific and tissue-specific cells. Once implanted, the construct guides the growth and development of new tissues; the polymer scaffold degrades away to be replaced by healthy functioning tissue. The ideal biomaterial for tissue engineering not only defends against disease and supports weakened tissues or organs, it also provides the elements required for healing and repair, stimulates the body's intrinsic immunological and regenerative capacities, and seamlessly interacts with the living body. Tissue engineering has been investigated for virtually every organ system in the human body. This review describes the potential of tissue engineering to alleviate disease, as well as the latest advances in tissue regeneration. The discussion focuses on three specific clinical applications of tissue engineering: cardiac tissue regeneration for treatment of heart failure; nerve regeneration for treatment of stroke; and lung regeneration for treatment of chronic obstructive pulmonary disease.
组织工程学正日益被视为减轻全球疾病负担的有益手段。组织工程学的策略之一是用含有特定活细胞群的聚合物支架来替代丧失的组织或器官,目的是通过再生组织来恢复正常功能。组织工程学的典型构建体采用生物相容性和可降解的聚合物,以及特定于器官和组织的细胞。一旦植入,构建体就会引导新组织的生长和发育;聚合物支架降解,被健康的功能组织取代。组织工程学理想的生物材料不仅能预防疾病,还能支持虚弱的组织或器官,它还提供了愈合和修复所需的元素,刺激了身体内在的免疫和再生能力,并与活体无缝互动。组织工程学几乎已经在人体的每个器官系统中都得到了研究。本文综述了组织工程学缓解疾病的潜力,以及组织再生的最新进展。讨论集中在组织工程学的三个特定临床应用:用于治疗心力衰竭的心脏组织再生;用于治疗中风的神经再生;以及用于治疗慢性阻塞性肺疾病的肺再生。