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与骨不同,软骨再生仍然难以实现。

Unlike bone, cartilage regeneration remains elusive.

机构信息

Department of Biomedical Engineering, University of California, Davis, 1 Shields Avenue, Davis, CA 95616, USA.

出版信息

Science. 2012 Nov 16;338(6109):917-21. doi: 10.1126/science.1222454.

Abstract

Articular cartilage was predicted to be one of the first tissues to successfully be regenerated, but this proved incorrect. In contrast, bone (but also vasculature and cardiac tissues) has seen numerous successful reparative approaches, despite consisting of multiple cell and tissue types and, thus, possessing more complex design requirements. Here, we use bone-regeneration successes to highlight cartilage-regeneration challenges: such as selecting appropriate cell sources and scaffolds, creating biomechanically suitable tissues, and integrating to native tissue. We also discuss technologies that can address the hurdles of engineering a tissue possessing mechanical properties that are unmatched in human-made materials and functioning in environments unfavorable to neotissue growth.

摘要

关节软骨被预测为最早成功再生的组织之一,但事实证明并非如此。相比之下,尽管骨骼(以及脉管系统和心脏组织)包含多种细胞和组织类型,因此具有更复杂的设计要求,但已经有许多成功的修复方法。在这里,我们利用骨骼再生的成功经验来突出软骨再生的挑战:例如选择合适的细胞来源和支架,创建具有生物力学适应性的组织,并与天然组织整合。我们还讨论了可以解决以下难题的技术:设计一种组织,使其具有无与伦比的机械性能,并且在不利于新生组织生长的环境中发挥作用。

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