Lim Erh-Hsuin, Sardinha Jose Paulo, Myers Simon
The Blizard Institute, Bart's and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK. ; Department of Materials and Institute of Biomedical Engineering, Imperial College London, London, UK.
Department of Materials and Institute of Biomedical Engineering, Imperial College London, London, UK. ; Instituto Superior Técnico and ICEMS, Lisbon, Portugal.
Arch Plast Surg. 2014 May;41(3):231-40. doi: 10.5999/aps.2014.41.3.231. Epub 2014 May 12.
Cartilage has a limited regenerative capacity. Faced with the clinical challenge of reconstruction of cartilage defects, the field of cartilage engineering has evolved. This article reviews current concepts and strategies in cartilage engineering with an emphasis on the application of nanotechnology in the production of biomimetic cartilage regenerative scaffolds. The structural architecture and composition of the cartilage extracellular matrix and the evolution of tissue engineering concepts and scaffold technology over the last two decades are outlined. Current advances in biomimetic techniques to produce nanoscaled fibrous scaffolds, together with innovative methods to improve scaffold biofunctionality with bioactive cues are highlighted. To date, the majority of research into cartilage regeneration has been focused on articular cartilage due to the high prevalence of large joint osteoarthritis in an increasingly aging population. Nevertheless, the principles and advances are applicable to cartilage engineering for plastic and reconstructive surgery.
软骨的再生能力有限。面对软骨缺损重建的临床挑战,软骨工程领域不断发展。本文综述了软骨工程的当前概念和策略,重点介绍了纳米技术在仿生软骨再生支架生产中的应用。概述了软骨细胞外基质的结构架构和组成以及过去二十年来组织工程概念和支架技术的发展。重点介绍了生产纳米级纤维支架的仿生技术的当前进展,以及利用生物活性线索改善支架生物功能的创新方法。迄今为止,由于在人口老龄化日益严重的情况下大关节骨关节炎的高发病率,大多数软骨再生研究都集中在关节软骨上。然而,这些原理和进展适用于整形和重建手术的软骨工程。