Barros Daniela, Amaral Isabel Freitas, Pêgo Ana Paula
INEB - Instituto de Engenharia Biomedica, Universidade do Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal.
Curr Top Med Chem. 2015;15(13):1209-26. doi: 10.2174/1568026615666150330111057.
The development of three-dimensional matrices capable of recapitulating the main features of native extracellular matrix and contribute for the establishment of a favorable microenvironment for cell behavior and fate is expected to circumvent some of the main limitations of cell-based therapies. In this context, self-assembly has emerged as a promising strategy to engineer cell-compatible hydrogels. A wide number of synthetically-derived biopolymers, such as proteins, peptides and DNA/RNA, with intrinsic ability to self-assemble into well-defined nanofibrous structures, are being explored. The resulting hydrogels, in addition to closely resembling the architecture of native cellular microenvironments, present a versatile and dynamic behavior that allows them to be designed to undergo sol-to-gel transition in response to exogenous stimulus. This review presents an overview on the state-of-the-art of the different strategies being explored for the development of injectable synthetic self-assembled hydrogels for cell transplantation and/or recruitment of endogenous cells, with an emphasis on their biological performance, both in vitro and in vivo. Systems based on peptides are the most widely explored and have already generated promising results in pre-clinical in vivo studies involving different repair/regenerative scenarios, including cartilage, bone, nerve and heart. On the other hand, systems based on DNA and hybrid hydrogels are now emerging for application in the biomedical field with high potential. Finally, the main challenges hampering the translation of these systems to the clinic and the issues that need to be addressed for these to progress from bench-to-bedside are discussed.
能够重现天然细胞外基质主要特征并有助于为细胞行为和命运建立有利微环境的三维基质的开发,有望克服基于细胞疗法的一些主要局限性。在此背景下,自组装已成为一种构建细胞相容性水凝胶的有前景的策略。人们正在探索大量具有自组装成明确纳米纤维结构内在能力的合成衍生生物聚合物,如蛋白质、肽和DNA/RNA。所得水凝胶除了与天然细胞微环境的结构非常相似外,还呈现出一种多功能的动态行为,使其能够被设计成响应外源性刺激而发生溶胶-凝胶转变。本综述概述了为开发用于细胞移植和/或内源性细胞募集的可注射合成自组装水凝胶而探索的不同策略的最新进展,重点介绍了它们在体外和体内的生物学性能。基于肽的系统是研究最为广泛的,并且已经在涉及不同修复/再生情况(包括软骨、骨、神经和心脏)的临床前体内研究中取得了有前景的结果。另一方面,基于DNA的系统和混合水凝胶目前正在生物医学领域崭露头角,具有很高的应用潜力。最后,讨论了阻碍这些系统转化为临床应用的主要挑战以及要使其从实验室走向临床需要解决的问题。