Klosterhoff Brett S, Tsang Melissa, She Didi, Ong Keat Ghee, Allen Mark G, Willett Nick J, Guldberg Robert E
George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA 30332;Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA 30332.
School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA 30332.
J Biomech Eng. 2017 Feb 1;139(2):0210091-02100911. doi: 10.1115/1.4035436.
The translation of many tissue engineering/regenerative medicine (TE/RM) therapies that demonstrate promise in vitro are delayed or abandoned due to reduced and inconsistent efficacy when implemented in more complex and clinically relevant preclinical in vivo models. Determining mechanistic reasons for impaired treatment efficacy is challenging after a regenerative therapy is implanted due to technical limitations in longitudinally measuring the progression of key environmental cues in vivo. The ability to acquire real-time measurements of environmental parameters of interest including strain, pressure, pH, temperature, oxygen tension, and specific biomarkers within the regenerative niche in situ would significantly enhance the information available to tissue engineers to monitor and evaluate mechanisms of functional healing or lack thereof. Continued advancements in material and fabrication technologies utilized by microelectromechanical systems (MEMSs) and the unique physical characteristics of passive magnetoelastic sensor platforms have created an opportunity to implant small, flexible, low-power sensors into preclinical in vivo models, and quantitatively measure environmental cues throughout healing. In this perspective article, we discuss the need for longitudinal measurements in TE/RM research, technical progress in MEMS and magnetoelastic approaches to implantable sensors, the potential application of implantable sensors to benefit preclinical TE/RM research, and the future directions of collaborative efforts at the intersection of these two important fields.
许多在体外显示出前景的组织工程/再生医学(TE/RM)疗法,在更复杂且与临床相关的临床前体内模型中实施时,由于疗效降低和不一致而被推迟或放弃。由于在纵向测量体内关键环境线索进展方面存在技术限制,在植入再生疗法后确定治疗效果受损的机制原因具有挑战性。能够在原位实时测量再生微环境中包括应变、压力、pH值、温度、氧张力和特定生物标志物等感兴趣的环境参数,将显著增加组织工程师可用于监测和评估功能愈合机制或缺乏愈合机制的信息。微机电系统(MEMS)所采用的材料和制造技术的不断进步以及无源磁弹性传感器平台的独特物理特性,为将小型、灵活、低功耗传感器植入临床前体内模型并在整个愈合过程中定量测量环境线索创造了机会。在这篇观点文章中,我们讨论了TE/RM研究中纵向测量的必要性、MEMS和磁弹性可植入传感器方法的技术进展、可植入传感器在使临床前TE/RM研究受益方面的潜在应用,以及这两个重要领域交叉点上合作努力的未来方向。