Saksena Rhea, Gao Chuanyu, Wicox Mathew, de Mel Achala
Division of Surgery and Interventional Science, University College London, London, UK.
J Tissue Eng. 2016 Dec 19;7:2041731416683950. doi: 10.1177/2041731416683950. eCollection 2016 Jan-Dec.
Hollow, tubular organs including oesophagus, trachea, stomach, intestine, bladder and urethra may require repair or replacement due to disease. Current treatment is considered an unmet clinical need, and tissue engineering strategies aim to overcome these by fabricating synthetic constructs as tissue replacements. Smart, functionalised synthetic materials can act as a scaffold base of an organ and multiple cell types, including stem cells can be used to repopulate these scaffolds to replace or repair the damaged or diseased organs. Epithelial cells have not yet completely shown to have efficacious cell-scaffold interactions or good functionality in artificial organs, thus limiting the success of tissue-engineered grafts. Epithelial cells play an essential part of respective organs to maintain their function. Without successful epithelialisation, hollow organs are liable to stenosis, collapse, extensive fibrosis and infection that limit patency. It is clear that the source of cells and physicochemical properties of scaffolds determine the successful epithelialisation. This article presents a review of tissue engineering studies on oesophagus, trachea, stomach, small intestine, bladder and urethral constructs conducted to actualise epithelialised grafts.
包括食管、气管、胃、肠、膀胱和尿道在内的中空管状器官可能因疾病而需要修复或置换。目前的治疗方法被认为存在未满足的临床需求,组织工程策略旨在通过制造合成构建体作为组织替代物来克服这些问题。智能、功能化的合成材料可作为器官的支架基础,多种细胞类型,包括干细胞,可用于重新填充这些支架以替代或修复受损或患病的器官。上皮细胞在人造器官中尚未完全显示出有效的细胞-支架相互作用或良好的功能,从而限制了组织工程移植物的成功。上皮细胞在维持各自器官功能方面起着至关重要的作用。如果上皮化不成功,中空器官容易发生狭窄、塌陷、广泛纤维化和感染,从而限制通畅性。很明显,细胞来源和支架的物理化学性质决定了上皮化的成功。本文综述了为实现上皮化移植物而对食管、气管、胃、小肠、膀胱和尿道构建体进行的组织工程研究。