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[利用脱细胞基质进行膀胱组织工程]

[Tissue engineering of urinary bladder using acellular matrix].

作者信息

Glybochko P V, Olefir Yu V, Alyaev Yu G, Butnaru D V, Bezrukov E A, Chaplenko A A, Zharikova T M

机构信息

Sechenov First Moscow State Medical University, Research Institute for Uronephrology and Human Reproductive Health, Moscow, Russia.

Scientific Center on Expertise of Medical Application Products of Minzdrav of Russia, Moscow, Russia.

出版信息

Urologiia. 2017 Apr(1):89-94. doi: 10.18565/urol.2017.1.89-94.

Abstract

INTRODUCTION

Tissue engineering has become a new promising strategy for repairing damaged organs of the urinary system, including the bladder. The basic idea of tissue engineering is to integrate cellular technology and advanced bio-compatible materials to replace or repair tissues and organs.

AIM

of the study is the objective reflection of the current trends and advances in tissue engineering of the bladder using acellular matrix through a systematic search of preclinical and clinical studies of interest.

MATERIALS AND METHODS

Relevant studies, including those on methods of tissue engineering of urinary bladder, was retrieved from multiple databases, including Scopus, Web of Science, PubMed, Embase. The reference lists of the retrieved review articles were analyzed for the presence of the missing relevant publications. In addition, a manual search for registered clinical trials was conducted in clinicaltrials.gov.

RESULTS AND DISCUSSION

Following the above search strategy, a total of 77 eligible studies were selected for further analysis. Studies differed in the types of animal models, supporting structures, cells and growth factors. Among those, studies using cell-free matrix were selected for a more detailed analysis.

CONCLUSION

Partial restoration of urothelium layer was observed in most studies where acellular grafts were used for cystoplasty, but no the growth of the muscle layer was observed. This is the main reason why cellular structures are more commonly used in clinical practice.

摘要

引言

组织工程已成为修复包括膀胱在内的泌尿系统受损器官的一种新的有前景的策略。组织工程的基本理念是整合细胞技术和先进的生物相容性材料来替代或修复组织和器官。

目的

本研究旨在通过系统检索相关的临床前和临床研究,客观反映使用脱细胞基质进行膀胱组织工程的当前趋势和进展。

材料与方法

从包括Scopus、科学网、PubMed、Embase在内的多个数据库中检索相关研究,包括膀胱组织工程方法的研究。对检索到的综述文章的参考文献列表进行分析,以查找是否存在遗漏的相关出版物。此外,在clinicaltrials.gov上对注册的临床试验进行了手动检索。

结果与讨论

按照上述检索策略,共选择了77项符合条件的研究进行进一步分析。这些研究在动物模型类型、支撑结构、细胞和生长因子方面存在差异。其中,选择使用无细胞基质的研究进行更详细的分析。

结论

在大多数使用脱细胞移植物进行膀胱成形术的研究中,观察到尿路上皮层部分恢复,但未观察到肌肉层生长。这是细胞结构在临床实践中更常用的主要原因。

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