Elsawy Moustafa M, de Mel Achala
Division of Surgery and Interventional Science, Royal Free Hospital, NHS Trust, University College London (UCL).
Division of Reconstructive Urology, University College London Hospitals (uclh), London, UK.
Res Rep Urol. 2017 May 10;9:79-92. doi: 10.2147/RRU.S127209. eCollection 2017.
Reconstructive urologists are constantly facing diverse and complex pathologies that require structural and functional restoration of urinary organs. There is always a demand for a biocompatible material to repair or substitute the urinary tract instead of using patient's autologous tissues with its associated morbidity. Biomimetic approaches are tissue-engineering tactics aiming to tailor the material physical and biological properties to behave physiologically similar to the urinary system. This review highlights the different strategies to mimic urinary tissues including modifications in structure, surface chemistry, and cellular response of a range of biological and synthetic materials. The article also outlines the measures to minimize infectious complications, which might lead to graft failure. Relevant experimental and preclinical studies are discussed, as well as promising biomimetic approaches such as three-dimensional bioprinting.
重建泌尿外科医生不断面临各种复杂的病理情况,这些情况需要对泌尿器官进行结构和功能的修复。一直以来都需要一种生物相容性材料来修复或替代尿路,而不是使用会带来相关并发症的患者自体组织。仿生方法是一种组织工程策略,旨在使材料的物理和生物学特性与泌尿系统在生理上表现相似。本综述重点介绍了模拟泌尿组织的不同策略,包括对一系列生物和合成材料的结构、表面化学和细胞反应进行修饰。文章还概述了将可能导致移植物失败的感染性并发症降至最低的措施。讨论了相关的实验和临床前研究,以及诸如三维生物打印等有前景的仿生方法。