1 Hagey Laboratory for Pediatric Regenerative Medicine, Plastic and Reconstructive Surgery Division, Department of Surgery, Stanford University , Stanford, California.
2 Lorry I. Lokey Stem Cell Research Building, Stanford Stem Cell Biology and Regenerative Medicine Institute, Stanford University , Stanford, California.
Tissue Eng Part C Methods. 2017 Dec;23(12):971-981. doi: 10.1089/ten.TEC.2017.0230. Epub 2017 Oct 4.
Calvarial defects pose a continued clinical dilemma for reconstruction. Advancements within the fields of stem cell biology and tissue engineering have enabled researchers to develop reconstructive strategies using animal models. We review the utility of various animal models and focus on the mouse, which has aided investigators in understanding cranial development and calvarial bone healing. The murine model has also been used to study regenerative approaches to critical-sized calvarial defects, and we discuss the application of stem cells such as bone marrow-derived mesenchymal stromal cells, adipose-derived stromal cells, muscle-derived stem cells, and pluripotent stem cells to address deficient bone in this animal. Finally, we highlight strategies to manipulate stem cells using various growth factors and inhibitors and ultimately how these factors may prove crucial in future advancements within calvarial reconstruction using native skeletal stem cells.
颅骨缺损给重建带来了持续的临床难题。干细胞生物学和组织工程领域的进展使研究人员能够利用动物模型开发重建策略。我们回顾了各种动物模型的实用性,并重点介绍了小鼠,它帮助研究人员了解了颅骨发育和颅骨骨愈合。该鼠模型还被用于研究临界尺寸颅骨缺损的再生方法,我们讨论了将骨髓间充质基质细胞、脂肪来源基质细胞、肌肉来源干细胞和多能干细胞等干细胞应用于该动物的缺陷骨的方法。最后,我们强调了使用各种生长因子和抑制剂来操纵干细胞的策略,以及这些因素最终如何在使用天然骨骼干细胞进行颅骨重建的未来进展中证明是至关重要的。