Department of Orthopaedic Surgery, University of Connecticut Health, Farmington, CT, USA.
Department of Biomedical Engineering, University of Connecticut, Storrs, CT, USA.
Adv Exp Med Biol. 2018;1058:79-95. doi: 10.1007/978-3-319-76711-6_4.
For many years, the avascular nature of cartilage tissue has posed a clinical challenge for replacement, repair, and reconstruction of damaged cartilage within the human body. Injuries to cartilage and osteochondral tissues can be due to osteoarthritis, sports, aggressive cancers, and repetitive stresses and inflammation on wearing tissue. Due to its limited capacity for regeneration or repair, there is a need for suitable material systems which can recapitulate the function of the native osteochondral tissue physically, mechanically, histologically, and biologically. Tissue engineering (TE) approaches take advantage of principles of biomedical engineering, clinical medicine, and cell biology to formulate, functionalize, and apply biomaterial scaffolds to aid in the regeneration and repair of tissues. Nanomaterial science has introduced new methods for improving and fortifying TE scaffolds, and lies on the forefront of cutting-edge TE strategies. These nanomaterials enable unique properties directly correlated to their sub-micron dimensionality including structural and cellular advantages. Examples include electrospun nanofibers and emulsion nanoparticles which provide nanoscale features for biomaterials, more closely replicating the 3D extracellular matrix, providing better cell adhesion, integration, interaction, and signaling. This chapter aims to provide a detailed overview of osteochondral regeneration and repair using TE strategies with a focus on nanomaterials and nanocomposites.
多年来,软骨组织的无血管特性给人体受损软骨的替代、修复和重建带来了临床挑战。软骨和软骨下组织的损伤可能是由于骨关节炎、运动、侵袭性癌症以及对磨损组织的反复应力和炎症造成的。由于其再生或修复的能力有限,因此需要合适的材料系统,这些系统在物理、机械、组织学和生物学上能够再现天然的骨软骨组织的功能。组织工程(TE)方法利用生物医学工程、临床医学和细胞生物学的原理,构建、功能化和应用生物材料支架,以辅助组织的再生和修复。纳米材料科学为改进和强化 TE 支架引入了新方法,处于前沿的 TE 策略之列。这些纳米材料具有与其亚微米尺寸直接相关的独特性质,包括结构和细胞优势。例如,静电纺纳米纤维和乳液纳米粒子为生物材料提供了纳米级特征,更接近地复制了 3D 细胞外基质,提供了更好的细胞黏附、整合、相互作用和信号传递。本章旨在详细概述使用 TE 策略进行的骨软骨再生和修复,重点介绍纳米材料和纳米复合材料。