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用于心肺系统再生的生物材料利用的当前趋势。

Current Trends in Biomaterial Utilization for Cardiopulmonary System Regeneration.

作者信息

Fakoya Adegbenro Omotuyi John, Otohinoyi David Adeiza, Yusuf Joshua

机构信息

Department of Anatomical Sciences, All Saints University School of Medicine, Roseau, Dominica.

All Saints University School of Medicine, Roseau, Dominica.

出版信息

Stem Cells Int. 2018 Apr 29;2018:3123961. doi: 10.1155/2018/3123961. eCollection 2018.

Abstract

The cardiopulmonary system is made up of the heart and the lungs, with the core function of one complementing the other. The unimpeded and optimal cycling of blood between these two systems is pivotal to the overall function of the entire human body. Although the function of the cardiopulmonary system appears uncomplicated, the tissues that make up this system are undoubtedly complex. Hence, damage to this system is undesirable as its capacity to self-regenerate is quite limited. The surge in the incidence and prevalence of cardiopulmonary diseases has reached a critical state for a top-notch response as it currently tops the mortality table. Several therapies currently being utilized can only sustain chronically ailing patients for a short period while they are awaiting a possible transplant, which is also not devoid of complications. Regenerative therapeutic techniques now appear to be a potential approach to solve this conundrum posed by these poorly self-regenerating tissues. Stem cell therapy alone appears not to be sufficient to provide the desired tissue regeneration and hence the drive for biomaterials that can support its transplantation and translation, providing not only physical support to seeded cells but also chemical and physiological cues to the cells to facilitate tissue regeneration. The cardiac and pulmonary systems, although literarily seen as just being functionally and spatially cooperative, as shown by their diverse and dissimilar adult cellular and tissue composition has been proven to share some common embryological codevelopment. However, necessitating their consideration for separate review is the immense adult architectural difference in these systems. This review also looks at details on new biological and synthetic biomaterials, tissue engineering, nanotechnology, and organ decellularization for cardiopulmonary regenerative therapies.

摘要

心肺系统由心脏和肺组成,二者的核心功能相辅相成。这两个系统之间血液的畅通无阻且最佳循环对于整个人体的整体功能至关重要。尽管心肺系统的功能看似并不复杂,但构成该系统的组织无疑是复杂的。因此,该系统受损是不可取的,因为其自我再生能力相当有限。心肺疾病发病率和患病率的激增已达到危急状态,急需一流的应对措施,因为它目前在死亡率排行榜上位居榜首。目前正在使用的几种疗法只能在慢性疾病患者等待可能的移植期间短期维持他们的生命,而移植也并非没有并发症。再生治疗技术现在似乎是解决这些自我再生能力差的组织所带来难题的一种潜在方法。仅干细胞疗法似乎不足以实现所需的组织再生,因此需要能支持其移植和转化的生物材料,这些生物材料不仅能为接种的细胞提供物理支持,还能为细胞提供化学和生理信号以促进组织再生。心脏和肺系统,尽管从字面上看只是在功能和空间上相互协作,但其多样且不同的成年细胞和组织组成已被证明存在一些共同的胚胎学共同发育过程。然而,鉴于这些系统在成年后的巨大结构差异,有必要对它们进行单独综述。本综述还探讨了用于心肺再生治疗的新型生物和合成生物材料、组织工程、纳米技术以及器官脱细胞化的详细信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bbd/5949153/e5950c9e36c4/SCI2018-3123961.001.jpg

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