Jiang X Q
Department of Prosthodontics, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center of Stomatology, Shanghai 200011, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2017 Oct 9;52(10):600-604. doi: 10.3760/cma.j.issn.1002-0098.2017.10.004.
The treatment of large jaw bone defects remains an urgent clinical problem to be solved. With the development of biomaterials, stem cells and bone tissue engineering, new ideas and hopes for the regeneration of jaw have been offered. In addition to meeting the basic requirements of bone repair materials, scaffolds for the regeneration of large jaw bones require the ability of stem cells to participate in bone regeneration. Methods like optimization of scaffolds composition, design of porous structure and combination of gel and microsphere technology can enhance stem cell delivery , and the osteogenic differentiation of stem cells can be stimulated through controlled release of drugs, preparation of surface micron/nano topography and modifications of ionic components. Moreover, application of three-dimensional printing and channel structure in large-scale scaffolds fabrication present promising strategies for customized, accurate bone reconstruction and vascularization. It is only through synergistic optimization in all aspects that it is possible to obtain scaffold materials suitable for regeneration of large jaw bones. This article focuses on biological materials regulation, stem cell delivery, survival and differentiation, and their role in bone regeneration.
大型颌骨缺损的治疗仍然是一个亟待解决的临床问题。随着生物材料、干细胞和骨组织工程的发展,为颌骨再生提供了新的思路和希望。大型颌骨再生支架除了要满足骨修复材料的基本要求外,还需要具备使干细胞参与骨再生的能力。优化支架组成、设计多孔结构以及结合凝胶和微球技术等方法可以增强干细胞递送,通过药物控释、制备表面微米/纳米形貌以及修饰离子成分等方式可以刺激干细胞的成骨分化。此外,在大型支架制造中应用三维打印和通道结构为定制化、精确的骨重建和血管化提供了有前景的策略。只有通过各方面的协同优化,才有可能获得适合大型颌骨再生的支架材料。本文重点关注生物材料调控、干细胞递送、存活与分化及其在骨再生中的作用。