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再生医学与组织工程学进展:医学的创新与变革

Advances in Regenerative Medicine and Tissue Engineering: Innovation and Transformation of Medicine.

作者信息

Dzobo Kevin, Thomford Nicholas Ekow, Senthebane Dimakatso Alice, Shipanga Hendrina, Rowe Arielle, Dandara Collet, Pillay Michael, Motaung Keolebogile Shirley Caroline M

机构信息

Cape Town Component, International Centre for Genetic Engineering and Biotechnology (ICGEB) and UCT Medical Campus, Wernher and Beit Building (South), Anzio Road, Observatory 7925, Cape Town, South Africa.

Division of Medical Biochemistry and Institute of Infectious Disease and Molecular Medicine, Department of Integrative Biomedical Sciences, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa.

出版信息

Stem Cells Int. 2018 Jul 30;2018:2495848. doi: 10.1155/2018/2495848. eCollection 2018.

Abstract

Humans and animals lose tissues and organs due to congenital defects, trauma, and diseases. The human body has a low regenerative potential as opposed to the urodele amphibians commonly referred to as salamanders. Globally, millions of people would benefit immensely if tissues and organs can be replaced on demand. Traditionally, transplantation of intact tissues and organs has been the bedrock to replace damaged and diseased parts of the body. The sole reliance on transplantation has created a waiting list of people requiring donated tissues and organs, and generally, supply cannot meet the demand. The total cost to society in terms of caring for patients with failing organs and debilitating diseases is enormous. Scientists and clinicians, motivated by the need to develop safe and reliable sources of tissues and organs, have been improving therapies and technologies that can regenerate tissues and in some cases create new tissues altogether. Tissue engineering and/or regenerative medicine are fields of life science employing both engineering and biological principles to create new tissues and organs and to promote the regeneration of damaged or diseased tissues and organs. Major advances and innovations are being made in the fields of tissue engineering and regenerative medicine and have a huge impact on three-dimensional bioprinting (3D bioprinting) of tissues and organs. 3D bioprinting holds great promise for artificial tissue and organ bioprinting, thereby revolutionizing the field of regenerative medicine. This review discusses how recent advances in the field of regenerative medicine and tissue engineering can improve 3D bioprinting and vice versa. Several challenges must be overcome in the application of 3D bioprinting before this disruptive technology is widely used to create organotypic constructs for regenerative medicine.

摘要

由于先天性缺陷、创伤和疾病,人类和动物会失去组织和器官。与通常被称为蝾螈的有尾两栖动物相比,人体的再生潜力较低。在全球范围内,如果能够按需替换组织和器官,数百万人将受益匪浅。传统上,完整组织和器官的移植一直是替换身体受损和患病部位的基石。对移植的唯一依赖导致了需要捐赠组织和器官的人的等待名单,而且总体而言,供应无法满足需求。在照顾器官衰竭和患有使人衰弱疾病的患者方面,社会付出的总成本是巨大的。出于开发安全可靠的组织和器官来源的需要,科学家和临床医生一直在改进能够再生组织的疗法和技术,在某些情况下还能完全创造出新的组织。组织工程和/或再生医学是生命科学领域,运用工程学和生物学原理来创造新的组织和器官,并促进受损或患病组织和器官的再生。组织工程和再生医学领域正在取得重大进展和创新,并对组织和器官的三维生物打印(3D生物打印)产生巨大影响。3D生物打印在人工组织和器官生物打印方面前景广阔,从而彻底改变再生医学领域。本综述讨论了再生医学和组织工程领域的最新进展如何能够改进3D生物打印,反之亦然。在3D生物打印广泛应用于为再生医学创建器官型构建体之前,必须克服几个挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c41/6091336/7750420b07d9/SCI2018-2495848.003.jpg

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