Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, 94305, USA.
Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA.
Adv Healthc Mater. 2019 Mar;8(5):e1801168. doi: 10.1002/adhm.201801168. Epub 2019 Feb 6.
Although skeletal muscle is highly regenerative following injury or disease, endogenous self-regeneration is severely impaired in conditions of volume traumatic muscle loss. Consequently, tissue engineering approaches are a promising means to regenerate skeletal muscle. Biological scaffolds serve as not only structural support for the promotion of cellular ingrowth but also impart potent modulatory signaling cues that may be beneficial for tissue regeneration. In this work, the progress of tissue engineering approaches for skeletal muscle engineering and regeneration is overviewed, with a focus on the techniques to create biomimetic engineered tissue using extracellular cues. These factors include mechanical and electrical stimulation, geometric patterning, and delivery of growth factors or other bioactive molecules. The progress of evaluating the therapeutic efficacy of these approaches in preclinical models of muscle injury is further discussed.
尽管骨骼肌肉在受伤或患病后具有很强的再生能力,但在体积性创伤性肌肉丧失的情况下,内源性的自我再生能力严重受损。因此,组织工程方法是一种很有前途的再生骨骼肌肉的手段。生物支架不仅为促进细胞内生长提供结构支持,而且还赋予有效的调节信号,这可能对组织再生有益。在这项工作中,概述了组织工程方法在骨骼肌肉工程和再生中的进展,重点介绍了使用细胞外线索创建仿生工程组织的技术。这些因素包括机械和电刺激、几何图案化以及生长因子或其他生物活性分子的传递。进一步讨论了这些方法在肌肉损伤的临床前模型中评估治疗效果的进展。