Department of Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland.
Department of Orthopaedics, University Medical Center Utrecht.
Curr Opin Organ Transplant. 2019 Oct;24(5):562-567. doi: 10.1097/MOT.0000000000000679.
Engineering functional organs starting from stem or progenitor cells holds promise to address the urgent need for organ transplants. However, to date, the development of complex organ structures remains an open challenge.
Among multiple approaches to organ regeneration that are being investigated, two main directions can be identified, namely the patterned deposition of cells to impose specific structures, using bioprinting technologies, and (ii) the spontaneous development of organoids, according to principles of self-organization. In this review, we shortly describe the advantages and limitations of these paradigms and we discuss how they can synergize their positive features to better control and robustly develop organs from stem cells, toward organogenesis by design.
The outlined possibilities to bring together tools and concepts of bioprinting and self-organization will be relevant not only to generate implantable organs, but also to dissect fundamental mechanisms of organogenesis and to test therapeutic strategies in modeled pathological settings.
目的综述:从干细胞或祖细胞开始构建功能性器官具有解决器官移植迫切需求的潜力。然而,迄今为止,复杂器官结构的发展仍然是一个尚未解决的挑战。
最近发现:在目前正在研究的多种器官再生方法中,可以确定两个主要方向,即通过生物打印技术对细胞进行有图案的沉积以施加特定的结构,以及(ii)根据自组织原则自发发育类器官。在这篇综述中,我们简要描述了这些范例的优缺点,并讨论了它们如何协同发挥其积极特征,以便更好地控制和稳健地从干细胞中开发器官,实现设计的器官发生。
总结:将生物打印和自组织工具和概念结合起来的可能性不仅将有助于生成可植入的器官,还有助于剖析器官发生的基本机制,并在模拟的病理环境中测试治疗策略。