Donnaloja Francesca, Jacchetti Emanuela, Soncini Monica, Raimondi Manuela T
Department of Chemistry, Materials and Chemical Engineering "Giulio Natta," Politecnico di Milano, 20133 Milan, Italy.
Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133 Milan, Italy.
Polymers (Basel). 2020 Apr 14;12(4):905. doi: 10.3390/polym12040905.
Bone tissue is the structural component of the body, which allows locomotion, protects vital internal organs, and provides the maintenance of mineral homeostasis. Several bone-related pathologies generate critical-size bone defects that our organism is not able to heal spontaneously and require a therapeutic action. Conventional therapies span from pharmacological to interventional methodologies, all of them characterized by several drawbacks. To circumvent these effects, tissue engineering and regenerative medicine are innovative and promising approaches that exploit the capability of bone progenitors, especially mesenchymal stem cells, to differentiate into functional bone cells. So far, several materials have been tested in order to guarantee the specific requirements for bone tissue regeneration, ranging from the material biocompatibility to the ideal 3D bone-like architectural structure. In this review, we analyse the state-of-the-art of the most widespread polymeric scaffold materials and their application in in vitro and in vivo models, in order to evaluate their usability in the field of bone tissue engineering. Here, we will present several adopted strategies in scaffold production, from the different combination of materials, to chemical factor inclusion, embedding of cells, and manufacturing technology improvement.
骨组织是身体的结构组成部分,它使机体能够运动,保护重要的内部器官,并维持矿物质稳态。几种与骨相关的病症会产生临界尺寸的骨缺损,我们的机体无法自发愈合这些缺损,因此需要采取治疗措施。传统疗法涵盖从药理学方法到介入方法,所有这些方法都存在若干缺点。为了规避这些影响,组织工程和再生医学是创新且有前景的方法,它们利用骨祖细胞(尤其是间充质干细胞)分化为功能性骨细胞的能力。到目前为止,已经测试了几种材料,以确保满足骨组织再生的特定要求,从材料的生物相容性到理想的三维骨样结构。在本综述中,我们分析了最广泛使用的聚合物支架材料的现状及其在体外和体内模型中的应用,以评估它们在骨组织工程领域的可用性。在此,我们将介绍支架生产中采用的几种策略,从材料的不同组合到化学因子的加入、细胞的嵌入以及制造技术的改进。