Liu Tong, Xu Jia, Pan Xun, Ding Zhangfan, Xie Hao, Wang Xiaoyi, Xie Huixu
State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.
The Key Laboratory of Oral Biomedicine, Jiangxi Province, School of Stomatology, Nanchang University, Nanchang, 330006, China.
Bioact Mater. 2021 Jan 30;6(8):2467-2478. doi: 10.1016/j.bioactmat.2021.01.015. eCollection 2021 Aug.
The management of oral and maxillofacial tissue defects caused by tumors, trauma, and congenital or acquired deformities has been a major challenge for surgeons over the last few decades. Autologous tissue transplantation, the gold standard of tissue reconstruction, is a valid method for repairing the oral and maxillofacial functions and aesthetics. However, several limitations hinder its clinical applications including complications of donor sites, limited tissue volume, and uncertain long-term outcomes. Adipose-derived mesenchymal stem cells (ADMSCs) widely exist in adipose tissue and can be easily obtained through liposuction. Like the bone marrow-derived mesenchymal stem cells (BMSCs), ADMSCs also have the multi-pluripotent potencies to differentiate into osteoblasts, chondrocytes, neurons, and myocytes. Therefore, the multilineage capacity of ADMSCs makes them valuable for cell-based medical therapies. In recent years, researchers have developed many candidates of ADMSCs-based biomaterial scaffolds to cater for the needs of oral and maxillofacial tissue engineering due to their superior performance. This review presents the advances and applications of ADMSCs-based biomaterial scaffolds, and explores their tissue engineering prospects in oral and maxillofacial reconstructions.
在过去几十年里,肿瘤、创伤以及先天性或后天性畸形导致的口腔颌面部组织缺损的治疗一直是外科医生面临的重大挑战。自体组织移植作为组织重建的金标准,是修复口腔颌面部功能和美观的有效方法。然而,一些局限性阻碍了其临床应用,包括供区并发症、组织量有限以及长期效果不确定。脂肪来源的间充质干细胞(ADMSCs)广泛存在于脂肪组织中,可通过吸脂术轻松获取。与骨髓来源的间充质干细胞(BMSCs)一样,ADMSCs也具有多向分化潜能,能够分化为成骨细胞、软骨细胞、神经元和心肌细胞。因此,ADMSCs的多谱系分化能力使其在基于细胞的医学治疗中具有重要价值。近年来,由于其卓越的性能,研究人员开发了许多基于ADMSCs的生物材料支架,以满足口腔颌面部组织工程的需求。本文综述了基于ADMSCs的生物材料支架的研究进展与应用,并探讨了其在口腔颌面部重建中的组织工程前景。