Matsuzaki Yuichi, Wiet Matthew G, Boe Brian A, Shinoka Toshiharu
Center for Regenerative Medicine, The Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, T2294, Columbus, OH 43205, USA.
Department of Cardiology, The Heart Center, Nationwide Children's Hospital, 700 Children's Drive, T2294, Columbus, OH 43205, USA.
Biomedicines. 2021 Apr 27;9(5):478. doi: 10.3390/biomedicines9050478.
Bioabsorbable materials made from polymeric compounds have been used in many fields of regenerative medicine to promote tissue regeneration. These materials replace autologous tissue and, due to their growth potential, make excellent substitutes for cardiovascular applications in the treatment of congenital heart disease. However, there remains a sizable gap between their theoretical advantages and actual clinical application within pediatric cardiovascular surgery. This review will focus on four areas of regenerative medicine in which bioabsorbable materials have the potential to alleviate the burden where current treatment options have been unable to within the field of pediatric cardiovascular surgery. These four areas include tissue-engineered pulmonary valves, tissue-engineered patches, regenerative medicine options for treatment of pulmonary vein stenosis and tissue-engineered vascular grafts. We will discuss the research and development of biocompatible materials reported to date, the evaluation of materials in vitro, and the results of studies that have progressed to clinical trials.
由高分子化合物制成的生物可吸收材料已被用于再生医学的许多领域,以促进组织再生。这些材料可替代自体组织,并且由于其生长潜力,在先天性心脏病的治疗中是心血管应用的极佳替代品。然而,在小儿心血管外科手术中,它们的理论优势与实际临床应用之间仍存在相当大的差距。本综述将聚焦于再生医学的四个领域,在这些领域中,生物可吸收材料有潜力减轻小儿心血管外科领域当前治疗方案无法解决的负担。这四个领域包括组织工程化肺动脉瓣、组织工程化补片、治疗肺静脉狭窄的再生医学方案以及组织工程化血管移植物。我们将讨论迄今为止报道的生物相容性材料的研发情况、材料的体外评估以及已进入临床试验阶段的研究结果。