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用于伤口愈合细胞疗法的水凝胶支架

Hydrogel Scaffolds to Deliver Cell Therapies for Wound Healing.

作者信息

Sivaraj Dharshan, Chen Kellen, Chattopadhyay Arhana, Henn Dominic, Wu Wanling, Noishiki Chikage, Magbual Noah J, Mittal Smiti, Mermin-Bunnell Alana M, Bonham Clark A, Trotsyuk Artem A, Barrera Janos A, Padmanabhan Jagannath, Januszyk Michael, Gurtner Geoffrey C

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, United States.

出版信息

Front Bioeng Biotechnol. 2021 May 3;9:660145. doi: 10.3389/fbioe.2021.660145. eCollection 2021.

Abstract

Cutaneous wounds are a growing global health burden as a result of an aging population coupled with increasing incidence of diabetes, obesity, and cancer. Cell-based approaches have been used to treat wounds due to their secretory, immunomodulatory, and regenerative effects, and recent studies have highlighted that delivery of stem cells may provide the most benefits. Delivering these cells to wounds with direct injection has been associated with low viability, transient retention, and overall poor efficacy. The use of bioactive scaffolds provides a promising method to improve cell therapy delivery. Specifically, hydrogels provide a physiologic microenvironment for transplanted cells, including mechanical support and protection from native immune cells, and cell-hydrogel interactions may be tailored based on specific tissue properties. In this review, we describe the current and future directions of various cell therapies and usage of hydrogels to deliver these cells for wound healing applications.

摘要

由于人口老龄化以及糖尿病、肥胖症和癌症发病率的上升,皮肤伤口给全球健康带来的负担日益加重。基于细胞的方法因其分泌、免疫调节和再生作用而被用于治疗伤口,最近的研究强调干细胞的递送可能带来最大益处。通过直接注射将这些细胞递送至伤口,其活力较低、留存短暂且总体疗效不佳。使用生物活性支架为改善细胞治疗递送提供了一种有前景的方法。具体而言,水凝胶为移植细胞提供了生理微环境,包括机械支撑以及免受天然免疫细胞的影响,并且细胞 - 水凝胶相互作用可根据特定组织特性进行调整。在本综述中,我们描述了各种细胞疗法的当前和未来发展方向,以及使用水凝胶递送这些细胞用于伤口愈合应用的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c9/8126987/3e9fb50c80b0/fbioe-09-660145-g001.jpg

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