Xu Fei, Zhang Lei
Kunming Medical University, Kunming 650053, P.R.China.
Biomedical Research Center, Affiliated Calmette Hospital of Kunming Medical University, Kunming 650011, P.R.China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2021 Aug 25;38(4):812-818. doi: 10.7507/1001-5515.202009085.
Ligaments are dense fibrous connective tissue that maintains joint stability through bone-to-bone connections. Ligament tears that due to sports injury or tissue aging usually require surgical intervention, and transplanting autologous, allogeneic, or artificial ligaments for reconstruction is the gold standard for treating such diseases in spite of many drawbacks. With the development of materialogy and manufacturing technology, engineered ligament tissue based on bioscaffold is expected to become a new substitute, which can lead to tissue regeneration by simulating the structure, composition, and biomechanical properties of natural tissue. This paper reviewed some recently published and animal researches focusing on ligament tissue engineering, then evaluated the properties and the effects on tissue repair and reconstruction of fiber structure scaffolds, multi-phase interface scaffolds and bio-derived scaffolds designed by bionic principle and made of different materials, manufacturing techniques and biological factors. Finally, summarization followed by the prospection for future development direction of biological scaffolds in ligament tissue engineering research is given.
韧带是致密的纤维结缔组织,通过骨与骨的连接来维持关节稳定性。因运动损伤或组织老化导致的韧带撕裂通常需要手术干预,尽管存在诸多缺点,但移植自体、异体或人工韧带进行重建仍是治疗此类疾病的金标准。随着材料学和制造技术的发展,基于生物支架的工程化韧带组织有望成为一种新的替代物,它可以通过模拟天然组织的结构、组成和生物力学特性来实现组织再生。本文综述了近期发表的一些关于韧带组织工程的研究及动物实验,然后评估了由不同材料、制造技术和生物因子按照仿生原理设计的纤维结构支架、多相界面支架和生物衍生支架的性能及其对组织修复和重建的效果。最后进行总结,并对生物支架在韧带组织工程研究中的未来发展方向进行展望。