Lafuente-Merchan Markel, Ruiz-Alonso Sandra, García-Villén Fátima, Gallego Idoia, Gálvez-Martín Patricia, Saenz-Del-Burgo Laura, Pedraz Jose Luis
NanoBioCel Group, Laboratory of Pharmaceutics, School of Pharmacy, University of the Basque Country (UPV/EHU), Paseo de la Universidad 7, 01006 Vitoria-Gasteiz, Spain.
Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Health Institute Carlos III, Paseo de la Universidad 7, 01006 Vitoria-Gasteiz, Spain.
Pharmaceutics. 2022 Jul 29;14(8):1578. doi: 10.3390/pharmaceutics14081578.
Osteochondral injuries can lead to osteoarthritis (OA). OA is characterized by the progressive degradation of the cartilage tissue together with bone tissue turnover. Consequently, joint pain, inflammation, and stiffness are common, with joint immobility and dysfunction being the most severe symptoms. The increase in the age of the population, along with the increase in risk factors such as obesity, has led OA to the forefront of disabling diseases. In addition, it not only has an increasing prevalence, but is also an economic burden for health systems. Current treatments are focused on relieving pain and inflammation, but they become ineffective as the disease progresses. Therefore, new therapeutic approaches, such as tissue engineering and 3D bioprinting, have emerged. In this review, the advantages of using 3D bioprinting techniques for osteochondral regeneration are described. Furthermore, the biomaterials, cell types, and active molecules that are commonly used for these purposes are indicated. Finally, the most recent promising results for the regeneration of cartilage, bone, and/or the osteochondral unit through 3D bioprinting technologies are considered, as this could be a feasible therapeutic approach to the treatment of OA.
骨软骨损伤可导致骨关节炎(OA)。OA的特征是软骨组织的渐进性退化以及骨组织的更新。因此,关节疼痛、炎症和僵硬很常见,关节活动受限和功能障碍是最严重的症状。随着人口老龄化以及肥胖等风险因素的增加,OA已成为致残性疾病的首要病因。此外,它不仅患病率不断上升,还对卫生系统造成经济负担。目前的治疗方法侧重于缓解疼痛和炎症,但随着疾病进展会变得无效。因此,诸如组织工程和3D生物打印等新的治疗方法应运而生。在本综述中,描述了使用3D生物打印技术进行骨软骨再生的优势。此外,还指出了常用于这些目的的生物材料、细胞类型和活性分子。最后,考虑了通过3D生物打印技术在软骨、骨和/或骨软骨单元再生方面最近取得的有前景的结果,因为这可能是治疗OA的一种可行的治疗方法。