Xue Junshuai, Liu Yang
Department of General Surgery, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Department of General Surgery, Vascular Surgery, Qilu Hospital of Shandong University, Jinan City, People's Republic of China.
J Inflamm Res. 2023 Jan 21;16:257-267. doi: 10.2147/JIR.S396064. eCollection 2023.
Mesenchymal stromal/stem cells (MSCs) have the ability of self-renewal, the potential of multipotent differentiation, and a strong paracrine capacity, which are mainly used in the field of clinical medicine including dentistry and orthopedics. Therefore, tissue engineering research using MSCs as seed cells is a current trending directions. However, the healing effect of direct cell transplantation is unstable, and the paracrine/autocrine effects of MSCs cannot be effectively elicited. Tumorigenicity and heterogeneity are also concerns. The combination of MSCs as seed cells and appropriate vector materials can form a stable cell growth environment, maximize the secretory features of stem cells, and improve the biocompatibility and mechanical properties of vector materials that facilitate the delivery of drugs and various secretory factors. There are numerous studies on tissue engineering and inflammation of various biomaterials, mainly involving bioceramics, alginate, chitosan, hydrogels, cell sheets, nanoparticles, and three-dimensional printing. The combination of bioceramics, hydrogels and cell sheets with stem cells has demonstrated good therapeutic effects in clinical applications. The application of alginate, chitosan, and nanoparticles in animal models has also shown good prospects for clinical applications. Three-dimensional printing technology can circumvent the shortage of biomaterials, greatly improve the properties of vector materials, and facilitate the transplantation of MSCs. The purpose of this narrative review is to briefly discuss the current use of MSC-based carrier biomaterials to provide a useful resource for future tissue engineering and inflammation research using stem cells as seed cells.
间充质基质/干细胞(MSCs)具有自我更新能力、多能分化潜力和强大的旁分泌能力,主要应用于包括牙科和骨科在内的临床医学领域。因此,以MSCs作为种子细胞的组织工程研究是当前的一个热门方向。然而,直接细胞移植的愈合效果不稳定,且无法有效激发MSCs的旁分泌/自分泌效应。致瘤性和异质性也是人们关注的问题。将MSCs作为种子细胞与合适的载体材料相结合,可以形成稳定的细胞生长环境,最大限度地发挥干细胞的分泌特性,并改善载体材料的生物相容性和机械性能,从而便于药物和各种分泌因子的递送。关于各种生物材料的组织工程和炎症方面已有大量研究,主要涉及生物陶瓷、藻酸盐、壳聚糖、水凝胶、细胞片、纳米颗粒和三维打印。生物陶瓷、水凝胶和细胞片与干细胞的组合在临床应用中已显示出良好的治疗效果。藻酸盐、壳聚糖和纳米颗粒在动物模型中的应用也显示出良好的临床应用前景。三维打印技术可以规避生物材料的不足,极大地改善载体材料的性能,并便于MSCs的移植。本叙述性综述的目的是简要讨论目前基于MSCs的载体生物材料的应用情况,为未来以干细胞作为种子细胞的组织工程和炎症研究提供有用的参考资源。