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去细胞-再细胞化技术在整形与重建外科学中的应用。

Application of decellularization-recellularization technique in plastic and reconstructive surgery.

机构信息

Department of Plastic Surgery, Peking University Third Hospital, Haidian District, Beijing 100191, China.

Wuya College of Innovation, Key Laboratory of Structure-Based Drug Design & Discovery, Ministry of Education, Shenyang Pharmaceutical University, Shenyang, Liaoning 110016, China.

出版信息

Chin Med J (Engl). 2023 Sep 5;136(17):2017-2027. doi: 10.1097/CM9.0000000000002085.

Abstract

In the field of plastic and reconstructive surgery, the loss of organs or tissues caused by diseases or injuries has resulted in challenges, such as donor shortage and immunosuppression. In recent years, with the development of regenerative medicine, the decellularization-recellularization strategy seems to be a promising and attractive method to resolve these difficulties. The decellularized extracellular matrix contains no cells and genetic materials, while retaining the complex ultrastructure, and it can be used as a scaffold for cell seeding and subsequent transplantation, thereby promoting the regeneration of diseased or damaged tissues and organs. This review provided an overview of decellularization-recellularization technique, and mainly concentrated on the application of decellularization-recellularization technique in the field of plastic and reconstructive surgery, including the remodeling of skin, nose, ears, face, and limbs. Finally, we proposed the challenges in and the direction of future development of decellularization-recellularization technique in plastic surgery.

摘要

在整形和重建外科领域,疾病或损伤导致的器官或组织缺失带来了供体短缺和免疫抑制等挑战。近年来,随着再生医学的发展,去细胞-再细胞化策略似乎是解决这些困难的一种有前途和吸引力的方法。去细胞化的细胞外基质不含细胞和遗传物质,同时保留了复杂的超微结构,可以作为细胞接种和随后移植的支架,从而促进疾病或受损组织和器官的再生。本文综述了去细胞-再细胞化技术,并主要集中在该技术在整形和重建外科领域的应用,包括皮肤、鼻子、耳朵、面部和四肢的重塑。最后,我们提出了整形外科学中去细胞-再细胞化技术面临的挑战和未来发展方向。

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