Ren Bing, Jiang Zhihua, Murfee Walter Lee, Katz Adam J, Siemann Dietmar, Huang Yong
Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, Florida 32611, USA.
Department of Surgery, University of Florida, Gainesville, Florida 32610, USA.
Biophys Rev (Melville). 2023 Mar;4(1):011308. doi: 10.1063/5.0131972. Epub 2023 Mar 13.
Vascularization is essential for realizing thick and functional tissue constructs that can be utilized for study platforms and grafts. The vasculature enables the transport of nutrients, oxygen, and wastes and is also indispensable to organ functional units such as the nephron filtration unit, the blood-air barrier, and the blood-brain barrier. This review aims to discuss the latest progress of organ-like vascularized constructs with specific functionalities and realizations even though they are not yet ready to be used as organ substitutes. First, the human vascular system is briefly introduced and related design considerations for engineering vascularized tissues are discussed. Second, up-to-date creation technologies for vascularized tissues are summarized and classified into the engineering and cellular self-assembly approaches. Third, recent applications ranging from tissue models, including generic vessel models, tumor models, and different human organ models such as heart, kidneys, liver, lungs, and brain, to prevascularized grafts for implantation and anastomosis are discussed in detail. The specific design considerations for the aforementioned applications are summarized and future perspectives regarding future clinical applications and commercialization are provided.
血管化对于实现可用于研究平台和移植物的厚实且功能完备的组织构建体至关重要。脉管系统能够实现营养物质、氧气和废物的运输,对于诸如肾单位滤过单元、气血屏障和血脑屏障等器官功能单元而言也是不可或缺的。本综述旨在讨论具有特定功能和实现方式的类器官血管化构建体的最新进展,尽管它们尚未准备好用作器官替代品。首先,简要介绍人体血管系统,并讨论工程化血管化组织的相关设计考量。其次,总结用于血管化组织的最新创建技术,并将其分为工程方法和细胞自组装方法。第三,详细讨论从组织模型(包括通用血管模型、肿瘤模型以及不同的人体器官模型,如心脏、肾脏、肝脏、肺和脑)到用于植入和吻合的预血管化移植物等近期应用。总结了上述应用的具体设计考量,并提供了关于未来临床应用和商业化的前景展望。