Kim Hye-Seon, Park Jeongeun, Ha Hyun-Su, Baek Sewoom, Lee Chan Hee, Lee Kyubae, Park Suji, Kim Jueun, Yi Se Won, Sung Hak-Joon
Department of Medical Engineering, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
TMD LAB Co. Ltd., 6th Floor, 31, Gwangnaru-ro 8-gil, Seongdong-gu, Seoul 04799, Republic of Korea.
Research (Wash D C). 2023 May 10;6:0137. doi: 10.34133/research.0137. eCollection 2023.
Tissue regeneration requires structural holding and movement support using tissue-type-specific aids such as bone casts, skin bandages, and joint protectors. Currently, an unmet need exists in aiding breast fat regeneration as the breast moves following continuous body motion by exposing the breast fat to dynamic stresses. Here, the concept of elastic structural holding is applied to develop a shape-fitting moldable membrane for breast fat regeneration ("adipoconductive") after surgical defects are made. The membrane has the following key characteristics: (a) It contains a panel of honeycomb structures, thereby efficiently handling motion stress through the entire membrane; (b) a strut is added into each honeycomb in a direction perpendicular to gravity, thereby suppressing the deformation and stress concentration upon lying and standing; and (c) thermo-responsive moldable elastomers are used to support structural holding by suppressing large deviations of movement that occur sporadically. The elastomer became moldable upon a temperature shift above . The structure can then be fixed as the temperature decreases. As a result, the membrane promotes adipogenesis by activating mechanotransduction in a fat miniature model with pre-adipocyte spheroids under continuous shaking in vitro and in a subcutaneous implant placed on the motion-prone back areas of rodents in vivo.
组织再生需要使用特定组织类型的辅助工具,如骨铸型、皮肤绷带和关节保护器来提供结构支撑和运动支持。目前,在辅助乳腺脂肪再生方面存在未满足的需求,因为随着身体的持续运动,乳房会移动,使乳腺脂肪暴露于动态应力之下。在此,应用弹性结构支撑的概念,开发一种形状贴合的可模制膜,用于在造成手术缺损后促进乳腺脂肪再生(“脂肪传导性”)。该膜具有以下关键特性:(a)它包含一组蜂窝结构,从而通过整个膜有效地处理运动应力;(b)在每个蜂窝中沿垂直于重力的方向添加支柱,从而抑制躺下和站立时的变形和应力集中;(c)使用热响应性可模制弹性体,通过抑制偶尔发生的大的运动偏差来支持结构支撑。当温度升高到 以上时,弹性体变得可模制。然后随着温度降低,结构可以固定。结果,该膜通过在体外连续摇动下在含有前脂肪细胞球体的脂肪微型模型中以及在体内放置在啮齿动物易运动的背部区域的皮下植入物中激活机械转导来促进脂肪生成。