Khan Anoosha, Kumari Priya, Kumari Naina, Shaikh Usman, Ekhator Chukwuyem, Halappa Nagaraj Raghu, Yadav Vikas, Khan Aimen Waqar, Lazarevic Slobodan, Bharati Bishal, Lakshmipriya Vetrivendan Gautham, Mulmi Asmita, Mohamed Hana, Ullah Ashraf, Kadel Bijan, Bellegarde Sophia B, Rehman Abdur
Medicine, Dow University of Health Sciences, Karachi, PAK.
Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Cureus. 2023 Aug 13;15(8):e43431. doi: 10.7759/cureus.43431. eCollection 2023 Aug.
Cardiovascular diseases, including heart failure, pose significant challenges in medical practice, necessitating innovative approaches for cardiac repair and regeneration. Cardiac tissue engineering has emerged as a promising solution, aiming to develop functional and physiologically relevant cardiac tissue constructs. Replicating the native heart microenvironment, with its complex and dynamic milieu necessary for cardiac tissue growth and function, is crucial in tissue engineering. Biomimetic strategies that closely mimic the natural heart microenvironment have gained significant interest due to their potential to enhance synthetic cardiac tissue functionality and therapeutic applicability. Biomimetic approaches focus on mimicking biochemical cues, mechanical stimuli, coordinated electrical signaling, and cell-cell/cell-matrix interactions of cardiac tissue. By combining bioactive ligands, controlled delivery systems, appropriate biomaterial characteristics, electrical signals, and strategies to enhance cell interactions, biomimetic approaches provide a more physiologically relevant environment for tissue growth. The replication of the native cardiac microenvironment enables precise regulation of cellular responses, tissue remodeling, and the development of functional cardiac tissue constructs. Challenges and future directions include refining complex biochemical signaling networks, paracrine signaling, synchronized electrical networks, and cell-cell/cell-matrix interactions. Advancements in biomimetic approaches hold great promise for cardiovascular regenerative medicine, offering potential therapeutic strategies and revolutionizing cardiac disease modeling. These approaches contribute to the development of more effective treatments, personalized medicine, and improved patient outcomes. Ongoing research and innovation in biomimetic approaches have the potential to revolutionize regenerative medicine and cardiac disease modeling by replicating the native heart microenvironment, advancing functional cardiac tissue engineering, and improving patient outcomes.
心血管疾病,包括心力衰竭,在医学实践中构成了重大挑战,因此需要创新的心脏修复和再生方法。心脏组织工程已成为一种有前景的解决方案,旨在开发具有功能且与生理相关的心脏组织构建体。复制天然心脏微环境,其对于心脏组织生长和功能而言是复杂且动态的环境,在组织工程中至关重要。由于其具有增强合成心脏组织功能和治疗适用性的潜力,紧密模拟天然心脏微环境的仿生策略已引起了极大关注。仿生方法专注于模拟心脏组织的生化信号、机械刺激、协调的电信号以及细胞 - 细胞/细胞 - 基质相互作用。通过结合生物活性配体、可控递送系统、适当的生物材料特性、电信号以及增强细胞相互作用的策略,仿生方法为组织生长提供了更与生理相关的环境。天然心脏微环境的复制能够精确调节细胞反应、组织重塑以及功能性心脏组织构建体的发育。挑战和未来方向包括完善复杂的生化信号网络、旁分泌信号、同步电网络以及细胞 - 细胞/细胞 - 基质相互作用。仿生方法的进展为心血管再生医学带来了巨大希望,提供了潜在的治疗策略并彻底改变了心脏病模型。这些方法有助于开发更有效的治疗方法、个性化医疗并改善患者预后。仿生方法正在进行的研究和创新有潜力通过复制天然心脏微环境、推进功能性心脏组织工程以及改善患者预后,彻底改变再生医学和心脏病模型。