Department of Oral and Maxillofacial Surgery, University of Iowa College of Dentistry, 801 Newton Road, Iowa City, IA, 52242, United States.
Iowa Institute for Oral Health Research, University of Iowa College of Dentistry, 801 Newton Road, Iowa City, IA, 52242, United States.
Macromol Biosci. 2024 Feb;24(2):e2300248. doi: 10.1002/mabi.202300248. Epub 2023 Oct 10.
Advances in modern medicine and the significant reduction in infant mortality have steadily increased the population's lifespan. As more and more people in the world grow older, incidence of chronic, noncommunicable disease is anticipated to drastically increase. Recent studies have shown that improving the health of the aging population is anticipated to provide the most cost-effective and impactful improvement in quality of life during aging-driven disease. In bone, aging is tightly linked to increased risk of fracture, and markedly decreased regenerative potential, deeming it critical to develop therapeutics to improve aging-driven bone regeneration. Biomimetics offer a cost-effective method in regenerative therapeutics for bone, where there are numerous innovations improving outcomes in young models, but adapting biomimetics to aged models is still a challenge. Chronic inflammation, accumulation of reactive oxygen species, and cellular senescence are among three of the more unique challenges facing aging-induced defect repair. This review dissects many of the innovative biomimetic approaches research groups have taken to tackle these challenges, and discusses the further uncertainties that need to be addressed to push the field further. Through these research innovations, it can be noted that biomimetic therapeutics hold great potential for the future of aging-complicated defect repair.
现代医学的进步和婴儿死亡率的显著降低,使人口寿命稳步延长。随着世界上越来越多的人年龄增长,预计慢性、非传染性疾病的发病率将大幅上升。最近的研究表明,改善老龄化人口的健康状况,预计将在老龄化相关疾病期间提供最具成本效益和最有影响力的生活质量改善。在骨骼中,衰老与骨折风险增加和再生能力显著下降密切相关,因此开发改善衰老相关骨骼再生的治疗方法至关重要。仿生学为骨骼的再生治疗提供了一种具有成本效益的方法,有许多创新方法可改善年轻模型的治疗效果,但将仿生学应用于老年模型仍然是一个挑战。慢性炎症、活性氧物质的积累和细胞衰老,是衰老引起的缺陷修复面临的三个较为独特的挑战。这篇综述分析了研究小组为应对这些挑战而采取的许多创新仿生方法,并讨论了进一步需要解决的不确定性,以推动该领域的进一步发展。通过这些研究创新,可以看出仿生治疗在未来的老龄化相关复杂缺陷修复方面具有巨大潜力。