Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310000, China.
MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou 310058, China.
J Control Release. 2024 Apr;368:97-114. doi: 10.1016/j.jconrel.2024.02.006. Epub 2024 Feb 21.
The precise delivery of growth factors (GFs) in regenerative medicine is crucial for effective tissue regeneration and wound repair. However, challenges in achieving controlled release, such as limited half-life, potential overdosing risks, and delivery control complexities, currently hinder their clinical implementation. Despite the plethora of studies endeavoring to accomplish effective loading and gradual release of GFs through diverse delivery methods, the nuanced control of spatial and temporal delivery still needs to be elucidated. In response to this pressing clinical imperative, our review predominantly focuses on explaining the prevalent strategies employed for spatiotemporal delivery of GFs over the past five years. This review will systematically summarize critical aspects of spatiotemporal GFs delivery, including judicious bio-scaffold selection, innovative loading techniques, optimization of GFs activity retention, and stimulating responsive release mechanisms. It aims to identify the persisting challenges in spatiotemporal GFs delivery strategies and offer an insightful outlook on their future development. The ultimate objective is to provide an invaluable reference for advancing regenerative medicine and tissue engineering applications.
在再生医学中,精确递送生长因子(GFs)对于有效的组织再生和伤口修复至关重要。然而,在实现控制释放方面存在挑战,例如半衰期有限、潜在的过度用药风险以及给药控制复杂性,目前阻碍了它们的临床应用。尽管有大量研究致力于通过各种给药方法实现 GFs 的有效负载和逐渐释放,但对时空递药的精细控制仍有待阐明。针对这一紧迫的临床需求,我们的综述主要侧重于解释过去五年中用于 GFs 时空递药的流行策略。本综述将系统地总结时空 GFs 递药的关键方面,包括明智的生物支架选择、创新的加载技术、GFs 活性保持的优化以及刺激响应释放机制。旨在确定时空 GFs 递药策略中存在的持续挑战,并对其未来发展进行深入展望。最终目标是为推进再生医学和组织工程应用提供有价值的参考。