Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, 48109, USA.
Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, 48109, USA.
Adv Healthc Mater. 2024 Jul;13(19):e2400529. doi: 10.1002/adhm.202400529. Epub 2024 Mar 27.
Effective tendon regeneration following injury is contingent on appropriate differentiation of recruited cells and deposition of mature, aligned, collagenous extracellular matrix that can withstand the extreme mechanical demands placed on the tissue. As such, myriad biomaterial approaches have been explored to provide biochemical and physical cues that encourage tenogenesis and template aligned matrix deposition in lieu of dysfunctional scar tissue formation. Fiber-reinforced hydrogels present an ideal biomaterial system toward this end given their transdermal injectability, tunable stiffness over a range amenable to tenogenic differentiation of progenitors, and capacity for modular inclusion of biochemical cues. Here, tunable and modular, fiber-reinforced, synthetic hydrogels are employed to elucidate salient microenvironmental determinants of tenogenesis and aligned collagen deposition by tendon progenitor cells. Transforming growth factor β3 drives a cell fate switch toward pro-regenerative or pro-fibrotic phenotypes, which can be biased toward the former by culture in softer microenvironments or inhibition of the RhoA/ROCK activity. Furthermore, studies demonstrate that topographical anisotropy in fiber-reinforced hydrogels critically mediates the alignment of de novo collagen fibrils, reflecting native tendon architecture. These findings inform the design of cell-free, injectable, synthetic hydrogels for tendon tissue regeneration and, likely, that of a range of load-bearing connective tissues.
有效的肌腱损伤后再生取决于募集细胞的适当分化和成熟、排列整齐的胶原细胞外基质的沉积,这些基质能够承受组织所承受的极端机械需求。因此,人们探索了无数种生物材料方法,以提供生化和物理线索,促进肌腱形成并模板化排列的基质沉积,而不是形成功能失调的瘢痕组织。纤维增强水凝胶是一种理想的生物材料系统,因为它们具有经皮可注射性、在适合祖细胞肌腱发生分化的范围内可调的刚度,以及模块化包含生化线索的能力。在这里,可调且模块化的纤维增强合成水凝胶被用于阐明肌腱祖细胞的肌腱发生和排列胶原沉积的显著微环境决定因素。转化生长因子β3驱动细胞命运向促再生或促纤维化表型的转变,通过在较软的微环境中培养或抑制 RhoA/ROCK 活性,可以偏向于前者。此外,研究表明,纤维增强水凝胶中的各向异性对新形成的胶原原纤维的排列具有重要的调节作用,反映了天然肌腱的结构。这些发现为无细胞、可注射的合成水凝胶在肌腱组织再生中的设计提供了信息,并且可能为一系列承重结缔组织的设计提供了信息。
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