Shang Yixuan, Liu Rui, Gan Jingjing, Yang Yuzhi, Sun Lingyun
Department of Medical Supplies Support Nanjing Drum Tower Hospital Affiliated Hospital of Medical School Nanjing University Nanjing China.
Department of Rheumatology and Immunology Nanjing Drum Tower Hospital Affiliated Hospital of Medical School Nanjing University Nanjing China.
Smart Med. 2023 Aug 16;2(3):e20230020. doi: 10.1002/SMMD.20230020. eCollection 2023 Aug.
Cardiac remodeling is critical for effective tissue recuperation, nevertheless, excessive formation and deposition of extracellular matrix components can result in the onset of cardiac fibrosis. Despite the emergence of novel therapies, there are still no lifelong therapeutic solutions for this issue. Understanding the detrimental cardiac remodeling may aid in the development of innovative treatment strategies to prevent or reverse fibrotic alterations in the heart. Further combining the latest understanding of disease pathogenesis with cardiac tissue engineering has provided the conversion of basic laboratory studies into the therapy of cardiac fibrosis patients as an increasingly viable prospect. This review presents the current main mechanisms and the potential tissue engineering of cardiac fibrosis. Approaches using biomedical materials-based cardiac constructions are reviewed to consider key issues for simulating in vitro cardiac fibrosis, outlining a future perspective for preclinical applications.
心脏重塑对于有效的组织修复至关重要,然而,细胞外基质成分的过度形成和沉积会导致心脏纤维化的发生。尽管出现了新的治疗方法,但对于这个问题仍然没有终身治疗方案。了解有害的心脏重塑可能有助于开发创新的治疗策略,以预防或逆转心脏的纤维化改变。进一步将对疾病发病机制的最新认识与心脏组织工程相结合,已使将基础实验室研究转化为心脏纤维化患者的治疗成为越来越可行的前景。本综述介绍了当前心脏纤维化的主要机制和潜在的组织工程。综述了基于生物医学材料的心脏构建方法,以考虑模拟体外心脏纤维化的关键问题,概述了临床前应用的未来前景。