Ao Rigele, Liang Wei, Wang Zimo, Li Qiaoyu, Pan Xingyi, Zhen Yonghuan, An Yang
Department of Plastic Surgery, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191China.
Tissue Eng Part B Rev. 2024 Oct 18. doi: 10.1089/ten.TEB.2024.0158.
Cartilage plays an important role in supporting soft tissues, reducing joint friction, and distributing pressure. However, its self-repair capacity is limited due to the lack of blood vessels, nerves, and lymphatic systems. Tissue engineering offers a potential solution to promote cartilage regeneration by combining scaffolds, seed cells, and growth factors. Among these, growth factors play a critical role in regulating cell proliferation, differentiation, and extracellular matrix remodeling. However, their instability, susceptibility to degradation and potential side effects limit their effectiveness. This article reviews the main growth factors used in cartilage tissue engineering and their delivery strategies, including affinity-based delivery, carrier-assisted delivery, stimuli-responsive delivery, spatial structure-based delivery, and cell system-based delivery. Each method shows unique advantages in enhancing the delivery efficiency and specificity of growth factors but also faces challenges such as cost, biocompatibility, and safety. Future research needs to further optimize these strategies to achieve more efficient, safe, and economical delivery of growth factors, thereby advancing the clinical application of cartilage tissue engineering.
软骨在支撑软组织、减少关节摩擦和分散压力方面发挥着重要作用。然而,由于缺乏血管、神经和淋巴系统,其自我修复能力有限。组织工程通过结合支架、种子细胞和生长因子,为促进软骨再生提供了一种潜在的解决方案。其中,生长因子在调节细胞增殖、分化和细胞外基质重塑中起关键作用。然而,它们的不稳定性、易降解性和潜在的副作用限制了其有效性。本文综述了软骨组织工程中使用的主要生长因子及其递送策略,包括基于亲和力的递送、载体辅助递送、刺激响应递送、基于空间结构的递送和基于细胞系统的递送。每种方法在提高生长因子的递送效率和特异性方面都显示出独特的优势,但也面临着成本、生物相容性和安全性等挑战。未来的研究需要进一步优化这些策略,以实现更高效、安全和经济的生长因子递送,从而推动软骨组织工程的临床应用。