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生物衍生材料在膀胱再生与修复中的应用及进展

[Application and progress of bio-derived materials in bladder regeneration and repair].

作者信息

Zhang Xiuzhen, Wang Jiawei, Xie Huiqi

机构信息

Stem Cell and Tissue Engineering Research Center, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Nov 15;38(11):1299-1306. doi: 10.7507/1002-1892.202404099.

DOI:10.7507/1002-1892.202404099
PMID:39542618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11563737/
Abstract

OBJECTIVE

To summarize the research progress of bio-derived materials used for bladder regeneration and repair.

METHODS

The recent domestic and foreign sutudies on bio-derived materials used for bladder regeneration and repair, including classification, morphology optimization process, tissue regeneration strategies, and relevant clinical trials, were summarized and analyzed.

RESULTS

Numerous types of bio-derived materials are employed in bladder regeneration and repair, characterized by their low immunogenicity and high inducible activity. Surface modification, gelation, and other morphology optimization process have significantly broadened the application scope of bio-derived materials. These advancements have effectively addressed complications, such as perforation and urolith formation, that may arise during bladder regeneration and repair. The strategy of tissue regeneration utilizing bio-derived materials, targeting the regeneration of bladder epithelium, smooth muscle, blood vessels, and nerves, offers a novel approach to achieving functional regeneration of bladder. Bio-derived materials show great promise for use in bladder regeneration and repair, yet the results from clinical trials with these materials have been less than satisfactory.

CONCLUSION

Bio-derived materials are widely used in bladder regeneration and repair due to the good biocompatibility, low immunogenicity, and degradable properties, yet face a series of problems, and there are no commercialized bladder tissue engineering grafts used in clinical treatment.

摘要

目的

总结用于膀胱再生与修复的生物衍生材料的研究进展。

方法

对近期国内外关于用于膀胱再生与修复的生物衍生材料的研究进行总结分析,内容包括分类、形态优化过程、组织再生策略及相关临床试验。

结果

多种生物衍生材料被用于膀胱再生与修复,具有低免疫原性和高诱导活性的特点。表面修饰、凝胶化等形态优化过程显著拓宽了生物衍生材料的应用范围。这些进展有效解决了膀胱再生与修复过程中可能出现的穿孔、尿路结石形成等并发症。利用生物衍生材料进行组织再生的策略,针对膀胱上皮、平滑肌、血管和神经的再生,为实现膀胱功能再生提供了一种新方法。生物衍生材料在膀胱再生与修复方面显示出巨大潜力,但这些材料的临床试验结果并不理想。

结论

生物衍生材料因其良好的生物相容性、低免疫原性和可降解性而被广泛应用于膀胱再生与修复,但面临一系列问题,且尚无用于临床治疗的商业化膀胱组织工程移植物。