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通过可生物降解支架实现间充质干细胞的可控递送以促进骨折愈合。

Controlled delivery of mesenchymal stem cells via biodegradable scaffolds for fracture healing.

作者信息

Han Dong, Wang Weijiao, Gong Jinpeng, Ma Yupeng, Li Yu

机构信息

Trauma Orthopedics Department, Yantaishan Hospital, Yantai, China.

Otolaryngology Department, Yantaishan Hospital, Yantai, China.

出版信息

Nanomedicine (Lond). 2025 Jan;20(2):207-224. doi: 10.1080/17435889.2024.2439242. Epub 2024 Dec 17.

DOI:10.1080/17435889.2024.2439242
PMID:39686770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11731254/
Abstract

Biodegradable controlled delivery systems for mesenchymal stem cells (MSCs) have emerged as novel advancements in the field of regenerative medicine, particularly for accelerating bone fracture healing. This detailed study emphasizes the importance of quick and adequate fracture treatment and the limitations of existing methods. New approaches employing biodegradable scaffolds can be placed within a fracture to serve as a mechanical support and allow controlled release of in situ MSCs and bioactive agents. They are made up of polymers and composites which degrade over time, aiding in natural tissue regrowth. The fabrication methods, including 3D printing, electrospinning, and solvent casting, with particulate leaching that enable precise control over scaffold architecture and properties, are discussed. Progress in controlled drug delivery systems including encapsulation techniques and release kinetics is described, highlighting the potential of such strategies to maintain therapeutic benefits over a prolonged time as well as improving outcomes for fracture repair. MSCs play a role in bone regeneration through differentiation using biodegradable scaffolds, paracrine effects, and regulation of inflammation focusing on fracture healing. Current trends and future directions in scaffold technology and MSC delivery, including smart scaffolds with growth factor incorporation and innovative delivery approaches for fracture healing are also discussed.

摘要

用于间充质干细胞(MSCs)的可生物降解控释系统已成为再生医学领域的新进展,特别是在加速骨折愈合方面。这项详细研究强调了快速且充分的骨折治疗的重要性以及现有方法的局限性。采用可生物降解支架的新方法可放置在骨折部位,作为机械支撑,并允许原位间充质干细胞和生物活性剂的控释。它们由随着时间推移而降解的聚合物和复合材料组成,有助于天然组织再生。讨论了制造方法,包括3D打印、静电纺丝和溶剂浇铸以及颗粒沥滤,这些方法能够精确控制支架结构和性能。描述了控释药物系统的进展,包括包封技术和释放动力学,突出了此类策略在长时间维持治疗效果以及改善骨折修复结果方面的潜力。间充质干细胞通过使用可生物降解支架进行分化、旁分泌作用以及聚焦于骨折愈合的炎症调节在骨再生中发挥作用。还讨论了支架技术和间充质干细胞递送的当前趋势和未来方向,包括掺入生长因子的智能支架以及用于骨折愈合的创新递送方法。

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The Role of Innate Immunity in Osteoarthritis and the Connotation of "Immune-joint" Axis: A Narrative Review.
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