Li Rou, Xu Shiqing, Guo Yanning, Cao Cong, Xu Jingchen, Hao Lijun, Luo Sai, Chen Xinyao, Du Yuyang, Li Ye, Xie Yong, Gao Weitong, Li Jing, Xu Baohua
China-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Beijing 100029, PR China.
China Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, PR China.
J Orthop Translat. 2025 Jan 9;50:129-143. doi: 10.1016/j.jot.2024.10.002. eCollection 2025 Jan.
At present, there is a significant population of individuals experiencing bone deficiencies caused by injuries, ailments affecting the bones, congenital abnormalities, and cancer. The management of substantial bone defects a significant global orthopedic challenge due to the intricacies involved in promoting and restoring the growth of fresh osseous tissue. Autografts are widely regarded as the "gold standard" for repairing bone defects because of their superior tissue acceptance and ability to control osteogenesis. However, patients undergoing autografts may encounter various challenges, including but not limited to hernia, bleeding, nerve impairment, tissue death. Therefore, researchers in regenerative medicine are striving to find alternatives. Collagen is the most abundant protein in the human body, and its triple helix structure gives it unique characteristics that contribute to its strength and functionality in various tissues. Collagen is commonly processed into various forms such as scaffolds, sponges, membranes, hydrogels, and composite materials, due to its unique compatibility with the human body, affinity for water, minimal potential for immune reactions, adaptability, and ability to transport nutrients or drugs. As an alternative material in the field of bone regeneration, collagen is becoming increasingly important. The objective of this review is to provide a comprehensive analysis of the primary types and sources of collagen, their processes of synthesis and degradation, as well as the advancements made in bone regeneration research and its potential applications. A comprehensive investigation into the role of collagen in bone regeneration is undertaken, providing valuable points of reference for a more profound comprehension of collagen applications in this field. The concluding section provides a comprehensive overview of the prospective avenues for collagen research, underscoring their promising future and highlighting their significant potential in the field of bone regeneration. The Translational Potential of this Article. The comprehensive exploration into the diverse functions and translational potential of collagen in bone regeneration, as demonstrated in this review, these findings underscore their promising potential as a treatment option with significant clinical implications, thus paving the way for innovative and efficacious therapeutic strategies in this domain.
目前,有相当一部分人因受伤、影响骨骼的疾病、先天性异常和癌症而出现骨缺损。由于促进和恢复新鲜骨组织生长涉及的复杂性,大面积骨缺损的处理是一项重大的全球骨科挑战。自体骨移植因其优异的组织接受度和控制骨生成的能力,被广泛视为修复骨缺损的“金标准”。然而,接受自体骨移植的患者可能会遇到各种挑战,包括但不限于疝气、出血、神经损伤、组织坏死。因此,再生医学领域的研究人员正在努力寻找替代方案。胶原蛋白是人体中最丰富的蛋白质,其三螺旋结构赋予它独特的特性,使其在各种组织中具有强度和功能。由于胶原蛋白与人体具有独特的相容性、亲水性、最小的免疫反应可能性、适应性以及运输营养物质或药物的能力,它通常被加工成各种形式,如支架、海绵、膜、水凝胶和复合材料。作为骨再生领域的替代材料,胶原蛋白正变得越来越重要。本综述的目的是对胶原蛋白的主要类型和来源、它们的合成和降解过程,以及骨再生研究的进展及其潜在应用进行全面分析。对胶原蛋白在骨再生中的作用进行了全面研究,为更深入理解胶原蛋白在该领域的应用提供了有价值的参考点。结论部分全面概述了胶原蛋白研究的未来前景,强调了它们充满希望的未来,并突出了它们在骨再生领域的巨大潜力。本文的转化潜力。如本综述所示,对胶原蛋白在骨再生中的多种功能和转化潜力进行的全面探索,这些发现强调了它们作为一种具有重大临床意义的治疗选择的有希望的潜力,从而为该领域的创新和有效治疗策略铺平了道路。