Liu Xie, Yan-Wen Zhou, Wen-Wen Luo, Jin Zhang, Dai-Xu Wei
Tissue defects are often caused by severe trauma, surgical tumor resection, or chronic pathological conditions. Traditional autologous or allogeneic transplantation strategies are constrained by limitations including infection risk, postoperative complications, and immune rejection. Therefore, there is an urgent need for safer and more efficacious alternative strategies for tissue repair. In recent years, advancements in tissue engineering have introduced novel avenues for tissue regeneration. Decellularized extracellular matrix (dECM) is composed of a variety of naturally occurring polymers (collagen, elastin, glycosaminoglycans) that are highly biocompatible and tissue specific, and is considered to be a bioactive polymer scaffold. However, dECM still faces several application challenges, including limited cellular activity, delayed angiogenesis, and potential immunogenicity. Adipose-derived stem cells (ADSCs) possess multipotent differentiation capacity, paracrine signaling abilities, and immunomodulatory functions. In combination with dECM, they contribute to the fabrication of a novel bioactive tissue engineering polymer scaffold (AcD), which enhances both the biological activity and mechanical stability of the scaffold, while further promoting angiogenesis, tissue integration, and functional regeneration through modulation of the local microenvironment. This review examines the biological advantages of AcD scaffolds in tissue repair, provides a systematic summary of the current research advancements in the application of these scaffolds across various tissue types, including adipose, bone, cartilage, myocardial, neural, skin, skeletal muscle, and bladder tissue, and explores future perspectives and potential directions for their development within the context of tissue engineering and regenerative medicine.
{"title":"AcD: A Novel Bioactive Polymer Scaffold of Adipose-Derived Stem Cells Combining With Decellularized Extracellular Matrix in Tissue Engineering","authors":"Liu Xie, Yan-Wen Zhou, Wen-Wen Luo, Jin Zhang, Dai-Xu Wei","doi":"10.1002/pol.20250625","DOIUrl":"https://doi.org/10.1002/pol.20250625","url":null,"abstract":"<p>Tissue defects are often caused by severe trauma, surgical tumor resection, or chronic pathological conditions. Traditional autologous or allogeneic transplantation strategies are constrained by limitations including infection risk, postoperative complications, and immune rejection. Therefore, there is an urgent need for safer and more efficacious alternative strategies for tissue repair. In recent years, advancements in tissue engineering have introduced novel avenues for tissue regeneration. Decellularized extracellular matrix (dECM) is composed of a variety of naturally occurring polymers (collagen, elastin, glycosaminoglycans) that are highly biocompatible and tissue specific, and is considered to be a bioactive polymer scaffold. However, dECM still faces several application challenges, including limited cellular activity, delayed angiogenesis, and potential immunogenicity. Adipose-derived stem cells (ADSCs) possess multipotent differentiation capacity, paracrine signaling abilities, and immunomodulatory functions. In combination with dECM, they contribute to the fabrication of a novel bioactive tissue engineering polymer scaffold (AcD), which enhances both the biological activity and mechanical stability of the scaffold, while further promoting angiogenesis, tissue integration, and functional regeneration through modulation of the local microenvironment. This review examines the biological advantages of AcD scaffolds in tissue repair, provides a systematic summary of the current research advancements in the application of these scaffolds across various tissue types, including adipose, bone, cartilage, myocardial, neural, skin, skeletal muscle, and bladder tissue, and explores future perspectives and potential directions for their development within the context of tissue engineering and regenerative medicine.</p>","PeriodicalId":16888,"journal":{"name":"Journal of Polymer Science","volume":"63 22","pages":"4917-4932"},"PeriodicalIF":3.6,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/pol.20250625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}