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Progenitor Cell Sources for 3D Bioprinting of Lymphatic Vessels and Potential Clinical Application. 淋巴管3D生物打印的祖细胞来源及其潜在的临床应用。
IF 3.5 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2024-07-01 Epub Date: 2023-12-22 DOI: 10.1089/ten.TEA.2023.0204
Inazio Arriola-Alvarez, Ibon Jaunarena, Ander Izeta, Héctor Lafuente

The lymphatic system maintains tissue fluid homeostasis and it is involved in the transport of nutrients and immunosurveillance. It also plays a pivotal role in both pathological and regenerative processes. Lymphatic development in the embryo occurs by polarization and proliferation of lymphatic endothelial cells from the lymph sacs, that is, lymphangiogenesis. Alternatively, lymphvasculogenesis further contributes to the formation of lymphatic vessels. In adult tissues, lymphatic formation rarely occurs under physiological conditions, being restricted to pathological processes. In lymphvasculogenesis, progenitor cells seem to be a source of lymphatic vessels. Indeed, mesenchymal stem cells, adipose stem cells, endothelial progenitor cells, and colony-forming endothelial cells are able to promote lymphatic regeneration by different mechanisms, such as direct differentiation and paracrine effects. In this review, we summarize what is known on the diverse stem/progenitor cell niches available for the lymphatic system, emphasizing the potential that these cells hold for lymphatic tissue engineering through 3D bioprinting and their translation to clinical application.

淋巴系统维持组织液体稳态,参与营养物质的运输和免疫监测。它在病理和再生过程中也起着关键作用。胚胎中淋巴的发育是通过淋巴内皮细胞的极化和增生发生的,即淋巴管生成。另外,淋巴管生成进一步促进淋巴管的形成。在成人组织中,淋巴的形成很少发生在生理条件下,而局限于病理过程。在淋巴管形成中,祖细胞似乎是淋巴管的来源。确实,间充质干细胞、脂肪干细胞、内皮祖细胞和集落形成内皮细胞能够通过直接分化和旁分泌作用等不同机制促进淋巴再生。在这篇综述中,我们总结了淋巴系统中各种干细胞/祖细胞龛的已知情况,强调了这些细胞通过3D生物打印在淋巴组织工程及其临床应用中的潜力。
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引用次数: 0
Physiologic Doses of Transforming Growth Factor-β Improve the Composition of Engineered Articular Cartilage. 生理剂量的 TGF-β 可改善人造关节软骨的组成。
IF 3.5 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2024-07-01 DOI: 10.1089/ten.TEA.2023.0360
Tianbai Wang, Sedat Dogru, Zhonghao Dai, Sung Yeon Kim, Nicholas A Vickers, Michael B Albro

Conventionally, for cartilage tissue engineering applications, transforming growth factor beta (TGF-β) is administered at doses that are several orders of magnitude higher than those present during native cartilage development. While these doses accelerate extracellular matrix (ECM) biosynthesis, they may also contribute to features detrimental to hyaline cartilage function, including tissue swelling, type I collagen (COL-I) deposition, cellular hypertrophy, and cellular hyperplasia. In contrast, during native cartilage development, chondrocytes are exposed to moderate TGF-β levels, which serve to promote strong biosynthetic enhancements while mitigating risks of pathology associated with TGF-β excesses. Here, we examine the hypothesis that physiologic doses of TGF-β can yield neocartilage with a more hyaline cartilage-like composition and structure relative to conventionally administered supraphysiologic doses. This hypothesis was examined on a model system of reduced-size constructs (∅2 × 2 mm or ∅3 × 2 mm) comprised of bovine chondrocytes encapsulated in agarose, which exhibit mitigated TGF-β spatial gradients allowing for an evaluation of the intrinsic effect of TGF-β doses on tissue development. Reduced-size (∅2 × 2 mm or ∅3 × 2 mm) and conventional-size constructs (∅4-∅6 mm × 2 mm) were subjected to a range of physiologic (0.1, 0.3, 1 ng/mL) and supraphysiologic (3, 10 ng/mL) TGF-β doses. At day 56, the physiologic 0.3 ng/mL dose yielded reduced-size constructs with native cartilage-matched Young's modulus (EY) (630 ± 58 kPa) and sulfated glycosaminoglycan (sGAG) content (5.9 ± 0.6%) while significantly increasing the sGAG-to-collagen ratio, leading to significantly reduced tissue swelling relative to constructs exposed to the supraphysiologic 10 ng/mL TGF-β dose. Furthermore, reduced-size constructs exposed to the 0.3 ng/mL dose exhibited a significant reduction in fibrocartilage-associated COL-I and a 77% reduction in the fraction of chondrocytes present in a clustered morphology, relative to the supraphysiologic 10 ng/mL dose (p < 0.001). EY was significantly lower for conventional-size constructs exposed to physiologic doses due to TGF-β transport limitations in these larger tissues (p < 0.001). Overall, physiologic TGF-β appears to achieve an important balance of promoting requisite ECM biosynthesis, while mitigating features detrimental to hyaline cartilage function. While reduced-size constructs are not suitable for the repair of clinical-size cartilage lesions, insights from this work can inform TGF-β dosing requirements for emerging scaffold release or nutrient channel delivery platforms capable of achieving uniform delivery of physiologic TGF-β doses to larger constructs required for clinical cartilage repair.

传统上,在软骨组织工程应用中,TGF-β 的剂量比原生软骨发育过程中的剂量高出几个数量级。虽然这些剂量会加速细胞外基质(ECM)的生物合成,但也可能导致对透明软骨功能不利的特征,包括组织肿胀、I型胶原(COL-I)沉积、细胞肥大和细胞增生。与此相反,在软骨的原生发育过程中,软骨细胞暴露于适度的 TGF-β 水平,这有助于促进生物合成的强大功能,同时降低与 TGF-β 过量相关的病理风险。在此,我们研究了一个假设,即生理剂量的 TGF-β 可产生新软骨,其成分和结构与传统的超生理剂量相比更类似于透明软骨。我们在琼脂糖包裹的牛软骨细胞组成的缩小尺寸构建体(Ø2×2 毫米或 Ø3×2毫米)模型系统中检验了这一假设,该构建体显示出减轻的 TGF-β 空间梯度,从而可以评估 TGF-β 剂量对组织发育的内在影响。对缩小尺寸(Ø2×2mm 或 Ø3×2mm)和常规尺寸的构建体(Ø4-Ø6mm×2mm)施加一系列生理(0.1、0.3、1ng/mL)和超生理(3、10ng/mL)TGF-β剂量。第56天时,生理剂量为0.3ng/mL的构建物尺寸缩小,杨氏模量(EY)(630±58kPa)和硫酸化GAG(sGAG)含量(5.9±0.6%)与原生软骨相匹配,同时sGAG与胶原比率显著增加,与暴露于超生理剂量10ng/mL TGF-β的构建物相比,组织肿胀明显减少。此外,与超生理剂量 10ng/mL 相比,暴露于 0.3ng/mL 剂量的小尺寸构建体显示出纤维软骨相关 COL-I 的显著减少,以及以成团形态存在的软骨细胞比例减少了 77%(由于 TGF-β 在这些较大组织中的运输限制,暴露于生理剂量的常规尺寸构建体的 pY 显著较低(p.1))。
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引用次数: 0
Designing Biomimetic 3D-Printed Osteochondral Scaffolds for Enhanced Load-Bearing Capacity. 设计仿生三维打印骨软骨支架以增强承重能力
IF 3.5 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2024-07-01 Epub Date: 2024-04-17 DOI: 10.1089/ten.TEA.2023.0217
Robert H Choe, Blake C Kuzemchak, George J Kotsanos, Eman Mirdamadi, Mary Sherry, Eoin Devoy, Tao Lowe, Jonathan D Packer, John P Fisher

Osteoarthritis is a debilitating chronic joint disorder that affects millions of people worldwide. Since palliative and surgical treatments cannot completely regenerate hyaline cartilage within the articulating joint, osteochondral (OC) tissue engineering has been explored to heal OC defects. Utilizing computational simulations and three-dimensional (3D) printing, we aimed to build rationale around fabricating OC scaffolds with enhanced biomechanics. First, computational simulations revealed that interfacial fibrils within a bilayer alter OC scaffold deformation patterns by redirecting load-induced stresses toward the top of the cartilage layer. Principal component analysis revealed that scaffolds with 800 μm long fibrils (scaffolds 8A-8H) possessed optimal biomechanical properties to withstand compression and shear forces. While compression testing indicated that OC scaffolds with 800 μm fibrils did not have greater compressive moduli than other scaffolds, interfacial shear tests indicated that scaffold 8H possessed the greatest shear strength. Lastly, failure analysis demonstrated that yielding or buckling models describe interfacial fibril failure depending on fibril slenderness S. Specifically for scaffolds with packing density n = 6 and n = 8, the yielding failure model fits experimental loads with S < 10, while the buckling model fitted scaffolds with S < 10 slenderness. The research presented provides critical insights into designing 3D printed interfacial scaffolds with refined biomechanics toward improving OC tissue engineering outcomes.

骨关节炎是一种使人衰弱的慢性关节疾病,影响着全球数百万人。由于姑息治疗和手术治疗无法完全再生关节内的透明软骨,人们开始探索用骨软骨(OC)组织工程来愈合这些具有挑战性的缺损。我们利用计算模拟和三维打印技术,旨在建立一种制造具有更强生物力学性能的骨软骨支架的策略。首先,计算模拟显示,双层结构中的界面纤维通过将负载引起的应力重新导向软骨层的顶部,从而改变了 OC 支架的变形模式。主成分分析(PCA)显示,具有800 m 长纤维的支架(支架8A-8H)具有最佳的生物力学特性,可承受压缩力和剪切力。压缩测试表明,具有 800 m 纤维的 OC 支架的压缩模量并不比其他支架大,但界面剪切测试表明,支架 8H 具有最大的剪切强度。最后,失效分析表明,屈服或屈曲模型可描述界面纤维失效,具体取决于纤维纤度 S。特别是对于堆积密度为 n=6 和 n=8 的支架,屈服失效模型适合纤度为 S10 的实验载荷。本文介绍的研究为设计具有精细生物力学的三维打印界面支架提供了重要的见解,有助于提高 OC 组织工程的成果。
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引用次数: 0
Biopatterning of 3D Cellular Model by Contactless Magnetic Manipulation for Cardiotoxicity Screening. 非接触式磁操纵三维细胞模型的生物图谱用于心脏毒性筛选。
IF 3.5 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2024-07-01 Epub Date: 2023-12-15 DOI: 10.1089/ten.TEA.2023.0197
Rabia Onbas, Ahu Arslan Yildiz

Impact statement Contactless manipulation and cell patterning techniques provide rapid and cost-effective three-dimensional (3D) cell culture model formation for tissue engineering applications. The present study introduces a new methodology that comprised alginate-based bioink to pattern cells via contactless magnetic manipulation to fabricate 3D cardiac structures. The developed cardiac model was evaluated in terms of Doxorubicin-induced cardiotoxicity and biopatterned 3D cardiac structures were found more resistant to drug exposure compared to two-dimensional control.

通过磁操作对细胞进行图像化来创建3D细胞培养模型是一种很有前途的技术,它快速、简单且具有成本效益。本研究介绍了一种新的生物图谱方法,该方法基于由海藻酸盐、细胞和磁性纳米颗粒(MNPs)组成的生物墨水对细胞进行磁操作。采用Plackett-Burman和Box-Behnken实验设计模型优化生物墨水配方,以NIH-3T3细胞为模型细胞系。通过7天的培养时间,在光镜下证实了图案能力。然后,利用H9c2心肌细胞形成生物模式的三维心脏结构。细胞和细胞外成分;f -肌动蛋白和I型胶原蛋白,以及心脏特异性生物标志物;成功地观察了三维心脏结构的肌钙蛋白T和MYH6。此外,我们还研究了dox诱导的心脏毒性,并计算出生物模式3D心脏结构的IC50值为8.1µM,与传统的2D细胞培养相比,该模型对dox暴露具有更高的抗性。因此,开发的生物图谱方法被证明是一种简单而快速的方法来制造3D心脏模型,特别是用于药物筛选应用。
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引用次数: 0
From Promise to Practice: Recent Growth in 30 Years of Tissue Engineering Commercialization. 从承诺到实践:组织工程商业化 30 年来的最新发展。
IF 3.5 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2024-07-01 DOI: 10.1089/ten.TEA.2024.0112
Ryan B Felix, Amal Shabazz, William Pieper Holeman, Sarang Han, Matthew Wyble, Marylyn Uzoukwu, Lauren Audrey Gomes, Laena Nho, Mark Zachary Litman, Peter Hu, John P Fisher

This perspective, marking the 30th anniversary of the Tissue Engineering journal, discusses the exciting trends in the global commercialization of tissue engineering technology. Within a historical context, we present an evolution of challenges and a discussion of the last 5 years of global commercial successes and emerging market trends, highlighting the continued expansion of the field in the northeastern United States. This leads to an overview of the last 5 years' progress in clinical trials for tissue-engineered therapeutics, including an analysis of trends in success and failure. Finally, we provide a broad overview of preclinical research and a perspective on where the state-of-the-art lies on the horizon.

组织工程》杂志创刊 30 周年之际,本视角讨论了组织工程技术全球商业化的令人兴奋的趋势。在历史背景下,我们介绍了挑战的演变,并讨论了过去5年全球商业成功案例和新兴市场趋势,突出强调了该领域在美国东北部的持续扩张。接着,我们概述了过去 5 年组织工程疗法临床试验的进展情况,包括对成功和失败趋势的分析。最后,我们对临床前研究进行了概述,并展望了未来的发展前景。
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引用次数: 0
3D Bioprinted Liver-on-a-Chip for Drug Cytotoxicity Screening. 用于药物细胞毒性筛选的三维生物打印肝脏芯片
IF 3.5 3区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI: 10.1089/ten.TEA.2023.0212
JunTae Huh, Joao Paulo R L L Parra, Joshua S Copus, Hyun-Wook Kang, Colin E Bishop, Shay Soker, Sean Murphy, Thomas D Shupe, James J Yoo, Sang Jin Lee, Anthony Atala

Tissues on a chip are sophisticated three-dimensional (3D) in vitro microphysiological systems designed to replicate human tissue conditions within dynamic physicochemical environments. However, the current fabrication methods for tissue spheroids on a chip require multiple parts and manual processing steps, including the deposition of spheroids onto prefabricated "chips." These challenges also lead to limitations regarding scalability and reproducibility. To overcome these challenges, we employed 3D printing techniques to automate the fabrication process of tissue spheroids on a chip. This allowed the simultaneous high-throughput printing of human liver spheroids and their surrounding polymeric flow chamber "chips" containing inner channels in a single step. The fabricated liver tissue spheroids on a liver-on-a-chip (LOC) were subsequently subjected to dynamic culturing by a peristaltic pump, enabling assessment of cell viability and metabolic activities. The 3D printed liver spheroids within the printed chips demonstrated high cell viability (>80%), increased spheroid size, and consistent adenosine triphosphate (ATP) activity and albumin production for up to 14 days. Furthermore, we conducted a study on the effects of acetaminophen (APAP), a nonsteroidal anti-inflammatory drug, on the LOC. Comparative analysis revealed a substantial decline in cell viability (<40%), diminished ATP activity, and reduced spheroid size after 7 days of culture within the APAP-treated LOC group, compared to the nontreated groups. These results underscore the potential of 3D bioprinted tissue chips as an advanced in vitro model that holds promise for accurately studying in vivo biological processes, including the assessment of tissue response to administered drugs, in a high-throughput manner.

芯片组织是一种复杂的三维体外微生理系统,旨在动态物理化学环境中复制人体组织状况。然而,目前芯片组织球体的制造方法需要多个部件和手工处理步骤,包括将球体沉积到预制 "芯片 "上。这些挑战也导致了可扩展性和可重复性方面的限制。为了克服这些挑战,我们采用了三维打印技术,使芯片上组织球体的制造过程自动化。这样就能在一个步骤中同时高通量打印出人体肝脏球体及其周围含有内通道的聚合物流动室 "芯片"。随后,利用蠕动泵对制成的芯片肝组织球体(LOC)进行动态培养,从而评估细胞活力和代谢活动。打印芯片中的三维打印肝脏球体表现出高细胞活力(>80%)、球体体积增大、持续 ATP 活性和白蛋白产量长达 14 天。此外,我们还研究了非甾体抗炎药对乙酰氨基酚(APAP)对 LOC 的影响。对比分析表明,细胞存活率大幅下降 (
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引用次数: 0
An Infection Model for SARS-CoV-2 Using Rat Transplanted with hiPSC-Airway Epithelial Cells. 利用移植了 hiPSC 气道上皮细胞的大鼠建立 SARS-CoV-2 感染模型。
IF 3.5 3区 医学 Q1 Engineering Pub Date : 2024-06-27 DOI: 10.1089/ten.TEA.2024.0016
Masayuki Kitano, Hiroe Ohnishi, Akiko Makino, Tatsuo Miyamoto, Yasuyuki Hayashi, Keisuke Mizuno, Shinji Kaba, Yoshitaka Kawai, Tsuyoshi Kojima, Yo Kishimoto, Norio Yamamoto, Keizo Tomonaga, Koichi Omori

Investigating the infection mechanism of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the airway epithelium and developing effective defense strategies against infection are important. To achieve this, establishing appropriate infection models is crucial. Therefore, various in vitro models, such as cell lines and primary cultures, and in vivo models involving animals that exhibit SARS-CoV-2 infection and genetically humanized animals have been used as animal models. However, no animal model has been established that allows infection experiments with human cells under the physiological environment of airway epithelia. Therefore, we aimed to establish a novel animal model that enables infection experiments using human cells. Human induced pluripotent stem cell-derived airway epithelial cell-transplanted nude rats (hiPSC-AEC rats) were used, and infection studies were performed by spraying lentiviral pseudoviruses containing SARS-CoV-2 spike protein and the GFP gene on the tracheae. After infection, immunohistochemical analyses revealed the existence of GFP-positive-infected transplanted cells in the epithelial and submucosal layers. In this study, a SARS-CoV-2 infection animal model including human cells was established mimicking infection through respiration, and we demonstrated that the hiPSC-AEC rat could be used as an animal model for basic research and the development of therapeutic methods for human-specific respiratory infectious diseases.

研究严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)在气道上皮细胞中的感染机制以及开发有效的抗感染防御策略非常重要。为此,建立适当的感染模型至关重要。因此,各种体外模型(如细胞系和原代培养物)和体内模型(包括感染 SARS-CoV-2 的动物和基因人化动物)已被用作动物模型。然而,目前还没有一种动物模型可以在气道上皮的生理环境下进行人体细胞感染实验。因此,我们的目标是建立一种新型动物模型,利用人体细胞进行感染实验。我们使用了源自人类 iPSC 的气道上皮细胞移植裸鼠(hiPSC-AEC 大鼠),并通过在气管上喷洒含有 SARS-CoV-2 棘突蛋白和 GFP 基因的慢病毒假病毒进行了感染研究。感染后,免疫组化分析显示上皮层和粘膜下层存在 GFP 阳性的感染移植细胞。在这项研究中,我们建立了一个包括人体细胞的 SARS-CoV-2 感染动物模型,模拟通过呼吸感染,并证明了 hiPSC-AEC 大鼠可用作基础研究和开发人类特异性呼吸道传染病治疗方法的动物模型。
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引用次数: 0
Oxidized Low-Density Lipoprotein Decreases the Survival of Bone Marrow Stem Cells via Inhibition of Bcl-2 Expression. 氧化的低密度脂蛋白通过抑制 Bcl-2 的表达降低骨髓干细胞的存活率。
IF 3.5 3区 医学 Q1 Engineering Pub Date : 2024-06-27 DOI: 10.1089/ten.TEA.2024.0025
Xin Li, Yu Li, Hao Yu, Li-Li Men, Glenn Deng, Zhenguo Liu, Jian-Ling Du

Therapy with mesenchymal stem cells (MSCs) is considered an attractive strategy for the repair or regeneration of damaged tissues. However, low survival of MSCs limits their applications clinically. Oxidized low-density lipoprotein (ox-LDL) is significantly increased in patients with hyperlipidemia and decreases the survival of MSCs. Bcl-2 is critically involved in important cell functions, including cell membrane integrity and cell survival. The present study was designed to test the hypothesis that ox-LDL attenuates the survival of MSCs through suppression of Bcl-2 expression. Bone marrow MSCs from C57BL/6 mice were cultured with ox-LDL at different concentrations (0-140 μg/mL) for 24 h with native LDL as control. Ox-LDL treatment substantially decreased the survival of MSCs dose-dependently and enhanced the release of intracellular lactate dehydrogenase (LDH) in association with a significant decrease in Bcl-2 protein level without change in BAX protein expression in MSCs. Bcl-2 overexpression effectively protected MSCs against ox-LDL-induced damages with preserved cell numbers without significant increase in LDH release. Treatment with N-acetylcysteine (NAC) (1 mM) effectively preserved Bcl-2 protein expression in MSCs and significantly attenuated ox-LDL-induced decrease of cell number and increase in the release of intracellular LDH. These data indicated that ox-LDL treatment resulted in a significant damage of cell membrane and dramatically decreased the survival of MSCs dose-dependently through inhibition of Bcl-2 expression. NAC treatment significantly protected MSCs against the damage of cell membrane by ox-LDL and promoted the survival of MSCs in association with preserved Bcl-2 expression.

间充质干细胞(MSCs)疗法被认为是修复或再生受损组织的一种有吸引力的策略。然而,间充质干细胞的低存活率限制了其临床应用。高脂血症患者体内的氧化低密度脂蛋白(ox-LDL)显著增加,降低了间充质干细胞的存活率。Bcl-2 在细胞膜完整性和细胞存活等重要细胞功能中发挥着关键作用。本研究旨在验证 ox-LDL 通过抑制 Bcl-2 表达而降低间充质干细胞存活率的假设。将 C57BL/6 小鼠的骨髓间充质干细胞与不同浓度(0-140 μg/ml)的 ox-LDL 培养 24 小时,并以原生 LDL 作为对照。Ox-LDL处理后,间充质干细胞的存活率呈剂量依赖性大幅下降,细胞内LDH释放增加,同时间充质干细胞中Bcl-2蛋白水平显著下降,而BAX蛋白表达无变化。Bcl-2 的过表达有效地保护了间充质干细胞免受 ox-LDL 诱导的损伤,细胞数量得以保留,而 LDH 的释放量却没有显著增加。N-乙酰半胱氨酸(NAC)(1 mM)处理可有效保护间充质干细胞中的 Bcl-2 蛋白表达,并显著减轻氧化-LDL 诱导的细胞数量减少和细胞内 LDH 释放增加。这些数据表明,ox-LDL 处理会导致细胞膜严重破坏,并通过抑制 Bcl-2 的表达,剂量依赖性地显著降低间充质干细胞的存活率。NAC处理能明显保护间充质干细胞免受ox-LDL对细胞膜的损伤,并在保持Bcl-2表达的同时促进间充质干细胞的存活。
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引用次数: 0
Optimized Biomanufacturing for Treatment of Volumetric Muscle Loss Enables Physiomimetic Recovery. 优化生物制造,治疗肌肉体积损失,实现仿生恢复。
IF 3.5 3区 医学 Q1 Engineering Pub Date : 2024-06-27 DOI: 10.1089/ten.TEA.2023.0315
Rachel K Bour, Gavin T Garner, Shayn M Peirce, George J Christ

Volumetric muscle loss (VML) injuries are defined by loss of sufficient skeletal muscle to produce persistent deficits in muscle form and function, with devastating lifelong consequences to both soldiers and civilians. There are currently no satisfactory treatments for VML injuries. The work described herein details the implementation of a fully enclosed bioreactor environment (FEBE) system that efficiently interfaces with our existing automated bioprinting and advanced biomanufacturing methods for cell deposition on sheet-based scaffolds for our previously described tissue-engineered muscle repair (TEMR) technology platform. Briefly, the TEMR technology consists of a porcine bladder acellular matrix seeded with skeletal muscle progenitor cells and preconditioned via 10% uniaxial cyclic stretch in a bioreactor. Overall, TEMR implantation in an established rat tibialis anterior (TA) VML injury model can result in 60 to ∼90% functional recovery. However, our original study documented >50% failure rate. That is, more than half of the implanted TEMR constructs produced no functional improvement beyond no treatment/repair. The high failure rate was attributed to the untoward mechanical disruption of TEMR during surgical implantation. In a follow-up study, adjustments were made to the geometry of both the VML injury and the TEMR construct, and the "nonresponder" group was reduced from over half the TEMR-treated animals to just 33%. Nonetheless, additional improvement is needed for clinical applicability. The main objectives of the current study were twofold: (1) explore the use of advanced biomanufacturing methods (i.e., FEBE bioreactor) to further improve TEMR reliability (i.e., increase functional response rate), (2) determine if previously established bioprinting methods, when coupled to the customized FEBE system would further improve the rate, magnitude or amplitude of functional outcomes following TEMR implantation in the same rat TA VML injury model. The current study demonstrates the unequivocal benefits of a customized bioreactor system that reduces manipulation of TEMR during cell seeding and maturation via bioprinting while simultaneously maximizing TEMR stability throughout the biofabrication process. This new biomanufacturing strategy not only accelerated the rate of functional recovery, but also eliminated all TEMR failures. In addition, implementation of bioprinting resulted in more physiomimetic skeletal muscle characteristics of repaired muscle tissue.

体积性肌肉缺失(VML)损伤是指失去足够的骨骼肌,导致肌肉形态和功能出现持续性缺陷,给士兵和平民带来终生的毁灭性后果。目前还没有令人满意的治疗 VML 损伤的方法。本文所描述的工作详细介绍了全封闭生物反应器环境(FEBE)系统的实施情况,该系统可与我们现有的自动生物打印和先进生物制造方法有效衔接,用于将细胞沉积在片状支架上,用于我们之前描述的组织工程肌肉修复(TEMR)技术平台。简而言之,TEMR 技术包括在猪膀胱无细胞基质 (BAM) 中播种骨骼肌祖细胞,并在生物反应器中通过 10% 的单轴循环拉伸进行预处理。总体而言,在已建立的大鼠胫骨前肌(TA)VML 损伤模型中植入 TEMR 可使功能恢复 60% 至 90%。然而,我们最初的研究记录显示失败率大于 50%。也就是说,超过一半的植入 TEMR 构建物在没有治疗/修复的情况下功能没有改善。高失败率的原因是在手术植入过程中,TEMR受到了意外的机械破坏。在后续研究中,对 VML 损伤和 TEMR 构造的几何形状进行了调整,"无反应 "组从一半以上接受过 TEMR 治疗的动物减少到仅 33%。尽管如此,临床应用仍需进一步改进。当前研究的主要目标有两个:(1)探索使用先进的生物制造方法(即 FEBE 生物反应器)来进一步提高 TEMR 的可靠性(即提高功能反应率),(2)确定以前建立的生物打印方法与定制的 FEBE 系统结合后是否能进一步提高在同一大鼠 TA VML 损伤模型中植入 TEMR 后的功能结果的速率、幅度或振幅。目前的研究证明了定制生物反应器系统的明显优势,该系统通过生物打印减少了细胞播种和成熟过程中对 TEMR 的操作,同时在整个生物制造过程中最大限度地提高了 TEMR 的稳定性。这种新的生物制造策略不仅加快了功能恢复的速度,而且消除了所有 TEMR 故障。此外,生物打印技术的实施还使修复后的肌肉组织具有更多仿生骨骼肌特征。
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引用次数: 0
Erythrocyte Membrane Coating Alleviate Immune Response and Promoted Adipogenesis in Adipose Matrix. 红细胞膜涂层可减轻免疫反应并促进脂肪基质的脂肪生成
IF 3.5 3区 医学 Q1 Engineering Pub Date : 2024-06-27 DOI: 10.1089/ten.TEA.2023.0354
Kaiqi Chen, Jingyan Guan, Kaiyang Liu, Xin You, Mimi Xu, Feng Lu, Yunfan He

Xenotransplantation of acellular adipose matrix (AAM) has come to prominence as an intriguing option for soft tissue reconstruction. However, the presence of immunogenic antigens within AAM can trigger unfavorable immune reactions, leading to inadequate in vivo regeneration outcomes. Therefore, the development of advanced technology capable of modulating immune responses is crucial for the therapeutic implementation of AAM xenografts. In this work, an innovative technique is created to bypass the immune system by covering the surface of both AAM and Arg-Gly-Asp (RGD) peptide-modified AAM xenografts with autologous red blood cell (RBC) membrane. The RBC membrane coating remained persistent and exhibited no significant decline even after 21 days. Moreover, it effectively reduced the expression of antigen major histocompatibility complex class 1 (MHC1) on the AAM surface. Following xenogeneic transplantation, the RBC-coated xenografts demonstrated increased expression of the adipogenic factor PPAR-γ, Adipoq, Fabp4, Fasn, and Plin1 and higher numbers of adipocytes. In addition, they exhibited decreased expression of immunological factors, including IL-6, IL-2, IFN-γ, and TNF-α, and fewer inflammatory cells. These findings indicate that RBC membrane coating successfully suppressed immune responses and promoted increased adipogenesis in AAM xenografts. Therefore, AAM camouflage coating with RBC has a lot of potential as a biomaterial for soft tissue reconstruction in clinical settings.

脂肪细胞外基质(AAM)的异种移植作为一种令人感兴趣的软组织重建选择而备受瞩目。然而,AAM 中存在的免疫原性抗原会引发不利的免疫反应,导致体内再生效果不佳。因此,开发能够调节免疫反应的先进技术对于 AAM 异种移植物的治疗实施至关重要。在这项工作中,通过在 AAM 和 RGD 肽修饰的 AAM 异种移植物表面覆盖自体红细胞(RBC)膜,创造了一种绕过免疫系统的创新技术。自体红细胞膜涂层在 21 天后仍能保持持久性,没有出现明显的衰退。此外,它还能有效减少 AAM 表面抗原 MHC1 的表达。异种移植后,涂有 RBC 膜的异种移植物显示脂肪生成因子 PPAR-γ 的表达增加,脂肪细胞数量增多。此外,它们还表现出免疫因子(包括 IL-6、IL-2、IFN-γ 和 TNF-α)表达的减少以及炎症细胞的减少。这些研究结果表明,RBC 膜涂层成功地抑制了 AAM 异种移植物的免疫反应,并促进了脂肪的生成。因此,用 RBC 进行 AAM 伪装涂层作为临床软组织重建的生物材料具有很大的潜力。
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Tissue Engineering Part A
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