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Immunotherapeutic organoids: a new approach to cancer treatment. 免疫治疗类器官:癌症治疗的新途径。
Pub Date : 2013-01-01 DOI: 10.4161/biom.23897
Marta Compte, Natalia Nuñez-Prado, Laura Sanz, Luís Alvarez-Vallina

Therapeutic monoclonal antibodies have revolutionized the treatment of cancer and other diseases. However, several limitations of antibody-based treatments, such as the cost of therapy and the achievement of sustained plasma levels, should be still addressed for their widespread use as therapeutics. The use of cell and gene transfer methods offers additional benefits by producing a continuous release of the antibody with syngenic glycosylation patterns, which makes the antibody potentially less immunogenic. In vivo secretion of therapeutic antibodies by viral vector delivery or ex vivo gene modified long-lived autologous or allogeneic human mesenchymal stem cells may advantageously replace repeated injection of clinical-grade antibodies. Gene-modified autologous mesenchymal stem cells can be delivered subcutaneously embedded in a non-immunogenic synthetic extracellular matrix-based scaffold that guarantees the survival of the cell inoculum. The scaffold would keep cells at the implantation site, with the therapeutic protein acting at distance (immunotherapeutic organoid), and could be retrieved once the therapeutic effect is fulfilled. In the present review we highlight the practical importance of living cell factories for in vivo secretion of recombinant antibodies.

治疗性单克隆抗体已经彻底改变了癌症和其他疾病的治疗。然而,基于抗体的治疗方法的一些局限性,如治疗费用和实现持续血浆水平,仍应解决其作为治疗方法广泛使用的问题。使用细胞和基因转移方法提供了额外的好处,通过产生具有合成糖基化模式的抗体的连续释放,这使得抗体潜在的免疫原性降低。通过病毒载体递送或体外基因修饰的长寿命自体或异体人间充质干细胞在体内分泌治疗性抗体可能有利于替代反复注射临床级抗体。基因修饰的自体间充质干细胞可以皮下包埋在非免疫原性合成细胞外基质支架中,以保证细胞接种物的存活。支架将细胞保存在植入部位,治疗蛋白在远处作用(免疫治疗类器官),一旦治疗效果实现,就可以回收。在目前的综述中,我们强调活细胞工厂在体内分泌重组抗体的实际重要性。
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引用次数: 8
Hyaluronan, neural stem cells and tissue reconstruction after acute ischemic stroke. 急性缺血性脑卒中后透明质酸、神经干细胞与组织重建。
Pub Date : 2013-01-01 DOI: 10.4161/biom.23863
Pouria Moshayedi, S Thomas Carmichael

Focal stroke is a disabling disease with lifelong sensory, motor and cognitive impairments. Given the paucity of effective clinical treatments, basic scientists are developing novel options for protection of the affected brain and regeneration of lost tissue. Tissue bioengineering and stem/progenitor cell treatments have both been individually pursued for stroke neural repair therapies, with some benefit in tissue recovery. Emerging directions in stroke neural repair approaches combine these two therapies to use biopolymers with stem/progenitor transplants to promote greater cell survival in the transplant and directed delivery of bioactive molecules to the transplanted cells and the adjacent injured tissue. In this review the background literature on a combined use of neural stem/progenitor cells encapsulated in hyaluronan gels is discussed and the way this therapeutic approach can affect the important processes involved in brain tissue reconstruction, such as angiogenesis, axon regeneration, neural differentiation and inflammation is clarified. The glycosaminoglycan hyaluronan can optimize those processes and be employed in a successful neural tissue engineering approach.

局灶性中风是一种终身感觉、运动和认知障碍的致残疾病。鉴于缺乏有效的临床治疗方法,基础科学家正在开发新的选择来保护受影响的大脑和再生失去的组织。组织生物工程和干细胞/祖细胞治疗都是中风神经修复治疗的单独追求,在组织恢复方面有一些好处。中风神经修复方法的新兴方向将这两种疗法结合起来,使用生物聚合物和干细胞/祖细胞移植来促进移植细胞的更大存活,并将生物活性分子定向递送到移植细胞和邻近的损伤组织中。本文综述了透明质酸凝胶包裹神经干/祖细胞联合应用的背景文献,并阐明了这种治疗方法如何影响脑组织重建的重要过程,如血管生成、轴突再生、神经分化和炎症。糖胺聚糖透明质酸可以优化这些过程,并应用于成功的神经组织工程方法。
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引用次数: 60
Delivery of EPC embedded in HA-hydrogels for treatment of acute kidney injury. ha水凝胶包埋EPC输注治疗急性肾损伤。
Pub Date : 2013-01-01 DOI: 10.4161/biom.23284
Brian B Ratliff, Michael S Goligorsky

Adoptive transfer of stem cells has shown potential as an effective treatment for acute kidney injury (AKI). The current strategy for adoptive transfer of stem cells is by intravenous injection. However, this conventional method of stem cell delivery is riddled with problems causing reduced efficacy of the therapeutic potential of delivered stem cells. This review summarizes the recent advancements in an alternative method of stem cell delivery for treatment of AKI, embedding stem cells in hyaluronic acid (HA-) based hydrogels followed by their implantation. Furthermore, one stem cell type in particular, endothelial progenitor cells (EPC), have shown remarkable therapeutic benefits for treatment of AKI when delivered by HA-hydrogels. The review also summarizes the delivery of EPC by HA-hydrogels in the setting of AKI.

干细胞过继性移植作为一种治疗急性肾损伤(AKI)的有效方法已被证明具有潜力。目前干细胞过继移植的策略是静脉注射。然而,这种传统的干细胞递送方法充满了问题,导致所递送的干细胞治疗潜力的功效降低。本文综述了治疗AKI的另一种干细胞递送方法的最新进展,即将干细胞包埋在透明质酸(HA-)基水凝胶中,然后植入。此外,一种干细胞类型,内皮祖细胞(EPC),在ha -水凝胶治疗AKI时显示出显著的治疗效果。本文还总结了ha -水凝胶在AKI环境下传递EPC的情况。
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引用次数: 16
Hyaluronic acid hydrogels for vocal fold wound healing. 透明质酸水凝胶用于声带伤口愈合。
Pub Date : 2013-01-01 DOI: 10.4161/biom.23799
Joel Gaston, Susan L Thibeault

The unique vibrational properties inherent to the human vocal fold have a significant detrimental impact on wound healing and scar formation. Hydrogels have taken prominence as a tissue engineered strategy to restore normal vocal structure and function as cellularity is low. The frequent vibrational and shear forces applied to, and present in this connective tissue make mechanical properties of such hydrogels a priority in this active area of research. Hyaluronic acid has been chemically modified in a variety of ways to address cell function while maintaining desirable tissue mechanical properties. These various modifications have had mixed results when injected in vivo typically resulting in better biomechanical function but not necessarily with a concomitant decrease in tissue fibrosis. Recent work has focused on seeding mesenchymal progenitor cells within 3D architecture of crosslinked hydrogels. The data from these studies demonstrate that this approach has a positive effect on cells in both early and late wound healing, but little work has been done regarding the biomechanical effects of these treatments. This paper provides an overview of the various hyaluronic acid derivatives, their crosslinking agents, and their effect when implanted into the vocal folds of various animal models.

人类声带固有的独特振动特性对伤口愈合和疤痕形成有显著的不利影响。水凝胶作为一种组织工程策略,在细胞含量低的情况下恢复正常的声带结构和功能。频繁的振动和剪切力作用于这种结缔组织,并且存在于这种结缔组织中,使得这种水凝胶的机械性能成为这一活跃研究领域的重点。透明质酸已通过多种方式进行化学修饰,以解决细胞功能问题,同时保持理想的组织力学性能。当注射到体内时,这些不同的修饰有不同的结果,通常会产生更好的生物力学功能,但不一定伴随组织纤维化的减少。最近的研究重点是在交联水凝胶的三维结构中播种间充质祖细胞。这些研究的数据表明,这种方法对早期和晚期伤口愈合的细胞都有积极的影响,但关于这些治疗的生物力学效应的工作很少。本文综述了各种透明质酸衍生物及其交联剂,以及它们在植入各种动物声带中的作用。
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引用次数: 55
Delivery, retention and engraftment of progenitor cells in cell therapy. 细胞治疗中祖细胞的传递、保留和植入。
Pub Date : 2013-01-01 DOI: 10.4161/biom.24549
Glenn D Prestwich
In a recent issue of Science Translational Medicine, a multidisciplinary group of thought leaders in the field of biomaterial research and development contributed to a collection of opinion pieces highlighting the unique challenges and opportunities involved in translating biomaterials for use in humans.1 These “Insider Views” were provided by experts from the industry, nonprofit, academic, clinical, intellectual property, venture capital, and regulatory sectors. They highlighted the potential bottlenecks that can occur in the biomaterial product development path, from uncertainty about the studies needed for regulatory approval to the risk associated with developing and commercializing an innovative biomaterial. These insider insights conveyed the message that translating regenerative medicine and cell therapy technologies to the clinic resembles a disorienting rollercoaster ride. To keep biomaterial development and approval on track, innovators need to negotiate the twists and turns associated with seven requirements of all product stakeholders: clinical need, intellectual property protection, preclinical validation, regulatory pathway, business and financial strategies, product design, clinical trial, and reimbursement. A recent TERMIS survey profiled the perceptions of 37 institutional investors regarding the numerous hurdles.2 Successfully translating biomaterial technology into a product that truly benefits patients requires a balance of innovation and practicality. Although innovative technology is the starting point, it is the execution by a company to create and market a simple and effective medical product that determines whether a novel biomaterial reaches the clinic. We are bombarded weekly with press releases about how stem cell therapies will soon change our lives. For example, headlines in Genetic Engineering and Biotechnology News tout “Accelerating R&D of Cell-Based Therapies” (October 1, 2012), “Cellular Therapy Wave Finally Cresting” (November 1, 2012), “Regen Med Nears the Market” (November 15, 2012), “Technologies Evolving for Cellular Therapies” (January 15, 2013), and “10 Most Significant Events in Cell Therapy in 2012” (March 15, 2013). Indeed, real progress is being made as “Cardiac stem cell therapies inch toward clinical litmus test” (Nature Biotechnology, January 2013). Reviewing the past year, Fisher and Mauck recount significant events in 2012 in tissue engineering and regenerative medicine.3 In a State of the Art Review, Pashuck and Stevens summarize the tremendous potential for regenerative biomaterial therapies in light of the major scientific, regulatory and business hurdles that must be navigated to reach the market place.4 This themed issue was conceived to place a human face on these difficult issues by focusing on the efforts of seven translational research groups to mature, deliver and retain therapeutic cells at sites in need of clinical repair or regeneration. These research teams have in common the
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引用次数: 4
Processing and sustained in vitro release of rifampicin containing composites to enhance the treatment of osteomyelitis. 含利福平复合物的加工和体外持续释放以增强骨髓炎的治疗。
Pub Date : 2012-10-01 DOI: 10.4161/biom.22793
Niina Ahola, Minna Veiranto, Noora Männistö, Matti Karp, Jaana Rich, Alexander Efimov, Jukka Seppälä, Minna Kellomäki

The objective in this study was to develop an osteoconductive, biodegradable and rifampicin releasing bone filling composite material for the treatment of osteomyelitis, a bacterial infection of bone that is very difficult and expensive to treat. The composite material will be used together with a ciprofloxacin releasing composite, because of the rapid development of resistant bacteria when rifampicin is used alone. Three composites were manufactured by twin-screw extrusion. The polymer matrix for the composites was poly(L-lactide-co-ε-caprolactone) 70/30 and all the composites contained 8 wt% (weight percent) of rifampicin antibiotic. The β-TCP contents of the composites were 0 wt%, 50 wt% and 60 wt%. The composites were sterilized by gamma irradiation before in vitro degradation and drug release tests. The hydrolytical degradation of the studied composites proceeded quickly and the molecular weight of the polymer component of the composites decreased rapidly. Rifampicin release occurred in four phases in which the high β-TCP content of the samples, polymer degradation and mass loss all played a role in determining the phases. The ceramic component was seen to have a positive effect on the drug release. The composite with 50 wt% of β-TCP showed the most promising rifampicin release profile and it also showed activity against a common osteomyelitis causing bacteria Pseudomonas aeruginosa. A clear inhibition zone was formed in 16 h incubation. Overall, the tested materials showed great potential to be developed into a bone filler material for the treatment of osteomyelitis or other bone related infections in combination with the ciprofloxacin releasing materials.

这项研究的目的是开发一种骨导电性、可生物降解和释放利福平的骨填充复合材料,用于治疗骨髓炎,这是一种非常困难和昂贵的骨细菌感染。复合材料将与环丙沙星释放复合材料一起使用,因为当利福平单独使用时,耐药细菌会迅速发展。采用双螺杆挤压法制备了三种复合材料。复合材料的聚合物基体为聚l -丙交酯-co-ε-己内酯)70/30,所有复合材料的利福平抗生素含量为8wt %(重量%)。复合材料的β-TCP含量分别为0 wt%、50 wt%和60 wt%。在体外降解和药物释放试验前,对复合材料进行γ辐照灭菌。所研究的复合材料的水解降解速度快,聚合物组分的分子量迅速下降。利福平的释放分4个相,样品中β-TCP的高含量、聚合物的降解和质量损失都是决定其释放相的因素。陶瓷成分被认为对药物释放有积极的影响。含有50% β-TCP的复合物显示出最有希望的利福平释放谱,并显示出对一种常见的铜绿假单胞菌的活性。16 h后形成明显的抑制带。总的来说,所测试的材料显示出与环丙沙星释放材料联合开发成治疗骨髓炎或其他骨相关感染的骨填充材料的巨大潜力。
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引用次数: 11
Microporous membrane-based liver tissue engineering for the reconstruction of three-dimensional functional liver tissues in vitro. 基于微孔膜的肝脏组织工程,用于体外重建三维功能性肝脏组织。
Pub Date : 2012-10-01 DOI: 10.4161/biom.22481
Junichi Kasuya, Kazuo Tanishita

To meet the increasing demand for liver tissue engineering, various three-dimensional (3D) liver cell culture techniques have been developed. Nevertheless, conventional liver cell culture techniques involving the suspending cells in extracellular matrix (ECM) components and the seeding of cells into 3D biodegradable scaffolds have an intrinsic shortcoming, low cell-scaffold ratios. We have developed a microporous membrane-based liver cell culture technique. Cell behaviors and tissue organization can be controlled by membrane geometry, and cell-dense thick tissues can be reconstructed by layering cells cultured on biodegradable microporous membranes. Applications extend from liver parenchymal cell monoculture to multi-cell type cultures for the reconstruction of 3D functional liver tissue. This review focuses on the expanding role for microporous membranes in liver tissue engineering, primarily from our research.

为满足日益增长的肝脏组织工程需求,人们开发了各种三维(3D)肝细胞培养技术。然而,传统的肝细胞培养技术包括将细胞悬浮在细胞外基质(ECM)成分中,以及将细胞播种到三维可生物降解支架中,这些技术都有一个固有的缺陷,即细胞与支架的比例较低。我们开发了一种基于微孔膜的肝细胞培养技术。细胞行为和组织结构可由膜的几何形状控制,通过在可生物降解的微孔膜上分层培养细胞,可重建细胞密集的厚组织。应用范围从肝实质细胞单培养到多细胞类型培养,以重建三维功能性肝组织。本综述主要介绍微孔膜在肝组织工程中不断扩大的作用,主要来自我们的研究。
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引用次数: 0
Nanostructured porous Si-based nanoparticles for targeted drug delivery. 靶向药物递送的纳米结构多孔硅基纳米颗粒。
Pub Date : 2012-10-01 DOI: 10.4161/biom.22347
Mohammad-Ali Shahbazi, Barbara Herranz, Hélder A Santos

One of the backbones in nanomedicine is to deliver drugs specifically to unhealthy cells. Drug nanocarriers can cross physiological barriers and access different tissues, which after proper surface biofunctionalization can enhance cell specificity for cancer therapy. Recent developments have highlighted the potential of mesoporous silica (PSiO(2)) and silicon (PSi) nanoparticles for targeted drug delivery. In this review, we outline and discuss the most recent advances on the applications and developments of cancer therapies by means of PSiO(2) and PSi nanomaterials. Bio-engineering and fine tuning of anti-cancer drug vehicles, high flexibility and potential for sophisticated release mechanisms make these nanostructures promising candidates for "smart" cancer therapies. As a result of their physicochemical properties they can be controllably loaded with large amounts of drugs and coupled to homing molecules to facilitate active targeting. The main emphasis of this review will be on the in vitro and in vivo studies.

纳米医学的支柱之一是将药物特异性地输送到不健康的细胞。药物纳米载体可以跨越生理屏障,进入不同的组织,经过适当的表面生物功能化,可以增强细胞特异性,用于癌症治疗。最近的发展突出了介孔二氧化硅(PSiO(2))和硅(PSi)纳米颗粒用于靶向药物递送的潜力。在这篇综述中,我们概述和讨论了PSiO(2)和PSi纳米材料在癌症治疗中的应用和发展的最新进展。生物工程和抗癌药物载体的微调、高灵活性和复杂释放机制的潜力使这些纳米结构成为“智能”癌症治疗的有希望的候选者。由于它们的物理化学性质,它们可以被控制地装载大量药物,并与归巢分子偶联,以促进主动靶向。本综述的重点将放在体外和体内研究上。
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引用次数: 102
Biomaterials for periodontal regeneration: a review of ceramics and polymers. 用于牙周再生的生物材料:陶瓷和聚合物的综述。
Pub Date : 2012-10-01 DOI: 10.4161/biom.22948
Li Shue, Zhang Yufeng, Ullas Mony

Periodontal disease is characterized by the destruction of periodontal tissues. Various methods of regenerative periodontal therapy, including the use of barrier membranes, bone replacement grafts, growth factors and the combination of these procedures have been investigated. The development of biomaterials for tissue engineering has considerably improved the available treatment options above. They fall into two broad classes: ceramics and polymers. The available ceramic-based materials include calcium phosphate (eg, tricalcium phosphate and hydroxyapatite), calcium sulfate and bioactive glass. The bioactive glass bonds to the bone with the formation of a layer of carbonated hydroxyapatite in situ. The natural polymers include modified polysaccharides (eg, chitosan,) and polypeptides (collagen and gelatin). Synthetic polymers [eg, poly(glycolic acid), poly(L-lactic acid)] provide a platform for exhibiting the biomechanical properties of scaffolds in tissue engineering. The materials usually work as osteogenic, osteoconductive and osteoinductive scaffolds. Polymers are more widely used as a barrier material in guided tissue regeneration (GTR). They are shown to exclude epithelial downgrowth and allow periodontal ligament and alveolar bone cells to repopulate the defect. An attempt to overcome the problems related to a collapse of the barrier membrane in GTR or epithelial downgrowth is the use of a combination of barrier membranes and grafting materials. This article reviews various biomaterials including scaffolds and membranes used for periodontal treatment and their impacts on the experimental or clinical management of periodontal defect.

牙周病的特点是牙周组织受到破坏。再生牙周治疗的各种方法,包括使用屏障膜、骨置换移植物、生长因子和这些方法的组合已被研究。用于组织工程的生物材料的发展大大改善了上述可用的治疗选择。它们可分为两大类:陶瓷和聚合物。可用的陶瓷基材料包括磷酸钙(如磷酸三钙和羟基磷灰石)、硫酸钙和生物活性玻璃。生物活性玻璃与骨结合,形成一层碳化羟基磷灰石。天然聚合物包括改性多糖(如壳聚糖)和多肽(胶原蛋白和明胶)。合成聚合物(如聚乙醇酸、聚l -乳酸)为组织工程中展示支架的生物力学特性提供了一个平台。这些材料通常用作成骨、骨传导和骨诱导支架。聚合物作为一种屏障材料在引导组织再生(GTR)中得到了广泛的应用。它们可以阻止上皮细胞的下降,并允许牙周韧带和牙槽骨细胞重新填充缺损。为了克服与GTR或上皮细胞生长下降中屏障膜崩溃相关的问题,使用了屏障膜和嫁接材料的组合。本文综述了用于牙周治疗的各种生物材料,包括支架和膜,以及它们对牙周缺损的实验和临床治疗的影响。
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引用次数: 100
Multifunctional aliphatic polyester nanofibers for tissue engineering. 用于组织工程的多功能脂肪族聚酯纳米纤维。
Pub Date : 2012-10-01 DOI: 10.4161/biom.22723
Jianan Zhan, Anirudha Singh, Zhe Zhang, Ling Huang, Jennifer H Elisseeff

Electrospun fibers based on aliphatic polyesters, such as poly(ε-caprolactone) (PCL), have been widely used in regenerative medicine and drug delivery applications due to their biocompatibility, low cost and ease of fabrication. However, these aliphatic polyester fibers are hydrophobic in nature, resulting in poor wettability, and they lack functional groups for decorating the scaffold with chemical and biological cues. Current strategies employed to overcome these challenges include coating and blending the fibers with bioactive components or chemically modifying the fibers with plasma treatment and reactants. In the present study, we report on designing multifunctional electrospun nanofibers based on the inclusion complex of PCL-α-cyclodextrin (PCL-α-CD), which provides both structural support and multiple functionalities for further conjugation of bioactive components. This strategy is independent of any chemical modification of the PCL main chain, and electrospinning of PCL-α-CD is as easy as electrospinning PCL. Here, we describe synthesis of the PCL-α-CD electrospun nanofibers, elucidate composition and structure, and demonstrate the utility of functional groups on the fibers by conjugating a fluorescent small molecule and a polymeric-nanobead to the nanofibers. Furthermore, we demonstrate the application of PCL-α-CD nanofibers for promoting osteogenic differentiation of human adipose-derived stem cells (hADSCs), which induced a higher level of expression of osteogenic markers and enhanced production of extracellular matrix (ECM) proteins or molecules compared with control PCL fibers.

基于脂肪族聚酯(如聚(ε-己内酯)(PCL))的电纺纤维因其生物相容性、低成本和易于制造而被广泛应用于再生医学和药物输送领域。然而,这些脂肪族聚酯纤维具有疏水性,因此润湿性较差,而且缺乏用化学和生物线索装饰支架的功能基团。为克服这些挑战,目前采用的策略包括用生物活性成分涂覆和混合纤维,或用等离子处理和反应物对纤维进行化学改性。在本研究中,我们报告了基于 PCL-α-环糊精(PCL-α-CD)的包合复合物设计多功能电纺纳米纤维的情况,该复合物既能提供结构支持,又能为进一步共轭生物活性成分提供多种功能。这种策略与 PCL 主链的任何化学修饰无关,而且 PCL-α-CD 的电纺丝与 PCL 的电纺丝一样简单。在此,我们描述了 PCL-α-CD 电纺纳米纤维的合成过程,阐明了其组成和结构,并通过在纳米纤维上共轭荧光小分子和聚合物纳米吸附剂,证明了纤维上功能基团的实用性。此外,我们还展示了 PCL-α-CD 纳米纤维在促进人脂肪来源干细胞(hADSCs)成骨分化方面的应用,与对照 PCL 纤维相比,这种纤维能诱导更高水平的成骨标志物表达,并增强细胞外基质(ECM)蛋白或分子的生成。
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引用次数: 0
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