三维生物打印治疗癌症恶病质的前景

M. Galib, Yusha Araf, I. B. Naser, Salman Khan Promon
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引用次数: 0

摘要

癌症恶病质是一种多因素综合征,其特征是持续的肌肉萎缩,以及功能损害、厌食、虚弱、疲劳、贫血、抗肿瘤治疗耐受性降低。从而降低患者的生活质量。单独的恶病质导致约22-25%的癌症死亡。这篇综述涵盖了癌症恶病质3D生物打印的症状、介质、可用的治疗方法和前景。关于恶病质的研究表明,驱动这种疾病的几个因素——蛋白质分解、炎性细胞因子激活和线粒体改变。即使有适当的营养、体育锻炼、抗炎药、化疗和移植尝试,恶病质的标准治疗也不成功。但是,与试图制造模仿天然肌肉组织的3D结构的传统方法相比,3D生物打印的使用显示出了很大的前景。在这篇综述中,讨论了一些3D生物打印技术及其优缺点,以及它们在体内应用中的成就和挑战。具有神经整合或肌腱单元的结构旨在修复肌肉萎缩。但是,对这些复杂的肌肉进行适当的生物打印仍然很困难。尽管可以通过开发新的生物墨水或3D打印机来制造高分辨率结构来取得进展。利用次要数据,这项综述研究显示了为什么3D生物打印可以成为对抗恶病质的一种很好的替代方法的前景。
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Prospects of 3D Bioprinting as a Possible Treatment for Cancer Cachexia
Cancer cachexia is a multifactorial syndrome that is identified by ongoing muscle atrophy, along with functional impairment, anorexia, weakness, fatigue, anemia, reduced tolerance to antitumor treatments. Thus, reducing the patients’ quality of life. Cachexia alone causes about 22-25% of cancer deaths. This review covers the symptoms, mediators, available treatment, and prospects of 3D bioprinting for cancer cachexia. Studies about cachexia have shown several factors that drive this disease – protein breakdown, inflammatory cytokines activation, and mitochondrial alteration. Even with proper nutrition, physical exercises, anti-inflammatory agents, chemotherapy, and grafting attempts, standard treatment has been unsuccessful for cachexia. But the use of 3D bioprinting shows much promise compared to conventional methods by attempting to fabricate 3D constructs mimicking the native muscle tissues. In this review, some 3D bioprinting techniques with their advantages and drawbacks, along with their achievements and challenges in in-vivo applications have been discussed. Constructs with neural integration or muscle-tendon units aim to repair muscle atrophy. But it is still difficult to properly bio-print these complex muscles. Although progress can be made by developing new bio-inks or 3D printers to fabricate high-resolution constructs. Using secondary data, this review study shows prospects of why 3D bioprinting can be a good alternate approach to fight cachexia.
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