Segmental Additive Tissue Engineering

Abstract Segmental bone defects caused by trauma and disease represent a major clinical problem worldwide. Current treatment options are limited and often associated with poor outcomes and severe complications. Bone engineering is a promising alternative solution, but a number of technical challenge...

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Autores principales: Martina Sladkova, Rawan Alawadhi, Rawan Jaragh Alhaddad, Asmaa Esmael, Shoug Alansari, Munerah Saad, Jenan Mulla Yousef, Lulwa Alqaoud, Giuseppe Maria de Peppo
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Lenguaje:EN
Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/1a0af48e5e4f4ac2957fd8fbf2c31d58
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spelling oai:doaj.org-article:1a0af48e5e4f4ac2957fd8fbf2c31d582021-12-02T15:07:57ZSegmental Additive Tissue Engineering10.1038/s41598-018-29270-42045-2322https://doaj.org/article/1a0af48e5e4f4ac2957fd8fbf2c31d582018-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-29270-4https://doaj.org/toc/2045-2322Abstract Segmental bone defects caused by trauma and disease represent a major clinical problem worldwide. Current treatment options are limited and often associated with poor outcomes and severe complications. Bone engineering is a promising alternative solution, but a number of technical challenges must be addressed to allow for effective and reproducible construction of segmental grafts that meet the size and geometrical requirements needed for individual patients and routine clinical applications. It is important to devise engineering strategies and standard operating procedures that make it possible to scale up the size of bone-engineered grafts, minimize process and product variability, and facilitate technology transfer and implementation. To address these issues, we have combined traditional and modular tissue engineering approaches in a strategy referred to as Segmental Additive Tissue Engineering (SATE). To demonstrate this approach, a digital reconstruction of a rabbit femoral defect was partitioned transversally to the longitudinal axis into segments (modules) with discoidal geometry and defined thickness to enable protocol standardization and effective tissue formation in vitro. Bone grafts corresponding to each segment were then engineered using biomimetic scaffolds seeded with human induced pluripotent stem cell-derived mesodermal progenitors (iPSC-MPs) and a novel perfusion bioreactor with universal design. The SATE strategy enables the effective and reproducible engineering of segmental bone grafts for personalized skeletal reconstruction, and will facilitate technology transfer and implementation of a tissue engineering approach to segmental bone defect therapy.Martina SladkovaRawan AlawadhiRawan Jaragh AlhaddadAsmaa EsmaelShoug AlansariMunerah SaadJenan Mulla YousefLulwa AlqaoudGiuseppe Maria de PeppoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-11 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Martina Sladkova
Rawan Alawadhi
Rawan Jaragh Alhaddad
Asmaa Esmael
Shoug Alansari
Munerah Saad
Jenan Mulla Yousef
Lulwa Alqaoud
Giuseppe Maria de Peppo
Segmental Additive Tissue Engineering
description Abstract Segmental bone defects caused by trauma and disease represent a major clinical problem worldwide. Current treatment options are limited and often associated with poor outcomes and severe complications. Bone engineering is a promising alternative solution, but a number of technical challenges must be addressed to allow for effective and reproducible construction of segmental grafts that meet the size and geometrical requirements needed for individual patients and routine clinical applications. It is important to devise engineering strategies and standard operating procedures that make it possible to scale up the size of bone-engineered grafts, minimize process and product variability, and facilitate technology transfer and implementation. To address these issues, we have combined traditional and modular tissue engineering approaches in a strategy referred to as Segmental Additive Tissue Engineering (SATE). To demonstrate this approach, a digital reconstruction of a rabbit femoral defect was partitioned transversally to the longitudinal axis into segments (modules) with discoidal geometry and defined thickness to enable protocol standardization and effective tissue formation in vitro. Bone grafts corresponding to each segment were then engineered using biomimetic scaffolds seeded with human induced pluripotent stem cell-derived mesodermal progenitors (iPSC-MPs) and a novel perfusion bioreactor with universal design. The SATE strategy enables the effective and reproducible engineering of segmental bone grafts for personalized skeletal reconstruction, and will facilitate technology transfer and implementation of a tissue engineering approach to segmental bone defect therapy.
format article
author Martina Sladkova
Rawan Alawadhi
Rawan Jaragh Alhaddad
Asmaa Esmael
Shoug Alansari
Munerah Saad
Jenan Mulla Yousef
Lulwa Alqaoud
Giuseppe Maria de Peppo
author_facet Martina Sladkova
Rawan Alawadhi
Rawan Jaragh Alhaddad
Asmaa Esmael
Shoug Alansari
Munerah Saad
Jenan Mulla Yousef
Lulwa Alqaoud
Giuseppe Maria de Peppo
author_sort Martina Sladkova
title Segmental Additive Tissue Engineering
title_short Segmental Additive Tissue Engineering
title_full Segmental Additive Tissue Engineering
title_fullStr Segmental Additive Tissue Engineering
title_full_unstemmed Segmental Additive Tissue Engineering
title_sort segmental additive tissue engineering
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/1a0af48e5e4f4ac2957fd8fbf2c31d58
work_keys_str_mv AT martinasladkova segmentaladditivetissueengineering
AT rawanalawadhi segmentaladditivetissueengineering
AT rawanjaraghalhaddad segmentaladditivetissueengineering
AT asmaaesmael segmentaladditivetissueengineering
AT shougalansari segmentaladditivetissueengineering
AT munerahsaad segmentaladditivetissueengineering
AT jenanmullayousef segmentaladditivetissueengineering
AT lulwaalqaoud segmentaladditivetissueengineering
AT giuseppemariadepeppo segmentaladditivetissueengineering
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