Biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective

Abstract There is a persistent and growing clinical need for readily-available substitutes for heart valves and small-diameter blood vessels. In situ tissue engineering is emerging as a disruptive new technology, providing ready-to-use biodegradable, cell-free constructs which are designed to induce...

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Autores principales: Tamar B. Wissing, Valentina Bonito, Carlijn V. C. Bouten, Anthal I. P. M. Smits
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Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/4c770b0f445d4d808139e5c0cffe08f6
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spelling oai:doaj.org-article:4c770b0f445d4d808139e5c0cffe08f62021-12-02T14:18:30ZBiomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective10.1038/s41536-017-0023-22057-3995https://doaj.org/article/4c770b0f445d4d808139e5c0cffe08f62017-06-01T00:00:00Zhttps://doi.org/10.1038/s41536-017-0023-2https://doaj.org/toc/2057-3995Abstract There is a persistent and growing clinical need for readily-available substitutes for heart valves and small-diameter blood vessels. In situ tissue engineering is emerging as a disruptive new technology, providing ready-to-use biodegradable, cell-free constructs which are designed to induce regeneration upon implantation, directly in the functional site. The induced regenerative process hinges around the host response to the implanted biomaterial and the interplay between immune cells, stem/progenitor cell and tissue cells in the microenvironment provided by the scaffold in the hemodynamic environment. Recapitulating the complex tissue microstructure and function of cardiovascular tissues is a highly challenging target. Therein the scaffold plays an instructive role, providing the microenvironment that attracts and harbors host cells, modulating the inflammatory response, and acting as a temporal roadmap for new tissue to be formed. Moreover, the biomechanical loads imposed by the hemodynamic environment play a pivotal role. Here, we provide a multidisciplinary view on in situ cardiovascular tissue engineering using synthetic scaffolds; starting from the state-of-the art, the principles of the biomaterial-driven host response and wound healing and the cellular players involved, toward the impact of the biomechanical, physical, and biochemical microenvironmental cues that are given by the scaffold design. To conclude, we pinpoint and further address the main current challenges for in situ cardiovascular regeneration, namely the achievement of tissue homeostasis, the development of predictive models for long-term performances of the implanted grafts, and the necessity for stratification for successful clinical translation.Tamar B. WissingValentina BonitoCarlijn V. C. BoutenAnthal I. P. M. SmitsNature PortfolioarticleMedicineRENnpj Regenerative Medicine, Vol 2, Iss 1, Pp 1-20 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
spellingShingle Medicine
R
Tamar B. Wissing
Valentina Bonito
Carlijn V. C. Bouten
Anthal I. P. M. Smits
Biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective
description Abstract There is a persistent and growing clinical need for readily-available substitutes for heart valves and small-diameter blood vessels. In situ tissue engineering is emerging as a disruptive new technology, providing ready-to-use biodegradable, cell-free constructs which are designed to induce regeneration upon implantation, directly in the functional site. The induced regenerative process hinges around the host response to the implanted biomaterial and the interplay between immune cells, stem/progenitor cell and tissue cells in the microenvironment provided by the scaffold in the hemodynamic environment. Recapitulating the complex tissue microstructure and function of cardiovascular tissues is a highly challenging target. Therein the scaffold plays an instructive role, providing the microenvironment that attracts and harbors host cells, modulating the inflammatory response, and acting as a temporal roadmap for new tissue to be formed. Moreover, the biomechanical loads imposed by the hemodynamic environment play a pivotal role. Here, we provide a multidisciplinary view on in situ cardiovascular tissue engineering using synthetic scaffolds; starting from the state-of-the art, the principles of the biomaterial-driven host response and wound healing and the cellular players involved, toward the impact of the biomechanical, physical, and biochemical microenvironmental cues that are given by the scaffold design. To conclude, we pinpoint and further address the main current challenges for in situ cardiovascular regeneration, namely the achievement of tissue homeostasis, the development of predictive models for long-term performances of the implanted grafts, and the necessity for stratification for successful clinical translation.
format article
author Tamar B. Wissing
Valentina Bonito
Carlijn V. C. Bouten
Anthal I. P. M. Smits
author_facet Tamar B. Wissing
Valentina Bonito
Carlijn V. C. Bouten
Anthal I. P. M. Smits
author_sort Tamar B. Wissing
title Biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective
title_short Biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective
title_full Biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective
title_fullStr Biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective
title_full_unstemmed Biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective
title_sort biomaterial-driven in situ cardiovascular tissue engineering—a multi-disciplinary perspective
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/4c770b0f445d4d808139e5c0cffe08f6
work_keys_str_mv AT tamarbwissing biomaterialdriveninsitucardiovasculartissueengineeringamultidisciplinaryperspective
AT valentinabonito biomaterialdriveninsitucardiovasculartissueengineeringamultidisciplinaryperspective
AT carlijnvcbouten biomaterialdriveninsitucardiovasculartissueengineeringamultidisciplinaryperspective
AT anthalipmsmits biomaterialdriveninsitucardiovasculartissueengineeringamultidisciplinaryperspective
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