Active agents, biomaterials, and technologies to improve biolubrication and strengthen soft tissues.

Active agents, biomaterials, and technologies to improve biolubrication and strengthen soft tissues.
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DOI:
10.1016/j.biomaterials.2018.07.040
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发表时间:
2018-10
期刊:
影响因子:
14
通讯作者:
Grinstaff MW
Grinstaff MW
中科院分区:
工程技术1区
文献类型:
--
作者:
Cooper BG;Catalina Bordeianu;Nazarian A;Snyder BD;Grinstaff MW

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Normal functioning of articulating tissues is required for many physiological processes occurring across length scales from the molecular to whole organism. Lubricating biopolymers are present natively on tissue surfaces at various sites of biological articulation, including eyelid, mouth, and synovial joints. The range of operating conditions at these disparate interfaces yields a variety of tribological mechanisms through which compressive and shear forces are dissipated to protect tissues from material wear and fatigue. This review focuses on recent advances in active agents and biomaterials for therapeutic augmentation of friction, lubrication, and wear in disease and injured states. Various small-molecule, biological, and gene delivery therapies are described, as are tribosupplementation with naturally-occurring and synthetic biolubricants and polymer reinforcements. While reintroduction of a diseased tissue’s native lubricant received significant attention in the past, recent discoveries and pre-clinical research are capitalizing on concurrent advances in the molecular sciences and bioengineering fields, with an understanding of the underlying tissue structure and physiology, to afford a desired, and potentially patient-specific, tissue mechanical response for restoration of normal function. Small and large molecule drugs targeting recently elucidated pathways as well as synthetic and hybrid natural/synthetic biomaterials for restoring a desired tissue mechanical response are being investigated for treatment of, for example, keratoconjunctivitis sicca, xeroderma, and osteoarthritis.
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