Tissue engineering in the gut: developments in neuromusculature.

Tissue engineering in the gut: developments in neuromusculature.
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DOI:
10.1053/j.gastro.2014.03.044
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发表时间:
2014-06
期刊:
影响因子:
29.4
通讯作者:
Zakhem E
Zakhem E
中科院分区:
医学1区
文献类型:
--
作者:
Bitar KN;Raghavan S;Zakhem E

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The complexity of the gastrointestinal (GI) tract lies in its anatomy as well as in its physiology. Several different cell types populate the GI tract adding to the complexity of cell sourcing for regenerative medicine. Each cell layer has a specialized function in mediating digestion, absorption, secretion, motility and excretion. Tissue engineering and regenerative medicine aim to regenerate the specific layers mimicking architecture and recapitulating function. Gastrointestinal motility is the underlying program that mediates the diverse functions of the intestines, as an organ. Hence, the first logical step in GI regenerative medicine is the reconstruction of the tubular smooth musculature along with the drivers of their input, the enteric nervous system. Recent advances in the field of GI tissue engineering have focused on the use of scaffolding biomaterials in combination with cells and bioactive factors. The ability to innervate the bioengineered muscle is a critical step to ensure proper functionality. Finally, in vivo studies are essential to evaluate implant integration with host tissue, survival and functionality. In this review, we will focus on the tubular structure of the GI tract, tools for innervation and finally evaluation of in vivo strategies for GI replacements.
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