Biomaterials for intervertebral disc regeneration and repair.

Biomaterials for intervertebral disc regeneration and repair.
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DOI:
10.1016/j.biomaterials.2017.03.013
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发表时间:
2017-06
期刊:
影响因子:
14
通讯作者:
Setton LA
Setton LA
中科院分区:
工程技术1区
文献类型:
--
作者:
Bowles RD;Setton LA

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椎间盘有助于脊柱的运动、负重和灵活性,但随着年龄和损伤的增加,椎间盘容易受到损伤和形态变化,从而导致病理改变。工程策略依赖于合成材料或复合植入物,但这些材料或复合植入物与椎间盘的生物成分没有接口,在治疗椎间盘病变方面尚未得到广泛应用或理想的结果。在这里,我们回顾了利用细胞补充材料或无细胞生物材料治疗椎间盘疾病的生物工程进展,这些材料为细胞-材料相互作用和椎间盘疾病治疗中的重塑提供了机会。虽然这一领域仍处于早期开发阶段,但采用新型生物材料的基于生物工程的策略正在成为临床治疗腰椎间盘疾病的有前途的替代方案。
The intervertebral disc contributes to motion, weight bearing, and flexibility of the spine, but is susceptible to damage and morphological changes that contribute to pathology with age and injury. Engineering strategies that rely upon synthetic materials or composite implants that do not interface with the biological components of the disc have not met with widespread use or desirable outcomes in the treatment of intervertebral disc pathology. Here we review bioengineering advances to treat disc disorders, using cell-supplemented materials, or acellular, biologically based materials, that provide opportunity for cell-material interactions and remodeling in the treatment of intervertebral disc disorders. While a field still in early development, bioengineering-based strategies employing novel biomaterials are emerging as promising alternatives for clinical treatment of intervertebral disc disorders.
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