Tissue Engineering Evaluation Criteria for Musculoskeletal Tissue Repair

摘要 在过去的二十年里，组织工程在学术界和工业界已经成为一个令人兴奋的， 多学科领域提供修复或再生受伤和患病的肌肉骨骼的潜力 以及颅面组织与活体组织的混合随着这项活动而来的是需要分配资源 并在相互竞争的方法中做出选择。这一挑战提出了关于用于 评估不同的方法。哪些方法值得资助，应采用哪些标准 监督他们的成功？应该测量哪些参数以及这些参数的值 参数有？我们建议举办一个为期两天的会议，将生物工程师聚集在一起， 外科医生、生物学家、材料科学家和商业开发专家：1）仔细重新研究 检查组织工程的一般和组织特异性目标; 2）确定和优先考虑标准， 这些组织工程修复的设计和评估的阈值;以及3）确定需求 在临床前研究中更快地实现我们的目标。整个小组将在会议开始时举行会议。 每一天都要就设定目标、标准和阈值的过程达成一致，然后在 这一天分享结果，以确定这些参数在组织类型中的共同特征。 参与者还将被分配到六个组织特定团队（韧带、肌腱、骨、关节）之一 软骨，半月板/TMJ和椎间盘），包括至少一名生物工程师，外科医生，生物学家， 材料科学家每个小组将讨论总体目标和临床需求，评估参数， 评估特定组织修复的标准，确定我们相对于这些目标的位置， 阈值的可接受性，并检查问题的有效性，手术处理和附件，成本 以及临床前和临床试验的预计时间。通过不断质疑我们的 沿着这条路前进，我们应该能够更好地评估有前途的组织工程方法， 协助资助机构最有效地将其可用的研究资金用于组织工程， 并加速有用产品向临床应用的发展。

Abstract In the last two decades, tissue engineering in academia and industry has become an exciting, multidisciplinary field offering the potential to repair or regenerate injured and diseased musculoskeletal and craniofacial tissues with living tissues. With this activity has come the need to allocate resources and choose among competing approaches. This challenge raises questions about criteria used to assess differing approaches. Which approaches are worth funding and what criteria should be used to monitor their success? Which parameters should be measured and what values should these parameters have? We propose to conduct a 2 ¿ day conference that will bring together bioengineers, surgeons, biologists, material scientists, and experts in commercial development to: 1) carefully re- examine general and tissue-specific goals for tissue engineering; 2) identify and prioritize criteria and threshold values for the design and evaluation of these tissue engineered repairs; and 3) identify needs in pre-clinical research to more rapidly achieve our goals. The entire group will meet at the beginning of each day to agree on the process for setting goals, criteria, and threshold values, and then at the end of the day to share results so as to identify common features of these parameters across tissue types. Participants will also be assigned to one of six tissue-specific teams (ligament, tendon, bone, articular cartilage, meniscus/TMJ and intervertebral disc) to include at least one bioengineer, surgeon, biologist, and material scientist. Each team will discuss overall goals and clinical needs, evaluative parameters and criteria for evaluating a specific tissue repair, establish where we are relative to these goals and possible threshold values of acceptability, and examine issues of efficacy, surgical handling and attachment, cost to manufacture, and projected times to preclinical and clinical trials. By continually questioning our progress along the way, we should be able to better assess promising tissue engineering approaches, assist funding agencies to most effectively spend their available research dollars in tissue engineering, and speed the development of useful products to clinical use.