4.8 Review

Articular cartilage and osteochondral tissue engineering techniques: Recent advances and challenges

期刊

BIOACTIVE MATERIALS
卷 6, 期 12, 页码 4830-4855

出版社

KEAI PUBLISHING LTD
DOI: 10.1016/j.bioactmat.2021.05.011

关键词

Osteochondral tissue engineering; Cartilage tissue engineering; Gradient scaffold; Bioreactors

资金

  1. National Natural Science Foundation of China [51772233]
  2. National Key Research and Development Program of China [2018YFB1105500]
  3. Major Special Projects of Technological Innovation of Hubei Province [2019ACA130]
  4. Application Foundation and Front Research Program of Wuhan [2018010401011273]
  5. Foshan Xianhu Laboratory of the Advanced Energy Science and Technology Guangdong Laboratory [XHT2020-008]
  6. Fundamental Research Funds for the Central Universities [2020-YB-015]

向作者/读者索取更多资源

Osteochondral defect regeneration remains a challenging issue in the musculoskeletal system, with traditional clinical treatments showing limited efficacy. However, the development of tissue engineering has provided more promising results in regenerating damaged osteochondral tissues.
In spite of the considerable achievements in the field of regenerative medicine in the past several decades, osteochondral defect regeneration remains a challenging issue among diseases in the musculoskeletal system because of the spatial complexity of osteochondral units in composition, structure and functions. In order to repair the hierarchical tissue involving different layers of articular cartilage, cartilage-bone interface and subchondral bone, traditional clinical treatments including palliative and reparative methods have showed certain improvement in pain relief and defect filling. It is the development of tissue engineering that has provided more promising results in regenerating neo-tissues with comparable compositional, structural and functional characteristics to the native osteochondral tissues. Here in this review, some basic knowledge of the osteochondral units including the anatomical structure and composition, the defect classification and clinical treatments will be first introduced. Then we will highlight the recent progress in osteochondral tissue engineering from perspectives of scaffold design, cell encapsulation and signaling factor incorporation including bioreactor application. Clinical products for osteochondral defect repair will be analyzed and summarized later. Moreover, we will discuss the current obstacles and future directions to regenerate the damaged osteochondral tissues.

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