Reparative medicine: from tissue engineering to joint surface regeneration

被引:14
作者
De Bari, Cosimo [1 ]
Pitzalis, Costantino [1 ]
Dell'Accio, Francesco [1 ]
机构
[1] Guys Hosp, Univ London Kings Coll, Dept Rheumatol, London SE1 9RT, England
基金
英国医学研究理事会;
关键词
cartilage repair; regenerative medicine; stem cells; tissue engineering;
D O I
10.2217/17460751.1.1.59
中图分类号
Q813 [细胞工程];
学科分类号
摘要
Biological regeneration is proving to be an increasingly attractive alternative/complement to prosthetic replacement of tissues and organs. in cell-based therapeutic approaches, cells are manipulated in vitro and administered to patients as living and dynamic biological agents. In this review, we have focused on the regeneration of the injured joint surface to discuss novel issues that these new therapeutic agents raise and are difficult to address within the paradigms of traditional pharmacology. They include: determination of the mechanism of action and dose, evaluation of potency, safety and toxicity, as well as upscale, delivery and identification of proper indications. Finally, novel potential approaches are proposed in which resident progenitor cells are targeted to regenerate the damaged tissue.
引用
收藏
页码:59 / 69
页数:11
相关论文
共 81 条
[1]  
Amado LC, 2005, P NATL ACAD SCI USA, V102, P11474, DOI 10.1073/pnas.0504388102
[2]   Materials science - Smart biomaterials [J].
Anderson, DG ;
Burdick, JA ;
Langer, R .
SCIENCE, 2004, 305 (5692) :1923-1924
[3]   Transplantation of progenitor cells and regeneration enhancement in acute myocardial infarction -: (TOPCARE-AMI) [J].
Assmus, B ;
Schächinger, V ;
Teupe, C ;
Britten, M ;
Lehmann, R ;
Döbert, N ;
Grünwald, F ;
Aicher, A ;
Urbich, C ;
Martin, H ;
Hoelzer, D ;
Dimmeler, S ;
Zeiher, AM .
CIRCULATION, 2002, 106 (24) :3009-3017
[4]   Plasticity of clonal populations of dedifferentiated adult human articular chondrocytes [J].
Barbero, A ;
Ploegert, S ;
Heberer, M ;
Martin, I .
ARTHRITIS AND RHEUMATISM, 2003, 48 (05) :1315-1325
[5]   A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee [J].
Bentley, G ;
Biant, LC ;
Carrington, RWJ ;
Akmal, M ;
Goldberg, A ;
Williams, AM ;
Skinner, JA ;
Pringle, J .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2003, 85B (02) :223-230
[6]  
Bjorklund Anders, 2005, V265, P174
[7]   New sources of pancreatic β-cells [J].
Bonner-Weir, S ;
Weir, GC .
NATURE BIOTECHNOLOGY, 2005, 23 (07) :857-861
[8]   TREATMENT OF DEEP CARTILAGE DEFECTS IN THE KNEE WITH AUTOLOGOUS CHONDROCYTE TRANSPLANTATION [J].
BRITTBERG, M ;
LINDAHL, A ;
NILSSON, A ;
OHLSSON, C ;
ISAKSSON, O ;
PETERSON, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (14) :889-895
[9]  
Brittberg M, 2001, CLIN ORTHOP RELAT R, pS337
[10]   Articular cartilage engineering with autologous chondrocyte transplantation -: A review of recent developments [J].
Brittberg, M ;
Peterson, L ;
Sjögren-Jansson, E ;
Tallheden, T ;
Lindahl, A .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A :109-115