Advanced 3D Bioprinting Technology for Cartilage Engineering and Regeneration.

IF 5.5 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS
Xinyang Du, Hongyi Gu, Xinyi Ouyang, Zhiyang Ma, Hailong Guo, Rui Li, Xudong Yao, Yingchun Zhu, Xiaozhao Wang
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Abstract

Articular cartilage defects, caused by trauma or degenerative changes, pose significant challenges due to the restricted self-repair capability of the cartilage tissues. Current clinical treatments, such as autologous transplantation and microfracture surgery, often fail to achieve complete restoration of functionality. Advanced 3D bioprinting technology offers a promising strategy by facilitating the precise construction of biomimetic scaffolds. This review examines the application of 3D bioprinting in cartilage regeneration, emphasizing the key technologies such as inkjet, extrusion, stereolithography, and digital-light-processing printing, alongside advancements in material innovations involving synthetic, natural, and composite polymers. It discusses strategies for optimizing scaffold design, including pore structure, mechanical properties, and bioactive factor integration. The review also examines monophasic, biphasic, and gradient scaffolds, emphasizing their potential to mimic native tissue hierarchies and improve repair outcomes. Despite advancements, challenges, including long-term efficacy, mechanical stability, and clinical translation, remain. Future research should emphasize interdisciplinary collaboration to advance bioink formulation, printing precision, and scalable manufacturing, ultimately enhancing cartilage regeneration therapies.

软骨工程和再生的先进3D生物打印技术。
关节软骨缺损是由创伤或退行性改变引起的,由于软骨组织的自我修复能力有限,对关节软骨缺损提出了重大挑战。目前的临床治疗,如自体移植和微骨折手术,往往不能实现功能的完全恢复。先进的生物3D打印技术通过促进仿生支架的精确构建提供了一种有前途的策略。本文综述了3D生物打印在软骨再生中的应用,重点介绍了诸如喷墨、挤压、立体光刻和数字光处理打印等关键技术,以及涉及合成、天然和复合聚合物的材料创新进展。它讨论了优化支架设计的策略,包括孔隙结构,力学性能和生物活性因子整合。该综述还研究了单相、双相和梯度支架,强调了它们模拟天然组织等级和改善修复结果的潜力。尽管取得了进展,但包括长期疗效、机械稳定性和临床转化在内的挑战仍然存在。未来的研究应强调跨学科合作,以推进生物墨水配方、打印精度和可扩展制造,最终提高软骨再生治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Biomaterials Science & Engineering
ACS Biomaterials Science & Engineering Materials Science-Biomaterials
CiteScore
10.30
自引率
3.40%
发文量
413
期刊介绍: ACS Biomaterials Science & Engineering is the leading journal in the field of biomaterials, serving as an international forum for publishing cutting-edge research and innovative ideas on a broad range of topics: Applications and Health – implantable tissues and devices, prosthesis, health risks, toxicology Bio-interactions and Bio-compatibility – material-biology interactions, chemical/morphological/structural communication, mechanobiology, signaling and biological responses, immuno-engineering, calcification, coatings, corrosion and degradation of biomaterials and devices, biophysical regulation of cell functions Characterization, Synthesis, and Modification – new biomaterials, bioinspired and biomimetic approaches to biomaterials, exploiting structural hierarchy and architectural control, combinatorial strategies for biomaterials discovery, genetic biomaterials design, synthetic biology, new composite systems, bionics, polymer synthesis Controlled Release and Delivery Systems – biomaterial-based drug and gene delivery, bio-responsive delivery of regulatory molecules, pharmaceutical engineering Healthcare Advances – clinical translation, regulatory issues, patient safety, emerging trends Imaging and Diagnostics – imaging agents and probes, theranostics, biosensors, monitoring Manufacturing and Technology – 3D printing, inks, organ-on-a-chip, bioreactor/perfusion systems, microdevices, BioMEMS, optics and electronics interfaces with biomaterials, systems integration Modeling and Informatics Tools – scaling methods to guide biomaterial design, predictive algorithms for structure-function, biomechanics, integrating bioinformatics with biomaterials discovery, metabolomics in the context of biomaterials Tissue Engineering and Regenerative Medicine – basic and applied studies, cell therapies, scaffolds, vascularization, bioartificial organs, transplantation and functionality, cellular agriculture
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