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  4. Bioactive peptides and proteins for tissue repair: microenvironment modulation, rational delivery, and clinical potential

Bioactive peptides and proteins for tissue repair: microenvironment modulation, rational delivery, and clinical potential

Military Medical Research, 2024 · DOI: 10.1186/s40779-024-00576-x · Published: January 1, 2024

Regenerative MedicineBiomedical

Simple Explanation

Bioactive peptides and proteins (BAPPs) show promise for fixing damaged tissues because they can do many things, are very specific, and work well with the body. However, they break down quickly and are easily ruined by enzymes, which makes them less effective. This article looks at how BAPPs change the environment around tissues to help them heal and how to deliver them in the best way to make them work better. The review also discusses using different materials like scaffolds, hydrogels, and nanoparticles to carry BAPPs to the damaged tissues. These materials can be modified to load more BAPPs and release them in a controlled way, depending on the specific needs of the tissue being repaired. The release of BAPPs can be triggered by things already in the body or by external signals like ultrasound and light. Finally, the review goes over how BAPPs can help repair different types of tissues, like bone, cartilage, skin, the heart, and the nervous system. It also talks about the challenges and possibilities of using BAPPs in medicine.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Level 5, Review

Key Findings

  • 1
    BAPPs modulate the tissue microenvironment by influencing reactive oxygen species (ROS), blood and lymphatic vessels, immune cells, and repair cells, creating a customizable approach to tissue regeneration at specific anatomical sites.
  • 2
    Various delivery platforms, including scaffolds, hydrogels, electrospun fibers, and nanoparticles, are used to incorporate BAPPs, protecting them from enzymatic breakdown and allowing for controlled release kinetics.
  • 3
    The release of BAPPs can be precisely regulated by endogenous stimuli (glucose, ROS, enzymes, pH) or exogenous stimuli (ultrasound, heat, light, magnetic field, and electric field), achieving targeted administration tailored for specific tissue repair needs.

Research Summary

This review focuses on the mechanisms through which BAPPs influence the microenvironment for tissue repair via reactive oxygen species, blood and lymphatic vessels, immune cells, and repair cells. A variety of delivery platforms, including scaffolds and hydrogels, electrospun fibers, surface coatings, assisted particles, nanotubes, two-dimensional nanomaterials, and nanoparticles engineered cells, are summarized to incorporate BAPPs for effective tissue repair This review focuses on the clinical potential of BAPPs in facilitating tissue repair across various types, including bone, cartilage, intervertebral discs, muscle, tendons, periodontal tissues, skin, myocardium, nervous system, endometrium, as well as ear and ocular tissue.

Practical Implications

Clinical Translation

Identifies distinctive rational delivery strategies that can promote clinical translation of BAPPs.

Therapeutic Interventions

Provides insights into modulating the microenvironment to enhance the selection and application of specific BAPPs for effective tissue repair.

Delivery System Design

Offers guidance on designing stimuli-responsive delivery systems for BAPPs, tailoring release to specific tissue repair needs.

Study Limitations

  • 1
    Short half-life and susceptibility to enzymatic degradation of BAPPs.
  • 2
    Challenges in ensuring the biological activity of BAPPs during incorporation into delivery platforms.
  • 3
    Complexity of tissue repair requirements necessitating multifactor delivery systems.

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