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  4. Decellularized scaffolds in regenerative medicine

Decellularized scaffolds in regenerative medicine

Oncotarget, 2016 · DOI: 10.18632/oncotarget.7785 · Published: July 29, 2016

Regenerative MedicineBiomedical

Simple Explanation

Allogeneic organ transplantation remains the ultimate solution for end-stage organ failure, but is limited by organ shortages and the need for immunosuppression. Decellularized scaffolds, mainly from non-autologous organs, have shown regenerative capabilities in vivo and in vitro and are an emerging treatment approach. Organs are decellularized to remove cellular components to produce acellular extracellular matrix (ECM) or as known as Decellularized scaffolds. These scaffolds, since they lack cellular components and maintain ECMs, are “rejectless” when implanted, able to act as an inductive template for recellularization. Despite the variability in modalities and organs used, these scaffolds have been proved a capacity to promote regeneration. In vitro studies, relying on bioreactors, researchers investigated the effect (role) of these scaffolds on cell proliferation and organ construction.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Decellularized liver scaffolds demonstrated an ability to support efficient in vitro recellularization with primary hepatocytes and subsequent perfusion of cells.
  • 2
    Murine neonatal cardiac cells and human umbilical cord derived endothelial cells (HUVEC) were seeded into the left ventricle of decellularized porcine cardiac scaffolds resulted in contractive fibers formation in 50% of the injection site.
  • 3
    Spinal scaffold, produced from rats, were combined with human umbilical cord blood mesenchymal stem cells, and then implanted into spinal cords in rats. The results showed that nerve cells migrated into the scaffold, accompanied with formation of and new myelinated axons resulting in motor function recovery.

Research Summary

Allogeneic organ transplantation remains the ultimate solution for end-stage organ failure. Yet, the clinical application is limited by the shortage of donor organs and the need for lifelong immunosuppression, highlighting the importance of developing effective therapeutic strategies. In the field of regenerative medicine, various regenerative technologies have lately been developed using various biomaterials to address these limitations. Decellularized scaffolds, derived mainly from various non-autologous organs, have been proved a regenerative capability in vivo and in vitro and become an emerging treatment approach. Different clinical needs reveal different research emphasis. New heart, liver and kidney are needed for patients with cardiac, hepatic or renal failure. Tissue engineered organs created from decellularized scaffold, bioreactors and seeding cells can meet this demand.

Practical Implications

Organ Shortage Solution

Decellularized scaffolds offer a potential solution to the critical shortage of donor organs for transplantation.

Immunosuppression Reduction

The use of decellularized scaffolds may reduce or eliminate the need for lifelong immunosuppression following organ transplantation.

Advancement of Tissue Engineering

Continued research and development in decellularized scaffolds can advance the field of tissue engineering, leading to new treatments for organ failure and tissue damage.

Study Limitations

  • 1
    The regenerative capability varies between scaffolds due to the diversity of anatomical structure and cellular composition of organs used for decellularization.
  • 2
    Mechanisms related to improvement in tissues and organs regeneration using decellularized scaffolds are poorly understood.
  • 3
    Long-term effectiveness of interventions like heparin perfusion to address thrombogenicity needs further experimentation.

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