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Tissue engineering for the diaphragm and its various therapeutic possibilities - a systematic review

Item Type:Review
Title:Tissue engineering for the diaphragm and its various therapeutic possibilities - a systematic review
Creators Name:Boehm, A.K. and Hillebrandt, K.H. and Dziodzio, T. and Krenzien, F. and Neudecker, J. and Spuler, S. and Pratschke, J. and Sauer, I.M. and Andreas, M.N.
Abstract:Diaphragmatic impairments exhibit high morbidity as well as mortality while current treatment options remain unsatisfactory. Tissue engineering (TE) approaches have explored the generation of an optimal biocompatible scaffold for diaphragmatic repair through tissue decellularization or de novo construction, with or without the addition of cells. We conducted a systematic review on the current state of the art in diaphragmatic tissue engineering (DTE) and found 24 articles eligible for final synthesis. The included approaches studied decellularization-based graft generation (9) and de novo bioscaffold construction (9). Three studies focused on in vitro host-scaffold interaction with synthesized, recellularized grafts (2) and decellularized extracellular matrix scaffolds (1). Another three studies investigated evaluation tools for decellularization efficacy. Among all studies, recellularization was performed in both decellularization-based (4) and de novo generated scaffolds (4). De novo constructed biocomposites as well as decellularized and recellularized scaffolds induced pro-regenerative remodeling and recovery of diaphragmatic function in all examined animal models. Potential therapeutic applications comprise substance defects requiring patch repair, such as congenital diaphragmatic hernia, and functional diseases demanding an entire organ transplant, like muscular dystrophies or dysfunction after prolonged artificial respiration.
Keywords:Decellularization, Recellularization, Tissue Engineering, De Novo Scaffold Construction, Diaphragm, Congenital Diaphragmatic Hernia, Muscular Dystrophy, Animals, Mice, Rats
Source:Advanced Therapeutics
ISSN:2366-3987
Publisher:Wiley
Page Range:2100247
Date:4 April 2022
Official Publication:https://doi.org/10.1002/adtp.202100247

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