Intro & Methods Flashcards
Define morphogens
Inductive signals (e.g. growth factors) which initiate/govern tissue morphogenesis
Define stem cells
Primordial progenitors
Have enormous potential
What are biomaterial scaffolds?
They mimic ECM
What are major prostheses used for?
- load transmission (e.g. tendon/ligament replacements)
- bearing surfaces (total joint replacement)
- controlling fluid flow (heart/vascular/urethral replacements, ventricles valves for CSF control)
- passive space filling (cosmetic/rhinoplasty)
- functional space filling (cranial plates to protect the brain)
- generation/application of external stimuli (pacemakers)
- light transmission (intra-ocular prostheses)
- sound transmission (ossicular replacement)
Requirements for biomaterials
- non-toxic/bioinert/biostable
- bioactive/biodegradable
What happens if a biomaterial is not bioinert/biostable?
Toxic -> inflammation when implanted -> repair -> restimulation of inflammation -> resorption + cell necrosis + de-differentiation
How do biomaterials become bioactive/biodegradable?
- form chemical bonds with tissue stabilizing them
- get resorped in the body when no longer required (sutures, drug capsules)
- use biological components (cells/biomolecules) within implants
Limitations of transplantation
Donor shortage Immunological rejection Ethical issues Not available for all tissues/organs Transmissible infective agents in animals and humans
What is the difference between tissue engineering and tissue regeneration?
Tissue Engineering = in vitro (outside)
Tissue Regeneration = in vivo (inside the organism)
What are the 3 aims of tissue engineering?
To repair, replace and regenerate tissues
What do we mean by tissue repair?
Manipulate
Deliver cells/materials
What do we mean by replacing tissues?
Transplantation
What do we mean by tissue regeneration?
Stimulating new growth
What are the principle steps of tissue engineering?
1 - cell isolation from a source 2 - cultivate in 2D 3 - seeding in 3D porous scaffold 4 - tissue organization 5 - engineered tissue transplantation
What are the pros of using isolated cells or cell substitutes?
- avoids surgery
- allows replacement of only those required functional cells
- allows manipulation of cells before infusion
What are the cons of using isolated cells or cell substitutes?
- failure of infused cells to maintain their function in the recipient
- immunological rejection
What are the pros of tissue inducing substances?
- development of methods to target molecules
- large scale production of signal molecules
- purification of signal molecules such as growth factors
What are the pros of cell seeded on or in scaffolds?
- open or closed systems
- natural materials such as collagen and/or synthetic materials
- immunological acceptance with use of immuno-suppressive drugs or autologous cells
What is a tissue engineered biological substitute comprised of?
- cells
- ECM
- scaffold
- signals
What are some issues with cells?
- finite lifespan then expire
- they generate newly differentiated cells through multi-step lineage pathways
- newly differentiated cells replace expired ones
- they then fabricate ECM and new tissue
What do we need to consider when choosing a cell type?
Availability of cells:
- embryonic stem cells? (but a lot of ethical issues)
- autologous (donor to donor)
- allogenic (donor to recipient)
Cell Phenotype
Cell capacity to redifferentiate and produce ECM
How is cell signalling a challenge?
- cells exchange mechanical and chemical signals
- these are essential in determining cell fate/phenotype and tissue homeostasis
- the signals are mediated by cell surface molecules
- cell surface molecules transduce them across compartments of the cell
- communication between cells and ECM (scaffold) needs to facilitate this and consider how porosity and diffusion will play a part
How can scaffolds control cell signalling?
Can be engineering to be a source of signaling molecules promoting cell differentiation
What are some features of intelligent scaffolds?
- hold/attract cells
- influence cell development
- reserve space for regeneration
- inhibit inflammation events/immunoprotective
- breakdown into active factors
- encapsulate morphogens, cytokines and MMPs
- provide mechanical stability
- facilitate integration
- contribute to final events
What are some challenges with scaffolds?
- porosity is essential for repair/regeneration
- 3D is essential to allow cellular function without compromising mechanical integrity
What are some examples of scaffolds?
Gel Sponges Fibres Natural (collagen, fibrin) Synthetic (PEG) Carbohydrate based (PLA, PLGA, agarose, alginate
What does is it mean to model something?
To test this prostheses/material onto something
- this may be in vivo or in vitro
- may be on a organ-on-a-chip
- may be on an animal
What are some challenges with modelling?
- in vivo or in vitro
- need to maintain cell viability via GF
- may get large necrotic regions as there is limited transport in the centre of 3D scaffolds
- need to enhance mass transport with mechanical conditions and creating fluid environments in a bioreactor