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