Tissue engineering Flashcards

1
Q

What is tissue engineering, TE?

A

An interdisciplinary field that applies the principles of engineering and life sciences toward the development of
biological substitutes that restore, maintain, or improve tissue function or a whole organ.

The cell:
Synthesizes matrices of new tissue

The scaffold:
Provides the appropriate environments for cells to be able to effectively accomplish their missions.

The growth factors:
Facilitates and promotes cells to regenerate new tissue.

Can replace structure or metabolism

Nanotechnology
Biotechnology
Medicine
Biomaterials

Develop external or internal devices containing human (animal) tissues for
replacement of the function of diseased internal tissues (artificial liver or pancreas)

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2
Q

Exogenous/endogenous TE

A

Exogenous:
Design and grow human tissue outside the body for later implantation to repair or replace diseased tissue

Endogenous:
Implant cell-containing or cell-free devices which induce/harness the bodies ability to generate functional human tissue

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3
Q

Principles of TE

A
Scaffold
Tissue development (growth factor, mechanical stimulus)
Implantation
Biopsy
Cell isolation
Cell cultivation
Cell proliferation
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4
Q

Why TE?

A

It’s innate: Supporting the body to take care of the problem

Pharmaceuticals and adverse effects

Organ transplant shortage

Technologies allow for more effective, and sustainable therapies

Replenish or Replace- tissue regeneration and whole organ
regeneration

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5
Q

Tissue classification:

Epithelial, muscle, nerve, connective

A

Epithelial tissue:
Cover the body’s surface and line the internal organs, body cavities, and passageways

Muscle tissues:
Are capable of contraction and form the body’s musculature

Nerve tissues:
Conduct electrical impulses and make up the nervous system

Connective tissues:
Composed of widely spaced cells and large amounts of intercellular matrix and which bind together various body
structures.

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6
Q

TE triad

A

Scaffold - conductive
Cells - productive
Signaling molecules - inductive

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7
Q

Purpose of a scaffold

A

Mimic the ECM:

  • Cell anchorage
  • Structural integrity to tissue
  • Channel for signaling molecules
  • Reservoir for growth factors
  • Tissue remodeling and homeostasis
  • Facilitate cell migration

Cell delivery veichle

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8
Q

Scaffold - ECM mimicry

A

Neotissue - Newly-formed tissue, especially TE around a scaffold

Three basic tools:

  • Cell
  • Scaffold
  • Growth factor

Design factors:

  • Polymer type
  • Crosslinking density
  • Stiffness
  • Degradability
  • Adhesive motifs
  • Growth factors

Factors affecting degradation:

  • Degradation activity by cells
  • UV light
  • pH
  • Temperature
  • Hydrolysis
  • The material’s intrinsic degradability
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9
Q

Scaffold properties

A
  • Clinical feasibility
  • Biocompatible
  • Biodegradable
  • Surface properties
  • Mechanical performance
  • Porous

Need interconnected micropores => vascular formation and waste transport

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10
Q

Hydrogel

A

Hydrogel products constitute a group of polymeric materials, the hydrophilic
structure of which renders them capable of holding large amounts of water (more
than 90%) in their three-dimensional networks

  • Tunable physical, chemical and biological properties
  • High biocompatibility
  • Versatility and feasibility in fabrication
  • Similarity to native ECM
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11
Q

Bioink - material for 3D printing

A

Compromises between biocompatibility and printability.

Properties:

  • Printability
  • Viscoelasticity (Protect cells from shear stress)
  • Hydration degree (nutrient diffusion)
  • Biocompatibility (High cell viability)
  • Viscosity (For uniform cell encapsulation)
  • Gelation kinetics (Structural fidelity)
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12
Q

Scaffold free TE

A

Single cells, cell sheets, microtissues

Problems:

  • High cell number
  • Long culture time
  • Necrosis middle layers
  • Delamination of layers
  • If single layer: thin sheet, low ECM deposition
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13
Q

Scaffold free TE

A

Single cells, cell sheets, microtissues

Problems:

  • High cell number
  • Long culture time
  • Necrosis middle layers
  • Delamination of layers
  • If single layer: thin sheet, low ECM deposition
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14
Q

Stem cells

A

Undifferentiated cells that are capable of dividing into either new stem cells (proliferation) or specialized cells (differentiation).

Outcomes of differentiation/proliferation:

  • Symmetric self-renewal (2 SCs)
  • 2 differentiated cells
  • Asymmetric self-renewal (1 SC, 1 diff. cell)

Types:

  • Adult stem cells: found in many/all tissues.
  • Embryonic stem cells (ESC): From blastocysts of fertilized egg (now established cell lines – no ability to form a whole organism)
  • Mesenchymal (MSCs): from bone marrow, can differentiate into connective tissue.
  • Induced pluripotent stem cells (IPSC): From specialized (adult) cells, pluripotency induced by genetic engineering or soluble factors.
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15
Q

Cellular potency (SCs)

A

Describes the ability of cells to divide by
mitosis, giving rise to further cell types.

Unipotency:
The ability to give rise to only one cell type.
Multipotency:
The ability to give rise to cells in the tissue from which the cell originated, i.e., adult stem cells.

Pluripotency:
The ability to give rise to all cells in the body, i.e., embryonic stem cells (ESCs), induced pluripotent stem cells (iPSCs)

Totipotency:
The ability to give rise to a new organism, i.e., a fertilized egg.

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16
Q

Induced pluripotent stem cells (iPSCs)

A

Pluripotent; has the ability to give rise to all cells in the body.

From specialized (adult) cells, pluripotency induced by genetic engineering or soluble factors.

Can reprogram somatic cells to SCs.
Need to know the factors required for the engineering of that species.

iPSCs can go back to somatic cells.

17
Q

Controlling differentiation of stem cells

A

Need to control the mechanics (stiffness), not the chemicals.
- Different tissues have different stiffness.

For inert, soft hydrogels:
Interplay between adhesive ligands and stiffness.

18
Q

Mechanotransduction

A

The processes through which cells sense and respond to mechanical stimuli by converting them to biochemical signals that elicit specific cellular responses.

19
Q

Current limitations of TE

A

Cell injection:

  • Poor cell survival and localization
  • Higher chance of necrotic tissue if tissue has more layers.

Scaffold-based TE (hydrogels, sponges, films, fibers):
- Adverse immune response

20
Q

Current limitations of TE

A

Cell injection:

  • Poor cell survival and localization
  • Higher chance of necrotic tissue if tissue has more layers.

Scaffold-based TE (hydrogels, sponges, films, fibers):
- Adverse immune response

21
Q

Drug release strategies

A

Physical/mechanical

Chemical/ionic

22
Q

Current limitations of TE:

A

Cultivation of SCs:
- Low proliferative ability => hard to culture
- Often de-differentiate.
Can be cultured on 3D substrates to avoid this, but the proliferation rate decreases.
- Fecal calf serum (FCS) most used in cell culturing => possible viral infection.

Cell injection:

  • Poor cell survival and localization
  • Higher chance of necrotic tissue if tissue has more layers.

Scaffold-based TE (hydrogels, sponges, films, fibers):
- Adverse immune response

Regulatory issues are still in the grey area:

  • Not yet clear define how Ministry of Health will control usage
  • Medical device vs Pharma product?

We need to find an abundant source of stem cells.

As with organ transplants: close match between donor and recipient is vital.

Know your cells well: Different stem cells thrive in different microenvironments.

Hierarchical arrangement is extremely complex.

23
Q

Cell classification

A

Autologous:

  • Patient’s own.
  • Most appropriate for TE as long as their activity is high.
  • Difficult to harvest enough cells, especially when the patient has aged or has severely been diseased => need to culture the cells. Require clean cell-processing center and is time-consuming.

Allogenic:

  • Human other than patient
  • Useful for skin TE

Xenogenic:

  • Animal origin
  • Used for engineering of epidermal tissue from keratinocyte

Allogenic and xenogenic: immunogenic => Need immunosuppressive therapy.