中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (21): 3883-3886.doi: 10.3969/j.issn.1673-8225.2010.21.019

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

组织工程血管支架材料的评价

李  彬,洪  浪,尹秋林   

  1. 江西省人民医院心内二科,江西省南昌市  330006
  • 出版日期:2010-05-21 发布日期:2010-05-21
  • 作者简介:李 彬,男,1980年生,江西省贵溪市人,汉族, 2002年山东大学医学院毕业,主治医师,主要从事心血管工作。 975431112@qq.com

Evaluation on tissue-engineered vascular scaffold materials

Li Bin, Hong Lang, Yin Qiu-lin   

  1. Second Department of Cardiology, Jiangxi People’s Hospital, Nanchang   330006, Jiangxi Province, China
  • Online:2010-05-21 Published:2010-05-21
  • About author:Li Bin, Attending physician, Second Department of Cardiology, Jiangxi People’s Hospital, Nanchang 330006, Jiangxi Province, China 975431112@qq.com

摘要:

目的:评价组织工程修复颅骨缺损各种生物材料的性能和应用,寻找合理的颅骨替代物。
方法:以 “组织工程,组织工程血管,干细胞,细胞因子,支架材料为中文关键词;以“tissue engineering, tissue engineering blood vessel, intravascular stent”为英文关键词,采用计算机检索1993-01/2009-10相关文章。纳入与生物材料及组织工程血管相关的文章;排除重复研究或Meta分析类文章。以30篇文献为主重点讨论组织工程血管材料的种类及其性能。
结果:血管脱细胞基质可作为一种较理想的支架材料应用于血管组织工程。基于纤维蛋白制成的支架不但具有理想的生物相容性、生物降解性和较高的亲和性,而且能促进血管生成、组织修复。明胶无抗原性,生物相容性好,可完全生物降解,可实现支架自身的“血管化”。天然生物材料和合成高分子材料都存在一定不足,将两者按照一定的方法组合构建成一种复合基质,发挥两者各自的优势构建出性能良好的组织工程化血管。纳米修饰技术有望被应用于下一代组织工程化血管移植。                                                                             
结论:到目前为止,还没有发现一种很理想的血管支架材料。虽然现在天然生物材料成为研究的热点,但是物理机械性能并不能很好地符合支架要求,这就迫切需要新材料的出现,来更好的满足组织化血管支架的要求,达到修复和重建的目的。

关键词: 血管支架, 组织工程, 复合材料, 纳米, 生物材料

Abstract:

OBJECTIVE: To evaluate the properties and applications of various biological materials for tissue engineering repair of skull defects, and to find a reasonable alternative to the skull.
METHODS: By using of “tissue engineering, tissue engineering blood vessels, stem cells, cytokines, scaffolds” for the Chinese keywords and “tissue engineering, tissue engineering blood vessel, intravascular stent” for the English keywords, a computer search was performed among articles published between January 1993 and October 2009. Articles related to the biological materials and tissue engineering blood vessel were included; repeated study or Meta analysis articles were excluded. Thirty articles mainly focused on types and properties of tissue engineering blood vessel materials.
RESULTS: The vascular acellular matrix can be used as an ideal scaffold for vascular tissue engineering application. Fibrin-made scaffold not only has good biocompatibility, biodegradability and high affinity, but also promotes angiogenesis and tissue repair. Gelatin has no antigenicity and exhibits good biocompatibility, it can be completely biodegraded and can support themselves to achieve vascularization. Natural biological materials and synthetic polymer materials all have some deficiencies, according to certain method the two materials combine into a complex matrix and can play their advantages to construct tissue engineering blood vessels with good performance. Nano-modification technology is expected to be applied to the next generation of tissue engineered vascular grafts.
CONCLUSION: No ideal vascular scaffold materials have been found. Although natural biological materials are the current research hotspot, their mechanical properties cannot well match the scaffold requirements, thus new materials are urgently needed to better meet the requirements of engineered vascular scaffold and to achieve the goal of repair and reconstruction .

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