BACKGROUND: All types of tissue-engineered skins have a common challenge, namely, the absence of complete skin function, especially lacking of skin appendages (hair follicles, sweat glands, sebaceous glands, etc.). How to develop the “functional tissue-engineered skin”, that is a complete skin and organ, has become an imminent research direction.
OBJECTIVE: To provide help for solving the problem that it is hard to form skin appendages in artificial composite skins by reviewing progress of isolating or culturing skin appendage-related stem cells and inducing differentiation of skin appendages.
METHODS: A computer online search using key words of “skin tissue engineering, skin appendages” was performed to search databases of PubMed and CNKI. Inclusive criteria: Articles related to differentiation and proliferation of stem cells into hair follicles, sweat glands, sebaceous glands and other skin appendage using tissue engineering technology. Exclusive criteria: repetitive research or Meta analysis.
RESULTS AND CONCLUSION: A total of 97 literatures were searched by computer, and 36 papers were further analyzed after excluding 35 unrelated articles and 26 repetitive research. A variety of cells in the human body has the ability to differentiate into skin appendages. Further clarifying the mechanism of embryonic development, in-depth study of stem cells differentiation regulation mechanism, combining growth factors, stem cell biotechnology and bio-materials engineering may develop a real sense of the permanent skin substitute. However, the safety and effect of permanent skin substitute need to be further studied.