Repairing critical-size segmental defects:morphology of tissue engineering bone scaffolds and its effects on cell loading / 中国组织工程研究

ABSTRACT

BACKGROUND:Tissue engineering bone application for repairing critical-size segmental defects is stil in research stage. The ideal construction methods have not yet been found. OBJECTIVE:To review the research literatures on tissue engineering bone scaffold material, its shape and effect on the loading of seeding cells, seek appropriate engineered bone scaffolds which are capable of loading a large number of cells effectively and probably, and provide a new way of repairing segmental bone defects. METHODS:The first author performed a data retrieval of PubMed and Wanfang databases from 1994 to 2013, to search the articles addressing the construction method of tissue engineering bone scaffold, and reviewed the literatures systematical y. RESULTS AND CONCLUSION:A total of 379 references were retrieved, including 161 articles in Chinese and 218 articles in English. According to the inclusion and exclusion criteria, 53 articles were final y involved in the analysis. The analysis results indicated that, the needed volume of bone tissue engineering scaffolds for critical-sized section bone defect reconstruction is big, which needs to load a huge number of seed cells. If there is no suitable forms and shapes for celladhesion, the property of so-cal ed engineered bone is similar to pure artificial bone implants. The effective load of seed cells on engineering bone scaffold material and keeping the activity is the first step in clinical practice, as wel as the important guarantee for loading bioactive seed cells. Hence, a more simple and accurate detection method for loading cellquantity is needed. Looking into the retrieved content, effective load cellquantity and its bioactivity are detected by indirect methods, supporting the effectiveness of cellseeding. Some methods can guarantee the cellquantity and seeding pattern, the real load is unknown as wel as the activity. Fabricating engineering bone scaffold into special form and shape are easy to effective seeding, proliferation and maintaining the biomechanical performance, inducing osteogenesis, and final y detecting the load cellquantity and activity on the scaffold through the simple and direct method.