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               820                                                                                  Tissue Engineering


               cell types. Although the initial motivation for these  Matrices derived of naturally occuring tissues, such
               studies was to undertand the mechanisms of embryonic  as animal-derivedheart valves, acellular dermis, and bone-
               development, the derivations are also relevant to the  derived matrices, are typically of allogeneic and xeno-
               engineering of tissues for clinical applications. In the  geneic origin. They are prepared via physical and chem-
               1970s, several studies by Douglas A. Lauffenburger (then  ical treatments, such as freeze-drying, cross-linking by
               at the University of Illinois, now at M.I.T.) and Robert T.  glutaraldehyde, and detergent-mediated removal of cells,
               Tranquillo (University of Minnesota) set the stage for the  in order to enhance their physical properties and remove
               modeling of intracellular signaling processes as well as  any antigen-bearing cells which could trigger undesirable
               cell-migration phenomena.                         immune responses. These materials retain the chemical
                                                                 composition and microarchitecture proper to the tissue
                                                                 that they are derived from, which can enhance their func-
               II. FUNDAMENTALS OF TISSUE                        tion. For example, blood vessel growth into an acellular
                  ENGINEERING                                    dermis applied onto a burn wound will preferentially oc-
                                                                 cur in the spaces formerly occupied by the blood ves-
               A. Biomaterial Design                             sels in the original intact tissue. Soluble factors are often
                                                                 retained within the matrix and can have pro-angiogenic
                 1. Materials Used in Tissue Engineering
                                                                 (small intestinal mucosa) or anti-angiogenic (amniotic
               The vast majority of mammalian cells are anchorage de-  membrane) properties. A disadvantage of these materials
               pendent and therefore must attach and spread onto a sub-  is that their chemical composition is often only partially
               strate to proliferate and function normally. While in tra-  known, availability may be limited, and issues such as
               ditional tissue culture systems two-dimensional surfaces  batch-to-batch variation and potential contamination with
               are used to grow cells, tissue engineering often requires  pathogens must be addressed on a continuous basis.
               the use of three-dimensional matrices which allow cell  Most of the natural extracellular matrix materials, ex-
               ingrowth and organization reminiscent of actual tissues  cept bone, can be at least partially solubilized by chemical
               found in vivo. The choice of extracellular matrix mate-  processing and reconstituted into three-dimensional gels
               rial is highly dependent on the intended use of the tissue  of any shape or form. Although the microarchitecture is
               (whether its function is structural or biochemical or both)  lost, these reconstituted matrices retain many chemical
               and on the respective roles of materials and cells in the  features of the extracellular matrix proteins including
               reconstructed tissue. A list of three-dimensional materials  bound growth factors found in the original material. Com-
               used in tissue engineering is given in Table II.  monly used reconstituted matrices include type I collagen


               TABLE II Materials Commonly Used in Tissue Engineering
                           Name                           Composition                       Applications
               Intact extracellular matrices
                 Amniotic membrane              Collagen, fibronectin, laminin, GAG, growth  Corneal epithelium
                                                  factors
                 Acellular dermis               Collagen, laminin, elastin        Skin epithelium
                 Small intestinal mucosa        Collagen, fibronectin, GAG, growth factors  Smooth muscle (vascular, urogenital)
                 Carbonate apatite (dahllite)   Calcium/magnesium carbonate/phosphate  Bone
               Reconstituted extracellular matrices
                 Type I collagen gel            Collagen                          Skin dermis, tendon, hepatocyte
                           a
                 Collagen–GAG complexes         Collagen, GAG                     Skin dermis, tendon, nerve guidance
                 Engelbreth–Holm–Swarm tumor matrix  Collagen, laminin, GAG, growth factors  Hepatocyte
                  gel (Matrigel)
               Synthetic matrices
                 Carbonate apatite              Calcium/magnesium carbonate/phosphate  Bone
                 pLA/pLGA co-polymer            Poly(lactic-co-glycolic) acid     Cartilage, bone, epithelium (gut, urogenital),
                                                                                    hepatocyte
                 Dacron ®                       Polyethylene teraphtalate         Vascular endothelium
                 Gore-Tex ®                     Expanded polytetrafluoroethylene   Vascular endothelium
                 pHEMA/MMA co-polymer           Poly(hydroxyethyl methacrylate)   Vascular endothelium
                 a
                  GAG = glycosaminoglycan.
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