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《工程(英文)》 >> 2022年 第19卷 第12期 doi: 10.1016/j.eng.2022.05.004

组织工程中肾脏血管化构建的领先方法

Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, NC 27157, USA

收稿日期: 2021-09-06 修回日期: 2022-04-14 录用日期: 2022-05-04 发布日期: 2022-05-24

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摘要

由于肾衰竭发病率升高的速度远超治疗方法进展的速度,因而对这种疾病的新的治疗方法的需求也以前所未有的速度不断增加。目前的治疗受制于可供应的活器官,而世界范围内均缺乏这种器官。这些治疗模式还需要大量的基础结构,这也极大地限制了大多数国家的患者获得医疗服务的机会。通过肾脏组织工程方法有望开发出替代的解决方案,解决目前治疗中仍存在的许多不足之处。尽管在生物制造和全器官组织工程方面已经取得了许多进展——主要是在过去的10 年中取得的,但仍然存在许多挑战。当前组织工程方法进展中的一个主要障碍是如何对已形成的工程化组织构建体实施成功的血管化。本文主要涉及近年来解决血管问题取得的进展,包括脉管系统的生物制造、通过脱细胞和再细胞化方法实施全器官工程、微尺度器官形成,以及在肾脏组织工程背景下使用类器官取得血管化。本文还着重探讨了在制定成功的临床转化策略中仍然存在的具体问题。

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