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Recent Progress in the Construction of Functional Artificial Bone by Cytokine-Controlled Strategies

摘要Objective:Combining artificial scaffolds with stimulatory factors to reconstruct lost bone tissues is one of the hottest research directions.The purpose of this review was to conduct a retrospective survey on the latest reports on artificial bone fabrication with functional cytokines.Data Sources:The status of related scientific research from the year 2005 to 2018 was analyzed through the mode of literature retrieval in PubMed and VIP Database.The retrieval words are as follows:"bone tissue engineering," "angiogenesis," "cytokines," "osteogenesis," "biomimetic bone marrow," "sol-gel," "delivery system," and the corresponding Chinese words.Study Selection:After reading through the title and abstract for early screening,the full text of relevant studies was evaluated and those not related with this review had been ruled out.Results:According to the literature retrospective survey,there were three key points for the successful construction of functional artificial bones:(1) the continuous supply of relatively low concentration of cytokines during the required period;(2) the delivery of two or more cytokines essential to the process and ensure the relatively spatial independence to reduce the unnecessary interference;and (3) supporting the early-stage angiogenesis and late-stage osteogenesis,respectively,regulating and balancing the crosslinking of both to avoid the surface ossification that would probably block the osteogenesis inside.Conclusions:The synergistic effect of both angiogenic factors and osteogenic factors applied in bone regeneration is a key point in the combined functional artificial bone.Through analysis,comparison,and summary of the current strategies,we proposed that the most promising one is to mimic the natural bone marrow function to facilitate the regeneration process and ensure the efficient repair of large weight-bearing bone defect.

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作者单位 Department of Orthopedic Surgery, The Spine Surgical Center, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China [1] Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland 4059, Australia [2]
栏目名称 Review Articles
DOI 10.4103/0366-6999.244105
发布时间 2018-12-07
基金项目
This study was supported by grants from the Shanghai Committee of Science and Technology,China the National Natural Science Foundation of China
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中华医学杂志(英文版)

中华医学杂志(英文版)

2018年131卷21期

2599-2604页

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