Anatomy and Regenerative Medicine: From Methods to Applications

A special issue of Applied Biosciences (ISSN 2813-0464).

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 11727

Special Issue Editors


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Guest Editor
Department of Biomedicine, Neurosciences and Advanced Diagnostic (BiND), Human Anatomy Section, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy
Interests: tissue engineering; human anatomy; stem-cell therapies
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Guest Editor
Department of Theoretical and Applied Sciences, eCampus University, 22060 Novedrate, Italy
Interests: artificial organs; bioengineering; regenerative medicine; tissue engineering; biomaterials
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Biomedicine, Neurosciences and Advanced Diagnostic (BiND), Human Anatomy Section, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy
Interests: human anatomy; biomedical engineering; 3D cell cultures
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Anatomy and regenerative medicine (RM) are two disciplines that are strongly interconnected. The promising field of regenerative medicine may be defined as the process of replacing or "regenerating" human cells, tissues or organs to restore or establish normal functions. Beginning from the basics provided by human anatomy remains the best approach. Years of studies of and insights into the composition of the human body offer a solid starting ground on which to develop new therapeutic paths. Macro-anatomy data contribute to the replacement/healing of entire organs, and the field of nanotechnology uses micro-anatomy discoveries.

RM can offer a modern solution to existing long-term problems. There is an extensive number of application fields: from stem-cell therapy to tissue engineering; from biomaterial 3D printing to artificial organs.

The achievements of these applications are often the result of collaboration with scientists outside of the clinical area (bioengineers, materials engineers, biologists).

This Special Issue of Applied Biosciences, "Anatomy and Regenerative Medicine: From Methods to Applications", is committed to all new discoveries and applications of RM. Research papers that emphasize the shift from anatomical data to practical applications will be particularly appreciated.

Dr. Alessandro Pitruzzella
Dr. Alberto Fucarino
Prof. Dr. Fabio Bucchieri
Guest Editors

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Keywords

  • human anatomy
  • regenerative medicine
  • nanotechnology
  • bioengineering
  • stem cell therapies
  • tissue engineering
  • artificial organs
  • biomaterials

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Related Special Issue

Published Papers (6 papers)

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Research

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21 pages, 5459 KiB  
Article
Methods for Testing Meniscal Repair Using a 3D-Printed Meniscus
by Andrew Nelson, Steven Voinier, Jeremy Tran, Kristin H. Gilchrist, Melvin Helgeson, Vincent B. Ho and George J. Klarmann
Appl. Biosci. 2024, 3(1), 102-122; https://doi.org/10.3390/applbiosci3010007 - 6 Feb 2024
Cited by 2 | Viewed by 2305
Abstract
Torn and damaged menisci resulting from trauma are very common knee injuries, which can cause pain and mobility limitations and lead to osteoarthritis. Meniscal injuries can require surgery to repair the tissue damage and restore mobility. Here we describe the biomechanical testing of [...] Read more.
Torn and damaged menisci resulting from trauma are very common knee injuries, which can cause pain and mobility limitations and lead to osteoarthritis. Meniscal injuries can require surgery to repair the tissue damage and restore mobility. Here we describe the biomechanical testing of a 3D-printed meniscus to illustrate methods to determine if it has the strength and durability to effectively repair meniscal tears and restore knee biomechanics. This work was designed to demonstrate the steps needed to test novel meniscus repair devices prior to moving toward animal testing. The first testing step determined the ability of the 3D-printed meniscus to withstand surgical fixation by measuring the suture pull-out force. We show that vertical 2/0 silk or Fiberwire sutures need an average of 1.4 or 1.8 N, respectively, to pull through the meniscus, while horizontal sutures need only 0.7 and 1.2 N, respectively. The next step measured the compressive strength of normal, damaged, and repaired porcine meniscus tissue. Here, we show that meniscectomy decreased the stiffness of meniscus tissue from 26.7 ± 0.85 N to 7.43 ± 0.81 N at 25% strain. Menisci repaired with the 3D-printed tissue restored 66% of the measured force at 25% strain. The final step measured the contact pressures and areas in an ex vivo porcine knee before and after meniscal repair was made with the 3D-printed meniscus tissue. The example 3D-printed meniscus was successfully sutured into the porcine knee joint but failed to restore normal knee contact pressures. This work demonstrates the need for an iterative biomechanical testing process of biomaterial development, 3D-printing optimization, and knee kinematics to develop a durable and functional meniscus repair device. In summary, the methods described here serve as a guide for the functional evaluation of novel meniscus repair devices. Full article
(This article belongs to the Special Issue Anatomy and Regenerative Medicine: From Methods to Applications)
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29 pages, 13940 KiB  
Article
Computational and Experimental Investigation of the Combined Effect of Various 3D Scaffolds and Bioreactor Stimulation on Human Cells’ Feedback
by Foteini K. Kozaniti, Aikaterini E. Manara, Vassilis Kostopoulos, Panagiotis Mallis, Efstathios Michalopoulos, Demosthenes Polyzos, Despina D. Deligianni and Diana V. Portan
Appl. Biosci. 2023, 2(2), 249-277; https://doi.org/10.3390/applbiosci2020018 - 1 Jun 2023
Cited by 3 | Viewed by 1863
Abstract
Computational methods were combined with an experimental setup in order to investigate the response of human umbilical cord stem cells to 3D electrospun and printed scaffolds, when dynamically stimulated in a bioreactor. Key parameters associated to bioreactor working conditions were computationally investigated using [...] Read more.
Computational methods were combined with an experimental setup in order to investigate the response of human umbilical cord stem cells to 3D electrospun and printed scaffolds, when dynamically stimulated in a bioreactor. Key parameters associated to bioreactor working conditions were computationally investigated using Comsol software to use the output for the planned experimental setup. Based on the theoretical observations, the influence of the inlet velocity, cell number, and exposure time in the bioreactor were analyzed and the in vitro parameters were adjusted accordingly. MSCs were seeded in different numbers in the 3D porous scaffolds and stimulated in the bioreactor (0.5 and 2 h duration, 3 and 6 mm/s inlet velocity). Polycaprolactone 3D electrospun, and polyurethane and polylactic acid 3D-printed scaffolds were fabricated and fibronectin-coated. The computational study predicted initial events in the process of cells deposition and attachment. Total protein, osteopontin, and osteocalcin levels in cells deposited in scaffolds were investigated; SEM and confocal imaging confirmed the biomarker analysis. MSCs proliferated well in PCL. Polyurethane enabled extremely rapid proliferation followed by differentiation, while PLA induced a moderate proliferation and parallel mineralization. The scaffolds stiffness has been found as the key enabling parameter decisive for cells feedback. Full article
(This article belongs to the Special Issue Anatomy and Regenerative Medicine: From Methods to Applications)
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Review

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14 pages, 608 KiB  
Review
Distraction Osteogenesis: A Comprehensive Review
by Babapelumi Adejuyigbe, Mohini Gharpure, Charlotte F. Wahle and Jennifer R. Kallini
Appl. Biosci. 2024, 3(4), 503-516; https://doi.org/10.3390/applbiosci3040032 - 21 Nov 2024
Viewed by 624
Abstract
Distraction osteogenesis (DO) is a process which uses the bone’s natural healing tendencies to repair and lengthen pathologic, missing, or malformed bone. The mechanism of DO mimics the pathway that the body uses in any other fracture repair however the location of the [...] Read more.
Distraction osteogenesis (DO) is a process which uses the bone’s natural healing tendencies to repair and lengthen pathologic, missing, or malformed bone. The mechanism of DO mimics the pathway that the body uses in any other fracture repair however the location of the fracture is carefully controlled by a surgical osteotomy. Postoperatively, the bone is allowed to begin its natural healing process, with the lengthener applying constant tension and thus re-initiating the process of healing along the length of the distraction gap. Current clinical indications for DO include limb length discrepancy, congenital bone length deformity, large bone defects, and extremity reconstruction due to hypoplasia or limb salvage procedures. The risks of DO include soft tissue complications, relapse or improper correction, cost or resource-related challenges, and psychosocial stigmas surrounding long treatment durations and the necessity of wearing the distraction lengthening hardware. Future directions for DO include supplements to the bone regeneration process (such as growth factors and/or mechanical stimulation) or improvements to the distractor device itself (changes in material and/or the structure of the device itself). This review aims to offer a comprehensive summary of the indications, underlying biological mechanisms, and practical considerations when implementing the use of distraction osteogenesis in clinical practice. Full article
(This article belongs to the Special Issue Anatomy and Regenerative Medicine: From Methods to Applications)
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22 pages, 1494 KiB  
Review
Nanobiotechnology in Bone Tissue Engineering Applications: Recent Advances and Future Perspectives
by Neelam Iqbal, Tejal Pant, Nanda Rohra, Abhishek Goyal, Merin Lawrence, Anomitra Dey and Payal Ganguly
Appl. Biosci. 2023, 2(4), 617-638; https://doi.org/10.3390/applbiosci2040039 - 15 Nov 2023
Cited by 2 | Viewed by 1953
Abstract
Bone regeneration and repair are complex processes with the potential of added complications, like delayed repair, fracture non-union, and post-surgical infections. These conditions remain a challenge globally, pressurizing the economy and patients suffering from these conditions. Applications of nanotechnology (NBT) in the field [...] Read more.
Bone regeneration and repair are complex processes with the potential of added complications, like delayed repair, fracture non-union, and post-surgical infections. These conditions remain a challenge globally, pressurizing the economy and patients suffering from these conditions. Applications of nanotechnology (NBT) in the field of medicine have provided a medium for several approaches to support these global challenges. Tissue engineering is one such field that has been on the rise in the last three decades through the utilization of NBT for addressing the challenges related to bone regeneration. First, NBT enables the formation of scaffolds at the nanoscale needed for bone tissue engineering (BTE) using natural and synthetic polymers, as well as with minerals and metals. Then, it aids the development of the nano-formulation strategized to deliver antimicrobial drugs and/or growth factors through various ways to enhance bone repair through the scaffold. Third, NBT facilitates the use of specialized nanoparticles to image and track cellular events in vitro as well as in vivo. This review is an effort to bring together the current knowledge in the field of BTE and present the scope of ever-evolving NBT, a contribution towards precision medicine. Full article
(This article belongs to the Special Issue Anatomy and Regenerative Medicine: From Methods to Applications)
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16 pages, 1913 KiB  
Review
How Far Are We from Research That Is Independent of the Use of Animal Models? A Comparative Analysis between Animal and 3D/On-a-Chip Models for the Study of Respiratory Diseases
by Stefano Burgio, Olga Maria Manna, Giorgia Intili, Francesco Cappello and Fabio Bucchieri
Appl. Biosci. 2023, 2(2), 157-172; https://doi.org/10.3390/applbiosci2020012 - 2 Apr 2023
Cited by 2 | Viewed by 2691
Abstract
Over the last ten years, with the progress of in vitro culture methods, it has been possible to build increasingly reliable models to effectively mimic in vivo ones. The translational methodological approach that combined biotechnology and biomedical engineering has produced remarkable results, such [...] Read more.
Over the last ten years, with the progress of in vitro culture methods, it has been possible to build increasingly reliable models to effectively mimic in vivo ones. The translational methodological approach that combined biotechnology and biomedical engineering has produced remarkable results, such as the development of ex vivo 3D culture models, the construction of on-a-chip organoids, and the construction of complex systems capable of bypassing the static nature of the two-dimensional cultural models that have been typical of in vitro studies conducted to date. However, nowadays, there is still reluctance to completely abandon the animal model as an essential reference or as an integrated step for the validation of a model or a proposed study. This is due to the partially correct conviction of the impossibility of reproducing, in vitro or ex vivo, the complexity of pathological models or the spatial communication between different cytotypes, as well as, more generally, the lack of systems capable of mimicking the dynamism of a complex in vivo system. In this study, we will compare different methodological approaches in the study of the three most common types of respiratory diseases: chronic obstructive pulmonary disease (COPD), asthma, and lung carcinomas. The purpose of this comparative study is to evaluate the most current methodological approaches to understand how far research is from being independent from animal models. Animal studies are generally considered necessary, but are still questioned because of the ethics and the cost–benefit ratio involved. Full article
(This article belongs to the Special Issue Anatomy and Regenerative Medicine: From Methods to Applications)
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Other

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18 pages, 901 KiB  
Systematic Review
Characterization of the Joint Microenvironment in Osteoarthritic Joints for In Vitro Strategies for MSC-Based Therapies: A Systematic Review
by Aline Silvestrini da Silva, Fernanda Campos Hertel, Fabrício Luciani Valente, Fabiana Azevedo Voorwald, Andrea Pacheco Batista Borges, Adriano de Paula Sabino, Rodrigo Viana Sepulveda and Emily Correna Carlo Reis
Appl. Biosci. 2024, 3(4), 450-467; https://doi.org/10.3390/applbiosci3040029 - 17 Oct 2024
Viewed by 581
Abstract
Osteoarthritis is a joint disease that causes pain, stiffness, and reduced joint function because the protective cushioning inside the joints, called cartilage, gradually wears away. This condition is caused by various factors and complex processes in the joint’s environment, involving different types of [...] Read more.
Osteoarthritis is a joint disease that causes pain, stiffness, and reduced joint function because the protective cushioning inside the joints, called cartilage, gradually wears away. This condition is caused by various factors and complex processes in the joint’s environment, involving different types of cells producing factors that can either maintain the joint health or contribute to osteoarthritis. This study aimed to understand the factors influencing both healthy and diseased joints in DDD strategies for the in vitro preconditioning of MSCs. An electronic search in the PubMed, Scopus, and Web of Science databases was carried out using the terms (cartilage OR chondr*) AND (repair OR regeneration OR healing) AND (niche OR microenvironment)) AND (“growth factor” OR GF OR cytokine). Researchers used various methods, including macroscopic examinations, histology, immunohistochemistry, and microCT. Molecules associated with joint inflammation were identified, like macrophage markers, MMP-13, TNF, apoptotic markers, and interleukins. Chondrogenesis-related factors such as aggrecan GAG, collagen type II, and TGF beta family were also identified. This study suggests that balancing certain molecules and ensuring the survival of joint chondrocytes could be crucial in improving the condition of osteoarthritic joints, emphasizing the importance of chondrocyte survival and activity. Future preconditioning methods for MSC- and EV-based therapies can find suitable strategies in the described microenvironments to explore co-culture systems and soluble or extracellular matrix factors. Full article
(This article belongs to the Special Issue Anatomy and Regenerative Medicine: From Methods to Applications)
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