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31 pages, 4258 KB  
Review
From Industry to Dentistry: A Comprehensive Review of Zeolite as a Next-Generation Multifunctional Filler for Enhanced Mechanical Reinforcement and Antimicrobial Efficacy
by Sohaib Fadhil Mohammed, Mohd Firdaus Yhaya, Abdul Fattah Nongman, Matheel Al-Rawas, Marwan N. Arbilei and Tahir Yusuf Noorani
Dent. J. 2025, 13(11), 540; https://doi.org/10.3390/dj13110540 - 14 Nov 2025
Abstract
Zeolites are becoming potentially important multifunctional fillers in dentistry, providing a distinctive blend of mechanical reinforcement, remineralization, and antimicrobial properties. Their crystalline aluminosilicate frameworks offer ion-exchange capacity, the controlled release of therapeutic ions (Ag+, Zn2+, Ca2+, Sr [...] Read more.
Zeolites are becoming potentially important multifunctional fillers in dentistry, providing a distinctive blend of mechanical reinforcement, remineralization, and antimicrobial properties. Their crystalline aluminosilicate frameworks offer ion-exchange capacity, the controlled release of therapeutic ions (Ag+, Zn2+, Ca2+, Sr2+, Cu2+), and compatibility with various dental composites. Sustainable and cost-effective zeolite production has become possible due to recent developments in synthetic strategies. These include the valorization of industrial and agricultural residues that are abundant in Si and Al. The incorporation of zeolites into dental adhesives, restorative composites, glass ionomer cements, root canal sealers, prosthetic materials, and implant coatings has been shown to improve mechanical stability and remineralization potential, and enhance antibacterial protection. The unique advantage of zeolites in integrating multifunctionality within a single system is emphasized when compared with other fillers, such as hydroxyapatite nanoparticles and bioactive glass. Nevertheless, obstacles persist with respect to clinical validation, regulatory pathways, and long-term biocompatibility. This review critically assesses the structure–function relationships, synthesis strategies, and dental applications of zeolites, while also delineating future perspectives for their translation into clinically approved, sustainable dental biomaterials. Full article
(This article belongs to the Topic Advances in Biomaterials—2nd Edition)
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32 pages, 5540 KB  
Review
Silk Fibroin-Derived Smart Living Hydrogels for Regenerative Medicine and Organoid Engineering: Bioactive, Adaptive, and Clinically Translatable Platforms
by Asim Mushtaq, Khai Ly Do, Abdul Wahab, Muhammad Yousaf, Abdul Rahman, Hamid Hussain, Muhammad Ali, Pingfan Du and Miao Su
Gels 2025, 11(11), 908; https://doi.org/10.3390/gels11110908 - 13 Nov 2025
Abstract
Silk fibroin (SF) has evolved from a traditional biopolymer to a leading regenerative medicine material. Its combination of mechanical strength, biocompatibility, tunable degradation, and molecular adaptability makes SF a unique matrix that is both bioactive and intelligent. Advances in hydrogel engineering have transformed [...] Read more.
Silk fibroin (SF) has evolved from a traditional biopolymer to a leading regenerative medicine material. Its combination of mechanical strength, biocompatibility, tunable degradation, and molecular adaptability makes SF a unique matrix that is both bioactive and intelligent. Advances in hydrogel engineering have transformed SF from a passive scaffold into a smart, living hydrogel. These systems can instruct cell fate, sense microenvironmental signals, and deliver therapeutic signals as needed. By incorporating stem cells, progenitors, or engineered immune and microbial populations, SF hydrogels now serve as synthetic niches for organoid maturation and as adaptive implants for tissue regeneration. These platforms replicate extracellular matrix complexity and evolve with tissue, showing self-healing, shape-memory, and stimuli-responsive properties. Such features are redefining biomaterial–cell interactions. SF hydrogels are used for wound healing, musculoskeletal repair, neural and cardiac patches, and developing scalable organoid models for disease and drug research. Challenges remain in maintaining long-term cell viability, achieving clinical scalability, and meeting regulatory standards. This review explores how advances in SF engineering, synthetic biology, and organoid science are enabling SF-based smart living hydrogels in bridging the gap between research and clinical use. Full article
(This article belongs to the Special Issue Hydrogel-Based Scaffolds with a Focus on Medical Use (3rd Edition))
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31 pages, 8683 KB  
Review
Biomaterial and Hydrogel Strategies for Regenerative Microenvironment Reconstruction in Peripheral Nerve Conduits
by Wenjing Zhang, Yang Zhang, Hailin Ma, Lingxin Duan, Wenxiang Zhang, Ling Ding, Yuhui Kou and Baoguo Jiang
Gels 2025, 11(11), 898; https://doi.org/10.3390/gels11110898 - 9 Nov 2025
Viewed by 483
Abstract
Peripheral nerve injury (PNI) poses a major clinical challenge, frequently resulting in chronic pain, muscle atrophy, and long-term functional impairment. While autologous nerve grafting remains the gold standard for repairing long-gap defects, its application is limited by donor-site morbidity and limited tissue availability. [...] Read more.
Peripheral nerve injury (PNI) poses a major clinical challenge, frequently resulting in chronic pain, muscle atrophy, and long-term functional impairment. While autologous nerve grafting remains the gold standard for repairing long-gap defects, its application is limited by donor-site morbidity and limited tissue availability. Nerve guidance conduits (NGCs) have emerged as promising alternatives; however, their efficacy remains suboptimal, primarily because most fail to recapitulate the spatiotemporally coordinated regenerative microenvironment required for robust axonal extension, timely remyelination, and durable neurovascular integration. Key limitations of current designs include an inability to balance the bioactivity of natural materials with the tunability of synthetic polymers, insufficient nutrient and oxygen delivery for long-gap repair, and a lack of dynamic, stage-specific regulation of the healing process. Consequently, microenvironment reconstruction represents the central bottleneck to achieving effective regeneration. This review synthesizes recent advances in purposefully rebuilding the NGC microenvironment across three interdependent dimensions: (i) activation and functional regulation of Schwann cells; (ii) immunomodulation to resolve inflammation while promoting repair; (iii) angiogenesis to ensure metabolic support. We place special emphasis on biomaterial strategies, particularly advanced hydrogels that integrate physical, biochemical, and dynamic cues for spatiotemporally programmed regeneration. Finally, we outline design principles and translational considerations for next-generation NGCs aimed at closing the efficacy gap with autografts. Full article
(This article belongs to the Section Gel Applications)
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25 pages, 1639 KB  
Review
The Role and Involvement of Functional Three-Dimensional Porcine-Derived Collagen Matrix Biomaterials in Periodontal Regeneration: A Comprehensive Review
by Cristian Cojocaru, Dana Gabriela Budala, Dragos Ioan Virvescu, Gabriel Rotundu, Florinel Cosmin Bida, Teona Tudorici, Zinovia Surlari, Mihaela Scurtu, Ancuta Goriuc and Ionut Luchian
J. Funct. Biomater. 2025, 16(11), 417; https://doi.org/10.3390/jfb16110417 - 7 Nov 2025
Viewed by 350
Abstract
Three-dimensional porcine matrix-derived biomaterials have emerged as valuable tools in periodontal regeneration, offering structural stability, biocompatibility, and favorable cellular responses. This review summarizes their physicochemical characteristics, biological mechanisms, and clinical performance in guided tissue and bone regeneration. Comparative analyses show superior handling, integration [...] Read more.
Three-dimensional porcine matrix-derived biomaterials have emerged as valuable tools in periodontal regeneration, offering structural stability, biocompatibility, and favorable cellular responses. This review summarizes their physicochemical characteristics, biological mechanisms, and clinical performance in guided tissue and bone regeneration. Comparative analyses show superior handling, integration potential, and regenerative predictability compared with collagen and synthetic scaffolds, especially in complex intrabony and furcation defects. Despite promising clinical outcomes, heterogeneity in processing techniques and limited long-term data still hinder standardization. Overall, porcine-derived scaffolds represent reliable and biologically active options for periodontal regeneration. Future innovation focusing on functionalization, cell integration, and patient-tailored design will define the next generation of predictable and biomimetic regenerative solutions. Full article
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38 pages, 5411 KB  
Review
3D Bioprinting Functional Engineered Heart Tissues
by Man Chi Leung and Zachary Laksman
Int. J. Mol. Sci. 2025, 26(21), 10707; https://doi.org/10.3390/ijms262110707 - 3 Nov 2025
Viewed by 566
Abstract
Three-dimensional (3D) bioprinting is increasingly explored as a strategy for myocardial repair and regenerative medicine. Conventional 3D casting often yields heterogeneous cellularization, slow electromechanical maturation, and inadequate vascularization; by contrast, bioprinting places cells and biomaterials in predefined architectures to program alignment, stiffness, vascular [...] Read more.
Three-dimensional (3D) bioprinting is increasingly explored as a strategy for myocardial repair and regenerative medicine. Conventional 3D casting often yields heterogeneous cellularization, slow electromechanical maturation, and inadequate vascularization; by contrast, bioprinting places cells and biomaterials in predefined architectures to program alignment, stiffness, vascular pathways, and electrical coupling that better recapitulate native myocardium. This review focuses on cardiac-specific advances in 3D bioprinting. We compare major platforms (jetting, light-based, extrusion, and volumetric) and their trade-offs for cardiac applications; distill bioink design principles trending toward natural–synthetic hybrids, including conductive and shape-morphing components; and outline practical characterization readouts spanning rheology, print fidelity, swelling/degradation, and cardiac function. We also summarize cell sources and co-culture strategies. Applications surveyed include cardiac patches, engineered tissues, chambered constructs, and organoids. Finally, we discuss current limitations and potential future directions for 3D bioprinting cardiac tissues. Collectively, recent advances position 3D bioprinting to accelerate the realization of in vivo-like engineered heart tissues. Full article
(This article belongs to the Section Biochemistry)
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31 pages, 3096 KB  
Review
Implications of Tissue Engineering for Tendon Repair and Regeneration
by Dana Ivanisova, Katarina Bevizova, Sara Vach Agocsova, Lubos Danisovic and Martina Culenova
J. Funct. Biomater. 2025, 16(11), 403; https://doi.org/10.3390/jfb16110403 - 28 Oct 2025
Viewed by 1143
Abstract
Tendon injuries affect millions of people globally and are among the most prevalent musculoskeletal conditions, frequently resulting in chronic pain, reduced mobility, and functional impairment. While conservative and surgical treatments are available, limitations such as low healing capacity, scar formation, and reduced biomechanics [...] Read more.
Tendon injuries affect millions of people globally and are among the most prevalent musculoskeletal conditions, frequently resulting in chronic pain, reduced mobility, and functional impairment. While conservative and surgical treatments are available, limitations such as low healing capacity, scar formation, and reduced biomechanics necessitate alternative approaches. Tissue engineering offers a promising solution by combining cells, scaffolds, and bioactive molecules to regenerate tendon tissue. This review presents key concepts and emerging trends, highlighting the cellular components, scaffold materials, and manufacturing processes. Tenocytes and mesenchymal stem cells are fundamental for tissue regeneration, as they synthesize extracellular matrix components and regulate inflammatory responses. Various natural and synthetic polymers have been fabricated into scaffolds that mimic the structure and biomechanics of natural tendons. Composite and hybrid scaffolds are utilized to improve the biocompatibility of natural materials with the mechanical stability of synthetic materials. Advanced technologies, such as electrospinning, freeze-drying, and 3D bioprinting, enable the creation of scaffolds with defined architecture and functional gradients, improving cell alignment, differentiation, and tendon–bone integration. Although promising preclinical data exists, major challenges remain in translating these strategies clinically, particularly vascularization, immune rejection, and mechanical stability. Continued interdisciplinary attempts in biomaterials science, cellular biology, and engineering are crucial to advancing clinically viable tendon tissue engineering. Full article
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14 pages, 995 KB  
Review
Emerging Innovations in the Treatment of Fuchs Endothelial Corneal Dystrophy: A Narrative Review
by Magdalena Niestrata, James Jackson, Shehnaz Bazeer, Mingya Alexa Gong and Zahra Ashena
Med. Sci. 2025, 13(4), 238; https://doi.org/10.3390/medsci13040238 - 22 Oct 2025
Viewed by 855
Abstract
Fuchs endothelial corneal dystrophy (FECD) is the leading cause of endothelial failure requiring keratoplasty in industrialised nations. Descemet membrane endothelial keratoplasty (DMEK) has become the gold-standard surgical therapy, yet it is constrained by limited donor tissue and a steep learning curve. This narrative [...] Read more.
Fuchs endothelial corneal dystrophy (FECD) is the leading cause of endothelial failure requiring keratoplasty in industrialised nations. Descemet membrane endothelial keratoplasty (DMEK) has become the gold-standard surgical therapy, yet it is constrained by limited donor tissue and a steep learning curve. This narrative review summarises current and emerging therapeutic strategies for FECD. We describe conventional endothelial keratoplasty and its outcomes, tissue-sparing procedures such as descemetorhexis without endothelial keratoplasty (DWEK) and quarter-DMEK, regenerative approaches including cultured endothelial cell injection and synthetic corneal substitutes, and adjunctive innovations ranging from Rho-associated kinase inhibitors to artificial intelligence-assisted diagnostics. Challenges surrounding donor shortages, variable clinical outcomes, regulatory hurdles and cost are critically appraised. We conclude by outlining future directions that are likely to combine advanced surgical techniques with cell-based and biomaterial solutions to deliver accessible, long-term restoration of vision for patients with FECD. Full article
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22 pages, 564 KB  
Review
Electrospinning PLLA/PCL Blend Fibre-Based Materials and Their Biomedical Application: A Mini Review
by Chen Meng
Polymers 2025, 17(20), 2802; https://doi.org/10.3390/polym17202802 - 20 Oct 2025
Viewed by 741
Abstract
Fibres play a crucial role in diverse biomedical applications, ranging from tissue engineering to drug delivery. Electrospinning has emerged as a simple and versatile technique for producing ultrafine fibres at micro- to nanoscale dimensions. Synthetic biopolymers are effective cues to replace damaged tissue [...] Read more.
Fibres play a crucial role in diverse biomedical applications, ranging from tissue engineering to drug delivery. Electrospinning has emerged as a simple and versatile technique for producing ultrafine fibres at micro- to nanoscale dimensions. Synthetic biopolymers are effective cues to replace damaged tissue in the biomedical field, both in vitro and in vivo applications. Among them, poly (L-lactic acid) (PLLA) is a renewable, environmentally friendly biopolymer material. Polycaprolactone (PCL) is a synthetic polymer with good biocompatibility and biodegradation characteristics. However, both electrospun PLLA and PCL fibres have their limitations. To overcome these shortcomings, electrospinning PLLA/PCL blend fibres has been the subject of many studies. This review discusses the different parameters for the electrospinning of PLLA/PCL-based fibres for biomedical applications. Furthermore, we also discuss how electrospun PLLA/PCL-based scaffolds can be modified or combined with other biomaterials, such as natural polymers and bioceramics, and examine their in vitro and in vivo applications in various tissue repair strategies. Full article
(This article belongs to the Special Issue Polymer Composites for Biomedical Applications)
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28 pages, 2869 KB  
Review
Scaffolds Mimicking the Tumor Microenvironment for In Vitro Malignancy Models
by Elisabetta Rosellini and Maria Grazia Cascone
Biomimetics 2025, 10(10), 695; https://doi.org/10.3390/biomimetics10100695 - 14 Oct 2025
Viewed by 741
Abstract
The tumor microenvironment (TME) plays a crucial role in regulating cancer cell proliferation, invasion, and drug resistance. Traditional two-dimensional (2D) in vitro models and animal models often fail to replicate the biochemical and biophysical complexity of human tumors, leading to low predictive power [...] Read more.
The tumor microenvironment (TME) plays a crucial role in regulating cancer cell proliferation, invasion, and drug resistance. Traditional two-dimensional (2D) in vitro models and animal models often fail to replicate the biochemical and biophysical complexity of human tumors, leading to low predictive power in preclinical drug screening. In recent years, scaffold-based three-dimensional (3D) in vitro models have emerged as promising alternatives, offering a more physiologically relevant context for studying tumor behavior. Among these, biomimetic scaffolds capable of replicating the composition, stiffness, porosity, and signaling features of the tumor extracellular matrix (ECM) are of particular interest. This review provides a comprehensive overview of scaffold-based approaches for mimicking the TME in vitro. After outlining the key characteristics of the tumor ECM, we discuss various scaffold typologies, including those based on natural, synthetic, and hybrid biomaterials, as well as decellularized ECM. Recent advancements in fabrication technologies, such as electrospinning and 3D bioprinting, are also highlighted for their role in replicating the geometric and mechanical features of tumor tissues. Special attention is given to the integration of vascular components and stromal cells to recapitulate the complexity of the TME. Finally, we explore current limitations and future directions, emphasizing the need for standardized and reproducible models, particularly in the context of personalized cancer therapy. Full article
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14 pages, 3003 KB  
Article
Eco-Friendly Biopolymer Composite Sheet Derived from Water Hyacinth Reinforced with Cassava Chip: Optimal Conditions for Mixing, Blending, and Forming
by Praepilas Dujjanutat, Woravut Suwanrueng and Pakawadee Kaewkannetra
Polymers 2025, 17(19), 2709; https://doi.org/10.3390/polym17192709 - 9 Oct 2025
Viewed by 488
Abstract
The persistence of the synthetic plastic waste problem makes it one of the most pressing environmental challenges. Sustainable material is an alternative approach to reduce petroleum plastics. In this research, our work aims to convert two biomaterials, water hyacinth (WH) and cassava chip [...] Read more.
The persistence of the synthetic plastic waste problem makes it one of the most pressing environmental challenges. Sustainable material is an alternative approach to reduce petroleum plastics. In this research, our work aims to convert two biomaterials, water hyacinth (WH) and cassava chip (CC), into value-added biopolymer composite sheets (BCS). The raw materials of both WH and CC were prepared and characterized using physical and chemical treatments. Alkali treatments and chemical modifications were applied to remove lignin, protein, lipid, and other inhibiting components. After that, the two main raw materials of the WH and CC components were varied (100:0, 90:10, 80:20, 70:30, and 60:40, respectively) to investigate the optimal conditions for mixing, blending, and forming processes. Finally, mechanical properties (tensile strength), physical properties (surface morphology using a scanning electron microscope (SEM), crystalline structure by X-ray diffraction (XRD), and water solubility were also evaluated. The results obtained obviously revealed that the BCS reached an optimal ratio of 80:20 and exhibited outstanding properties. We were successful in exploring the potential use of a combination of two kinds of biopolymers under optimal conditions to produce an effective and environmentally friendly BCS in a manner that promotes a sustainable bio-circular economy and zero-waste concepts. Full article
(This article belongs to the Section Circular and Green Sustainable Polymer Science)
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34 pages, 3132 KB  
Review
Innovative Applications of Hydrogels in Contemporary Medicine
by Maciej Rybicki, Karolina Czajkowska, Agata Grochowska, Bartłomiej Białas, Michał Dziatosz, Igor Karolczak, Julia Kot, Radosław Aleksander Wach and Karol Kamil Kłosiński
Gels 2025, 11(10), 798; https://doi.org/10.3390/gels11100798 - 3 Oct 2025
Cited by 1 | Viewed by 1749
Abstract
Hydrogels are hydrophilic, soft polymer networks with high water content and mechanical properties that are tunable; they are also biocompatible. Therefore, as biomaterials, they are of interest to modern medicine. In this review, the main applications of hydrogels in essential clinical applications are [...] Read more.
Hydrogels are hydrophilic, soft polymer networks with high water content and mechanical properties that are tunable; they are also biocompatible. Therefore, as biomaterials, they are of interest to modern medicine. In this review, the main applications of hydrogels in essential clinical applications are discussed. Chemical, physical, or hybrid crosslinking of either synthetic or natural polymers allow for the precise control of hydrogels’ physicochemical properties and their specific characteristics for certain applications, such as stimuli-responsiveness, drug retention and release, and biodegradability. Hydrogels are employed in gynecology to regenerate the endometrium, treat infections, and prevent pregnancy. They show promise in cardiology in myocardial infarction therapy through injectable scaffolds, patches in the heart, and medication delivery. In rheumatoid arthritis, hydrogels act as drug delivery systems, lubricants, scaffolds, and immunomodulators, ensuring effective local treatment. They are being developed, among other applications, as antimicrobial coatings for stents and radiotherapy barriers for urology. Ophthalmology benefits from the use of hydrogels in contact lenses, corneal bandages, and vitreous implants. They are used as materials for chemoembolization, tumor models, and drug delivery devices in cancer therapy, with wafers of Gliadel presently used in clinics. Applications in abdominal surgery include hydrogel-coated meshes for hernia repair or Janus-type hydrogels to prevent adhesions and aid tissue repair. Results from clinical and preclinical studies illustrate hydrogels’ diversity, though problems remain with mechanical stability, long-term safety, and mass production. Hydrogels are, in general, next-generation biomaterials for regenerative medicine, individualized treatment, and new treatment protocols. Full article
(This article belongs to the Special Issue Polymer Hydrogels and Networks)
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38 pages, 11663 KB  
Review
Application of Biomaterials in Diabetic Wound Healing: The Recent Advances and Pathological Aspects
by Chenglong Han, Rajeev K. Singla and Chengshi Wang
Pharmaceutics 2025, 17(10), 1295; https://doi.org/10.3390/pharmaceutics17101295 - 2 Oct 2025
Viewed by 1199
Abstract
Diabetic wounds, especially diabetic foot ulcers, pose a major global clinical challenge due to their slow healing and high infection susceptibility. Their typical pathological features include impaired angiogenesis, chronic hypoxia, persistent inflammation, oxidative stress, bacterial colonization, and neuropathy. Traditional treatment methods have limited [...] Read more.
Diabetic wounds, especially diabetic foot ulcers, pose a major global clinical challenge due to their slow healing and high infection susceptibility. Their typical pathological features include impaired angiogenesis, chronic hypoxia, persistent inflammation, oxidative stress, bacterial colonization, and neuropathy. Traditional treatment methods have limited efficacy, creating an urgent need for innovative therapeutic strategies. In recent years, biomaterials have emerged as a research focus in diabetic wound treatment, owing to their biocompatibility, versatility, and tissue regeneration potential. This article comprehensively reviews the pathological mechanisms of diabetic wounds. It also summarizes the application progress of biomaterials in diabetic wound healing. Over the past decade, researchers have explored the properties, mechanisms of action, and roles of various natural and synthetic biomaterials. These biomaterials include DNA nanomaterials, peptide hydrogels, cells, exosomes, and cytokines. These biomaterials play significant role in promoting angiogenesis, regulating inflammation, inhibiting bacteria, and enhancing cell proliferation and migration. Full article
(This article belongs to the Section Biopharmaceutics)
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25 pages, 1507 KB  
Review
Biochemical Programming of the Fungal Cell Wall: A Synthetic Biology Blueprint for Advanced Mycelium-Based Materials
by Víctor Coca-Ruiz
BioChem 2025, 5(4), 33; https://doi.org/10.3390/biochem5040033 - 1 Oct 2025
Viewed by 1089
Abstract
The global transition to a circular bioeconomy is accelerating the demand for sustainable, high-performance materials. Filamentous fungi represent a promising solution, as they function as living foundries that transform low-value biomass into advanced, self-assembling materials. While mycelium-based composites have proven potential, progress has [...] Read more.
The global transition to a circular bioeconomy is accelerating the demand for sustainable, high-performance materials. Filamentous fungi represent a promising solution, as they function as living foundries that transform low-value biomass into advanced, self-assembling materials. While mycelium-based composites have proven potential, progress has been predominantly driven by empirical screening of fungal species and substrates. To unlock their full potential, a paradigm shift from empirical screening to rational design is required. This review introduces a conceptual framework centered on the biochemical programming of the fungal cell wall. Viewed through a materials science lens, the cell wall is a dynamic, hierarchical nanocomposite whose properties can be deliberately tuned. We analyze the contributions of its principal components—the chitin–glucan structural scaffold, the glycoprotein functional matrix, and surface-active hydrophobins—to the bulk characteristics of mycelium-derived materials. We then identify biochemical levers for controlling these properties. External factors such as substrate composition and environmental cues (e.g., pH) modulate cell wall architecture through conserved signaling pathways. Complementing these, an internal synthetic biology toolkit enables direct genetic and chemical intervention. Strategies include targeted engineering of biosynthetic and regulatory genes (e.g., CHS, AGS, GCN5), chemical genetics to dynamically adjust synthesis during growth, and modification of surface chemistry for specialized applications like tissue engineering. By integrating fungal cell wall biochemistry, materials science, and synthetic biology, this framework moves the field from incidental discovery toward the intentional creation of smart, functional, and sustainable mycelium-based materials—aligning material innovation with the imperatives of the circular bioeconomy. Full article
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20 pages, 759 KB  
Review
Artificial and Bioengineered Therapeutic Options for Corneal Endothelial Disease
by Lanxing Fu, Alfonso Vasquez Perez, Sundas Maqsood, Nick Kopsachilis, Roberta Foti, Fabiana D’Esposito, Mutali Musa, Daniele Tognetto, Caterina Gagliano and Marco Zeppieri
Bioengineering 2025, 12(10), 1064; https://doi.org/10.3390/bioengineering12101064 - 30 Sep 2025
Cited by 1 | Viewed by 992
Abstract
Background: Corneal endothelial dysfunction continues to be a primary indication for corneal transplantation globally. Due to ongoing constraints in donor tissue availability and graft durability, artificial graft technologies are increasingly recognized as viable alternatives, particularly for eyes unsuitable for conventional allogeneic transplantation. [...] Read more.
Background: Corneal endothelial dysfunction continues to be a primary indication for corneal transplantation globally. Due to ongoing constraints in donor tissue availability and graft durability, artificial graft technologies are increasingly recognized as viable alternatives, particularly for eyes unsuitable for conventional allogeneic transplantation. Aim: This article examines the contemporary state of artificial corneal endothelial grafts, emphasizing technological advancements, incorporation into surgical procedures, and their developing function in meeting the unfulfilled requirements of endothelial keratoplasty. Methods: A comprehensive synthesis of recent preclinical and clinical literature was performed, concentrating on scaffold-based constructs, cell-seeded and acellular methodologies, biomaterial characteristics, and innovative surgical delivery techniques. The review highlights translational pathways and contrasts the initial outcomes of artificial and donor-derived endothelial grafts. Results: Advancements in regenerative biomaterials and cell culture systems have resulted in the development of functional endothelial substitutes. Engineered grafts, comprising decellularized stromal carriers, synthetic polymer matrices, and human cell-laden constructs, have demonstrated promising biocompatibility and functional results in preliminary trials. The integration of these constructs into methods akin to Descemet membrane endothelial keratoplasty (DMEK) has improved clinical viability, diminished immunologic risk, and shown potential for visual recovery. Conclusions: Artificial endothelial grafts signify a revolutionary advancement in corneal surgery, addressing donor shortages and expanding the applications of endothelial keratoplasty. Although additional clinical validation and regulatory processes are required, existing evidence indicates that these technologies may soon transform treatment protocols for corneal endothelial disease. Full article
(This article belongs to the Section Biomedical Engineering and Biomaterials)
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30 pages, 1346 KB  
Review
Electrospun Bio-Scaffolds for Mesenchymal Stem Cell-Mediated Neural Differentiation: Systematic Review of Advances and Future Directions
by Luigi Ruccolo, Aleksandra Evangelista, Marco Benazzo, Bice Conti and Silvia Pisani
Int. J. Mol. Sci. 2025, 26(19), 9528; https://doi.org/10.3390/ijms26199528 - 29 Sep 2025
Viewed by 1254
Abstract
Neural tissue injuries, including spinal cord damage and neurodegenerative diseases, pose a major clinical challenge due to the central nervous system’s limited regenerative capacity. Current treatments focus on stabilization and symptom management rather than functional restoration. Tissue engineering offers new therapeutic perspectives, particularly [...] Read more.
Neural tissue injuries, including spinal cord damage and neurodegenerative diseases, pose a major clinical challenge due to the central nervous system’s limited regenerative capacity. Current treatments focus on stabilization and symptom management rather than functional restoration. Tissue engineering offers new therapeutic perspectives, particularly through the combination of electrospun nanofibrous scaffolds and mesenchymal stem cells (MSCs). Electrospun fibers mimic the neural extracellular matrix, providing topographical and mechanical cues that enhance MSC adhesion, viability, and neural differentiation. MSCs are multipotent stem cells with robust paracrine and immunomodulatory activity, capable of supporting regeneration and, under proper stimuli, acquiring neural-like phenotypes. This systematic review, following the PRISMA 2020 method, analyzes 77 selected articles from the last ten years to assess the potential of electrospun biopolymer scaffolds for MSC-mediated neural repair. We critically examine the scaffold’s composition (synthetic and natural polymers), fiber architecture (alignment and diameter), structural and mechanical properties (porosity and stiffness), and biofunctionalization strategies. The influence of MSC tissue sources (bone marrow, adipose, and dental pulp) on neural differentiation outcomes is also discussed. The results of a literature search show both in vitro and in vivo enhanced neural marker expression, neurite extension, and functional recovery when MSCs are seeded onto optimized electrospun scaffolds. Therefore, integrating stem cell therapy with advanced biomaterials offers a promising route to bridge the gap between neural injury and functional regeneration. Full article
(This article belongs to the Special Issue Tissue Engineering Related Biomaterials: Progress and Challenges)
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