实用医学杂志 ›› 2022, Vol. 38 ›› Issue (20): 2510-2517.doi: 10.3969/j.issn.1006⁃5725.2022.20.002

• 临床新进展 • 上一篇    下一篇

生物3D打印在大面积骨骼肌损伤中应用研究进展 

潘昕瑶李婷吴耀彬李严兵黄文华1   

  1. 1 南方医科大学基础医学院医学生物力学广东省重点验室,人体解剖学国家重点学科广东省医学3D 打印应用转化工程研究中心(广州 510515);2 南方医科大学第三附属医院3D 打印应用翻译广东医疗创新平台 (广州515510

  • 出版日期:2022-10-25 发布日期:2022-10-25
  • 通讯作者: 黄文华 E⁃mail:huangwenhua2009@139.com
  • 基金资助:
    广东省科技计划项目(编号:2018B090944002);广东省基础与应用基础研究基金项目(编号:2020B1515120001);深圳市医疗
    卫生“三名工程”高层次医学团队(编号:SZSM201612019);广州市科技计划项目-基础与应用基础研究项目(编号:202102020909)

Advances in clinical applications and research of bio⁃3D printing in volumetric muscle loss

PAN Xinyao* LI TingWU YaobinLI YanbingHUANG Wenhua.    

  1. Guangdong Engineering Research Center for Translation of Medical 3D Printing ApplicationGuangdong Provincial Key Laboratory of Medical BiomechanicsNational Key Discipline of Human AnatomySchool of Basic Medical SciencesSouthern Medical UniversityGuangzhou 510515China 

  • Online:2022-10-25 Published:2022-10-25
  • Contact: HUANG Wenhua E⁃mail:huangwenhua2009@139.com

摘要:

骨骼肌在人体运动系统中发挥至关重要的作用,大面积骨骼肌损伤(volumetric muscle loss VML)往往会超过骨骼肌自身再生恢复能力,从而导致骨骼肌功能障碍。目前临床治疗方法无法完全恢复 损伤的骨骼肌组织及功能,因此,骨骼肌组织工程(skeleton muscle tissue engineeringSMTE)为 VML 等严重 肌病损伤提供了可行的治疗方案。本文将综述骨骼肌组织工程应用3D生物打印技术治疗骨骼肌损伤的研 究现状,回顾常用的 3D 生物打印技术及生物材料/墨水,并总结了近年 3D 生物打印支架在 SMTE 的应用进 展。此外,血管化和神经再生对骨骼肌修复至关重要,本文将进一步探讨骨骼肌生物打印的血管化及神经 连接策略及研究进展,讨论该领域的未来发展及挑战,以期为骨骼肌损伤修复的临床治疗提供参考。

关键词:

大面积骨骼肌损伤, 3D 生物打印技术, 骨骼肌组织工程, 功能恢复

Abstract:

Skeletal muscle plays a critical role in human locomotor system. Volumetric muscle lossVMLoften exceeds the ability of skeletal muscle to recover from its own regenerationresulting in skeletal muscle dys⁃ function. Currentlythe clinical therapies are unable to fully restore damaged skeletal muscle tissue and functionthereforeskeleton muscle tissue engineeringSMTEoffers a viable treatment option for severe myopathic injuries such as VML. This paper outlines the current status of research on skeletal muscle tissue engineering applying 3D bioprinting technology to treat skeletal muscle injuriesreviews commonly used 3D bioprinting technologies and biomaterials/inks and summarizes recent advances in the application of 3D bioprinted scaffolds in SMTE. In additionvascularization and nerve regeneration are crucial for skeletal muscle repair. We further explore the strate⁃gies for vascularization and nerve connection and the research progress of skeletal muscle bioprintingand finally discuss the future development and challenges in this fieldin order to provide a reference for clinical treatments of skeletal muscle injury.

Key words:

volumetric muscle loss, 3D bioprinting, skeleton muscle tissue engineering, functional recovery