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Published on: March 27, 2018
Tissue-Engineering Approaches to Restore Kidney Function
Ravi Katari1, Lauren Edgar, Theresa Wong
1Section of Transplantation, Department of Surgery, Wake Forest School of Medicine, Winston Salem, NC, USA.
Abstract:
Kidney transplantation for the treatment of chronic kidney disease has established outcome and quality of life. However, its implementation is severely limited by a chronic shortage of donor organs; consequently, most candidates remain on dialysis and on the waiting list while accruing further morbidity and mortality. Furthermore, those patients that do receive kidney transplants are committed to a life-long regimen of immunosuppressive drugs that also carry significant adverse risk profiles. The disciplines of tissue engineering and regenerative medicine have the potential to produce alternative therapies which circumvent the obstacles posed by organ shortage and immunorejection. This review paper describes some of the most promising tissue-engineering solutions currently under investigation for the treatment of acute and chronic kidney diseases. The various stem cell therapies, whole embryo transplantation, and bioengineering with ECM scaffolds are outlined and summarized.
Insights
Tissue engineering and regenerative medicine offer promising alternatives to kidney transplantation, addressing organ shortages and immunosuppression risks. These innovative therapies aim to improve treatments for acute and chronic kidney diseases.
Area of Science:
- Regenerative Medicine
- Tissue Engineering
- Nephrology
Background:
- Kidney transplantation improves quality of life for chronic kidney disease patients but faces organ shortages.
- Dialysis and waiting lists lead to increased morbidity and mortality.
- Immunosuppressive drugs post-transplant carry significant adverse risks.
Purpose of the Study:
- To review promising tissue-engineering solutions for acute and chronic kidney diseases.
- To explore alternatives to traditional kidney transplantation.
- To address challenges of organ shortage and immunorejection.
Main Methods:
- Review of current research in tissue engineering and regenerative medicine for kidney disease.
- Summary of stem cell therapies.
- Outline of whole embryo transplantation and ECM scaffold bioengineering.
Main Results:
- Tissue engineering and regenerative medicine present viable alternatives to address organ scarcity.
- These approaches have the potential to mitigate risks associated with immunosuppression.
- Several promising therapeutic strategies are under investigation.
Conclusions:
- Regenerative medicine and tissue engineering hold significant potential for treating kidney diseases.
- These fields offer solutions to overcome limitations of current transplantation methods.
- Further investigation into stem cell therapies and bioengineered scaffolds is warranted.
Related Concept Videos
Kidney Transplant I: Introduction
Acute Kidney Injury V: Interprofessional Care
Kidney Transplant II: Surgical Procedure
Kidney Transplant III: Nursing Management

