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Cell Sheet Technology: An Emerging Approach for Tendon and Ligament Tissue Engineering.

Yexin Li1, Ting Deng1, Dilihumaer Aili2

  • 1Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha, People's Republic of China.

Annals of Biomedical Engineering
|September 21, 2023
PubMed
Summary

Cell sheet technology offers a promising approach for regenerating tendon and ligament tissues, addressing their limited healing capacity. This review explores its preclinical success in promoting healing and reducing inflammation for musculoskeletal injuries.

Keywords:
Cell sheetEnthesisLigamentRegenerative medicineTendonTissue engineering

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Area of Science:

  • Regenerative Medicine
  • Biomaterials Science
  • Musculoskeletal Research

Background:

  • Tendon and ligament injuries are common musculoskeletal disorders with limited natural regenerative capacity.
  • Current treatments face challenges in fully restoring native tissue structure and function.
  • Cell sheet technology presents an innovative strategy for tissue engineering and regenerative medicine.

Purpose of the Study:

  • To review the application of cell sheet technology in treating tendon and ligament injuries.
  • To summarize advancements in stem cell-derived sheets for musculoskeletal tissue regeneration.
  • To discuss challenges and future directions for clinical translation.

Main Methods:

  • Review of preclinical studies on cell sheet technology for tendon and ligament repair.
  • Summary of cell sheet harvesting procedures and their advantages.
  • Analysis of stem cell-derived sheets' effects on inflammation and healing.

Main Results:

  • Cell sheet technology preserves cell-to-cell connections and extracellular matrix, crucial for tissue regeneration.
  • Preclinical studies demonstrate efficacy of stem cell-derived sheets in mitigating inflammation and enhancing tendon/graft-bone healing.
  • Successful application in animal models for tendon and ligament injury repair.

Conclusions:

  • Cell sheet technology shows significant potential for treating tendon and ligament injuries.
  • Future clinical translation requires optimized cell sources, preparation processes, and animal models.
  • Development of vascularized complex tissues using cell sheet technology is essential for clinical success.