[3] , sistemas para liberação controlada de drogas [4] , stents [5] e dispositivos ortopédicos [6] . Atualmente fazem parte do cotidiano dos centros cirúrgicos no mundo inteiro.Embora muitos dispositivos protéticos artificiais estejam disponíveis, poucos podem substituir completamente todas as complexas funções biológicas. Em situações clíni-cas mais severas somente o transplante do órgão retoma as atividades orgânicas. Assim, de uma forma idealizada, a melhor alternativa seria obter um novo órgão ou tecido, substituindo aquele que não desempenha normalmente suas funções. Nos dias de hoje, a idéia da reconstrução de órgãos e tecidos criados em laboratório é amplamente difundida e investigada no mundo todo [7,8] . Resumo: A Engenharia de Tecidos consiste em um conjunto de conhecimentos e técnicas para a reconstrução de novos órgãos e tecidos. Baseada em conhecimentos das áreas de ciência e engenharia de materiais, biológica e médica, a técnica envolve a expansão in vitro de células viáveis do paciente doador sobre suportes de polímeros bioreabsorvíveis. O suporte degrada enquanto um novo órgão ou tecido é formado. Os poli(α-hidróxi ácidos) representam a principal classe de polímeros sintéticos bioreabsorvíveis e biodegradáveis utilizados na engenharia de tecidos. No desenvolvimento e na seleção desses materiais, o tempo de degradação é fundamental para o sucesso do implante. Os estudos e os desafios atuais são normalmente direcionados ao entendimento das relações entre composição química, cristalinidade, morfologia do suporte, e o processamento desses materiais. Este artigo faz uma revisão dos trabalhos recentes sobre a utilização dos polímeros sintéticos bioreabsorvíveis como suportes na engenharia de tecidos. Engenharia de tecidos Palavras-chave: Engenharia de tecidos, polímeros bioreabsorvíveis, poli(α-hidróxi ácidos). Bioresorbable Polymers in Tissue EngineeringAbstract: Tissue Engineering is based on a group of techniques for the reconstruction of new organs and tissues. Based on knowledge of materials science and engineering, biology and medicine, the technique involves the in vitro expansion of viable cells obtained from the patient on the polymeric scaffolds. The scaffold degrades while a new organ or tissue is formed. The poly(α-hydroxy acids) are the principal biodegradable and bioresorbable polymers used in tissue engineering. In developing and selecting bioresorbable scaffolds, the degradation time is fundamental for successful biocompatibility and biofuncionality. Hence, degradation studies often address variables such as the chemical composition, crystallinity, morphology of the scaffold and the processing of these materials. This paper reviews recent work in bioresorbable polymers used as scaffolds in the tissue engineering. Keywords: Tissue engineering, bioresorbable polymers, poly(α-hydroxy acids). IntroduçãoQuando a estrutura biológica de um órgão ou tecido não pode ser reparada, a alternativa viável para o restabelecimento das funções normais do paciente é repô-la com um implante feito de um b...
The use of bioresorbable polymers as a support for culturing cells has received special attention as an alternative for the treatment of lesions and the loss of tissue. The aim of this work was to evaluate the degradation in cell culture medium of dense and porous scaffolds of poly(L-lactic acid) (PLLA) and poly(D,L-lactic acid-co-glycolic acid) (50:50) (PLGA50) prepared by casting. The adhesion and morphology of osteoblast cells on the surface of these polymers was evaluated. Thermal analyses were done by differential scanning calorimetry and thermogravimetric analysis and cell morphology was assessed by scanning electron microscopy. Autocatalysis was observed in PLGA50 samples because of the concentration of acid constituents in this material. Samples of PLLA showed no autocatalysis and hence no changes in their morphology, indicating that this polymer can be used as a structural support. Osteoblasts showed low adhesion to PLLA compared to PLGA50. The cell morphology on the surface of these materials was highly dispersed, which indicated a good interaction of the cells with the polymer substrate.
In the last few years, the demand has increased for research on polymeric materials, which can be used as substitutes for injured tissues and organs or to improve their regeneration. In this work, we studied poly(L-lactic acid) (PLLA) membranes, a resorbable biomaterial, which were either dense or had different pore diameters (less than 45 microm, between 180 and 250 microm, and between 250 and 350 microm), in relation to stimulation of cell adhesion, growth, and differentiation in vitro. We used Vero cells, a fibroblastic cell line, as the biological model of investigation. We found that cells attached slowly to all PLLA membranes studied. On the other hand, once the adhesion occurs, the cells are able to grow and differentiate on the different polymers. The cells grew to form a confluent monolayer and were capable of producing collagen Type IV and fibronectin on different PLLA membranes. This behavior indicates that cells try to create a better environment to stimulate their growth. This also indicates that Vero cells alter their differentiation pattern once they are producing extracellular matrix molecules related to epithelial differentiation.
Porous bioresorbable polymers have been widely used as scaffolds in tissue engineering. Most of the bioresorbable scaffolds are aliphatic polyesters and the methods employed to prepare the porous morphology may vary. This work describes and evaluates the in vitro degradation of porous and dense scaffolds of poly(ε-caprolactone) (PCL) and poly(D,L-lactic acid-co-glycolic acid) (50/50) (PLGA50) prepared by particulate leaching-melt compression process. Biological evaluation was carried out using osteoblast cell cultures. The results showed an autocatalytic effect on the dense samples. Osteoblasts presented intermediate adhesion and the cell morphology on the surface of these materials was dispersed, which indicated a good interaction of the cells with the surface and the material.
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