2016
DOI: 10.1002/adma.201505349
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Biomaterial‐Enhanced Cell and Drug Delivery: Lessons Learned in the Cardiac Field and Future Perspectives

Abstract: Heart failure is a significant clinical issue. It is the cause of enormous healthcare costs worldwide and results in significant morbidity and mortality. Cardiac regenerative therapy has progressed considerably from clinical and preclinical studies delivering simple suspensions of cells, macromolecule, and small molecules to more advanced delivery methods utilizing biomaterial scaffolds as depots for localized targeted delivery to the damaged and ischemic myocardium. Here, regenerative strategies for cardiac t… Show more

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Cited by 62 publications
(50 citation statements)
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References 127 publications
(126 reference statements)
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“…Recently, the use of biomaterials injected directly into the heart muscle (myocardium) to prevent or attenuate adverse post‐MI remodeling has become a viable therapy and an area of growing research focus. Minimally invasive devices have been developed for delivering biomaterials through the endocardium or the epicardium, and studies have used a range of hydrogels in preclinical and clinical experiments, demonstrating an ability to decrease stress in the myocardial wall by modifying the mechanical properties and increasing wall thickness. These studies indicate that the mechanical reinforcement provided by the injected biomaterial can prevent MI progression …”
Section: Introductionmentioning
confidence: 99%
“…Recently, the use of biomaterials injected directly into the heart muscle (myocardium) to prevent or attenuate adverse post‐MI remodeling has become a viable therapy and an area of growing research focus. Minimally invasive devices have been developed for delivering biomaterials through the endocardium or the epicardium, and studies have used a range of hydrogels in preclinical and clinical experiments, demonstrating an ability to decrease stress in the myocardial wall by modifying the mechanical properties and increasing wall thickness. These studies indicate that the mechanical reinforcement provided by the injected biomaterial can prevent MI progression …”
Section: Introductionmentioning
confidence: 99%
“…Hydrogels are promising materials for manufacturing tissue engineered scaffolds (Suo, Xu, & Zheng, 2015;Yan et al, 2016), and high porosity of hydrogels permits loading of specific drugs into the gel matrix, while the drugs can be subsequently released in situ at a rate depending on the diffusion of the small molecules or macromolecules through the gel network (Chung & Burdick, 2008;Hoare & Kohane, 2008). In previous studies, various types of hydrogels such as polyethylene glycol (PEG), gelatin, alginate, hyaluronic acid, and chitosan have been employed in drug delivery (Anirudhan, Divya, & Nima, 2016;O'Neill et al, 2016;Ye et al, 2016). Among these materials, gelatin is the product of collagen hydrolysis, which is the main component of cartilage matrix (Nichol, Koshy, Bae, Hwang, Yamanlar, & Khademhosseini, 2010).…”
mentioning
confidence: 99%
“…Preclinical studies have shown poor engraftment and survival of cells that are directly administered only in saline or media, due to their immediate encounter with harsh conditions such as hypoxia, inflammation, and reactive oxygen species [107]. Biomaterials can function as a substitute to native ECM, conferring a conducive framework for the attachment and growth of encapsulated cells, and thereby preventing anoikis, a form of apoptosis.…”
Section: Biomaterials For Controlled Deliverymentioning
confidence: 99%