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2017
DOI: 10.5435/jaaos-d-17-00324
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Biophysics Rules the Cell Culture but Has Yet to Reach the Clinic: Why Is That?

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Cited by 4 publications
(2 citation statements)
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“…It is also important to consider that mechanical stimulation protocols for tenogenic phenotype maintenance and differentiation vary widely in terms of strain amplitude, frequency, loading time, substrate topography/ chemistry. This lack of standardization leads to contradictory results in the literature and hinders progress in the field and clinical translation (139) because it impairs result interpretation and comparison. Furthermore, the absence of highly specific tenogenic markers and knowledge about their spatial and temporal expression in tendon development, maturation, and injury is a drawback that needs to be urgently addressed.…”
Section: Resultsmentioning
confidence: 99%
“…It is also important to consider that mechanical stimulation protocols for tenogenic phenotype maintenance and differentiation vary widely in terms of strain amplitude, frequency, loading time, substrate topography/ chemistry. This lack of standardization leads to contradictory results in the literature and hinders progress in the field and clinical translation (139) because it impairs result interpretation and comparison. Furthermore, the absence of highly specific tenogenic markers and knowledge about their spatial and temporal expression in tendon development, maturation, and injury is a drawback that needs to be urgently addressed.…”
Section: Resultsmentioning
confidence: 99%
“…In vitro, although soluble factors have shown promise in controlling cell fate [5,6], the literally infinite number of potential permutations on biochemical and/or biological media supplements, concentrations, combinations, and timings has restricted their use. To this end, the use of biophysical cues has been advocated [7][8][9] and, due to simplicity, surface topography [10,11] and substrate stiffness [12,13] have been the subject of very many investigations in the quest to either maintain permanently differentiated cell phenotype (e.g., tenocyte [14,15], chondrocytes [16,17], osteoblasts [18,19]) or to direct stem cells towards a specific lineage (e.g., tenogenic [20,21], chondrogenic [22,23], osteogenic [24,25], adipogenic [26,27]). Considering though that cells in vivo are subjected simultaneously to multiple signals, mono-factorial approaches are unlikely to yield a functional output (e.g., 85/15 poly(lactic-co-glycolic acid) with anisotropic grooves, although resulted in upregulation of tendon genes, due to its high rigidity, also induced upregulation of bone and cartilage genes [28]), which has triggered investigations into multi-factorial tissue engineering [29][30][31].…”
Section: Introductionmentioning
confidence: 99%