2020
DOI: 10.3390/ijms22010192
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Challenges in Bone Tissue Regeneration: Stem Cell Therapy, Biofunctionality and Antimicrobial Properties of Novel Materials and Its Evolution

Abstract: An aging population leads to increasing demand for sustained quality of life with the aid of novel implants. Patients expect fast healing and few complications after surgery. Increased biofunctionality and antimicrobial behavior of implants, in combination with supportive stem cell therapy, can meet these expectations. Recent research in the field of bone implants and the implementation of autologous mesenchymal stem cells in the treatment of bone defects is outlined and evaluated in this review. The article h… Show more

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Cited by 32 publications
(23 citation statements)
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References 206 publications
(340 reference statements)
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“…However, it lacks osteogenesis and osteoinductive properties and is prone to collapse, also the absorption and degradation process in the body is very long [50]. Therefore, it is of great significance to develop new bone repair materials with good biocompatibility, suitable speed of biodegradation and antibacterial activity [51][52][53].…”
Section: Discussionmentioning
confidence: 99%
“…However, it lacks osteogenesis and osteoinductive properties and is prone to collapse, also the absorption and degradation process in the body is very long [50]. Therefore, it is of great significance to develop new bone repair materials with good biocompatibility, suitable speed of biodegradation and antibacterial activity [51][52][53].…”
Section: Discussionmentioning
confidence: 99%
“…There is a large focus on emerging preclinical strategies for biomaterials, antimicrobials, and incorporation of new technologies to address fracture-related infections as reviewed in recent literature. [64][65][66][67] Antibiotics for treatment of infections remains the standard of care, but with multiple limitations regarding side effects and limited efficacy. One major limitation to antibiotic usage is inability to prevent formation and penetration of biofilms created by bacteria, thus imparts a large need for problem, including antimicrobial peptides (AMPs), which are small chains of peptides used by the immune system to disrupt cellular membranes or inhibit protein synthesis within bacterial cells (Figure 4).…”
Section: Antimicrobial Agentsmentioning
confidence: 99%
“…The use of such a model thus reduces the time it takes to translate findings from studies in rodents to humans. There are much interest in the field to develop polymer-or hydrogel-based microfluidic devices for tissue engineering that mimic ion channels in human cells/ tissues, bone tissue regeneration for transplantation, and perhaps tubules found in kidneys, prostate and others (104)(105)(106)(107)(108). A major obstacle of developing an in vitro human testis model is that the polymer-or hydrogel-based microfluidic device, unlike the seminiferous tubules in the testis, is not a dynamic structure.…”
Section: Concluding Remarks and Future Perspectivesmentioning
confidence: 99%