2022
DOI: 10.1038/s41368-021-00156-y
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Immunomodulatory effects and mechanisms of distraction osteogenesis

Abstract: Distraction osteogenesis (DO) is widely used for bone tissue engineering technology. Immune regulations play important roles in the process of DO like other bone regeneration mechanisms. Compared with others, the immune regulation processes of DO have their distinct features. In this review, we summarized the immune-related events including changes in and effects of immune cells, immune-related cytokines, and signaling pathways at different periods in the process of DO. We aim to elucidated our understanding a… Show more

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Cited by 17 publications
(12 citation statements)
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“…In the late stage of bone regeneration, the M2-polarized macrophages induce the secretion of TGF-β and IL-10, thereby inducing angiogenesis and osteogenesis [ [76] , [77] , [78] , [79] ]. Moreover, MSCs secrete IL-6, which triggers the sustained release of bone morphogenic protein-2 (BMP-2) and promotes the phosphorylation of suppressor of mothers against decapentaplegic (SMAD) via the TGF-β or MAPK signaling pathway in osteoblasts [ 80 ]. Therefore, the interplay between MSC immunomodulation and macrophage polarization regulates osteoblast maturation and bone mineralization.…”
Section: Macrophage Heterogeneity - Tissue Healing or Disease Progres...mentioning
confidence: 99%
“…In the late stage of bone regeneration, the M2-polarized macrophages induce the secretion of TGF-β and IL-10, thereby inducing angiogenesis and osteogenesis [ [76] , [77] , [78] , [79] ]. Moreover, MSCs secrete IL-6, which triggers the sustained release of bone morphogenic protein-2 (BMP-2) and promotes the phosphorylation of suppressor of mothers against decapentaplegic (SMAD) via the TGF-β or MAPK signaling pathway in osteoblasts [ 80 ]. Therefore, the interplay between MSC immunomodulation and macrophage polarization regulates osteoblast maturation and bone mineralization.…”
Section: Macrophage Heterogeneity - Tissue Healing or Disease Progres...mentioning
confidence: 99%
“…Bone grafting has osteogenic potential, osteoinductive potential, and osteoconductive potential. Osteogenesis is the formation of bone by preosteoblasts and mesenchymal cells in the graft material (autologous bone) [ 101 , 102 , 103 ]. The bone-inductive capacity is defined as bone formation by bone morphogenetic proteins (BMPs) in autologous or allogeneic bone [ 104 , 105 , 106 ].…”
Section: Bone Graftingmentioning
confidence: 99%
“…The diagnostic standards of bone union and bone non-union: bone union indicated the ones where the external fixator was removed successfully, whereas bone non-union represented the ones where bridging callus did not appear even after 9 months (an absence of bridging callus for at least three out of four cortices on plain radiographs) that needs autogenous bone transplantation (18)(19)(20). (3) The patients who had primary surgery. The exclusion criteria were: (1) The patients who could not complete the full course of bone lengthening therapy; (2) The patients who suffered from bone diseases that affected bone healing (e.g., osteomyelitis);…”
Section: Study Design and Patientsmentioning
confidence: 99%