2016
DOI: 10.1089/ten.teb.2015.0523
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Tissue Engineering Strategies for Myocardial Regeneration: Acellular Versus Cellular Scaffolds?

Abstract: Heart disease remains one of the leading causes of death in industrialized nations with myocardial infarction (MI) contributing to at least one fifth of the reported deaths. The hypoxic environment eventually leads to cellular death and scar tissue formation. The scar tissue that forms is not mechanically functional and often leads to myocardial remodeling and eventual heart failure. Tissue engineering and regenerative medicine principles provide an alternative approach to restoring myocardial function by desi… Show more

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Cited by 87 publications
(72 citation statements)
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“…Moreover, sutures may cause tissue damage and hemorrhage, and glues may hinder cell migration from the patch to defected tissue . Natural polymer‐based cardiac patches (e.g., collagen, gelatin, and fibrin) usually have poor mechanical properties and fast degradation rate, which can inhibit long‐term therapeutic effects . Cell sheet transplantation is another important stem cell–based technique for treating myocardial infarction.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Moreover, sutures may cause tissue damage and hemorrhage, and glues may hinder cell migration from the patch to defected tissue . Natural polymer‐based cardiac patches (e.g., collagen, gelatin, and fibrin) usually have poor mechanical properties and fast degradation rate, which can inhibit long‐term therapeutic effects . Cell sheet transplantation is another important stem cell–based technique for treating myocardial infarction.…”
Section: Resultsmentioning
confidence: 99%
“…This scaffold‐free cell therapy has been widely applied to deliver diverse types of stem cells onto infarcted heart . However, cell death often occurs immediately after transplantation into ischemic myocardium with intensive inflammation and tissue necrosis, leading to graft failure . More critically, cell sheets do not possess high enough mechanical stability to withstand the contractile forces of a beating heart .…”
Section: Resultsmentioning
confidence: 99%
“…151 The ideal properties of these biomaterials include, but are not limited to, high porosity, high surface area-to-cell volume ratio, microenvironment similar to natural ECM, good mechanical properties, biodegradability, and biocompatibility. 152 Despite the tremendous advances in engineered cardiac tissue, the complete restoration of myocardial function remains elusive, and work needs to be done in order to potentiate the biological activity of these biomaterials to offer biophysical support to the damaged heart.…”
Section: Mscs For Cardiac Repair Preclinical Studiesmentioning
confidence: 99%
“…Heart attack or myocardial infarction (MI) which is defined as myocardial cell death is caused by occlusion of a coronary artery. 1,2 As the mammalian heart has limited regenerative capacity, cardiac damage can lead to some critical pathological symptoms and even catastrophic heart failure. 3,4 Regeneration of the damaged heart tissue is the primary goal of myocardial tissue engineering (MTE).…”
Section: Introductionmentioning
confidence: 99%