Tissue Engineering 324
Use of Bioreactors in Tissue EngineeringA tissue engineering bioreactor can be defined as a device that uses mechanical means to influence biological processes . Bioreactors can be used to aid in the in vitro development of new tissue by providing biochemical and physical regulatory signals to cells and encouraging them to undergo differentiation and/or to produce extracellular matrix prior to in vivo implantation. Bioreactors are devices in which biological or biochemical processes develop under a closely monitored and tightly controlled environment. Cells respond to mechanical stimulation and bioreactors can be used to apply mechanical stimulation to cells. This can encourage cells to produce extracellular matrix (ECM) in a shorter time period and in a more homogeneous manner than would be the case with static culture. For example, in comparisons between ECM protein levels of equine articluar chondrocytes cultured on polyglycolic acid scaffolds after 5 weeks in culture, constructs cultured under hydrostatic pressure showed significant improvements over constructs cultured in static medium (Carver & Heath, 1999). A benefit of ECM production is the increase in mechanical stiffness that it provides to the construct. A six-fold increase in equilibrium aggregate modulus (an intrinsic property of cartilage which is a measure of stiffness) was found after 28 days of culture in a compression bioreactor compared to free swelling controls (Mauck, et al., 2000). Another important application of bioreactors is in cellular differentiation. Mechanical stimulation can be used to encourage stem cells down a particular path and hence provide the cell phenotype required. Bioreactors can provide biochemical and physical regulatory signals that guide differentiation (Altman, et al., 2002). There is great potential for using mesenchymal stem cells and other multipotent cells to generate different cell types and bioreactors can play an important role in this process. As well as providing mechanical stimulation, bioreactors can also be used to improve cellular spatial distribution. A heterogeneous cell distribution is a major obstacle to developing any three-dimensional tissue or organ in vitro. Defects requiring tissue engineering solutions are typically many millimetres in size (Goldstein, et al., 2001). Scaffolds in such a size range are easily fabricated, however, problems arise when culturing cells on these scaffolds. As the size of the scaffold increases, diffusion of nutrients to the centre of the construct becomes more difficult. Static culture conditions result in scaffolds with few cells in the centre of the construct (Cartmell, et al., 2003). It is hypothesised that this is due to limited cell penetration during seeding, cell migration to the scaffold periphery during culture, or cell death in the centre of the scaffold (