Acellular Biomaterials: An Evolving Alternative to Cell-Based Therapies

Acellular biomaterials are emerging as viable treatment options for patients with damaged tissues. Acellular biomaterials can stimulate the local environment to repair tissues without the regulatory and scientific challenges of cell-based therapies. A greater understanding of the mechanisms of such endogenous tissue repair is furthering the design and application of these biomaterials. We discuss recent progress in acellular materials for tissue repair, using cartilage and cardiac tissues as examples of applications with substantial intrinsic hurdles, but where human translation is now occurring.

[1]  Richard T. Lee,et al.  Local Delivery of Protease-Resistant Stromal Cell Derived Factor-1 for Stem Cell Recruitment After Myocardial Infarction , 2007, Circulation.

[2]  H. Kowarzyk Structure and Function. , 1910, Nature.

[3]  Chris Mason,et al.  What Is the Greatest Regulatory Challenge in the Translation of Biomaterials to the Clinic? , 2012, Science Translational Medicine.

[4]  J. Burdick,et al.  Synergistic effects of SDF-1α chemokine and hyaluronic acid release from degradable hydrogels on directing bone marrow derived cell homing to the myocardium. , 2012, Biomaterials.

[5]  S. Badylak,et al.  Extracellular matrix as a biological scaffold material: Structure and function. , 2009, Acta biomaterialia.

[6]  Peter Behrens,et al.  Matrix-associated autologous chondrocyte transplantation/implantation (MACT/MACI)--5-year follow-up. , 2006, The Knee.

[7]  Ashutosh Kumar Singh,et al.  Self-assembling nanoparticles for intra-articular delivery of anti-inflammatory proteins. , 2012, Biomaterials.

[8]  Marcin Maruszewski,et al.  Cell-based therapeutics from an economic perspective: primed for a commercial success or a research sinkhole? , 2008, Regenerative medicine.

[9]  M. Endres,et al.  Formation of cartilage repair tissue in articular cartilage defects pretreated with microfracture and covered with cell‐free polymer‐based implants , 2009, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[10]  S. Epstein,et al.  Cell-based therapy for myocardial ischemia and infarction: pathophysiological mechanisms. , 2007, Annual review of pathology.

[11]  Molly M. Stevens,et al.  Designing Regenerative Biomaterial Therapies for the Clinic , 2012, Science Translational Medicine.

[12]  J. Gorman,et al.  Dermal filler injection: a novel approach for limiting infarct expansion. , 2009, The Annals of thoracic surgery.

[13]  Peter Behrens,et al.  The treatment of chondral and osteochondral defects of the knee with autologous matrix-induced chondrogenesis (AMIC): method description and recent developments , 2011, Knee Surgery, Sports Traumatology, Arthroscopy.

[14]  A. DeMaria,et al.  Safety and Efficacy of an Injectable Extracellular Matrix Hydrogel for Treating Myocardial Infarction , 2013, Science Translational Medicine.

[15]  David J Mooney,et al.  Angiogenic effects of sequential release of VEGF-A165 and PDGF-BB with alginate hydrogels after myocardial infarction. , 2007, Cardiovascular research.

[16]  M. Biddle,et al.  A report from the American Heart Association Council on Cardiovascular and Stroke Nursing. , 2015, The Journal of cardiovascular nursing.

[17]  R. Tuan,et al.  Major biological obstacles for persistent cell-based regeneration of articular cartilage , 2007, Arthritis research & therapy.

[18]  B. Brown,et al.  Macrophage polarization: an opportunity for improved outcomes in biomaterials and regenerative medicine. , 2012, Biomaterials.

[19]  N. Sharpe,et al.  Left ventricular remodeling after myocardial infarction: pathophysiology and therapy. , 2000, Circulation.

[20]  D. Mozaffarian,et al.  Heart disease and stroke statistics--2012 update: a report from the American Heart Association. , 2012, Circulation.

[21]  John R. Johnson,et al.  The perioperative cost of Infuse bone graft in posterolateral lumbar spine fusion. , 2008, The spine journal : official journal of the North American Spine Society.

[22]  Richard T. Lee,et al.  Local Controlled Intramyocardial Delivery of Platelet-Derived Growth Factor Improves Postinfarction Ventricular Function Without Pulmonary Toxicity , 2006, Circulation.

[23]  Hai Yao,et al.  Regeneration of the articular surface of the rabbit synovial joint by cell homing: a proof of concept study , 2010, The Lancet.

[24]  J. Burdick,et al.  Injectable Acellular Hydrogels for Cardiac Repair , 2011, Journal of cardiovascular translational research.

[25]  Richard P Davis,et al.  Challenges in Using Stem Cells for Cardiac Repair , 2010, Science Translational Medicine.

[26]  Garry E Gold,et al.  Human Cartilage Repair with a Photoreactive Adhesive-Hydrogel Composite , 2013, Science Translational Medicine.

[27]  Casey K Chan,et al.  Stem cell homing in musculoskeletal injury. , 2011, Biomaterials.

[28]  David M. Bodine,et al.  Bone marrow cells regenerate infarcted myocardium , 2001, Nature.

[29]  Donald O Freytes,et al.  Reprint of: Extracellular matrix as a biological scaffold material: Structure and function. , 2015, Acta biomaterialia.

[30]  Yi-Dong Lin,et al.  Instructive Nanofiber Scaffolds with VEGF Create a Microenvironment for Arteriogenesis and Cardiac Repair , 2012, Science Translational Medicine.

[31]  Robert C Gorman,et al.  Injectable hydrogel properties influence infarct expansion and extent of postinfarction left ventricular remodeling in an ovine model , 2010, Proceedings of the National Academy of Sciences.

[32]  Brendon M. Baker,et al.  NANOFIBROUS BIOLOGIC LAMINATES REPLICATE THE FORM AND FUNCTION OF THE ANNULUS FIBROSUS , 2009, Nature materials.

[33]  D. Mooney,et al.  Polymeric system for dual growth factor delivery , 2001, Nature Biotechnology.