Overcoming functional challenges in autologous and engineered fat grafting trends
Autologous fat grafting offers significant promise for the repair of soft tissue deformities; however, high resorption rates indicate that engineered solutions are required to improve adipose tissue (AT) survival. Advances in material development and biofabrication have laid the foundation for the g...
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| Published in | Trends in biotechnology (Regular ed.) Vol. 40; no. 1; pp. 77 - 92 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.01.2022
Elsevier Limited |
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| Online Access | Get full text |
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| Abstract | Autologous fat grafting offers significant promise for the repair of soft tissue deformities; however, high resorption rates indicate that engineered solutions are required to improve adipose tissue (AT) survival. Advances in material development and biofabrication have laid the foundation for the generation of functional AT constructs; however, a balance needs to be struck between clinically feasible delivery and improved structural integrity of the grafts. A new approach combining the objectives from both the clinical and research communities will assist in developing morphologically and genetically mature AT constructs, with controlled spatial arrangement and increased potential for neovascularization. In a rapidly progressing field, this review addresses research in both the preclinical and bioengineering domains and assesses their ability to resolve functional challenges.
The current and emerging adipose tissue regeneration strategies are somewhat misaligned, without a clear focus on the appropriate structural and functional demands required in vivo.The development of biomimetic materials has been rigorous, but these materials now need to be unified with established biofabrication strategies to meet the clinical design challenges.Efforts to prevascularize adipose tissue constructs have been significant; however, scalability and surgical feasibility remain an issue.Generating mature adipose tissue constructs is a major challenge in the field; however, refined culture strategies and adjuvant factors have made headway, laying the foundation for future clinical relevance.There is a clear trade-off between minimally invasive delivery and architectural control in vivo. Striking a balance between these will be key to fast-tracking engineered adipose tissue grafting. |
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| AbstractList | Autologous fat grafting offers significant promise for the repair of soft tissue deformities; however, high resorption rates indicate that engineered solutions are required to improve adipose tissue (AT) survival. Advances in material development and biofabrication have laid the foundation for the generation of functional AT constructs; however, a balance needs to be struck between clinically feasible delivery and improved structural integrity of the grafts. A new approach combining the objectives from both the clinical and research communities will assist in developing morphologically and genetically mature AT constructs, with controlled spatial arrangement and increased potential for neovascularization. In a rapidly progressing field, this review addresses research in both the preclinical and bioengineering domains and assesses their ability to resolve functional challenges.
The current and emerging adipose tissue regeneration strategies are somewhat misaligned, without a clear focus on the appropriate structural and functional demands required in vivo.The development of biomimetic materials has been rigorous, but these materials now need to be unified with established biofabrication strategies to meet the clinical design challenges.Efforts to prevascularize adipose tissue constructs have been significant; however, scalability and surgical feasibility remain an issue.Generating mature adipose tissue constructs is a major challenge in the field; however, refined culture strategies and adjuvant factors have made headway, laying the foundation for future clinical relevance.There is a clear trade-off between minimally invasive delivery and architectural control in vivo. Striking a balance between these will be key to fast-tracking engineered adipose tissue grafting. Autologous fat grafting offers significant promise for the repair of soft tissue deformities; however, high resorption rates indicate that engineered solutions are required to improve adipose tissue (AT) survival. Advances in material development and biofabrication have laid the foundation for the generation of functional AT constructs; however, a balance needs to be struck between clinically feasible delivery and improved structural integrity of the grafts. A new approach combining the objectives from both the clinical and research communities will assist in developing morphologically and genetically mature AT constructs, with controlled spatial arrangement and increased potential for neovascularization. In a rapidly progressing field, this review addresses research in both the preclinical and bioengineering domains and assesses their ability to resolve functional challenges. |
| Author | Simcock, Jeremy W. Woodfield, Tim B.F. Major, Gretel S. Lim, Khoon S. |
| Author_xml | – sequence: 1 givenname: Gretel S. surname: Major fullname: Major, Gretel S. organization: Christchurch Regenerative Medicine and Tissue Engineering (CReaTE) Group, Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand – sequence: 2 givenname: Jeremy W. surname: Simcock fullname: Simcock, Jeremy W. organization: Department of Surgery, University of Otago, Christchurch 8011, New Zealand – sequence: 3 givenname: Tim B.F. surname: Woodfield fullname: Woodfield, Tim B.F. email: tim.woodfield@otago.ac.nz organization: Christchurch Regenerative Medicine and Tissue Engineering (CReaTE) Group, Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand – sequence: 4 givenname: Khoon S. surname: Lim fullname: Lim, Khoon S. email: khoon.lim@otago.ac.nz organization: Christchurch Regenerative Medicine and Tissue Engineering (CReaTE) Group, Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago Christchurch, Christchurch 8011, New Zealand |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34016480$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_cej_2024_150549 crossref_primary_10_1002_advs_202207334 crossref_primary_10_1557_s43577_021_00260_8 crossref_primary_10_1002_advs_202300538 crossref_primary_10_1093_rb_rbad049 crossref_primary_10_1007_s13770_023_00607_z crossref_primary_10_1016_j_lfs_2024_122758 crossref_primary_10_1186_s40824_022_00325_y crossref_primary_10_1097_GOX_0000000000004720 crossref_primary_10_1080_21623945_2022_2044601 crossref_primary_10_1021_acs_nanolett_3c02016 crossref_primary_10_1002_adhm_202300977 crossref_primary_10_1007_s00238_024_02171_8 crossref_primary_10_1089_ten_tea_2023_0354 crossref_primary_10_1007_s13577_023_01010_5 crossref_primary_10_1002_adbi_202300448 |
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| Keywords | lipoaspirate adipose tissue contour deformities autologous fat grafting soft tissue regeneration breast reconstruction |
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24 |
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