Engineering biomaterials to integrate and heal: The biocompatibility paradigm shifts
This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)—that is, the phagocytic attack and encapsulation by the body of the so‐called “biocompatible” biomaterials comprising the devices. We then review strategies currently under developme...
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Published in | Biotechnology and bioengineering Vol. 109; no. 8; pp. 1898 - 1911 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.08.2012
Wiley Subscription Services, Inc |
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Abstract | This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)—that is, the phagocytic attack and encapsulation by the body of the so‐called “biocompatible” biomaterials comprising the devices. We then review strategies currently under development that might lead to biomaterial constructs that will harmoniously heal and integrate into the body. We discuss in detail emerging strategies to inhibit the FBR by engineering biomaterials that elicit more biologically pertinent responses. Biotechnol. Bioeng. 2012; 109:1898–1911. © 2012 Wiley Periodicals, Inc.
Porous templated scaffolds (PTSs) are polymer constructs where each pore is exactly the same size, and pore interconnects are also uniform in size; with both parameters being adjustable. Consistently, the 30–40 µm dia. pore size PTS shows excellent healing, regardless of polymer composition or implant site. Hypothetically, the large numbers of macrophage observed in the 35‐µm PTS are being directed toward the M2 (regenerative) phenotype. Growing circumstantial evidence suggests the controversial possibility that macrophage transdifferentiate into implant site‐specific tissue cells. |
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AbstractList | Abstract
This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)—that is, the phagocytic attack and encapsulation by the body of the so‐called “biocompatible” biomaterials comprising the devices. We then review strategies currently under development that might lead to biomaterial constructs that will harmoniously heal and integrate into the body. We discuss in detail emerging strategies to inhibit the FBR by engineering biomaterials that elicit more biologically pertinent responses. Biotechnol. Bioeng. 2012; 109:1898–1911. © 2012 Wiley Periodicals, Inc. This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)--that is, the phagocytic attack and encapsulation by the body of the so-called "biocompatible" biomaterials comprising the devices. We then review strategies currently under development that might lead to biomaterial constructs that will harmoniously heal and integrate into the body. We discuss in detail emerging strategies to inhibit the FBR by engineering biomaterials that elicit more biologically pertinent responses. This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)—that is, the phagocytic attack and encapsulation by the body of the so‐called “biocompatible” biomaterials comprising the devices. We then review strategies currently under development that might lead to biomaterial constructs that will harmoniously heal and integrate into the body. We discuss in detail emerging strategies to inhibit the FBR by engineering biomaterials that elicit more biologically pertinent responses. Biotechnol. Bioeng. 2012; 109:1898–1911. © 2012 Wiley Periodicals, Inc. Porous templated scaffolds (PTSs) are polymer constructs where each pore is exactly the same size, and pore interconnects are also uniform in size; with both parameters being adjustable. Consistently, the 30–40 µm dia. pore size PTS shows excellent healing, regardless of polymer composition or implant site. Hypothetically, the large numbers of macrophage observed in the 35‐µm PTS are being directed toward the M2 (regenerative) phenotype. Growing circumstantial evidence suggests the controversial possibility that macrophage transdifferentiate into implant site‐specific tissue cells. This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR) -- that is, the phagocytic attack and encapsulation by the body of the so-called "biocompatible" biomaterials comprising the devices. We then review strategies currently under development that might lead to biomaterial constructs that will harmoniously heal and integrate into the body. We discuss in detail emerging strategies to inhibit the FBR by engineering biomaterials that elicit more biologically pertinent responses. [PUBLICATION ABSTRACT] |
Author | Bryers, James D. Ratner, Buddy D. Giachelli, Cecilia M. |
Author_xml | – sequence: 1 givenname: James D. surname: Bryers fullname: Bryers, James D. email: jbryers@uw.edu organization: Department of Bioengineering, University of Washington, N310C Foege Hall, Box 355061, Seattle, WA 98195-5061; telephone: 206-221-5876; fax: 206-616-9763 – sequence: 2 givenname: Cecilia M. surname: Giachelli fullname: Giachelli, Cecilia M. organization: Department of Bioengineering, University of Washington, N310C Foege Hall, Box 355061, Seattle, WA 98195-5061; telephone: 206-221-5876; fax: 206-616-9763 – sequence: 3 givenname: Buddy D. surname: Ratner fullname: Ratner, Buddy D. organization: Department of Bioengineering, University of Washington, N310C Foege Hall, Box 355061, Seattle, WA 98195-5061; telephone: 206-221-5876; fax: 206-616-9763 |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22592568$$D View this record in MEDLINE/PubMed |
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Snippet | This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)—that is, the phagocytic attack and... This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)--that is, the phagocytic attack and... Abstract This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR)—that is, the phagocytic attack... This article focuses on one of the major failure routes of implanted medical devices, the foreign body reaction (FBR) -- that is, the phagocytic attack and... |
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SubjectTerms | Biocompatibility Biocompatible Materials - chemistry Bioengineering Biomedical materials Failure foreign body response Foreign-Body Reaction - prevention & control macrophage phenotype Prostheses and Implants tissue regeneration Wound healing |
Title | Engineering biomaterials to integrate and heal: The biocompatibility paradigm shifts |
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