Cover image for Extreme tissue engineering : concepts and strategies for tissue fabrication
Title:
Extreme tissue engineering : concepts and strategies for tissue fabrication
Personal Author:
Publication Information:
Chichester, West Sussex, UK ; Hoboken, NJ : Wiley-Blackwell, 2013
Physical Description:
xiv, 252 p. : ill. (some col.) ; 26 cm.
ISBN:
9780470974476

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30000010306201 R857.T55 B76 2013 Open Access Book Book
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Summary

Summary

Highly Commended at the BMA Book Awards 2013

Extreme Tissue Engineering is an engaging introduction to Tissue Engineering and Regenerative Medicine (TERM), allowing the reader to understand, discern and place into context the mass of scientific, multi-disciplinary data currently flooding the field. It is designed to provide interdisciplinary, ground-up explanations in a digestible, entertaining way, creating a text which is relevant to all students of TERM regardless of their route into the field.

Organised into three main sections: chapters 1 to 3 introduce and explain the general problems; chapters 4 to 6 identify and refine how the main factors interact to create the problems and opportunities we know all too well; chapters 7 to 9 argue us through the ways we can use leading-edge (extreme) concepts to build our advanced solutions.

Students and researchers in areas such as stem cell and developmental biology, tissue repair, implantology and surgical sciences, biomaterials sciences and nanobiomedicine, bioengineering, bio-processing and monitoring technologies - from undergraduate and masters to doctoral and post-doctoral research levels - will find Extreme Tissue Engineering a stimulating and inspiring text.

Written in a fluid, entertaining style, Extreme Tissue Engineering is introductory yet challenging, richly illustrated and truly interdisciplinary.


Author Notes

Robert A. Brown is Professor of Tissue Engineering and Director of the Centre for Tissue Regeneration Science at University College London, UK. He is also co-ordinator of the London Tissue Engineering Consortium (Tissue Bioreactor Science) and the British Tissue Engineering Network (BRITE Net), as well as current President of the Tissue and Cell Engineering Society (TCES). Professor Brown has published over 180 peer-reviewed publications and 18 patents/applications, collaborating across industry and academia to promote interdisciplinary research in Tissue Engineering and Regenerative Medicine


Table of Contents

Preface: Extreme Tissue Engineering - a User's Guidep. xi
1 Which Tissue Engineering Tribe Are You From?p. 1
1.1 Why do we need to engineer tissues at all?p. 1
1.1.1 Will the real tissue engineering and regenerative medicine please stand up?p. 2
1.1.2 Other people's definitionsp. 3
1.1.3 Defining our tissue engineering: fixing where we are on the scale-hierarchyp. 4
1.2 Bio-integration as a fundamental component of engineering tissuesp. 7
1.2.1 Bio-scientists and physical scientists/engineers: understanding diversity in TERMp. 8
1.3 What are the 'tribes' of tissue engineering?p. 10
1.3.1 Special needs for special characteristics: why is networking essential for TERM?p. 13
1.4 Surprises from tissue engineering (Veselius to Vacanti)p. 16
1.5 So, really, is there any difference between tissue engineering and regenerative medicine?p. 20
1.5.1 Questions never really asked: repair versus regeneration?p. 20
1.5.2 Understanding the full spectrum: tissue replacement, repair and regenerationp. 23
1.6 Conclusionsp. 27
1.7 Summarizing definitionsp. 28
Annex 1 Other people's definitions of tissue engineeringp. 29
Annex 2 Other people's definitions of regenerative medicinep. 30
Further readingp. 30
2 Checking Out the Tissue Groupings and the Small Printp. 33
2.1 Checking the small print: what did we agree to engineer?p. 33
2.2 Identifying special tissue needs, problems and opportunitiesp. 37
2.3 When is 'aiming high' just 'over the top'?p. 39
2.4 Opportunities, risks and problemsp. 41
2.4.1 Experimental model tissues (as distinct from spare-parts and fully regenerated tissues)p. 41
2.4.2 The pressing need for 3D model tissuesp. 42
2.4.3 Tissue models can be useful spin-offs on the way to implantsp. 42
2.5 Special needs for model tissuesp. 44
2.5.1 Cell selection: constancy versus correctnessp. 44
2.5.2 Support matrices - can synthetics fake it?p. 45
2.5.3 Tissue dimensions: when size does matter!p. 46
2.6 Opportunities and sub-divisions for engineering clinical implant tissuesp. 46
2.6.1 Making physiological implants: spare parts or complete replacement?p. 47
2.6.2 Making pathological and aphysiological constructs: inventing new parts and new usesp. 47
2.6.3 Learning to use the plethora of tissue requirements as an opportunityp. 48
2.7 Overall summaryp. 49
Further readingp. 49
3 What Cells 'Hear' When We Say '3D'p. 51
3.1 Sensing your environment in three dimensions: seeing the cuesp. 51
3.2 What is this 3D cell culture thing?p. 54
3.3 Is 3D, for cells, more than a stack of 2Ds?p. 55
3.4 On, in and between tissues: what is it like to be a cell?p. 58
3.5 Different forms of cell-space: 2D, 3D, pseudo-3D and 4D cell culturep. 62
3.5.1 What has '3D' ever done for me?p. 62
3.5.2 Introducing extracellular matrixp. 63
3.5.3 Diffusion and mass transportp. 65
3.5.4 Oxygen mass transport and gradients in 3D engineered tissues: scaling Mount Doomp. 66
3.6 Matrix-rich, cell-rich and pseudo-3D cell culturesp. 69
3.7 4D cultures - or cultures with a 4th dimension?p. 71
3.8 Building our own personal understanding of cell position in its 3D spacep. 73
3.9 Conclusionp. 75
Further readingp. 75
4 Making Support-Scaffolds Containing Living Cellsp. 77
4.1 Two in one: maintaining a synergy means keeping a good duet togetherp. 77
4.2 Choosing cells and support-scaffolds is like matching carriers with cargop. 78
4.3 How like the 'real thing' must a scaffold be to fool its resident cells?p. 80
4.4 Tissue prosthetics and cell prosthetics - what does it matter?p. 83
4.5 Types of cell support material for tissue engineering - composition or architecture?p. 85
4.5.1 Surface or bulk - what does it mean to the cells?p. 85
4.5.2 Bulk material breakdown and the local 'cell economy'p. 85
4.6 Three generic types of bulk composition for support materialsp. 86
4.6.1 Synthetic materials for cell supportsp. 88
4.6.2 Natural, native polymer materials for cell supportsp. 90
4.6.3 Hybrids: composite cell support materials having synthetic and natural componentsp. 98
4.7 Conclusionsp. 100
Further readingp. 101
5 Making the Shapes for Cells in Support-Scaffoldsp. 103
5.1 3D shape and the size hierarchy of support materialsp. 104
5.2 What do we think 'substrate shape' might control?p. 106
5.3 How we fabricate tissue structures affects what we get out in the end: bottom up or top down?p. 107
5.4 What shall we seed into our cell-support materials?p. 110
5.4.1 Cell loading: guiding the willing, bribing the reluctant or trapping the unwary?p. 111
5.4.2 Getting cells onto/into pre-fabricated constructs (the willing and the reluctant)p. 114
5.4.3 Trapping the unwary: Seeding cells into self-assembling, gel-forming materialsp. 115
5.5 Acquiring our cells: recruiting the enthusiastic or press-ganging the resistantp. 118
5.5.1 From cell expansion to selection and differentiationp. 121
5.6 Cargo, crew or stowaway?p. 124
5.6.1 Crew-type cells: helping with the journeyp. 124
5.6.2 Cargo-type cells: building the bulk tissuep. 125
5.6.3 Stowaway or ballast-type cellsp. 128
5.7 Chapter summaryp. 128
Further readingp. 129
6 Asymmetry: 3D Complexity and Layer Engineering - Worth the Hassle?p. 131
6.1 Degrees of tissue asymmetryp. 133
6.2 Making simple anisotropic/asymmetrical structuresp. 134
6.3 Thinking asymmetricallyp. 137
6.4 How do we know which scale to engineer first?p. 140
6.5 Making a virtue of hierarchical complexity: because we have top. 144
6.6 Cell-layering and matrix-layeringp. 147
6.7 No such thing as too many layers: theory and practice of tissue layer engineeringp. 151
6.7.1 Examples of layer engineeringp. 153
6.8 Other forms of tissue fabrication in layers and zonesp. 158
6.8.1 Section summaryp. 158
6.9 Familiar asymmetrical construction components: everyday 'layer engineering'p. 159
6.10 Summaryp. 160
7 Other Ways to Grow Tissues?p. 163
7.1 General philosophies for repair, replacement and regenerationp. 163
7.1.1 What does reconstructive surgery have to teach us?p. 165
7.1.2 Clues from the natural growth of tissuesp. 166
7.2 What
Part of grow do we not understand?p. 167
7.2.1 Childhood growth of soft connective tissues: a good focus?p. 169
7.2.2 Mechanically induced 'growth' of tissues in childrenp. 170
7.2.3 Mechanically induced 'growth' of adult tissuep. 171
7.2.4 Growth has a mirror image - 'ungrowth' or shrinkage-remodellingp. 172
7.3 If growth and ungrowth maintain a tensional homeostasis, what are its controls?p. 173
7.3.1 Tension-driven growth and tensional homeostasis - the cell's perspective?p. 174
7.3.2 Mechanically reactive collagen remodelling - the 'constant tailor' theoryp. 177
7.4 Can we already generate tension-driven growth in in vivo tissue engineering?p. 178
7.4.1 Mechanical loading of existing tissuesp. 178
7.5 Conclusions: what can we learn from engineered growth?p. 179
Appendix to Chapter 7p. 179
Further readingp. 182
8 Bioreactors and All That Bio-Engineering Jazzp. 185
8.1 What are 'tissue bioreactors' and why do we need them?p. 186
8.1.1 Rumblings of unease in the smaller communitiesp. 186
8.1.2 Hunting for special cells or special cuesp. 187
8.1.3 Farming - culture or engineered fabricationp. 188
8.2 Bioreactors: origins of tissue bioreactor logic, and its problemsp. 190
8.2.1 What have tissue engineers ever done for bioreactor technology?p. 190
8.2.2 The 3D caveatp. 191
8.2.3 Fundamental difference between biochemical and tissue bioreactors: 3D solid material fabricationp. 193
8.2.4 Why should a little thing like 'matrix' change so much?p. 194
8.2.5 The place of tissue bioreactors in tissue engineering logic: what happened to all the good analogies?p. 195
8.3 Current strategies for tissue bioreactor process control: views of Christmas past and presentp. 199
8.3.1 Bioreactor enabling factorsp. 200
8.3.2 Cell and architecture controlp. 203
8.4 Extreme tissue engineering solutions to the tissue bioreactor paradox: a view of Christmas future?p. 209
8.4.1 In vivo versus in vitro tissue bioreactors: the new 'nature versus nurture' question?p. 209
8.4.2 Do we need tissue bioreactors at all?p. 210
8.5 Overall summary - how can bioreactors help us in the future?p. 212
Further readingp. 214
9 Towards 4D Fabrication: Time, Monitoring, Function and Process Dynamicsp. 217
9.1 Controlling the dynamics of what we make: what can we control?p. 218
9.2 Can we make tissue bioreactor processes work - another way forward?p. 222
9.2.1 Blending the process systems: balancing the Yin and the Yangp. 224
9.2.2 Making the most of hybrid strategies: refining the timing and sequencep. 226
9.2.3 A real example of making tissues directlyp. 230
9.3 The 4th dimension applied to bioreactor designp. 232
9.3.1 Change, change, change!p. 232
9.3.2 For bioreactor monitoring, what are we really talking about?p. 233
9.3.3 Monitoring and processes - chickens and eggs: which come first?p. 234
9.4 What sort of monitoring: how do we do it?p. 238
9.4.1 Selecting parameters to be monitoredp. 238
9.4.2 What is so special about our particular 'glass slipper'?p. 241
9.5 The take-home messagep. 245
Further readingp. 246
10 Epilogue: Where Can Extreme Tissue Engineering Go Next?p. 247
10.1 So where can extreme tissue engineering go next?p. 247
Indexp. 249