rADSC-loaded tubular units composed of multilayer electrospun membranes promoted bone regeneration of critical-sized skull defects
doi: 10.1088/2752-5724/ad66ea
-
Abstract: AbstractAdipose-derived stem cells (ADSCs) have considerable potential for bone regeneration. However, their performance is limited by a lack of scaffolds that adequately mimic the hierarchical structure of bone to promote proliferation and osteogenic differentiation of ADSCs. In this study, nanofiber membranes composed of polycaprolactone, poly(lactide-co-glycolide), and hydroxyapatite (HAp) were prepared via electrospinning, and the membranes curled after responding to temperature stimuli in an aqueous solution. Transmission electron microscopy and scanning electron microscopy observations indicated that needle-like HAp nanoparticles with an average diameter of 57 ± 39 nm and a length-diameter ratio of 7.4 ± 1.56 were entrapped in the nanofiber matrix and did not affect the surface morphology of fibers. After cutting and deformation, the nanofibers changed from straight to bent, and the diameters increased; they were 1105 ± 200 nm for BPLG85-H and 1120 ± 199 nm for BPLG80-H. Additionally, tubular units with a single layer (BPLG-H(1.5)) or multiple layers (BPLG-H(3.5)) were obtained by controlling the initial shape and size of the membranes. rADSCs on the concave surface of BPLG-H(3.5) proliferated faster and exhibited better osteogenic activity than those on the convex side of BPLG-H(3.5) and both surfaces of BPLG-H(1.5), which was correlated with the higher expressions of vascular endothelial growth factor and bone morphogenetic protein 2. Additionally, rADSCs on both units maintained osteogenic activity after storage at -80 °C for 20 d. In rat skull defect (diameter of 8 mm) models, rADSC-loaded BPLG-H(3.5) units fixed using gelatin hydrogel (ADSC@BHM) exhibited 84.1 ± 6.6% BV/TV after implantation for 12 weeks, which was 155.6% higher than that of the Blank group. H&E and Masson’s staining results demonstrated that there was more bone regeneration at the defect center of ADSC@BHM than in the BHM and Blank groups. In conclusion, rADSC-loaded BPLG-H(3.5) with an osteon-mimic structure provides a potential strategy to repair bone defects.
-
Key words:
- adipose-derived stem cells /
- electrospinning /
- composite fiber /
- bone regeneration
-
Figure 1. Characterization of HAp and SL membranes with and without HAp. (a) SEM and TEM images, (b) XRD pattern (red lines represent peaks for HAp standard with PDF Card No. 9-432), and (c) XPS spectrum of HAp. (d) TEM and SEM images of electrospun nanofibers with and without HAp. (e) Shrinkage ratio and thickness (after shrinkage) of membranes with different components (data = mean ± SD, n = 3). (f) Scheme for the changes in the area and thickness of SL membranes after shrinkage (membranes remained flat; green, light blue, and dark blue represent PLG80-H, gelatin, and PLG85-H layers, respectively). (g) DSC spectra of as-spun (SPLG85-H, SPLG85, SPLG80, SPLG80-H) and after-shrinkage (SPLG85-H, SPLG80-H) membranes with different components.
Figure 2. Optimization of fabrication parameters for BLCMs to obtain the lowest curl ratio and smallest gross size. (a) Light microscope images and (b) curl ratio and diameter after curling of BLCMs with different layer proportions at a fixed thickness and different thicknesses at a fixed layer proportion. (c) Light microscope images and (d) curl ratio and projected area after curling of BLCMs with different vertex angles and waist lengths. (e) Cross-sectional view of BPLG-H(3.5) and BPLG-H(1.5) obtained via OCT. (f) Scheme for the deformation process of BLCMs (red arrows represent directions of gelatin dissolution; green, dark blue, and light blue represent PLG80-H, PLG85-H, and gelatin layers, respectively).
Figure 3. In vitro degradation properties of BLCMs. (a) SEM images of BLCMs after deformation (after-deform) and after in vitro degradation (after-degra) in PBS (pH 7.4, 37 °C) for 28 d. (b) Nanofiber diameters of as-spun, after-deform, and after-degra BLCMs. (c) XRD patterns of as-spun, after-deform, and after-degra BLCMs. ‘As-spun’ denotes freshly electrospun membranes without treatment.
Figure 4. Proliferation and osteogenic differentiation behaviors of rADSCs on BLCMs. (a) Cells were cultured in a proliferation medium, and the CCK8 assay was performed. The concentrations of (b) VEGF and (c) BMP-2 in the proliferation medium on day 7 were quantified using the ELISA. (d) After osteogenic induction for 21 d and Alizarin Red staining, light microscope images were obtained. (e) 3D reconstruction of CLSM images of samples after DAPI staining. (f) Quantitative results for samples after Alizarin Red staining. Concentrations of (g) VEGF and (h) BMP-2 in the osteogenic medium on day 21. (Data = mean ± SD; n = 3; p < 0.05 compared with TCP group).
Figure 5. Osteogenic differentiation of rADSCs on BLCMs under different culture conditions. (a) In the proliferation medium for 8 d, (b) in the osteogenic medium for 8 d, and (c) in the proliferation medium for 10 d and then the osteogenic medium for 8 d; light microscope images of the samples were captured after Alizarin Red staining. (d) Alizarin Red quantitative results and concentrations of (e) VEGF and (f) BMP-2 in the medium of samples under different culture conditions. (g) Experimental timeline for cryopreservation and osteogenic induction. (h) rADSC-loaded BLCMs were cryopreserved at -80 °C for 20 d. The CCK-8 assay was performed on the second day of recovery. (i) Light microscope images were obtained after 8 d of osteogenic induction followed by Alizarin Red staining and (j) quantitative results for the samples. (Data = mean ± standard deviation; n = 3; compared with the same shape and size fibrous membrane group on the same day, p < 0.05).
Figure 6. In vivo bone regeneration of critical-sized skull defects after implantation of rADSC-loaded BLCMs for 12 weeks. (a) Digital images and micro-CT images of the Blank, BHM, and ADSC@BHM groups (red dashed circle represents the initial skull defect). (b) BV/TV results for each group. (Data = mean ± SD; n = 3; compared with the Blank group, p < 0.05). Representative histological images of bone tissue for the Blank, BHM, and ADSC@BHM groups after (c) H&E and (d) Masson’s staining (NB, new bone; CT, connective tissue; B, host bone).
-
[1] Zhang J, Tong D, Song H, Ruan R, Sun Y, Lin Y, Wang J, Hou L, Dai J, Ding J, Yang H 2022 Osteoimmunity-regulating biomimetically hierarchical scaffold for augmented bone regeneration Adv. Mater. 34 2202044 doi: 10.1002/adma.202202044 [2] Armiento A R, Hatt L P, Rosenberg G S, Thompson K, Stoddart M J 2020 Functional biomaterials for bone regeneration: a lesson in complex biology Adv. Funct. Mater. 30 1909874 doi: 10.1002/adfm.201909874 [3] Dekoninck S, Blanpain C 2019 Stem cell dynamics, migration and plasticity during wound healing Nat. Cell Biol. 21 18-24 doi: 10.1038/s41556-018-0237-6 [4] Qin Y, Ge G R, Yang P, Wang L L, Qiao Y S, Pan G Q, Yang H L, Bai J X, Cui W G, Geng D C 2023 An update on adipose-derived stem cells for regenerative medicine: where challenge meets opportunity Adv. Sci. 10 2207334 doi: 10.1002/advs.202207334 [5] Yamada Y, Okano T, Orita K, Makino T, Shima F, Nakamura H 2022 3D-cultured small size adipose-derived stem cell spheroids promote bone regeneration in the critical-sized bone defect rat model Biochem. Biophys. Res. Commun. 603 57-62 doi: 10.1016/j.bbrc.2022.03.027 [6] Chen R J, Feng T J, Cheng S, Chen M, Li Y, Yu Z H, Xu Z Y, Yin P B, Zhang L C, Tang P F 2023 Evaluating the defect targeting effects and osteogenesis promoting capacity of exosomes from 2D-and 3D-cultured human adipose-derived stem cells Nano Today 49 101789 doi: 10.1016/j.nantod.2023.101789 [7] Kang Y, Xu C, Meng L, Dong X F, Qi M, Jiang D Q 2022 Exosome-functionalized magnesium-organic framework-based scaffolds with osteogenic, angiogenic and anti-inflammatory properties for accelerated bone regeneration Bioact. Mater. 18 26-41 doi: 10.1016/j.bioactmat.2022.02.012 [8] Liu Z M, Tang M L, Zhao J P, Chai R J, Kang J H 2018 Looking into the future: toward advanced 3D biomaterials for stem-cell-based regenerative medicine Adv. Mater. 30 1705388 doi: 10.1002/adma.201705388 [9] Yang L, Liu Y X, Sun L Y, Zhao C, Chen G P, Zhao Y J 2022 Biomass microcapsules with stem cell encapsulation for bone repair Nano-Micro. Lett. 14 4 doi: 10.1007/s40820-021-00747-8 [10] Zhang J X, Liu Y Z, Chen Y T, Yuan L, Liu H, Wang J C, Liu Q R, Zhang Y 2020 Adipose-derived stem cells: current applications and future directions in the regeneration of multiple tissues Stem Cells Int. 2020 8810813 doi: 10.1155/2020/8810813 [11] Hu K, R O B 2016 The roles of vascular endothelial growth factor in bone repair and regeneration Bone 91 30-38 doi: 10.1016/j.bone.2016.06.013 [12] Halloran D, Durbano H W, Nohe A 2020 Bone morphogenetic protein-2 in development and bone homeostasis J. Dev. Biol. 8 19 doi: 10.3390/jdb8030019 [13] Fang Y F, Gong Y, Yang Z J, Chen Y 2021 Repair of osteoporotic bone defects using adipose-derived stromal cells and umbilical vein endothelial cells seeded in chitosan/nanohydroxyapatite-P24 nanocomposite scaffolds J. Nanomater. 2021 6237130 doi: 10.1155/2021/6237130 [14] Lee J, Lee S, Huh S J, Kang B J, Shin H 2022 Directed regeneration of osteochondral tissue by hierarchical assembly of spatially organized composite spheroids Adv. Sci. 9 2103525 doi: 10.1002/advs.202103525 [15] Wegst U G K, Bai H, Saiz E, Tomsia A P, Ritchie R O 2015 Bioinspired structural materials Nat. Mater. 14 23-36 doi: 10.1038/nmat4089 [16] Zhang M, et al 2020 3D printing of Haversian bone-mimicking scaffolds for multicellular delivery in bone regeneration Sci. Adv. 6 eaaz6725 doi: 10.1126/sciadv.aaz6725 [17] Pilia M, Guda T, Shiels S M, Appleford M R 2013 Influence of substrate curvature on osteoblast orientation and extracellular matrix deposition J. Biol. Eng. 7 23 doi: 10.1186/1754-1611-7-23 [18] Baptista D, Teixeira L, van Blitterswijk C, Giselbrecht S, Truckenmüller R 2019 Overlooked? Underestimated? Effects of substrate curvature on cell behavior Trends Biotechnol. 37 838-54 doi: 10.1016/j.tibtech.2019.01.006 [19] Bidan C M, Kommareddy K P, Rumpler M, Kollmannsberger P, M B Y J, Fratzl P, Dunlop J W C, Roeder R K 2012 How linear tension converts to curvature: geometric control of bone tissue growth PLoS One 7 e36336 doi: 10.1371/journal.pone.0036336 [20] Edreira E R U, Hayrapetyan A, Wolke J G C, Croes H J E, Klymov A, Jansen J A, van den Beucken J, van den Beucken J J J P 2016 Effect of calcium phosphate ceramic substrate geometry on mesenchymal stromal cell organization and osteogenic differentiation Biofabrication 8 025006 doi: 10.1088/1758-5090/8/2/025006 [21] Li M J, Fu X L, Gao H C, Ji Y R, Li J, Wang Y J 2019 Regulation of an osteon-like concentric microgrooved surface on osteogenesis and osteoclastogenesis Biomaterials 216 119269 doi: 10.1016/j.biomaterials.2019.119269 [22] Werner M, Blanquer S B G, Haimi S P, Korus G, Dunlop J W C, Duda G N, Grijpma D W, Petersen A 2017 Surface curvature differentially regulates stem cell migration and differentiation via altered attachment morphology and nuclear deformation Adv. Sci. 4 1600347 doi: 10.1002/advs.201600347 [23] Soheilmoghaddam M, Padmanabhan H, Cooper-White J J 2020 Biomimetic cues from poly(lactic-co-glycolic acid)/hydroxyapatite nano-fibrous scaffolds drive osteogenic commitment in human mesenchymal stem cells in the absence of osteogenic factor supplements Biomater. Sci. 8 5677-89 doi: 10.1039/D0BM00946F [24] Chen M M, Li L L, Xia L, Zhang F, Jiang S W, Hu H L, Li X J, Wang H L 2020 Temperature responsive shape-memory scaffolds with circumferentially aligned nanofibers for guiding smooth muscle cell behavior Macromol. Biosci. 20 1900312 doi: 10.1002/mabi.201900312 [25] Piard C, Jeyaram A, Liu Y, Caccamese J, Jay S M, Chen Y, Fisher J 2019 3D printed HUVECs/MSCs cocultures impact cellular interactions and angiogenesis depending on cell-cell distance Biomaterials 222 119423 doi: 10.1016/j.biomaterials.2019.119423 [26] Perez J R, Kouroupis D, Li D J, Best T M, Kaplan L, Correa D 2018 Tissue engineering and cell-based therapies for fractures and bone defects Front. Bioeng. Biotechnol. 6 105 doi: 10.3389/fbioe.2018.00105 [27] Peng H, Qiu X, Cheng M, Zhao Y, Song L, Zhu B, Li Y, Liu C, Ren S, Miao L 2023 Resveratrol-loaded nanoplatform RSV@DTPF promote alveolar bone regeneration in OVX rat through remodeling bone-immune microenvironment J. Chem. Eng. 476 146615 doi: 10.1016/j.cej.2023.146615 [28] Fiuza C, Polak-Krana K, Antonini L, Petrini L, Carroll O, Ronan W, Vaughan T J 2022 An experimental investigation into the physical, thermal and mechanical degradation of a polymeric bioresorbable scaffold J. Mech. Behav. Biomed. Mater. 125 104955 doi: 10.1016/j.jmbbm.2021.104955 [29] Polak-Krana K, Abaei A R, Shirazi R N, Parle E, Carroll O, Ronan W, Vaughan T J 2021 Physical and mechanical degradation behaviour of semi-crystalline PLLA for bioresorbable stent applications J. Mech. Behav. Biomed. Mater. 118 104409 doi: 10.1016/j.jmbbm.2021.104409 [30] Shen J, J B D 2012 Accelerated in vitro release testing of implantable PLGA microsphere/PVA hydrogel composite coatings Int. J. Pharm. 422 341-8 doi: 10.1016/j.ijpharm.2011.10.020 [31] Zhang H L, Yu N, Zhou Y L, Ma H R, Wang J, Ma X R, Liu J S, Huang J, An Y L 2016 Construction and characterization of osteogenic and vascular endothelial cell sheets from rat adipose-derived mesenchymal stem cells Tissue Cell 48 488-95 doi: 10.1016/j.tice.2016.07.004 [32] Liu K, Meng C X, Lv Z Y, Zhang Y J, Li J, Li K Y, Liu F Z, Zhang B, Cui F Z 2020 Enhancement of BMP-2 and VEGF carried by mineralized collagen for mandibular bone regeneration Regen. Biomater. 7 435-40 doi: 10.1093/rb/rbaa022 [33] Yu Y B, Xu S, Li S M, Pan H 2021 Genipin-cross-linked hydrogels based on biomaterials for drug delivery: a review Biomater. Sci. 9 1583-97 doi: 10.1039/D0BM01403F [34] Suehiro D, Kawase H, Uehara S, Kawase R, Fukami K, Nakagawa T, Shimada M, Hayakawa T 2020 Maltobionic acid accelerates recovery from iron deficiency-induced anemia in rats Biosci. Biotechnol. Biochem. 84 393-401 doi: 10.1080/09168451.2019.1676694 [35] He M, Wang H, Han Q, Shi X, He S, Sun J, Zhu Z, Gan X, Deng Y 2023 Glucose-primed PEEK orthopedic implants for antibacterial therapy and safeguarding diabetic osseointegration Biomaterials 303 122355 doi: 10.1016/j.biomaterials.2023.122355 [36] Mo X J, Zhang D J, Liu K D, Zhao X X, Li X M, Wang W 2023 Nano-hydroxyapatite composite scaffolds loaded with bioactive factors and drugs for bone tissue engineering Int. J. Mol. Sci. 24 1291 doi: 10.3390/ijms24021291 [37] Aragon J, Navascues N, Mendoza G, Irusta S 2017 Laser-treated electrospun fibers loaded with nano-hydroxyapatite for bone tissue engineering Int. J. Pharm. 525 112-22 doi: 10.1016/j.ijpharm.2017.04.022 [38] Shen C, Jie S S, Chen H, Liu Z G 2019 The Co-N-C catalyst synthesized with a hard-template and etching method to achieve well-dispersed active sites for ethylbenzene oxidation Front. Chem. 7 426 doi: 10.3389/fchem.2019.00426 [39] Wang D, Xuan L, Zhong H, Gong Y, Shi X, Ye F, Li Y, Jiang Q 2017 Incorporation of well-dispersed calcium phosphate nanoparticles into PLGA electrospun nanofibers to enhance the osteogenic induction potential RSC Adv. 7 23982-93 doi: 10.1039/C7RA01865G [40] Shi M, Xuan L, Zhang Y, Wang D, Ye F, Shi X, Li Y 2019 Synergistic effects of thermal treatment and encapsulation of calcium phosphate nanoparticles on enhancing dimensional stability and osteogenic induction potential of free-standing PLGA electrospun membranes Colloids Surf. B 183 110437 doi: 10.1016/j.colsurfb.2019.110437 [41] Song T, Zhou J, Shi M, Xuan L, Jiang H, Lin Z, Li Y 2022 Osteon-mimetic 3D nanofibrous scaffold enhances stem cell proliferation and osteogenic differentiation for bone regeneration Biomater. Sci. 10 1090-103 doi: 10.1039/D1BM01489G [42] Aoyama T, Uto K, Shimizu H, Ebara M, Kitagawa T, Tachibana H, Suzuki K, Kodaira T 2021 Development of a new poly--caprolactone with low melting point for creating a thermoset mask used in radiation therapy Sci. Rep. 11 20409 doi: 10.1038/s41598-021-00005-2 [43] Kuzelova Kostakova E, Meszaros L, Maskova G, Blazkova L, Turcsan T, Lukas D 2017 Crystallinity of electrospun and centrifugal spun polycaprolactone fibers: a comparative study J. Nanomater. 2017 1-9 doi: 10.1155/2017/8952390 [44] Tabia Z, Akhtach S, Bricha M, El Mabrouk K 2021 Tailoring the biodegradability and bioactivity of green-electrospun polycaprolactone fibers by incorporation of bioactive glass nanoparticles for guided bone regeneration Eur. Polym. J. 161 110841 doi: 10.1016/j.eurpolymj.2021.110841 [45] Liu W, Lipner J, Moran C H, Feng L, Li X, Thomopoulos S, Xia Y 2015 Generation of electrospun nanofibers with controllable degrees of crimping through a simple, plasticizer-based treatment Adv. Mater. 27 2583-8 doi: 10.1002/adma.201500329 [46] Jiang S H, Liu F Y, Lerch A, Ionov L, Agarwal S 2015 Unusual and superfast temperature-triggered actuators Adv. Mater. 27 4865-70 doi: 10.1002/adma.201502133 [47] Bernard G W, Pease D C 2005 An electron microscopic study of initial intramembranous osteogenesis Am. J. Anat. 125 271-90 doi: 10.1002/aja.1001250303 [48] Zhang P, Zhang H, Dong W, Wang Z, Qin Y, Wu C, Dong Q 2020 Differentiation of rat adipose-derived stem cells into parathyroid-like cells Int. J. Endocrinol. 2020 1-6 doi: 10.1155/2020/2912839 [49] Mutsenko V V, et al 2017 Novel chitin scaffolds derived from marine sponge for tissue engineering approaches based on human mesenchymal stromal cells: biocompatibility and cryopreservation Int. J. Biol. Macromol. 104 1955-65 doi: 10.1016/j.ijbiomac.2017.03.161 [50] Deng L L, Li Y, Zhang A P, Zhang H 2020 Nano-hydroxyapatite incorporated gelatin/zein nanofibrous membranes: fabrication, characterization and copper adsorption Int. J. Biol. Macromol. 154 1478-89 doi: 10.1016/j.ijbiomac.2019.11.029 [51] Maheshwari S U, Samuel V K, Nagiah N 2014 Fabrication and evaluation of (PVA/HAp/PCL) bilayer composites as potential scaffolds for bone tissue regeneration application Ceram. Int. 40 8469-77 doi: 10.1016/j.ceramint.2014.01.058 [52] Chen L, Zheng Q, Liu Y P, Li L L, Chen X Z, Wang L, Wang L 2020 Adipose-derived stem cells promote diabetic wound healing via the recruitment and differentiation of endothelial progenitor cells into endothelial cells mediated by the VEGF-PLCγ-ERK pathway Arch. Biochem Biophys. 692 108531 doi: 10.1016/j.abb.2020.108531 [53] Sun H, Dong J, Wang Y Y F, Shen S Y, Shi Y, Zhang L, Zhao J, Sun X L, Jiang Q 2021 Polydopamine-coated poly(L-lactide) nanofibers with controlled release of VEGF and BMP-2 as a regenerative periosteum ACS Biomater. Sci. Eng. 7 4883-97 doi: 10.1021/acsbiomaterials.1c00246 [54] Connon C J, Gouveia R M 2021 Milliscale substrate curvature promotes myoblast self-organization and differentiation Adv. Biol. 5 2000280 doi: 10.1002/adbi.202000280 [55] Graziano A, D’Aquino R, Angelis M, De Francesco F, Giordano A, Laino G, Piattelli A, Traini T, De Rosa A, Papaccio G 2008 Scaffold’s surface geometry significantly affects human stem cell bone tissue engineering J. Cell. Physiol. 214 166-72 doi: 10.1002/jcp.21175 [56] Vanderburgh J P, Fernando S J, Merkel A R, Sterling J A, Guelcher S A 2017 Fabrication of trabecular bone-templated tissue-engineered constructs by 3D inkjet printing Adv. Healthcare Mater. 6 1700369 doi: 10.1002/adhm.201700369 [57] Guvendiren M, Fung S, Kohn J, De Maria C, Montemurro F, Vozzi G 2017 The control of stem cell morphology and differentiation using three-dimensional printed scaffold architecture MRS Commun. 7 383-90 doi: 10.1557/mrc.2017.73 [58] Wang T, Guo S, Zhang H 2018 Synergistic effects of controlled-released BMP-2 and VEGF from nHAC/PLGAs scaffold on osteogenesis BioMed Res. Int. 2018 3516463 doi: 10.1155/2018/3516463 [59] Liu Y Q, Berendsen A D, Jia S D, Lotinun S, Baron R, Ferrara N, Olsen B R 2012 Intracellular VEGF regulates the balance between osteoblast and adipocyte differentiation J. Clin. Invest. 122 3101-13 doi: 10.1172/JCI61209 [60] Alcorta-Sevillano N, Macías I, Rodríguez C I, Infante A, Rodríguez C I, Infante A 2020 Crucial role of Lamin A/C in the migration and differentiation of MSCs in bone Cells 9 1330 doi: 10.3390/cells9061330 [61] Tsukune N, Naito M, Kubota T, Ozawa Y, Nagao M, Ohashi A, Sato S, Takahashi T 2017 Lamin A overexpression promotes osteoblast differentiation and calcification in the MC3T3-E1 preosteoblastic cell line Biochem. Biophys. Res. Commun. 488 664-70 doi: 10.1016/j.bbrc.2017.02.110 [62] Ao H Y, Xie Y T, Tan H L, Wu X D, Liu G W, Qin A, Zheng X B, Tang T T 2014 Improved hMSC functions on titanium coatings by type I collagen immobilization J. Biomed. Mater. Res. 102 204-14 doi: 10.1002/jbm.a.34682 [63] Yan S Q, Zhang Q, Wang J N, Liu Y, Lu S Z, Li M Z, Kaplan D L 2013 Silk fibroin/chondroitin sulfate/hyaluronic acid ternary scaffolds for dermal tissue reconstruction Acta Biomater. 9 6771-82 doi: 10.1016/j.actbio.2013.02.016 [64] Collon K, Bell J A, Chang S W, Gallo M C, Sugiyama O, Marks C, Lieberman J R 2022 Effects of cell seeding technique and cell density on BMP-2 production in transduced human mesenchymal stem cells J. Biomed. Mater. Res. 110 1944-52 doi: 10.1002/jbm.a.37430 [65] Fuchs E, Tumbar T, Guasch G 2004 Socializing with the neighbors: stem cells and their niche Cell 116 769-78 doi: 10.1016/S0092-8674(04)00255-7 [66] Mazini L, Rochette L, Admou B, Amal S, Malka G 2020 Hopes and limits of adipose-derived stem cells (ADSCs) and mesenchymal stem cells (MSCs) in wound healing Int. J. Mol. Sci. 21 1306 doi: 10.3390/ijms21041306 [67] Beheshtizadeh N, Gharibshahian M, Bayati M, Maleki R, Strachan H, Doughty S, Tayebi L 2023 Vascular endothelial growth factor (VEGF) delivery approaches in regenerative medicine Biomed. Pharmacother. 166 115301 doi: 10.1016/j.biopha.2023.115301 [68] Drager J, Harvey E J, Barralet J 2015 Hypoxia signalling manipulation for bone regeneration Expert Rev. Mol. Med. 17 e6 doi: 10.1017/erm.2015.4 [69] Xing D, Liu W, J L J, W L L, Q G A, Wang B, S Y H, Zhao Y, L C Y, F Y Z 2020 Engineering 3D functional tissue constructs using self-assembling cell-laden microniches Acta Biomater. 114 170-82 doi: 10.1016/j.actbio.2020.07.058 -
mfad66easupp1.pdf