Engineering of Functional Skeletal Tissues [Topics in Bone Biology] - F. Bronner, et al., (Springer, 2007) WW.pdf

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Engineering of Functional Skeletal Tissues
Felix Bronner, Mary C. Farach-Carson and
Antonios G. Mikos (Eds)
Engineering of
Functional
Skeletal
Tissues
Volu me
in the Series
Topics in Bone Biology
Series Editors:
Felix Bronner and Mary C. Farach-Carson
3
812810935.002.png
Felix Bronner, PhD
Professor Emeritus
University of Connecticut Health Center
Farmington, CT, USA
Mary C. Farach-Carson, PhD
Professor of Biological Sciences
Department of Biological Sciences
University of Delaware
Newark, DE, USA
Antonios G. Mikos, PhD
Professor of Bioengineering
Department of Bioengineering
Rice University
Houston, TX, USA
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Control Number:
20069222753
ISBN-
10
:
1
-
85233
-
962
-
4
e ISBN
1
-
84628
-
366
-
3
Printed on acid-free paper
ISBN-
13
:
978
-
1
-
85233
-
962
-
3
© Springer-Verlag London Limited
2007
Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the
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outside those terms should be sent to the publishers.
1988
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ceutical literature.
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+
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Preface
The science of bone replacement has greatly advanced in recent decades,
but replacing bone with bone tissue rather than with metallic components
remains in early development. The current volume, third in the series
Topics in Bone Biology , deals with problems inherent in inducing the body
cells to accomplish bone tissue repair, to degrade devices introduced to
provide initial mechanical support, and to attract and stimulate bone for-
mation. It is therefore logical that Chapter
, by Hicok and Hedrick, deals
with stem cells, i.e., pluripotential cells that may differentiate into cartilage
and bone cells. The chapter begins with a description of how stem cells may
be harvested; the limitations of autologous, embryonic, and adult stem
cells; and the need to expand the harvested cells in culture. The authors
then discuss the infl uences of the body environment on implanted cells and
on the scaffolds that need to be introduced. They emphasize the need for
adequate oxygenation and for rapid integration with the vascular system of
the host/patient. Stem-cell-engineered cartilage is discussed at some length,
along with the need for stem-cell-engineered ligaments and tendons. The
chapter concludes with an analysis of what needs to be learned to make
stem-cell-engineered bone tissue a reality.
In Chapter
1
, Gerstenfeld and colleagues review osteogenic growth factors
and cytokines, soluble proteins that regulate postnatal bone repair. These
molecules are of importance because many are targets of efforts to promote
therapeutic bone healing and repair. Molecules discussed are the tumor
necrosis factor
2
) family of cytokines and their role in bone remod-
eling, the bone morphogenetic proteins (BMPs) and their role in signaling,
and angiogenic factors such as the vascular endothelial growth factor
(VEGF) and angiopoietin families, with detailed discussion of the role of
angiopoietins in bone development and tissue healing. The authors then
discuss parathyroid hormone (PTH) and parathyroid hormone-related
peptide (PTHrP): the differences between their paracrine and endocrine
effects, their signal transduction and nuclear effects, and their effects on
endochondral development and bone repair. A concluding section deals
with bone healing and the roles played by skeletal stem cells, cytokines,
and morphogenetic signals. This chapter, like all the others in this volume,
has an extensive reference list.
Transplantation of bone allografts is a common orthopedic practice,
but unless great care is taken, the allograft may give rise to infection
and its sequelae in the host/patient. Tuan and colleagues Moucha, Renard,
Gandhi, and Lin, in Chapter
α
(TNF-
α
, discuss the harvesting and processing of
musculoskeletal grafts and the conditions that must be met for the graft
to be safe, i.e., not to cause infl ammation, disease, or other harm to the
host. This means that the medical and social history of the donor must
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