2017
DOI: 10.1089/ten.tec.2017.0181
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A Paradigm for the Evaluation of Tissue-Engineering Biomaterials and Templates

Abstract: Procedures for the evaluation of tissue-engineering processes, including those used for the testing of the relevant biomaterials, have not been developed in a logical manner. This perspectives paper discusses the limitations of testing regimes and recommends a very different approach. The main emphasis is on the existing methods for assessing the biological safety of these biomaterials, which, it is suggested, are irrelevant for evaluating materials that are intended to facilitate the generation of new tissue.… Show more

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Cited by 15 publications
(11 citation statements)
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“…-is physiologically suitable -is amorphous -has metabolic energy required for the maintenance of the extracellular supramolecular architecture -provides with monomeric phosphate units as essential building groups for bone (hydroxyapatite) formation -can be coated around (bio-inert) scaffolds -allows the integration of biologically active components, like peptides or drugs -is not only a scaffold supporting cellular growth but promotes growth and differentiation of cells. By this, polyP is en route to follow the formulated forward-looking concept 240,241 -is not only a solid, macroscopic polymer, designed ''with robustness in mind'' and ''manufactured by conventional engineering routes'' but is provided with the potential to selfassemble at the nanoscale in a dynamic process during which new biological functionalities are gained.…”
Section: Discussionmentioning
confidence: 99%
“…-is physiologically suitable -is amorphous -has metabolic energy required for the maintenance of the extracellular supramolecular architecture -provides with monomeric phosphate units as essential building groups for bone (hydroxyapatite) formation -can be coated around (bio-inert) scaffolds -allows the integration of biologically active components, like peptides or drugs -is not only a scaffold supporting cellular growth but promotes growth and differentiation of cells. By this, polyP is en route to follow the formulated forward-looking concept 240,241 -is not only a solid, macroscopic polymer, designed ''with robustness in mind'' and ''manufactured by conventional engineering routes'' but is provided with the potential to selfassemble at the nanoscale in a dynamic process during which new biological functionalities are gained.…”
Section: Discussionmentioning
confidence: 99%
“…468 Considering the other potential key biochemical signals which might be involved in biological responses to a material and can affect the evaluation criteria of material safety in the body is important. 12 Traditionally biocompatibility was investigated by considering the wound healing processes that occur after biomaterial implantation. The in vivo evaluation of biological responses to biomaterials involves implanting biomaterials in the targeted tissues at certain time points and then studying the histological changes in the implanted tissue and its surroundings.…”
Section: State-of-the-art Of Evaluation Of Biological Responses and Fmentioning
confidence: 99%
“…[495][496][497][498] Although these computational models might strongly help in evaluating and predicting biomaterial-host complex interactions and decrease the number of unnecessary animal studies, without doing any animal studies we cannot make well-founded decisions regarding the safety of biomaterials and directly implant them in the human body with confidence. 12 Considering more quantitative and statistical analyses can help us to make conclusions that are more convincing. Due to the immense development of new biomaterials for tissue engineering applications, researchers design more and more tissue-engineered templates with different chemistry.…”
Section: State-of-the-art Of Evaluation Of Biological Responses and Fmentioning
confidence: 99%
“…Often, implant materials that show maximal inertness are chosen. Their host response(s) are controlled only by biomechanical factors . The (close to) ideal implant material should not only meet the mechanical and physical functionalities of the surrounding tissue but also function actively to deliver regeneratively acting material.…”
Section: Introductionmentioning
confidence: 99%