Blood Substitutes

血液替代品
  • 文章类型: Journal Article
    血管是血液流经的管道,分为三种类型:毫米级的动脉,静脉,和毛细血管以及微米尺度的毛细血管。动脉和静脉是输送血液的管道,而毛细血管是血液与组织交换物质的地方。血管主要由胶原纤维组成,弹性纤维,糖胺聚糖和其他大分子物质。人体每平方英寸的皮肤大约有19英尺的血管,这显示了血管对人体的重要性。因为心血管疾病和血管创伤在人群中很常见,近年来进行了大量的研究,通过模拟人体自身血管的结构和功能,创造出不同水平的组织工程血管,可以替代人体内受损的血管。然而,由于缺乏有效的氧气和营养输送机制,这些组织工程血管尚未在临床上使用。因此,为了更好地实现工程化血管组织的血管化,研究人员已经广泛探索了各种尺寸的血管系统的设计方法。在不久的将来,这些精心设计和构建的组织工程血管有望在临床上有实际应用。探索如何形成多尺度血管网络并提高其与宿主血管系统的兼容性将非常有利于实现这一目标。其中,3D打印具有精度高、设计灵活等优点,去细胞化的基质保留了胶原蛋白等活性成分,弹性蛋白,和糖胺聚糖,同时去除免疫原性物质DNA。在这次审查中,系统讨论了3D打印和基于脱细胞的人造血管制造方法的技术和进展。详细介绍了最近设计的血管系统的示例,讨论并指出了血管组织限制临床应用中存在的主要问题和挑战,并对组织工程血管领域未来的发展趋势进行了展望。
    Blood vessels are the tubes through which blood flows and are divided into three types: millimeter-scale arteries, veins, and capillaries as well as micrometer-scale capillaries. Arteries and veins are the conduits that carry blood, while capillaries are where blood exchanges substances with tissues. Blood vessels are mainly composed of collagen fibers, elastic fibers, glycosaminoglycans and other macromolecular substances. There are about 19 feet of blood vessels per square inch of skin in the human body, which shows how important blood vessels are to the human body. Because cardiovascular disease and vascular trauma are common in the population, a great number of researches have been carried out in recent years by simulating the structures and functions of the person\'s own blood vessels to create different levels of tissue-engineered blood vessels that can replace damaged blood vessels in the human body. However, due to the lack of effective oxygen and nutrient delivery mechanisms, these tissue-engineered vessels have not been used clinically. Therefore, in order to achieve better vascularization of engineered vascular tissue, researchers have widely explored the design methods of vascular systems of various sizes. In the near future, these carefully designed and constructed tissue engineered blood vessels are expected to have practical clinical applications. Exploring how to form multi-scale vascular networks and improve their compatibility with the host vascular system will be very beneficial in achieving this goal. Among them, 3D printing has the advantages of high precision and design flexibility, and the decellularized matrix retains active ingredients such as collagen, elastin, and glycosaminoglycan, while removing the immunogenic substance DNA. In this review, technologies and advances in 3D printing and decellularization-based artificial blood vessel manufacturing methods are systematically discussed. Recent examples of vascular systems designed are introduced in details, the main problems and challenges in the clinical application of vascular tissue restriction are discussed and pointed out, and the future development trends in the field of tissue engineered blood vessels are also prospected.
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  • 文章类型: Journal Article
    科学文献中报道了关于新型基于血红蛋白的氧载体(HBOC)的配方和临床应用的许多研究。然而,与HBOCs相关的科学计量分析较少。这里,我们使用科学计量分析方法和范围审查方法说明了最近对HBOCs的研究。我们利用前者调查了1991年至2022年对HBOCs的研究,探索了当前的热点和研究趋势,然后在关键词分析的基础上全面分析了概念之间的关系。研究领域的演变,知识结构,通过科学计量分析揭示了HBOCs所在的研究主题。类型的阐明,作用机制,潜在的临床实践,HBOCs的不利影响有助于阐明这种生物制剂的前景。科学计量学分析了该研究领域的1034种出版物,这些发现为进一步研究提供了有希望的路线图。
    Numerous studies on the formulation and clinical applications of novel hemoglobin-based oxygen carriers (HBOCs) are reported in the scientific literature. However, there are fewer scientometric analysis related to HBOCs. Here, we illustrate recent studies on HBOCs using both a scientometric analysis approach and a scope review method. We used the former to investigate research on HBOCs from 1991 to 2022, exploring the current hotspots and research trends, and then we comprehensively analyzed the relationship between concepts based on the keyword analysis. The evolution of research fields, knowledge structures, and research topics in which HBOCs located are revealed by scientometric analysis. The elucidation of type, acting mechanism, potential clinical practice, and adverse effects of HBOCs helps to clarify the prospects of this biological agent. Scientometrics analyzed 1034 publications in this research field, and these findings provide a promising roadmap for further study.
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  • 文章类型: Review
    全氟化碳(PFC)是衍生自烃的有机液体,其中一些氢原子已被氟原子取代。它们是具有良好安全性的化学和生物惰性物质。它们在室温下是稳定的,易于存储,不溶于水。自1960年以来,全氟化碳已在生物医学研究中进行了研究,因为它们具有作为氧载体的独特特性。特别是,PFCs已用于不寻常环境中的液体通风,例如深海潜水和零重力模拟,以及最近用于药物递送和诊断成像。此外,当作为乳液递送时,PFC已被用作红细胞替代品。这篇叙述性综述将讨论PFCs在治疗中的多方面利用,诊断,和研究。我们将特别强调PFC作为红细胞替代品的潜在作用,作为人工胎盘手术期间的气道机械换能器,作为在离体评估期间改善供体器官灌注的一种手段,并作为癌症治疗的辅助手段,因为它们能够减少局部组织缺氧。
    Perfluorocarbons (PFCs) are organic liquids derived from hydrocarbons in which some of the hydrogen atoms have been replaced by fluorine atoms. They are chemically and biologically inert substances with a good safety profile. They are stable at room temperature, easy to store, and immiscible in water. Perfluorocarbons have been studied in biomedical research since 1960 for their unique properties as oxygen carriers. In particular, PFCs have been used for liquid ventilation in unusual environments such as deep-sea diving and simulations of zero gravity, and more recently for drug delivery and diagnostic imaging. Additionally, when delivered as emulsions, PFCs have been used as red blood cell substitutes. This narrative review will discuss the multifaceted utilization of PFCs in therapeutics, diagnostics, and research. We will specifically emphasize the potential role of PFCs as red blood cell substitutes, as airway mechanotransducers during artificial placenta procedures, as a means to improve donor organ perfusion during the ex vivo assessment, and as an adjunct in cancer therapies because of their ability to reduce local tissue hypoxia.
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  • 文章类型: Journal Article
    Pullulan is an imperative microbial exo-polymer commercially produced by yeast like fungus Aureobasidium pullulans. Its structure contains maltosyl repeating units which comprises two α-(1 → 4) linked glucopyranose rings attached to one glucopyranose ring through α-(1 → 6) glycosidic bond. The co-existence of α-(1 → 6) and α-(1 → 4) glycosidic linkages endows distinctive physico-chemical properties to pullulan. It is highly biocompatible, non-toxic and non-carcinogenic in nature. It is extremely resistant to any mutagenicity or immunogenicity. The unique properties of pullulan make it a potent candidate for biomedical applications viz. drug delivery, gene delivery, tissue engineering, molecular chaperon, plasma expander, vaccination, etc. This review highlights the potential of pullulan in biomedical research and development.
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  • 文章类型: Journal Article
    In this brief review, basic principles and recent progresses on the development of therapeutic substitutes for major blood components are briefly discussed with primary focus on the red cell substitutes.
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    文章类型: Journal Article
    The development of a low-flow vascular prosthesis is a very topical issue. The authors present a pathway for the development of a prosthesis with optimal properties based on the idea of mimicking the characteristics of a biological model (saphenous vein graft) and programming these properties in the model of the prosthetic substitute. The vascular prosthesis presented consists of three layers - a non-absorbable scaffold representing vascular “media”, and two absorbable collagen layers - pseudointima and pseudoadventitia. The basic methods of physical testing are presented - the single axis stretch test and inflation-extension test, as well as other procedures that affect the final properties. These include collagen curing, antithrombotic treatment of the inner layer and the use of sterilization methods. The designed new graft was successfully implanted in an ovine model.
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  • 文章类型: Journal Article
    尽管详尽地寻找一种可接受的替代红细胞输血的方法,全氟化碳等基于化学的产品或基于血红蛋白的氧载体均未成功提供同种异体输血的合理替代方案.然而,仍然存在输血不是一种选择的情况,由于病人的宗教信仰,无法找到足够交叉匹配的红细胞,或在偏远地区。在这些情况下,人工氧气载体可能为重症患者提供死亡率益处,危及生命的贫血.本文提供了对历史和发展的最新回顾,临床试验,新技术,当血液不是一种选择时,人工氧气载体作为输血的替代品。
    Despite the exhaustive search for an acceptable substitute to erythrocyte transfusion, neither chemical-based products such as perfluorocarbons nor hemoglobin-based oxygen carriers have succeeded in providing a reasonable alternative to allogeneic blood transfusion. However, there remain scenarios in which blood transfusion is not an option, due to patient\'s religious beliefs, inability to find adequately cross-matched erythrocytes, or in remote locations. In these situations, artificial oxygen carriers may provide a mortality benefit for patients with severe, life-threatening anemia. This article provides an up-to-date review of the history and development, clinical trials, new technology, and current standing of artificial oxygen carriers as an alternative to transfusion when blood is not an option.
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  • 文章类型: Journal Article
    Blood transfusions are a daily practice in hospitals. Since these products are limited in availability and have various, harmful side effects, researchers have pursued the goal to develop artificial blood components for about 40 years. Development of oxygen therapeutics and stem cells are more recent goals. Medline (https://www.ncbi.nlm.nih.gov/pubmed/?holding=ideudelib), ClinicalTrials.gov (https://clinicaltrials.gov), EU Clinical Trials Register (https://www.clinicaltrialsregister.eu), and Australian New Zealand Clinical Trials Registry (http://www.anzctr.org.au) were searched up to July 2018 using search terms related to artificial blood products in order to identify new and ongoing research over the last 5 years. However, for products that are already well known and important to or relevant in gaining a better understanding of this field of research, the reader is punctually referred to some important articles published over 5 years ago. This review includes not only clinically relevant substances such as heme-oxygenating carriers, perfluorocarbon-based oxygen carriers, stem cells, and organ conservation, but also includes interesting preclinically advanced compounds depicting the pipeline of potential new products. In- depth insights into specific benefits and limitations of each substance, including the biochemical and physiologic background are included. \"Fancy\" ideas such as iron-based substances, O2 microbubbles, cyclodextranes, or lugworms are also elucidated. To conclude, this systematic up-to-date review includes all actual achievements and ongoing clinical trials in the field of artificial blood products to pursue the dream of artificial oxygen carrier supply. Research is on the right track, but the task is demanding and challenging.
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  • 文章类型: Journal Article
    在本编辑的评论中,2017年发表的文章按类别进行整理和总结。我们简要反映了旨在促进和改善人类生活的人造器官的研究和进展,同时为这些技术和方法的持续应用提供了见解。人造器官继续其创始人的最初使命“在国际层面上促进人造器官领域的交流”。“人工器官继续在器官置换这一广泛而不断扩大的领域中发布人工器官技术的发展和临床应用,Recovery,来自世界各地的再生。今年同行评审的特殊问题包括由AkifUndar博士编辑的第十二届儿科机械循环支持系统和儿科心肺灌注国际会议的贡献,博士编辑的人造氧气载体川口明和扬·西蒙尼,正泽彻博士主编的国际机械循环支持学会第24届大会,生物医学设备领域的挑战:VincenzoPiemonte博士及其同事编辑的多学科观点和WinfriedMayr博士及其同事编辑的功能电刺激。我们也借此机会感谢我们的作者为本刊提供他们的作品。我们特别感谢我们的审稿人,他们给予了如此慷慨的时间和专业知识来审查,批评,特别是对作者的作品是否最终被接受或被拒绝提供有意义的建议。没有这些优秀而敬业的审稿人,这样的期刊所期望的质量是不可能的。我们也特别感谢我们的出版商,JohnWiley父子公司在人造器官的生产和营销方面的专家关注和支持。我们期待着在未来几年报告进一步的进展。
    In this Editor\'s Review, articles published in 2017 are organized by category and summarized. We provide a brief reflection of the research and progress in artificial organs intended to advance and better human life while providing insight for continued application of these technologies and methods. Artificial Organs continues in the original mission of its founders \"to foster communications in the field of artificial organs on an international level.\" Artificial Organs continues to publish developments and clinical applications of artificial organ technologies in this broad and expanding field of organ Replacement, Recovery, and Regeneration from all over the world. Peer-reviewed Special Issues this year included contributions from the 12th International Conference on Pediatric Mechanical Circulatory Support Systems and Pediatric Cardiopulmonary Perfusion edited by Dr. Akif Undar, Artificial Oxygen Carriers edited by Drs. Akira Kawaguchi and Jan Simoni, the 24th Congress of the International Society for Mechanical Circulatory Support edited by Dr. Toru Masuzawa, Challenges in the Field of Biomedical Devices: A Multidisciplinary Perspective edited by Dr. Vincenzo Piemonte and colleagues and Functional Electrical Stimulation edited by Dr. Winfried Mayr and colleagues. We take this time also to express our gratitude to our authors for offering their work to this journal. We offer our very special thanks to our reviewers who give so generously of time and expertise to review, critique, and especially provide meaningful suggestions to the author\'s work whether eventually accepted or rejected. Without these excellent and dedicated reviewers the quality expected from such a journal could not be possible. We also express our special thanks to our Publisher, John Wiley & Sons for their expert attention and support in the production and marketing of Artificial Organs. We look forward to reporting further advances in the coming years.
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  • 文章类型: Journal Article
    Although the biological properties of mesenchymal stem cells (MSC) are well-characterized in vitro, MSC clinical application is still far away to be achieved, mainly due to the need of xenogeneic substances for cell expansion, such as fetal bovine serum (FBS). FBS presents risks regarding pathogens transmissions and internalization of animal\'s proteins, which can unleash antigenic responses in patients after MSC implantation. A wide range of venous blood derivatives (VBD) has been reported as FBS substitutes showing promising results. Thus, the aim of this study was to conduct a systematic scoping review to analyze whether VBD are effective FBS substitutes for MSC ex vivo expansion. The search was performed in SciVerse ScopusTM, PubMed, Web of ScienceTM, BIREME, Cochrane library up to January 2016. The keywords were selected using MeSH and entry terms. Two independent reviewers scrutinized the records obtained considering specific inclusion criteria. The included studies were evaluated in accordance with a modified Arksey and O\' Malley\'s framework. From 184 found studies, 90 were included. Bone marrow mesenchymal stem cells (BMMSC) were presented in most of these studies. Overall, VBD allowed for either, maintenance of MCS\'s fibroblast-like morphology, high proliferation, high colony-formation ability and maintenance of multipotency. Besides. MSC expanded in VBD supplements presented higher mitogen activity than FBS. VBD seems to be excellent xeno-free serum for ex vivo expansion of mesenchymal stem cells. However, an accentuated heterogeneity was observed between the carried out protocols for VBD isolation did not allowing for direct comparisons between the included studies.
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