Translating musculoskeletal bioengineering into tissue regeneration therapies

Author:

Khodabukus Alastair1ORCID,Guyer Tyler2ORCID,Moore Axel C.34ORCID,Stevens Molly M.35ORCID,Guldberg Robert E.2ORCID,Bursac Nenad1ORCID

Affiliation:

1. Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA.

2. Knight Campus for Accelerating Scientific Impact, University of Oregon, Eugene, OR 97403, USA.

3. Departments of Materials and Bioengineering and Institute of Biomedical Engineering, Imperial College London, London SW7 2AZ, UK.

4. Department of Biomedical Engineering, University of Delaware, Newark, DE 19716, USA.

5. Department of Medical Biochemistry and Biophysics, Karolinska Institute, Stockholm 17177, Sweden.

Abstract

Musculoskeletal injuries and disorders are the leading cause of physical disability worldwide and a considerable socioeconomic burden. The lack of effective therapies has driven the development of novel bioengineering approaches that have recently started to gain clinical approvals. In this review, we first discuss the self-repair capacity of the musculoskeletal tissues and describe causes of musculoskeletal dysfunction. We then review the development of novel biomaterial, immunomodulatory, cellular, and gene therapies to treat musculoskeletal disorders. Last, we consider the recent regulatory changes and future areas of technological progress that can accelerate translation of these therapies to clinical practice.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

General Medicine

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