1. Regenerative Engineering of a Limb: From Amputation to Regeneration
- Author
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Abedini, Amir Abbas, Hosseini, Fatemeh, and Laurencin, Cato T.
- Abstract
Purpose: This work is a summary of regeneration mechanisms and some important aspects of cellular and molecular factors in regeneration, in addition to techniques that have been employed for limb regeneration. Methods: In this article, a comprehensive review of literature related to limb regeneration mechanisms, influential factors in limb regeneration, and limb regeneration strategies has been conducted. Results: Regeneration mechanism in regenerative species is different from mammals and blastema formation after wound healing helps them to regrow their limb. Also, some essential signaling pathways should be activated for proper regeneration. Moreover, age, immune system, metamorphosis, and body size are critical parameters that can influence regeneration in different species. Several approaches are being studied to promote limb regeneration including cell therapy, gene therapy, immune-based therapy, and electrical stimulation, but none of them led to complete limb regeneration. Regenerative engineering is an emerging multi-disciplinary field for the reconstruction of complex tissues and organ systems, making it a viable approach for the regeneration of limbs as well. Conclusion: Despite significant advances in the field leading to a better understanding of the mechanisms and parameters involved in regeneration, the specific techniques and approaches for successfully regenerating limbs in mammals have yet to be discovered. We believe solutions lie in using a convergence of technologies and regenerative engineering is the central approach for human limb regeneration. Lay Summary: Limb loss is experienced by more than 2 million Americans, negatively impacting their quality of life. It has been determined that mammals, including humans, can only regenerate certain tissues, such as digit tips. However, regenerative amphibians are capable of fully regenerating their limbs. Therefore, taking clues from urodeles, research on developing techniques, and studying mechanisms to regenerate human limbs is becoming a highly important field pursued vigorously. In this review, we first explain the process of limb regeneration in urodele amphibians followed by important factors affecting regeneration. Next, we explain the present strategies and methods for mammalian limb regeneration.
- Published
- 2024
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