Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite Allotransplantation

Despite recent progress in vascularized composite allotransplantation (VCA), limitations including complex, high dose immunosuppression regimens, lifelong risk of toxicity from immunosuppressants, acute and most critically chronic graft rejection, and suboptimal nerve regeneration remain particularl...

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Main Authors: Ricardo Londono, Vijay S. Gorantla, Stephen F. Badylak
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2016/1541823
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author Ricardo Londono
Vijay S. Gorantla
Stephen F. Badylak
author_facet Ricardo Londono
Vijay S. Gorantla
Stephen F. Badylak
author_sort Ricardo Londono
collection DOAJ
description Despite recent progress in vascularized composite allotransplantation (VCA), limitations including complex, high dose immunosuppression regimens, lifelong risk of toxicity from immunosuppressants, acute and most critically chronic graft rejection, and suboptimal nerve regeneration remain particularly challenging obstacles restricting clinical progress. When properly configured, customized, and implemented, biomaterials derived from the extracellular matrix (ECM) retain bioactive molecules and immunomodulatory properties that can promote stem cell migration, proliferation and differentiation, and constructive functional tissue remodeling. The present paper reviews the emerging implications of ECM-based technologies in VCA, including local immunomodulation, tissue repair, nerve regeneration, minimally invasive graft targeted drug delivery, stem cell transplantation, and other donor graft manipulation.
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institution Kabale University
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spelling doaj-art-e0898e30dd174fdb99576b0b128204212025-02-03T05:52:02ZengWileyStem Cells International1687-966X1687-96782016-01-01201610.1155/2016/15418231541823Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite AllotransplantationRicardo Londono0Vijay S. Gorantla1Stephen F. Badylak2McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 152192, USAMcGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 152192, USAMcGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 152192, USADespite recent progress in vascularized composite allotransplantation (VCA), limitations including complex, high dose immunosuppression regimens, lifelong risk of toxicity from immunosuppressants, acute and most critically chronic graft rejection, and suboptimal nerve regeneration remain particularly challenging obstacles restricting clinical progress. When properly configured, customized, and implemented, biomaterials derived from the extracellular matrix (ECM) retain bioactive molecules and immunomodulatory properties that can promote stem cell migration, proliferation and differentiation, and constructive functional tissue remodeling. The present paper reviews the emerging implications of ECM-based technologies in VCA, including local immunomodulation, tissue repair, nerve regeneration, minimally invasive graft targeted drug delivery, stem cell transplantation, and other donor graft manipulation.http://dx.doi.org/10.1155/2016/1541823
spellingShingle Ricardo Londono
Vijay S. Gorantla
Stephen F. Badylak
Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite Allotransplantation
Stem Cells International
title Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite Allotransplantation
title_full Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite Allotransplantation
title_fullStr Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite Allotransplantation
title_full_unstemmed Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite Allotransplantation
title_short Emerging Implications for Extracellular Matrix-Based Technologies in Vascularized Composite Allotransplantation
title_sort emerging implications for extracellular matrix based technologies in vascularized composite allotransplantation
url http://dx.doi.org/10.1155/2016/1541823
work_keys_str_mv AT ricardolondono emergingimplicationsforextracellularmatrixbasedtechnologiesinvascularizedcompositeallotransplantation
AT vijaysgorantla emergingimplicationsforextracellularmatrixbasedtechnologiesinvascularizedcompositeallotransplantation
AT stephenfbadylak emergingimplicationsforextracellularmatrixbasedtechnologiesinvascularizedcompositeallotransplantation