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Neuro-bone Tissue Engineering: Emerging Mechanisms, Potential Strategies, and Current Challenges

Overview
Journal Bone Res
Date 2023 Dec 20
PMID 38123549
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Abstract

The skeleton is a highly innervated organ in which nerve fibers interact with various skeletal cells. Peripheral nerve endings release neurogenic factors and sense skeletal signals, which mediate bone metabolism and skeletal pain. In recent years, bone tissue engineering has increasingly focused on the effects of the nervous system on bone regeneration. Simultaneous regeneration of bone and nerves through the use of materials or by the enhancement of endogenous neurogenic repair signals has been proven to promote functional bone regeneration. Additionally, emerging information on the mechanisms of skeletal interoception and the central nervous system regulation of bone homeostasis provide an opportunity for advancing biomaterials. However, comprehensive reviews of this topic are lacking. Therefore, this review provides an overview of the relationship between nerves and bone regeneration, focusing on tissue engineering applications. We discuss novel regulatory mechanisms and explore innovative approaches based on nerve-bone interactions for bone regeneration. Finally, the challenges and future prospects of this field are briefly discussed.

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References
1.
van Galen K, Ter Horst K, Serlie M . Serotonin, food intake, and obesity. Obes Rev. 2021; 22(7):e13210. PMC: 8243944. DOI: 10.1111/obr.13210. View

2.
Santos M, Unger R, Sousa R, Reis R, Kirkpatrick C . Crosstalk between osteoblasts and endothelial cells co-cultured on a polycaprolactone-starch scaffold and the in vitro development of vascularization. Biomaterials. 2009; 30(26):4407-15. DOI: 10.1016/j.biomaterials.2009.05.004. View

3.
Safari B, Davaran S, Aghanejad A . Osteogenic potential of the growth factors and bioactive molecules in bone regeneration. Int J Biol Macromol. 2021; 175:544-557. DOI: 10.1016/j.ijbiomac.2021.02.052. View

4.
Fitzpatrick V, Martin-Moldes Z, Deck A, Torres-Sanchez R, Valat A, Cairns D . Functionalized 3D-printed silk-hydroxyapatite scaffolds for enhanced bone regeneration with innervation and vascularization. Biomaterials. 2021; 276:120995. PMC: 8408341. DOI: 10.1016/j.biomaterials.2021.120995. View

5.
Long H, Ahmed M, Ackermann P, Stark A, Li J . Neuropeptide Y innervation during fracture healing and remodeling. A study of angulated tibial fractures in the rat. Acta Orthop. 2010; 81(5):639-46. PMC: 3214756. DOI: 10.3109/17453674.2010.504609. View