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This review is divided into two interconnected parts, namely a biological and a chemical one. The focus of the first part is on the biological background for constructing tissue-engineered vascular grafts to promote vascular healing. Various cell types, such as embryonic, mesenchymal and induced pluripotent stem cells, progenitor cells and endothelial- and smooth muscle cells will be discussed with respect to their specific markers. The in vitro and in vivo models and their potential to treat vascular diseases are also introduced. The chemical part focuses on strategies using either artificial or natural polymers for scaffold fabrication, including decellularized cardiovascular tissue. An overview will be given on scaffold fabrication including conventional methods and nanotechnologies. Special attention is given to 3D network formation via different chemical and physical cross-linking methods. In particular, electron beam treatment is introduced as a method to combine 3D network formation and surface modification. The review includes recently published scientific data and patents which have been registered within the last decade.
A major challenge modern society has to face is the increasing need for tissue regeneration due to degenerative diseases or tumors, but also accidents or warlike conflicts. There is great hope that stem cell-based therapies might improve current treatments of cardiovascular diseases, osteochondral defects or nerve injury due to the unique properties of stem cells such as their self-renewal and differentiation potential. Since embryonic stem cells raise severe ethical concerns and are prone to teratoma formation, adult stem cells are still in the focus of research. Emphasis is placed on cellular signaling within these cells and in between them for a better understanding of the complex processes regulating stem cell fate. One of the oldest signaling systems is based on nucleotides as ligands for purinergic receptors playing an important role in a huge variety of cellular processes such as proliferation, migration and differentiation. Besides their natural ligands, several artificial agonists and antagonists have been identified for P1 and P2 receptors and are already used as drugs. This review outlines purinergic receptor expression and signaling in stem cells metabolism. We will briefly describe current findings in embryonic and induced pluripotent stem cells as well as in cancer-, hematopoietic-, and neural crest-derived stem cells. The major focus will be placed on recent findings of purinergic signaling in mesenchymal stem cells addressed in in vitro and in vivo studies, since stem cell fate might be manipulated by this system guiding differentiation towards the desired lineage in the future.
The ability of stem cells to self-renew and differentiate into multiple lineages has made them attractive candidates for therapeutic interventions. Adult stem cells are a promising source for regenerative medicine approaches since they are easy to obtain, and bear a lower risk of immune rejection and tumor formation, compared to embryonic stem cells or iPS cells. Controlling their fate tightly is still the key challenge on their way from bench to bedside use. While conventional methods are based mainly on chemical induction of differentiation via growth factors and cytokines, concentrating on altering material properties, such as substrate stiffness and topography, to mimic the stimuli stem cells receive in their natural niche gets more into focus recently. It has been shown that (nano)structural and mechanical triggers derived from the extracellular matrix can influence stem cell fate by promoting self-renewal or differentiation if tissue repair is needed. In this chapter, the chemical structure of various nanomaterials used as scaffolds for stem cell differentiation will be discussed, including bulk and surface properties and corresponding analytical methods for surface characterization. Furthermore, recently developed methods for the design of tailor-made nanomaterial used in stem cell differentiation will be discussed in the current chapter.
