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These studies suggest that lung tissue engineering, mechanical properties, and immune cell functions are crucial for lung regeneration, protection against infections, and maintaining physiological functions.
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Lung tissue engineering has emerged as a promising solution to address the shortage of donor lungs for transplantation and the lifelong need for immunosuppressive drugs in transplant patients. A key strategy in this field is the use of decellularization techniques to create scaffolds from extracellular matrices (ECM). These scaffolds retain the complex architecture and mechanical properties of the original lung tissue, making them ideal for supporting cell growth and differentiation .
Decellularization involves removing cellular components from lung tissue while preserving the ECM. This process has been successfully applied to both human and porcine lungs, with the latter serving as a suitable substitute due to its similar properties. The decellularized ECM can then be repopulated with lung epithelial and endothelial cells, which organize into functional structures such as alveoli and microvessels when cultured in bioreactors. This approach has shown potential for creating transplantable lung tissue that can participate in gas exchange, albeit at a rudimentary level.
The mechanical properties of lung tissue are crucial for its physiological functions, including gas exchange and passive expiration. These properties are primarily determined by the ECM, which consists of collagen, elastin, and other macromolecules . Collagen, in particular, plays a critical role in maintaining the structural integrity and mechanical behavior of the lung parenchyma.
Lung tissue stiffness varies across different anatomical compartments and changes with age. Studies using atomic force microscopy have shown that airways are the stiffest regions, while parenchymal areas are more compliant. Additionally, aging leads to increased stiffness in both parenchymal and vascular compartments, which can impair lung function. These changes are associated with increased ECM deposition and altered cellular mechanics.
The lung's unique environment requires a delicate balance between protecting against pathogens and avoiding excessive immune responses. Tissue-resident immune cells, including memory T cells and innate immune cells, play a vital role in this balance. These cells provide the first line of defense against infections and coordinate adaptive immune responses, but dysregulation can lead to diseases such as asthma and inflammatory disorders.
Cell-based tissue engineering offers another avenue for lung regeneration, particularly for conditions like emphysema, which involve alveolar destruction. Researchers have explored using scaffolds like Gelfoam, supplemented with fetal lung cells, to regenerate alveolar-like structures in adult lungs. These scaffolds support cell survival, proliferation, and neovascularization, demonstrating the potential for regenerating functional lung tissue.
Lung tissue engineering and the study of lung mechanics are advancing rapidly, offering hope for new treatments for pulmonary diseases. Decellularization techniques and the use of ECM scaffolds have shown promise in creating functional lung tissue, while understanding the mechanical properties and immune functions of lung tissue can inform better therapeutic strategies. As research continues, these innovations may lead to viable alternatives to lung transplantation and improved outcomes for patients with severe lung conditions.
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