Brief Report - (2025) Volume 15, Issue 2
Received: 01-Apr-2025, Manuscript No. jbbs-25-165621;
Editor assigned: 03-Apr-2025, Pre QC No. P-165621;
Reviewed: 15-Apr-2025, QC No. Q-165621;
Revised: 22-Apr-2025, Manuscript No. R-165621;
Published:
29-Apr-2025
, DOI: 10.37421/2155-9538.2025.15.466
Citation: © 2025 Guedes A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Copyright: © 2025 Guedes A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Tissue engineering and regenerative medicine have significantly advanced in recent decades, offering promising solutions for the repair and replacement of damaged or diseased tissues. Central to this progress is the development of scaffolds three-dimensional structures that serve as temporary Extracellular Matrices (ECMs) designed to support and guide stem cell behavior. Scaffolds provide the physical support and biochemical signals required for cell adhesion, migration, proliferation and differentiation, ultimately promoting the regeneration of functional tissue. When integrated with stem cells, these scaffolds can facilitate the formation of complex tissue architectures by mimicking the natural microenvironment of native tissues. However, the success of such tissue-engineered constructs is highly dependent on the biocompatibility, biodegradability, mechanical properties and bioactivity of the scaffold materials used. The materials used to fabricate scaffolds for stem cell applications can generally be categorized into two broad groups: natural and synthetic. Each category presents distinct advantages and limitations, influencing their performance in various tissue engineering contexts. Natural materials are derived from biological sources and closely resemble components of the native ECM. Examples include collagen, gelatin, hyaluronic acid, alginate, chitosan, fibrin and silk fibroin. These materials are inherently biocompatible and often promote desirable cell behaviors due to their bioactive moieties [2].
Chitosan, derived from chitin, possesses antibacterial properties and structural similarity to Glycosaminoglycans (GAGs), making it a favourable candidate for cartilage and skin regeneration. Despite these advantages, natural materials often suffer from batch-to-batch variability, limited mechanical strength and inconsistent degradation rates, which can hinder their use in load-bearing applications. Synthetic materials, in contrast, offer superior control over mechanical properties, degradation rates and structural architecture. PLA and PGA are among the earliest polymers used in tissue engineering due to their predictable hydrolytic degradation into non-toxic byproducts. Although synthetic polymers are highly tunable, they often lack inherent bioactivity, requiring surface modification or blending with natural components to improve cell-scaffold interactions. By incorporating natural polymers into synthetic matrices or vice versa, researchers aim to achieve an optimal balance of mechanical strength, bioactivity and biocompatibility. These composite materials can be tailored for specific tissues by adjusting composition, porosity, degradation kinetics and mechanical properties, demonstrating great versatility in scaffold design [3].
In addition to material selection, the microarchitecture of the scaffold plays a critical role in directing stem cell fate. Parameters such as pore size, porosity, fiber alignment and surface roughness can influence cell behavior by modulating nutrient diffusion, waste removal and mechanotransduction signals. For instance, scaffolds with interconnected pores of appropriate size support vascular ingrowth and enhance tissue integration. Electrospun nanofibers that mimic the fibrous structure of natural ECMs have been shown to promote neural and musculoskeletal tissue regeneration by providing contact guidance for cell alignment. Recent advances in 3D bioprinting have enabled the fabrication of scaffolds with precise spatial control over geometry and composition, allowing for the creation of patient-specific constructs that match the anatomical and mechanical requirements of the target tissue. The interaction between stem cells and scaffolds is also mediated by biochemical cues, including growth factors, adhesion peptides and ECM proteins. Functionalization of scaffolds with RGD peptides or laminin-derived sequences can significantly improve cell adhesion and survival, especially in synthetic matrices that otherwise lack bioactive ligands. The delivery of these bioactive molecules in a spatiotemporally controlled manner remains a critical challenge, as premature release or degradation can compromise therapeutic efficacy [4].
Another important consideration in scaffold design is the immune response elicited upon implantation. Biocompatibility not only refers to the absence of cytotoxic effects but also includes the ability to integrate with host tissue without provoking chronic inflammation or fibrosis. Natural materials tend to be better tolerated by the immune system, though some, such as alginate and chitosan, may trigger mild inflammatory responses depending on their source and purification. Synthetic materials, while less likely to carry immunogenic contaminants, can elicit foreign body responses if degradation byproducts accumulate or if surface properties are not adequately tailored. Surface modification techniques, such as plasma treatment, grafting of anti-inflammatory agents, or incorporation of immune-modulatory molecules, are commonly used to mitigate adverse immune reactions. While many scaffold materials have shown promising results in preclinical models, the translation to clinical use remains challenging. Issues such as manufacturing scalability, sterilization, regulatory approval and long-term safety must be addressed. Furthermore, variability in patient-derived stem cells and host responses can lead to unpredictable outcomes. To overcome these challenges, interdisciplinary collaborations among materials scientists, biologists, engineers and clinicians are essential. Personalized medicine approaches, including patient-specific cell sourcing and 3D printing of anatomically matched scaffolds, are also gaining traction as strategies to enhance therapeutic efficacy and integration [5].
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