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. 2024 Jan 28;16(1):e53095. doi: 10.7759/cureus.53095

Table 1. A comprehensive overview of key technical factors and challenges in cartilage tissue engineering.

Core Aspects Subcategories In-Depth Description of Technical Constraints and Opportunities
Cellular Considerations Chondrocytes Limited ability to proliferate and the tendency to dedifferentiate during in vitro growth, thus posing significant challenges for tissue engineering.
Mesenchymal Stem Cells Characterized by accessibility and multipotent differentiation potential, but encumbered by ethical and regulatory considerations.
Induced Pluripotent Stem Cells Offer a theoretically limitless source of patient-specific cells, but face ethical and regulatory hurdles.
General Issues Challenges include cell senescence, exacerbated by factors like ex vivo expansion and donor age, as well as the need for controlled differentiation and maturation.
Biomaterial Constraints Natural Polymers Highly biocompatible and biodegradable, but may lack mechanical strength for load-bearing applications.
Synthetic Materials Provides tunable mechanical properties but can pose challenges in biocompatibility and cell attachment.
Advanced Materials Emerging materials like hydrogels and biostable polymers aim to offer both biological compatibility and mechanical tunability.
Microenvironmental Parameters Growth Factors Essential for chondrogenesis and cartilage repair but comes with challenges like the risk of oncogenicity and abnormal differentiation.
Environmental Conditions The avascular nature of cartilage makes oxygen tension and nutrient supply critical for cell survival and differentiation.
Mechanical Forces Mechanical factors like compression and shear stress are crucial for guiding chondrogenic differentiation and functional tissue development.
Host Tissue Harmonization Mechanical Challenges Ensuring mechanical strength at the engineered-to-native tissue interface is vital for successful tissue integration.
Immunological Challenges Requires strategies to mitigate tissue rejection and enhance the long-term stability of the implanted engineered construct.
Mechanical and Thermal Challenges Mechanical Stimuli Mechanical forces, notably tension, significantly impact cellular differentiation, molecular adaptations, and the functionality of engineered tissue.
Thermal Therapies Exploration of non-invasive thermal interventions like photothermal therapy for controlled tissue regeneration.