Table 1.
Class of materials | Materials | Scaffold production | Advantages | Issues |
---|---|---|---|---|
Natural materials Similar properties to ECM, features can be modified by cross‐linking, biocompatibility and good cell attachment and proliferation |
Collagen | Injectable, microbeads, sponges, hydrogels | ASC differentiation and vascularization; possible addition of growth factors, modifiable porosity | Fast degradation, low mechanical properties |
Hyaluronic acid derivatives | Hydrogels, sponges | Good differentiation of adipocytes | Expensive | |
Silk | Hydrogels, disks, thin films, sponges, tubes | Good mechanical properties, low immunogenicity, possible expression of growth factors and angiogenic factors | Unknown characteristics of degradation products | |
Gelatin | Hydrogels, bioprinting, sponges | Good incorporation in natural tissue, possible addition of growth factors, usable together with other scaffolds | Fast degradation, low mechanical properties | |
Synthetic materials Chemical and mechanical properties can be modified and have a good reproducibility |
PLGA | 3‐D printing, hydrogels, sponges, injectable spheres | Biodegradable | Inflammation due to degradation products; short degradation time |
PCL | 3‐D printing, electrospun meshes, sponges | Suitable mechanical properties; angiogenesis in ASC‐seeded and ASC‐unseeded constructs | Degradation time not well controlled; limitation in mammary cell attachment because of hydrophobicity | |
Polyurethane | Sponges | Elastic and possible good angiogenesis and adipogenesis | Issues with in vivo transplant | |
Polypropylene | Meshes | Biocompatibility | Not well absorbed | |
Polylactic acid | Sponges | Good mechanical properties | Degradation time too fast | |
PEG | Hydrogels | Water degradable, promotion of adipose tissue regeneration | Low mechanical properties, need for cross‐linking | |
Biological materials Biological properties of ECM kept intact and decellularized adipose tissue leads to adipogenic differentiation without supplementation of differentiation factors |
Adipose‐decellularized ECM | Bioprinting, hydrogels, injectable microparticles, 3‐D printing | ECM provides right microenvironment for cells; well‐maintained 3‐D architecture also after decellularization | Not mass‐producible; technique is difficult and time‐consuming |
Note. The same production techniques can be used for more than one type of material. The pros and cons of each scaffold material are summarized (O'Halloran et al., 2017; O'Halloran et al., 2018).
Abbreviations: ASC, adipose stem cells; ECM, extracellular matrix; PCL, polycaprolactone; PEG, poly (ethylene)glycol; PLGA, polylactic‐co‐glycolic acid.