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Review
. 2018 Feb 26;5(1):7.
doi: 10.1186/s40779-018-0154-9.

Application of stem cells in tissue engineering for defense medicine

Affiliations
Review

Application of stem cells in tissue engineering for defense medicine

Chinedu Cletus Ude et al. Mil Med Res. .

Abstract

The dynamic nature of modern warfare, including threats and injuries faced by soldiers, necessitates the development of countermeasures that address a wide variety of injuries. Tissue engineering has emerged as a field with the potential to provide contemporary solutions. In this review, discussions focus on the applications of stem cells in tissue engineering to address health risks frequently faced by combatants at war. Human development depends intimately on stem cells, the mysterious precursor to every kind of cell in the body that, with proper instruction, can grow and differentiate into any new tissue or organ. Recent reports have suggested the greater therapeutic effects of the anti-inflammatory, trophic, paracrine and immune-modulatory functions associated with these cells, which induce them to restore normal healing and tissue regeneration by modulating immune reactions, regulating inflammation, and suppressing fibrosis. Therefore, the use of stem cells holds significant promise for the treatment of many battlefield injuries and their complications. These applications include the treatment of injuries to the skin, sensory organs, nervous system tissues, the musculoskeletal system, circulatory/pulmonary tissues and genitals/testicles and of acute radiation syndrome and the development of novel biosensors. The new research developments in these areas suggest that solutions are being developed to reduce critical consequences of wounds and exposures suffered in warfare. Current military applications of stem cell-based therapies are already saving the lives of soldiers who would have died in previous conflicts. Injuries that would have resulted in deaths previously now result in wounds today; similarly, today's permanent wounds may be reduced to tomorrow's bad memories with further advances in stem cell-based therapies.

Keywords: Defense medicine; Stem cells; Tissue engineering; War injuries.

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Conflict of interest statement

Ethics approval and consent to participate

Not Applicable.

Consent for publication

Not Applicable.

Competing interests

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
The basic materials and processes needed for tissue engineering technologies [6]
Fig. 2
Fig. 2
The source, harvesting procedure, culture and several potential uses of stem cells [8]. a Embryonic stem cells (ESCs); b Adult stem cells (mesenchymal stem cells, MSCs)
Fig. 3
Fig. 3
Major skin injuries including 3rd degree skin wounds where the whole skin has been lost that require a graft or tissue-engineered substitute (Courtesy of the Tissue Engineering Centre National University of Malaysia Medical Centre). a Severe wound from accident; b Wound sustained from burns; c Severe wound sustained from accident with necrosis; d Severe wound from burns with necrosis
Fig. 4
Fig. 4
The major techniques of producing a bi-layered skin substitute. The major cells required are fibroblasts and keratinocytes, with fibrin functioning as a scaffold
Fig. 5
Fig. 5
Treatment of a burn patient with a tissue-engineered bilayer skin substitute [–26] (Courtesy of the Tissue Engineering Centre National University of Malaysia Medical Centre). a Medical team examining the skin substitute; b Fixation of the skin substitute; c One month post-treatment; d Three months post-treatment
Fig. 6
Fig. 6
Bi-layered tissue engineered skin (MyDerm) [–34] (produced by the Cell Tissue Technology Company from Malaysia in collaboration with the Tissue Engineering Centre, National University of Malaysia Medical Centre, Malaysian patent application No. PI20042556)
Fig. 7
Fig. 7
The act of tissue formation by layering of cells in a 3-dimensional scaffold to mimic the natural arrangement [36]
Fig. 8
Fig. 8
The eye and the retina showing the danger that destructive explosive devices pose to the eyes of combat personnel [27]. Several tissue engineering techniques have attempted to regenerate damaged retina cells
Fig. 9
Fig. 9
The three main tissues (brain, spinal cord and peripheral nerves) that are targets of nervous system injuries. The complexity of these structures and the integration of the specified cells poses challenges for tissue engineering
Fig. 10
Fig. 10
Cartilage tissue engineering showing the treatment of osteoarthritic cartilage degeneration in a sheep model with chondrogenic-induced BMSCs [–67]. L: Lateral; M: Medial; the treated knee had remarkable improvement compared to the non-treated control
Fig. 11
Fig. 11
Tissues and organs exposed to blast over-pressurization [77]. These including lungs, heart, liver intestine and internal organs situated in the thoracic cavity are all in danger from this type of injury
Fig. 12
Fig. 12
Schematic diagram of the creation of iPSCs from skin cells

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