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    Evaluation of facial injection filling materials for medical aesthetics
    ZHAO Chenyu, LI Chongchong, SUN Xue, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (5): 517-.  
    Abstract637)      PDF(pc) (874KB)(7097)       Save
    With economic development and technological progress, the demand for medical aesthetics has increased sig
    nificantly, and medical biomaterials are widely used. It is necessary to further improve the evaluation of their effectiveness and
    safety. At present, the evaluation of its physicochemical properties and biology is adopted in China. However, the clinical effec
    tiveness is a multi-faceted evaluation without unified criteria. Most of the evaluation mainly adopts objective indicators for quan
    titative analysis, while subjective feelings are secondary criteria. In this paper, the main facial fillers and the evaluation methods
    of their physicochemical properties were reviewed.
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    Research progress on the mechanism of skin aging caused by ultraviolet radiation
    CHEN Heng, WANG Jue, ZHOU Xu
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (3): 382-.  
    Abstract416)      PDF(pc) (992KB)(5151)       Save
    Skin exposed to sunlight for a long period of time will have impaired function and even genetic material
    alteration, which is manifested by aging characteristics such as water loss, elasticity loss, wrinkle growth, melanin
    deposition and dryness. There are many ways to cause skin photoaging and the mechanism is complex, the ultraviolet light in
    sunlight has a particularly obvious effect on skin aging, the ultraviolet light that can act on the skin is divided into two kinds:
    UVA and UVB. They mainly act on the skin through five mechanisms that lead to photoaging: oxidative stress, damaging
    genetic material, changing the epidermal microbial community, destroying the function and structure of organelles, and
    reshaping the extracellular matrix (ECM).In this paper, these five mechanisms were reviewed, and research directions and
    prospects in this field were proposed.
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    Research progress of three-dimensional functional skin model construction in vitro
    LI Yang, XI Taotao, ZHANG Bo, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (2): 240-.  
    Abstract297)      PDF(pc) (1034KB)(4100)       Save
    Tissue engineering technology has been widely used in tissue and organ repair and has become an important
    method of regenerative medicine technique. The appearance of tissue engineering skin provides a new method for the
    treatment of large-area cutaneous defect in clinic. Because of the complicated skin-structure, it is an enormous challenge to
    building a functional three-dimensional skin tissue engineering model to simulate or replace the original skin. Based on this,
    from the aspects of cell types and sources, techniques, types, applications and prospects of skin tissue engineering models,
    the latest progress of in vitro 3D functional skin tissue model construction was reviewed in order to provide a theoretical basis
    for the construction of ideal skin tissue model.
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    New advances in the study of scaffold materials for cartilage tissue engineering
    YUE Guangren, WANG Ximei, LI Yu
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (4): 408-413.  
    Abstract521)      PDF(pc) (875KB)(2453)       Save
    Lacking blood vessels and nerve nourishment, cartilage has limited ability to repair and regenerate. Combining scaffolds, cells and active factors, tissue engineering has been considered as an important new direction for repairing cartilage injury. Scaffold plays an important role in the cartilage regeneration process, not only providing a support site for cell adhesion, but also improving the local microenvironment and affecting cell proliferation and differentiation. Many materials have been used to make biodegradable scaffolds: natural materials, synthetic materials and composite materials. In this paper, the materials that have been relatively widely used in cartilage tissue engineering were reviewed so as to provide valuable reference for researchers in this field.
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    The pathogenesis and therapeutic strategies for congenital melanocytic nevi
    LI Dongdong, WANG Bin
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (2): 254-.  
    Abstract351)      PDF(pc) (1226KB)(1970)       Save
    Congenital melanocytic nevus is a common skin developmental abnormality that can occur in any part of the
    body where melanocytes are present. Its occurrence is closely related to somatic cell mutations, regulated by multiple
    signaling pathways, and has diverse clinical manifestations. Surgical excision and dilator are still the main treatments for
    CMN, and laser therapy is a powerful mean to eliminate pigmentation and remove satellite lesions. Targeted therapy and
    immunotherapy are becoming a new direction for the treatment of congenital melanin giant nevi.
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    Advances of facial skin typing methods 

    CHEN Zixuan, ZHANG Zheng, ZHANG Yixin
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (3): 378-.  
    Abstract199)      PDF(pc) (954KB)(1836)       Save
    Skin typing is a common method for describing skin characteristics. Traditional skin typing methods (such as
    the Fitzpatrick Skin Phototype and Baumann Skin Typing) have their own advantages and disadvantages. However, the above
    skin typing methods rely on subjective judgement, lacking quantitative analysis of skin objective parameters. In recent years,
    the measurement technology of objective parameters such as sebum secretion and transepidermal water loss has made great
    progress, making it possible to describe skin types with objective parameters. Additionally, image recognition technology
    based on facial photos can extract facial skin features and provide a basis for skin typing. This article reviewed subjective skin
    typing methods, skin objective parameter detection, and skin analysis technology based on image recognition, and discussed
    the development process of skin typing from qualitative-quantitative-visualization, in order to provide a theoretical basis for
    objective and precise skin typing in the future.
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    Progress in research methods of studying the neural crest

    JIANG Leheng, YIN Ningbei
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (4): 469-.  
    Abstract593)      PDF(pc) (993KB)(1708)       Save
    The neural crest is a migratory, multipotent stem cell population during vertebrate embryogenesis, and lineage tracing is the focus of its research. Over the 150 years since its first discovery, understanding of the neural crest has gone through a transition from morphological observations to single-cell level. In this paper, important approaches applied to study the neural crest were reviewed including radioisotope labeling, chimeras, vital dye labeling, in vitro clonal analysis, conditional genetic recombination and single-cell sequencing.
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    Diagnosis and treatment of vascular anomalies in the era of precision medicine
    YANG Xiaonan, ZHANG Ye
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (6): 599-.  
    Abstract141)      PDF(pc) (1038KB)(1474)       Save
    Vascular anomalies are classified into hemangiomas and vascular malformations, representing a group of diseases that include (but not limited to) more than 30 types of hemangiomas, over 60 types of vascular malformations, and more than 20 syndromes related to vascular anomalies. Deepening understanding and improving diagnosis and treatment have always been the focus and difficulty in clinical work. With the continuous advancement of medical science and technology, the diagnosis and treatment of vascular anomalies are rapidly entering a new medical era-the era of precision medicine. Precision medicine relies
    on in-depth research of molecular mechanisms, advanced diagnostic technologies, personalized treatment plans and multidisciplinary diagnosis and treatment mode, and its clinical expansion and promotion in clinical practice have brought revolutionary changes to the diagnosis and treatment of vascular anomalies. In this paper, the progress and future development
    direction of the diagnosis and treatment of vascular anomalies in the era of precision medicine were reviewed.
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     Advances on autophagy mechanism in cell survival and regeneration after autologous fat grafting
    JIA Xinyu, LI Facheng
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (4): 420-.  
    Abstract251)      PDF(pc) (821KB)(1318)       Save
    Autologous fat grafting has been widely used in plastic surgery. However, the unstable volume retention rate has
    always been a significant problem, which is fundamentally due to the inadequate understanding of the mechanism of cell survival
    and regeneration after transplantation. Autophagy plays a vital role in metabolic adaptation, cell differentiation and apoptosis inhibition, and many advances have been made in autophagy after autologous fat grafting. This review focused on the autophagy ofadipocytes and adipose-derived stem cells and the relationship between autophagy and inflammation and vascular remodeling. It
    turned out that autophagy was closely related to cell survival and regeneration after autologous fat grafting, and moderately promoting autophagy may postoperatively improve the volume retention rate.
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     Skin characteristics and nursing after photoelectric injury
    DONG Jiying, HAN Shuqing, LU Nan, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (2): 265-.  
    Abstract258)      PDF(pc) (986KB)(1314)       Save
    Photoelectric therapy plays a role in treating diseases and skin beauty by starting the process of skin wound repair. This paper summarized the changes in the acute skin injury period after different types of photoelectric therapy, the process and characteristics of skin injury repair after surgery, and the principles of skin care after surgery, in order to reduce the occurrence of adverse reactions and accelerate skin repair after surgery, reduce downtime, and improve patient satisfaction.
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    Recent advances of multiomics approaches for pathologic scars
    ZHENG Hongkun, SHAN Shengzhou, JI Xiangyang, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (3): 362-.  
    Abstract160)      PDF(pc) (984KB)(1207)       Save
    Pathologic scars, including keloids and hypertrophic scars, not only affect aesthetics but also compromise
    patients' daily lives and psychological well-being. Despite recent progress in understanding the pathogenesis of pathologic
    scars, effective treatments remain a challenge. In this paper, the research advancements of multi-omics approaches for
    pathologic scars were summarized, encompassing genomics, epigenomics, transcriptomics, proteomics, metabolomics, and
    single-cell omics. By providing a comprehensive overview of these cutting-edge techniques, the review aimed to inspire novel
    therapeutic strategies for the management of pathologic scars.
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    Research progress of NOTCH signaling pathway and endothelial-to-mesenchymal transition in infantile hemangioma
    SUN Xiaoting, MA Xiaorong
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (4): 414-.  
    Abstract216)      PDF(pc) (854KB)(1182)       Save
    Infantile hemangioma (IH) is a benign tumor that occurs in infants and childhood. The pathogenesis of IH has
    not been fully elucidated. Although the course of the disease is self-limiting, partial patients may have sequelae that affect the
    aesthetics or normal function. NOTCH signaling is an evolutionarily conserved signaling pathway, that plays vital roles in many
    physiological and pathological processes, such as cell differentiation, embryonic vascular development, tissue itself-renewal, the
    occurrence of tumor and inflammation, and regulation of vascular function. Endothelial-to-mesenchymal transition (EndMT) is a
    mechanism in which endothelial cells (ECs) lose their unique properties and acquire mesenchymal and stem cell-like characteristics under the influence of multiple factors. EndMT can be involved in a variety of pathologies, including embryonic development, malignant tumor invasion, and fibrotic disease. Recent findings have shown that inhibition of the NOTCH signaling pathway might accelerate the regression of IH and interfere with disease progression caused by EndMT. In this paper, the progression of endothelial-to-mesenchymal transition and NOTCH signaling pathway in IH were reviewed
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    Research progress of intramuscular fatty infiltration

    LU Baixue, GAO Weicheng
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (4): 481-.  
    Abstract473)      PDF(pc) (970KB)(1182)       Save
    Fat infiltration plays an important role in the pathological development of muscle related diseases, and is closely related to disease recurrence and poor prognosis. In recent years, the research on the potential mechanism of intramuscular fat infiltration has been highly popular at home and abroad, mainly focusing on the basic and clinical research related to skeletal muscle and myocardial fat infiltration. In this paper, the relevant literature on the pathogenesis of intramuscular fat infiltration in skeletal muscle and myocardium in recent years was reviewed, to provide assistance for the basic and clinical research of intramuscular fat infiltration related diseases.
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    Research progress of the effect of radiotherapy on breast reconstruction with prosthesis and autologous tissue after breast cancer surgery

    REN Yanxin, YU Yan, XU Kexin, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (5): 511-.  
    Abstract386)      PDF(pc) (903KB)(1170)       Save
     Breast integrity and beauty affect women’s physical and mental health. Immediate breast reconstruction after
    breast cancer mastectomy can significantly increase women’s self-confidence and improve women’s quality of life. As a conventional treatment for breast cancer, radiotherapy can reduce the local recurrence rate and disease-free survival rate of breast cancer. However, radiotherapy can increase the complication rate and failure rate of breast reconstruction immediately after breast
    cancer surgery. The two most commonly performed breast reconstruction procedures are breast reconstruction with autologous
    tissue and breast reconstruction with prosthesis. In this paper, the effects of radiotherapy on autologous tissue breast reconstruction and prosthesis breast reconstruction were reviewed.
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    Research progress on rehabilitation effect of respiratory training on breast cancer-related lymphedema
    LI Hui, YIN Yu, LI Chunxiao, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (4): 430-.  
    Abstract200)      PDF(pc) (839KB)(1111)       Save
     Breast cancer-related lymphedema (BCRL) is one of the common postoperative complications of breast cancer.
    At present, there is no effective method to cure BCRL at home and abroad. Respiratory training, as a simple and easy training
    program, can improve the lymphedema of patients through a variety of mechanisms, improve the quality of life, and may provide a
    potential rehabilitation treatment for BCRL.
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    Advances in molecular genetics of dermatofibrosarcoma protuberans

    DENG Yuqi, LIANG Xiao, SUN Di, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (2): 260-.  
    Abstract184)      PDF(pc) (995KB)(1100)       Save
    Dermatofibrosarcoma protuberans (DFSP), one of the most common skin sarcomas, lacks specific clinical
    and radiological features and exhibits complex histopathology. It is characterized by slow and irregular infiltration of
    surrounding tissues, and surgical resection is the primary treatment modality. Currently, DFSP presents clinical challenges in
    terms of high misdiagnosis and recurrence rates, necessitating the development of specific diagnostic markers and effective
    therapeutic targets. This article aimed to provide a comprehensive review of the latest molecular genetics advancements in
    DFSP, with the goal of offering new insights for its diagnosis and treatment.
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    Sterilization methods for biomaterials in biomedical applications
    WU Ke, ZHANG Guo, ZHOU Muran, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2024, 20 (3): 354-.  
    Abstract129)      PDF(pc) (1846KB)(1007)       Save
    From the first generation of inert materials to the third generation of active materials, biomaterials have
    developed rapidly in recent years, showing great application prospects in biomedicine, but its effective sterilization has
    become increasingly difficult. Effective sterilization and disinfection of biomaterials are essential to achieve clinical
    transformation. This review summarized the classical and emerging sterilization methods for biomaterials and the impact of
    these sterilization technologies on the physicochemical properties of biomaterials. This review also discussed the sterilization
    effect, toxicity, and problems in the practical application of various methods, intending to provide a reference for the
    selection of sterilization methods in the research of biomaterials.
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    Akkermansia muciniphila outer membrane protein 1100 promotes wound healing in diabetic rats

    LIN Weiyi, GE Chengwang, TANG Xiaowei, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (4): 358-.  
    Abstract200)      PDF(pc) (2047KB)(921)       Save
    Objective To investigate the effects of Akkermansia muciniphila outer membrane protein 1100 (Amuc_1100)
    on wound inflammation and collagen fiber synthesis in diabetic rats. Methods Twenty male SD rats were induced into diabeticrats by intraperitoneal injection of streptozotocin. The defective wound model of full-thickness back skin was constructed and the
    rats were divided into two groups, control group and Amuc_1100 group. The Amuc_1100 group was injected locally with 300 μL
    Amuc_1100 solution with a concentration of 333 μg/mL, the control group was injected with the same amount of normal saline.
    Wounds were photographed and the wound healing rate were compared on day 0, 3, 7, 10 and 14, respectively. Five rats in each
    group were sacrificed and harvested on day 7 and 14. Hematoxylin-eosin (HE) staining was used to evaluate inflammatory cellinfiltration and histological morphology of the wound. Masson three-color staining was used to evaluate collagen fiber deposition.
    The mRNA expression levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), interleukin-10 (IL-10), collagen fiber
    1A1 (Col1A1) and collagen fiber 3A1 (Col3A1) were compared by real-time quantitative polymerase chain reaction (RT-PCR).
    Results The wound healing rate in Amuc_1100 group was higher than that in control group on day 3, 7, 10 and 14 (P<0.05).
    HE staining showed that the Amuc_1100 group had less inflammatory cells and more collagen fiber deposition in wound tissue.
    Masson three-color staining showed that the collagen in the Amuc_1100 group was thicker, deeper dyed and more compact
    than control group. RT-PCR showed that the relative mRNA expressions of TNF-α and IL-6 were significantly decreased in
    Amuc_1100 group compared with the control group (P<0.05), and the relative mRNA expressions of IL-10, Col1A1 and Col3A1
    were significantly increased compared with the control group (P<0.05). Conclusion Amuc_1100 can improve the wound healing rate of diabetic rats, and the mechanism may be related to reducing local inflammatory response and increasing collagen fiber
    synthesis.
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    In-situ bioprinting and hair follicle reconstruction of full-layer skin injury

    LI Xingzhou, CHEN Xiaojun, SUN Mengzhe, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (4): 336-.  
    Abstract236)      PDF(pc) (1132KB)(920)       Save
    Objective Using in-situ bioprinting to repair full-thickness skin wound on the back of nude mice to achieve
    in-situ repairing and hair follicle reconstruction. Methods Dorsal full-thickness skin defects (7 mm in diameter) was created
    and covered with CA/BC in nude mice. About 5×105 primary cells from neonatal C57 mice skin were used as seed cells and
    transplanted to the wound: 10 points of high-concentration cell plotting was printed in the CA/BC via in-situ bioprinting in ex
    perimental group while 1 mL injector was used manually in control group. After 4 weeks, wound repairing and hair growth were
    observed, and the structure of new hair follicles was examined by H&E staining. Results The skin defect wound of the exper
    imental group recovered well with vigorous and uniform hair growth, while the hair of the control group was sparse, uneven or
    even no hair growth. HE staining showed that there was complete hair follicle structure in the new skin of the experimental group,
    while there was almost no hair follicle formation in the control group. Conclusion The feasibility of in-situ bioprinting tech
    nology in skin defect repair and hair follicle reconstruction is preliminarily verified.
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     Application of anterograde and reverse dorsalis pedis skin flap for repairing defects in the lower leg and foot

    DU Xuanyu, CHEN Yong, WANG Qian, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (4): 371-.  
    Abstract177)      PDF(pc) (1269KB)(901)       Save
    Objective To explore the application of anterograde and reverse dorsalis pedis skin flap in the repair of the de
    fects in the lower leg and foot. Methods From Jan. 2018 to Dec. 2021, 14 cases of dorsalis pedis flap were used to repair the
    defects in the lower leg and foot, including 9 cases of anterograde dorsalis pedis skin flap and 5 cases of reverse dorsalis pedis
    skin flap. The donor site was repaired with skin graft directly or covered with artificial dermis followed by skin graft 2-3 weeks
    later. Results All flaps survived well with primary healing. Most of skin grafts survived and the residual wound healed with
    dressing change. In the follow-up period, the appearance of the flap was satisfactory. The appearance of donor sites repaired
    with artificial dermis and secondary skin graft were better than that repaired by skin graft only. Foot function recovered well.
    Conclusion Dorsalis pedis flap is a reliable choice for repairing defects in the lower leg and foot. The application of artificial
    dermis before skin graft can obviously increase the survival rate and improve the long-term appearance of donor site.
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