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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-.  
    Abstract527)      PDF(pc) (874KB)(4895)       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-.  
    Abstract334)      PDF(pc) (992KB)(3001)       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-.  
    Abstract210)      PDF(pc) (1034KB)(2623)       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.  
    Abstract447)      PDF(pc) (875KB)(2250)       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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     Overview of sensitive skin and treatment progress of aesthetic medicine

    LU Nan, WU Min, SONG Jiao, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 323-.  
    Abstract405)      PDF(pc) (708KB)(2100)       Save
    敏感性皮肤 ; 机制 ; 诊断 ; 治疗 ; 光电治疗
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    Analysis of mutation type and clinical significance of congenital melanocytic nevi

    ZHAO Yifei, ZOU Yun, CHEN Hui, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 258-.  
    Abstract426)      PDF(pc) (843KB)(1928)       Save
    Objective To explore the molecular characteristics of giant congenital melanocytic nevi (GCMN) and their
    clinical significance. Methods The samples of patients diagnosed with GCMN were subjected whole-exome sequencing and
    bio-information analysis to clarify the pathogenic genes and distribution patterns. Results In 50 samples (25 pairs of tissues
    and blood) from 25 patients, 21 patients had somatic mutations, including NRAS gene (19 cases) and BRAF gene (1 case). New
    mutations were detected in 2 patients’
    lesions and blood, and the mutant genes were MET gene and IDH1 gene. In addition,
    no causative mutation was detected in 4 patients. There was no statistic difference between GCMN genotype and phenotype.
    Conclusion NRAS somatic mutation is the most common mutation in GCMN, and BRAF gene has also been detected. Potential
    new mutated IDH1 and MET genes were also found.
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    Transplantation of human induced pluripotent stem cell derived cardiac progenitor cells for acute myocardial infarction in rats

    LUO Runjiao, AI Xuefeng, LI Kaixiang, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 213-.  
    Abstract191)      PDF(pc) (3951KB)(1774)       Save
    Objective To explore the effect of human induced pluripotent stem cell-derived cardiac progenitor cells trans
    plantation on acute myocardial infarction in rats. Methods Immunofluorescence staining was used to identify the pluripotency
    of human induced pluripotent stem cells, and GiWi method was used to differentiate them into cardiac progenitor cells in vitro,
    and then they were further differentiated into cardiomyocytes. Flow cytometry and immunofluorescence staining were used to
    evaluate the differentiation efficiency and morphology of the obtained cardiac progenitor cells and cardiomyocytes. The rat model
    of acute myocardial infarction was established by ligation of the left anterior descending coronary artery. TTC staining and echo
    cardiography were used to evaluate the model. Cardiac progenitor cells were transplanted into the marginal area of myocardial 
    infarction, and cardiac function was detected by echocardiography at 1 week and 4 weeks after operation. HE and Masson stain
    ing were used to evaluate the size of infarct area and the degree of fibrosis. Immunofluorescence staining was used to evaluate the
    survival and differentiation of cardiac progenitor cells in vivo. Results The stem markers OCT4, SOX2, Nanog and Tra-1-60
    were highly expressed in human induced pluripotent stem cells. The in vitro differentiation efficiency of cardiac progenitor cells
    was as high as 77.8%, expressing Isl1, a specific marker of cardiac progenitor cells. It can further differentiate into cardiomyo
    cytes with an efficiency of 83.3%, and high expression of cTnT, α-actinin and other myocardial specific markers. The rat model
    of acute myocardial infarction was successfully established. TTC staining showed that the infarct area was white and the left ven
    tricular ejection fraction was decreased. At 4 weeks after transplantation, compared with the model group, the cardiac function of
    the cell group was improved, ventricular dilatation was weakened, and fibrosis was alleviated. The transplanted cells survived in
    vivo and differentiated into cardiomyocytes. Conclusion Cardiac progenitor cells derived from human induced pluripotent stem
    cells have high differentiation efficiency in vitro, can survive and differentiate into cardiomyocytes after transplantation in vivo,
    inhibit ventricular remodeling and improve cardiac function.
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     Research progress of tissue engineering ligament and scaffold materials

    ZHONG Rui, GAO Jingyu, YAN Chengyuan, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 308-.  
    Abstract312)      PDF(pc) (927KB)(1560)       Save
     The reconstruction scheme of the existing artificial ligament products has been relatively mature in clinical ap
    plication. In order to prevent the occurrence of postoperative complications such as difficult tendon-bone healing, expansion of
    the bone tunnel, synovial inflammatory reaction, infection, and external fixation loosening after ligament reconstruction, tendon
    tissue construction using tissue engineering technology has become a possible development direction in the future. In this paper,
    the progress of the construction of tissue-engineered tendon and its scaffold materials was reviewed, the urgent problems to be
    solved and the future development direction were discussed.
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    The incidence and risk factors of breast cancer-related lymphedema

    ZHANG Yingying, LI Hua, GUAN Jiaqin, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 242-.  
    Abstract576)      PDF(pc) (1127KB)(1371)       Save
    Objective To explore the incidence rate, severity and risk factors of breast cancer-related lymphedema (BCRL)
    among breast cancer survivors. Methods Data collected from 128 patients underwent breast cancer operation during September
    1 to December 31, 2019. All the patients were female, aging (49.0±6.8) years (29-81 years). The Norman questionnaire and arm
    circumference measurement were used to evaluate the BCRL status and treatment status of breast cancer patients from subjective
    and objective perspectives at 6, 12, 24 and 36 months after surgery separately. The influence of the correlation factors on BRCL
    occurrence was analyzed by Logistic analysis. Results BRCL incidences were 9.4%, 25%, 23.4% and 23.4% at 6, 12, 24, 36
    months according to arm circumference measurement, while 12.5%, 26.6%, 25.0% and 25.0% by Norman questionnaire. Among the 128 patients, 30 were diagnosed with BCRL after breast cancer surgery, among which the incidence of stage Ⅰ
    lymphedema, stage Ⅱ lymphedema and stage Ⅲ lymphedema were 15.6%, 6.3% and 1.6%, respectively. Age, body mass index (BMI)  radiotherapy, the number of positive lymph nodes and surgery method showed differences between the the BCRL group and control group. Both CDT or LVA showed improvement for the BCRL patients. Conclusion BCRL is a common complication for
    breast cancer patients after surgery. It can be fairly diagnosed in the first year after surgery without the increasing incidence of
    BCRL over time throughout 3 years. BMI, radiotherapy were found to be independent risk factors in the development of BCRL in
    this study.
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    Research progress of 3D bioprinting technology in dermal regeneration

    XU Pengqin, HAN Chunmao
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 302-.  
    Abstract359)      PDF(pc) (973KB)(1325)       Save
     Soft tissue defects of skin are common in clinical practice. The restoration of dermal damage, to a large ex
    tent, contributes to the repairing effects and scar formation of skin soft tissue defects. Three-dimensional (3D) bioprinting is an
    emerging technology that can accurately distribute biomaterials and living cells. It creates intricate stereoscopic structures which
    facilitates regenerative repair of dermal defects. Due to limitations of printing method, bio-ink, and seed cells, 3D bioprinting
    technology for skin is still in the lab stage. With the development of 3D bioprinting, especially in novel bio-ink exploitation and
    technical optimization, high resolution 3D bioprinting will enable us to customize elaborate functionalized skin models and even
    cutaneous appendages, providing new strategies in dermal regenerative repairment.
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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-.  
    Abstract151)      PDF(pc) (954KB)(1300)       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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     Research progress of traumatic optic neuropathy

    LI Xinyu, GUO Zhilin
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 315-.  
    Abstract331)      PDF(pc) (791KB)(1286)       Save
     Traumatic optic neuropathy (TON) often occurs after cerebral injury and is mainly in young people. Optic nerve
    injury can lead to vision loss in mild cases and loss of vision in severe cases, seriously affecting the physical and mental health
    and working life of patients. Currently, there are different opinions on the treatment of TON, both surgical and non-surgical, and
    there is no method that is satisfactory to doctors and patients. In this paper, the recent advances in the study of optic nerve injury
    were reviewed in order to provide new ideas for clinical treatment.
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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-.  
    Abstract244)      PDF(pc) (1226KB)(1253)       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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     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-.  
    Abstract183)      PDF(pc) (986KB)(1169)       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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    Research progress of three dimensional bio-printing technology for formation of vascular network in bone tissue

    ZHAI Chuanxing, WANG Zhimeng, WANG Guodong, et al
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 298-.  
    Abstract191)      PDF(pc) (913KB)(1139)       Save
    Vascularization of bone grafts is one of the major challenges facing bone tissue engineering (BTE). The ultimate
    goal of the construction of vascularized BTE is to provide a bone environment rich in functional vascular networks to achieve
    efficient bone integration and accelerate the functional recovery after implantation. In this paper, the research progress of 3D
    bio-printing in the formation of vascular network in bone tissue was reviewed, the formation mechanism of vascular network and
    the characteristics of 3D bio-printing technology were elaborated, the current vascularization strategies in BTE were summarized,
    and its development prospects were prospected.
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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-.  
    Abstract526)      PDF(pc) (993KB)(948)       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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    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-.  
    Abstract94)      PDF(pc) (1846KB)(944)       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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    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-.  
    Abstract189)      PDF(pc) (854KB)(926)       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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     Soft tissue anatomy and safe spaces for injectable filler placement in forehead region

    GU Tianyi, TENG Li
    Journal of Tissue Engineering and Reconstructive Surgery    2023, 19 (3): 319-.  
    Abstract153)      PDF(pc) (1185KB)(925)       Save
     Due to the advantages like less trauma, quicker recovery and relatively uncomplicated operation, more and more
    beauty seekers prefer injectable fillers to improve the appearance of the forehead. Completely understanding the complex anato
    my of the forehead region is helpful to avoid severe complications such as vascular occlusion, and to improve patient satisfaction.
    In this paper, the relevant literature was reviewed to summarize the systematic anatomy knowledge on forehead region and the
    safe spaces for forehead augmentation, to provide sufficient theoretical support for clinical injection and filling of forehead region.
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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-.  
    Abstract387)      PDF(pc) (970KB)(870)       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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