4.5 Article

Paediatric regenerative medicine 2 Regenerative medicine: postnatal approaches

Journal

LANCET CHILD & ADOLESCENT HEALTH
Volume 6, Issue 9, Pages 654-666

Publisher

ELSEVIER SCI LTD

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Funding

  1. Hong Kong Research Grants Council [T12C-747/14, HKU171195/14, HKU17109918, C7139-20GF, T12-712/21 -R]
  2. Hong Kong Health and Medical Research Fund [03143476, PR-HKU-1, 08192376]
  3. Innovation and Technology Fund [UIM 299, 300]
  4. UK National Institute for Health Research [NIHR-RP-2014-04-046]
  5. Great Ormond Street Hospital Children's Charity
  6. NIHR Biomedical Research Centre at Great Ormond Street Hospital for Children NHS Foundation Trust

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Paper 2 of the paediatric regenerative medicine Series focuses on recent advances in postnatal approaches, including gene, cell, and niche-based technologies, providing new treatment options for pediatric diseases and common diseases affecting all ages.
Paper 2 of the paediatric regenerative medicine Series focuses on recent advances in postnatal approaches. New gene, cell, and niche-based technologies and their combinations allow structural and functional reconstitution and simulation of complex postnatal cell, tissue, and organ hierarchies. Organoid and tissue engineering advances provide human disease models and novel treatments for both rare paediatric diseases and common diseases affecting all ages, such as COVID-19. Preclinical studies for gastrointestinal disorders are directed towards oesophageal replacement, short bowel syndrome, enteric neuropathy, biliary atresia, and chronic end-stage liver failure. For respiratory diseases, beside the first human tracheal replacement, more complex tissue engineering represents a promising solution to generate transplantable lungs. Genitourinary tissue replacement and expansion usually involve application of biocompatible scaffolds seeded with patient-derived cells. Gene and cell therapy approaches seem appropriate for rare paediatric diseases of the musculoskeletal system such as spinal muscular dystrophy, whereas congenital diseases of complex organs, such as the heart, continue to challenge new frontiers of regenerative medicine.

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