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Skin Tissue Engineering

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: closed (31 July 2021) | Viewed by 20092

Special Issue Editor

Special Issue Information

Dear Colleagues,

The skin—the largest organ of the human body—is composed of the epidermis, the dermis with a complex blood and nerve supply, as well as the hypodermis (subcutaneous fat layer). Skin injuries such as burns, trauma, or disease have dramatic consequences. Therefore, the engineering of biologic skin substitutes has emerged as an alternative therapy that aims to regenerate and replace diseased or injured skin. To achieve this, not only a source of skin cells is required, but also an artificial biocompatible matrix which supports those cells.

Currently, there are no models of tissue-engineered skin that completely replicate the physiology and anatomy of human skin. Ideal skin substitutes should provide a barrier function, have appropriate mechanical stability, be biocompatible, non-toxic, and non-antigenic, and induce minimal inflammatory reactivity. Moreover, they should easily integrate with the host tissue, produce minimal scarring, and improve angiogenesis and wound healing. Goal of the tissue engineering of skin is, therefore, to satisfy most of those criteria when generating novel, smart skin substitutes.

Biomaterials used for skin tissue engineering include natural biopolymers such as collagen type I, fibronectin, glycosaminoglycans (GAGs), hyaluronan, polypeptides, hydroxyapatites, chitosan, alginates, and those that are manufactured synthetically.

A major consideration when engineering a skin replacement therapy is to promote skin repair and regeneration by employing suitable biomatrices that not only support skin cell growth but also allow a proper interaction with the host tissue. 

In conclusion, this Special Issue focuses on different aspects of skin tissue engineering, particularly on designing new smart matrices for skin substitutes. The ultimate goal of tissue engineering of the skin is to fabricate a complex multi-layered scar-free “artificial skin” including all the skin appendages (hair follicles, sweat glands, and sensory organs) and layers (epidermis, dermis, and hypodermis) with rapid take (vascularization) and the establishment of a functional vascular and nerve network and scar-free integration with the surrounding host tissue.

Dr. Agnes Klar
Guest Editor

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Keywords

  • biomatrices for skin engineering
  • skin substitutes
  • skin regeneration
  • biomimetic wound dressings
  • 3D skin culture systems
  • skin stem cells
  • skin vascularization
  • wound healing

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Published Papers (3 papers)

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Review

16 pages, 1514 KiB  
Review
The Application of Mesenchymal Stem Cells on Wound Repair and Regeneration
by Bruna Lopes, Patrícia Sousa, Rui Alvites, Mariana Branquinho, Ana Sousa, Carla Mendonça, Luís Miguel Atayde and Ana Colette Maurício
Appl. Sci. 2021, 11(7), 3000; https://doi.org/10.3390/app11073000 - 27 Mar 2021
Cited by 11 | Viewed by 3587
Abstract
In the past decades, regenerative medicine applied on skin lesions has been a field of constant improvement for both human and veterinary medicine. The process of healing cutaneous wound injuries implicates a well-organized cascade of molecular and biological processes. However, sometimes the normal [...] Read more.
In the past decades, regenerative medicine applied on skin lesions has been a field of constant improvement for both human and veterinary medicine. The process of healing cutaneous wound injuries implicates a well-organized cascade of molecular and biological processes. However, sometimes the normal process fails and can result in a chronic lesion. In addition, wounds are considered an increasing clinical impairment, due to the progressive ageing of the population, as well as the prevalence of concomitant diseases, such as diabetes and obesity, that represent risk-aggravating factors for the development of chronic skin lesions. Stem cells’ regenerative potential has been recognized worldwide, including towards skin lesion repair, Tissue engineering techniques have long been successfully associated with stem cell therapies, namely the application of three-dimensional (3D) bioprinted scaffolds. With this review, we intend to explore several stem cell sources with promising aptitude towards skin regeneration, as well as different techniques used to deliver those cells and provide a supporting extracellular matrix environment, with effective outcomes. Furthermore, different studies are discussed, both in vitro and in vivo, in terms of their relevance in the skin regeneration field. Full article
(This article belongs to the Special Issue Skin Tissue Engineering)
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18 pages, 7035 KiB  
Review
Bioengineered Skin Substitutes: Advances and Future Trends
by Shima Tavakoli and Agnes S. Klar
Appl. Sci. 2021, 11(4), 1493; https://doi.org/10.3390/app11041493 - 7 Feb 2021
Cited by 57 | Viewed by 12667
Abstract
As the largest organ in the human body, the skin has the function of maintaining balance and protecting from external factors such as bacteria, chemicals, and temperature. If the wound does not heal in time after skin damage, it may cause infection or [...] Read more.
As the largest organ in the human body, the skin has the function of maintaining balance and protecting from external factors such as bacteria, chemicals, and temperature. If the wound does not heal in time after skin damage, it may cause infection or life-threatening complications. In particular, medical treatment of large skin defects caused by burns or trauma remains challenging. Therefore, human bioengineered skin substitutes represent an alternative approach to treat such injuries. Based on the chemical composition and scaffold material, skin substitutes can be classified into acellular or cellular grafts, as well as natural-based or synthetic skin substitutes. Further, they can be categorized as epidermal, dermal, and composite grafts, based on the skin component they contain. This review presents the common commercially available skin substitutes and their clinical use. Moreover, the choice of an appropriate hydrogel type to prepare cell-laden skin substitutes is discussed. Additionally, we present recent advances in the field of bioengineered human skin substitutes using three-dimensional (3D) bioprinting techniques. Finally, we discuss different skin substitute developments to meet different criteria for optimal wound healing. Full article
(This article belongs to the Special Issue Skin Tissue Engineering)
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12 pages, 670 KiB  
Review
Foxn1 Control of Skin Function
by Barbara Gawronska-Kozak
Appl. Sci. 2020, 10(16), 5685; https://doi.org/10.3390/app10165685 - 16 Aug 2020
Cited by 2 | Viewed by 2916
Abstract
The forkhead box N1 (Foxn1) transcription factor regulates biological processes of the thymus and skin. Loss-of-function mutations in Foxn1 cause the nude phenotype in humans, mice, and rats, which is characterized by hairless skin and a lack of thymus. This review focuses on [...] Read more.
The forkhead box N1 (Foxn1) transcription factor regulates biological processes of the thymus and skin. Loss-of-function mutations in Foxn1 cause the nude phenotype in humans, mice, and rats, which is characterized by hairless skin and a lack of thymus. This review focuses on the role of Foxn1 in skin biology, including epidermal, dermal, and dermal white adipose tissue (dWAT) skin components. In particular, the role of Foxn1 in the scar-forming skin wound healing process is discussed, underscoring that Foxn1 inactivity in nude mice is permissive for scar-less cutaneous wound resolution. Full article
(This article belongs to the Special Issue Skin Tissue Engineering)
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