Recent Progress in Electrospun Nanofiber-Based Degenerated Intervertebral Disc Repair

ACS Biomater Sci Eng. 2022 Jan 10;8(1):16-31. doi: 10.1021/acsbiomaterials.1c00970. Epub 2021 Dec 16.

Abstract

Annulus fibrosus fissure and fibrosis of nucleus pulposus are severe morphological characteristics of intervertebral disc degeneration. Currently, surgery or drugs are used to relieve pain in such cases. Tissue engineering is a new multidisciplinary strategy with great potential for use in joint replacement and organ regeneration. Based on the natural anatomy of intervertebral discs, intervertebral disc scaffolds are fabricated by exploiting the special arrangement of extracellular matrix fibers. Electrospun nanofibers possess clear advantages in repairing degenerated intervertebral discs. This article reviews and summarizes recently developed methods for improving and fabricating electrospun nanofiber annulus fibrosus scaffolds in terms of nanofiber alignment, material selection, loading additives, and the progress made in combining other advanced technologies with electrospun nanofibers. In addition, the improvement in mechanical properties and biocompatibility of nucleus pulposus scaffolds by electrospun nanofiber-reinforced hydrogels is discussed. Finally, complete intervertebral disc scaffolds can be fabricated using the disc-like angle-ply structure and other emerging fabrication methods. Taken together, electrospun nanofiber intervertebral disc scaffolds are promising for clinical applications.

Keywords: annulus fibrosus; electrospinning; intervertebral disc recovery; nucleus pulposus; tissue engineering scaffolds.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Humans
  • Intervertebral Disc Degeneration* / surgery
  • Intervertebral Disc*
  • Nanofibers*
  • Regeneration
  • Tissue Engineering