Future prospects for tissue engineered lung transplantation: decellularization and recellularization-based whole lung regeneration

Organogenesis. 2014 Apr-Jun;10(2):196-207. doi: 10.4161/org.27846. Epub 2014 Jan 31.

Abstract

The shortage of donor lungs for transplantation causes a significant number of patient deaths. The availability of laboratory engineered, functional organs would be a major advance in meeting the demand for organs for transplantation. The accumulation of information on biological scaffolds and an increased understanding of stem/progenitor cell behavior has led to the idea of generating transplantable organs by decellularizing an organ and recellularizing using appropriate cells. Recellularized solid organs can perform organ-specific functions for short periods of time, which indicates the potential for the clinical use of engineered solid organs in the future. The present review provides an overview of progress and recent knowledge about decellularization and recellularization-based approaches for generating tissue engineered lungs. Methods to improve decellularization, maturation of recellularized lung, candidate species for transplantation and future prospects of lung bioengineering are also discussed.

Keywords: decellularization; extracellular matrix; induced pluripotent stem cells; lung transplantation; recellularization; stem/progenitor cells.

Publication types

  • Review

MeSH terms

  • Extracellular Matrix / metabolism
  • Humans
  • Lung / metabolism
  • Lung Transplantation*
  • Regeneration*
  • Tissue Engineering / methods*
  • Tissue Scaffolds