Advances in the Knowledge about Kidney Decellularization and Repopulation

End-stage renal disease (ESRD) is characterized by the progressive deterioration of renal function that may compromise different tissues and organs. The major treatment indicated for patients with ESRD is kidney transplantation. However, the shortage of available organs, as well as the high rate of...

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Main Authors: Afrânio Côgo Destefani, Gabriela Modenesi Sirtoli, Breno Valentim Nogueira
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-06-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fbioe.2017.00034/full
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author Afrânio Côgo Destefani
Afrânio Côgo Destefani
Afrânio Côgo Destefani
Gabriela Modenesi Sirtoli
Gabriela Modenesi Sirtoli
Breno Valentim Nogueira
Breno Valentim Nogueira
Breno Valentim Nogueira
author_facet Afrânio Côgo Destefani
Afrânio Côgo Destefani
Afrânio Côgo Destefani
Gabriela Modenesi Sirtoli
Gabriela Modenesi Sirtoli
Breno Valentim Nogueira
Breno Valentim Nogueira
Breno Valentim Nogueira
author_sort Afrânio Côgo Destefani
collection DOAJ
description End-stage renal disease (ESRD) is characterized by the progressive deterioration of renal function that may compromise different tissues and organs. The major treatment indicated for patients with ESRD is kidney transplantation. However, the shortage of available organs, as well as the high rate of organ rejection, supports the need for new therapies. Thus, the implementation of tissue bioengineering to organ regeneration has emerged as an alternative to traditional organ transplantation. Decellularization of organs with chemical, physical, and/or biological agents generates natural scaffolds, which can serve as basis for tissue reconstruction. The recellularization of these scaffolds with different cell sources, such as stem cells or adult differentiated cells, can provide an organ with functionality and no immune response after in vivo transplantation on the host. Several studies have focused on improving these techniques, but until now, there is no optimal decellularization method for the kidney available yet. Herein, an overview of the current literature for kidney decellularization and whole-organ recellularization is presented, addressing the pros and cons of the actual techniques already developed, the methods adopted to evaluate the efficacy of the procedures, and the challenges to be overcome in order to achieve an optimal protocol.
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spelling doaj.art-ea57ad665d6a48dab24d162c6064524d2022-12-21T23:59:32ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852017-06-01510.3389/fbioe.2017.00034255314Advances in the Knowledge about Kidney Decellularization and RepopulationAfrânio Côgo Destefani0Afrânio Côgo Destefani1Afrânio Côgo Destefani2Gabriela Modenesi Sirtoli3Gabriela Modenesi Sirtoli4Breno Valentim Nogueira5Breno Valentim Nogueira6Breno Valentim Nogueira7Tissue Engineering Core—LUCCAR, Morphology, Federal University of Espírito Santo (UFES), Vitória, BrazilHealth Sciences Center, Federal University of Espírito Santo (UFES), Vitória, BrazilHealth Sciences Center, Postgraduate Program in Biotechnology/RENORBIO, Vitória, BrazilTissue Engineering Core—LUCCAR, Morphology, Federal University of Espírito Santo (UFES), Vitória, BrazilHealth Sciences Center, Federal University of Espírito Santo (UFES), Vitória, BrazilTissue Engineering Core—LUCCAR, Morphology, Federal University of Espírito Santo (UFES), Vitória, BrazilHealth Sciences Center, Federal University of Espírito Santo (UFES), Vitória, BrazilHealth Sciences Center, Postgraduate Program in Biotechnology/RENORBIO, Vitória, BrazilEnd-stage renal disease (ESRD) is characterized by the progressive deterioration of renal function that may compromise different tissues and organs. The major treatment indicated for patients with ESRD is kidney transplantation. However, the shortage of available organs, as well as the high rate of organ rejection, supports the need for new therapies. Thus, the implementation of tissue bioengineering to organ regeneration has emerged as an alternative to traditional organ transplantation. Decellularization of organs with chemical, physical, and/or biological agents generates natural scaffolds, which can serve as basis for tissue reconstruction. The recellularization of these scaffolds with different cell sources, such as stem cells or adult differentiated cells, can provide an organ with functionality and no immune response after in vivo transplantation on the host. Several studies have focused on improving these techniques, but until now, there is no optimal decellularization method for the kidney available yet. Herein, an overview of the current literature for kidney decellularization and whole-organ recellularization is presented, addressing the pros and cons of the actual techniques already developed, the methods adopted to evaluate the efficacy of the procedures, and the challenges to be overcome in order to achieve an optimal protocol.http://journal.frontiersin.org/article/10.3389/fbioe.2017.00034/fullkidney transplantationbioengineeringdecellularizationregenerative medicinestem cell
spellingShingle Afrânio Côgo Destefani
Afrânio Côgo Destefani
Afrânio Côgo Destefani
Gabriela Modenesi Sirtoli
Gabriela Modenesi Sirtoli
Breno Valentim Nogueira
Breno Valentim Nogueira
Breno Valentim Nogueira
Advances in the Knowledge about Kidney Decellularization and Repopulation
Frontiers in Bioengineering and Biotechnology
kidney transplantation
bioengineering
decellularization
regenerative medicine
stem cell
title Advances in the Knowledge about Kidney Decellularization and Repopulation
title_full Advances in the Knowledge about Kidney Decellularization and Repopulation
title_fullStr Advances in the Knowledge about Kidney Decellularization and Repopulation
title_full_unstemmed Advances in the Knowledge about Kidney Decellularization and Repopulation
title_short Advances in the Knowledge about Kidney Decellularization and Repopulation
title_sort advances in the knowledge about kidney decellularization and repopulation
topic kidney transplantation
bioengineering
decellularization
regenerative medicine
stem cell
url http://journal.frontiersin.org/article/10.3389/fbioe.2017.00034/full
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