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Tissue
A group of similar cells, along with their extracellular matrix (ECM), that work together to perform a specific biological function.
: A tissue is composed of similar cells and the __________ __________ that supports and surrounds them.
Extracellular matrix (ECM)
Different tissues are specialized to perform specific functions in the body. (T/F)
True
Why is the extracellular matrix (ECM) considered a critical part of a tissue in tissue engineering?
Because the ECM provides structural support and biochemical cues that regulate cell behavior such as adhesion, migration, proliferation, and differentiation.
Extracellular Matrix (ECM)
A complex, non-cellular network of proteins and polysaccharides surrounding cells that provides structural support and biochemical signals regulating cell behavior.
A non-cellular network of proteins and polysaccharides that surrounds cells and regulates their behavior.
Extracellular matrix
Why is the extracellular matrix critical in tissue engineering?
Because it controls cell adhesion, migration, proliferation, and differentiation, guiding tissue formation and function.
Is the extracellular matrix considered living tissue?
No — it is non-cellular, but it is biologically active and essential for tissue function.
What happens to a tissue with increased extracellular matrix (ECM) content?
The tissue generally becomes stiffer, less cellular, and more load-bearing, with altered cell signaling.
Does more ECM mean more cells?
No — more ECM usually means fewer cells per volume.
As ECM content increases, tissue stiffness __________ and cell density typically __________.
Increases; decreases
Tissue-Engineered Medical Products (TEMPs)
Medical products that use cells, scaffolds, and/or biologically active molecules to repair, replace, or regenerate damaged tissues or organs.
Tissue-engineered medical products typically involve __________, __________, and signaling molecules.
Cells; scaffolds
Are TEMPs the same as medical devices?
No — TEMPs often involve living cells and biological function, not just hardware.
Goal of Tissue Engineering
To restore, maintain, or improve tissue function by combining cells, biomaterials, and biological cues to regenerate functional tissue.
The primary goal of tissue engineering is to restore __________, not just tissue __________.
Function; structure
Biomaterial
A natural or synthetic material designed to interact with biological systems for medical purposes, such as tissue repair, replacement, or regeneration.
A biomaterial may be __________ or __________ and is used to interact with biological systems.
Natural; synthetic
Biomaterials must be biocompatible to be used safely in the body.
True
Name three common classes of biomaterials.
Polymers; ceramics; metals (also acceptable: composites)
What role do biomaterials play in tissue engineering?
They act as scaffolds that support cells and provide mechanical and biochemical cues.
Autologous
Originating from the same individual who will receive the treatment.
Allogeneic
Derived from a different individual of the same species as the recipient.
Allogeneic cells come from a __________ donor of the same __________.
Different; species
Xenogeneic
Derived from a different species than the recipient.
Why are xenogeneic materials sometimes used in tissue engineering?
They are readily available and can be processed (e.g., decellularized) to reduce immune response.
How are biomaterials different from Tissue-Engineered Medical Products (TEMPs)?
Biomaterials are materials that interact with tissue, while TEMPs are biological products that use cells ± biomaterials to regenerate tissue function.
How are donor organs different from Tissue-Engineered Medical Products (TEMPs)?
Donor organs are fully formed tissues taken from a human donor, while TEMPs are engineered constructs designed to regenerate or restore tissue function.
What are the main types of TEMPs?
Cell-based, scaffold-based, and cell-scaffold combined products.
Hybrid biomaterials
Biomaterials that combine two or more material types (e.g., natural + synthetic) to achieve improved biological and mechanical performance.
Give an example of a hybrid biomaterial.
Collagen–polymer composite scaffold (e.g., collagen + PLA).
Chemical and Mechanical Stimulation
External biochemical signals and physical forces applied to cells or tissues to regulate cell behavior and promote tissue development.
Cell sources
The origin of cells used in tissue engineering, defined by where the cells come from and their biological characteristics.
Common cell sources in tissue engineering include __________, __________, and __________ cells.
Autologous; allogeneic; xenogeneic
Heart transplant
Donor organ transplantation
Titanium hip replacement
Biomaterial / medical device
Injection of stem cells into damaged heart tissue
Cell-based TEMP
Acellular biodegradable scaffold implanted to promote tissue regrowth
Scaffold-based TEMP
Skin substitute with living cells seeded on a scaffold
Cell–scaffold combined TEMP
Drug therapy to reduce inflammation
Medical (pharmacological) treatment
Why is a skin graft with living cells considered a TEMP but a metal implant is not?
Because TEMPs involve biological regeneration, while metal implants are passive replacements.
Integrins
Transmembrane proteins that connect cells to the ECM and transmit signals.
Collagen
Primary structural protein in the ECM providing tensile strength. (Example: Tendon, Bone)
Elastin
ECM protein that allows tissues to stretch and recoil.
Glycosaminoglycans (GAGs)
Long, negatively charged polysaccharides that retain water.
Proteoglycans
Core protein with attached GAG chains that resist compression.
Hyaluronic Acid
Non-sulfated GAG involved in lubrication and hydration.
Fibronectin
ECM glycoprotein involved in cell adhesion and migration.
Laminin
ECM protein in the basal lamina that supports epithelial cells.
Tissue Dynamics
Continuous changes in tissue structure and function over time.
Tissue Homeostasis
Maintenance of stable tissue structure and function.
Tissue Development
Process by which tissues form during growth and maturation.
Tissue Repair
Restoration of tissue after injury.
Fate Processes
Cellular decisions determining survival, death, or function.
Adhesion
Attachment of cells to other cells or ECM.
Proliferation
Increase in cell number through division.
Migration
Directed movement of cells through tissue or ECM.
Differentiation
Process by which cells become specialized.
Apoptosis
Programmed cell death
Soluble
Able to dissolve in fluid.
Insoluble
Not dissolved; structural components.
Epithelial Cells
Cells that line surfaces and form barriers.
Apical
Surface of epithelial cells facing the lumen or outside.
Basal
Surface of epithelial cells attached to basal lamina.
Mesenchymal Cells
Migratory, multipotent cells that form connective tissues.
Basal Lamina
Thin ECM layer supporting epithelial cells.
Connective Tissue
Tissue that supports, binds, or protects other tissues.
Epithelial Tissue
Tissue that covers surfaces and lines cavities.
Cell fate processes
biological mechanisms that guide how an unspecialized cell becomes a specific, functional cell type during development.
Differentiation
The process by which a cell develops specialized structure and function.
Proliferation
The process by which cells divide and increase in number.
Migration
The movement of cells from one location to another during development.
Apoptosis
Programmed cell death that removes unnecessary or damaged cells and helps shape developing tissues.
Integrins
Transmembrane proteins that connect cells to the extracellular matrix and help transmit mechanical and chemical signals.
Cadherins
Calcium‑dependent adhesion proteins that help cells stick to each other in tissues.
Desmosome
A strong cell–cell junction that anchors intermediate filaments and resists mechanical stress.
Hemidesmosome
A junction that anchors cells to the extracellular matrix rather than to other cells.
Actin filaments
Thin cytoskeletal fibers involved in cell shape, movement, and muscle contraction.
Intermediate filaments
Cytoskeletal fibers that provide mechanical strength and structural stability
Genotype vs Phenotype
Genotype = genetic makeup; Phenotype = observable traits resulting from genes + environment.
Transdifferentiation
Direct conversion of one differentiated cell type into another without going through a stem‑cell state.
Gene expression
The process of using DNA information to produce RNA and proteins.
Transcription
The synthesis of RNA from a DNA template.
Translation
The process of building a protein from an mRNA sequence.
RNA polymerase
The enzyme that synthesizes RNA during transcription.
General transcription factors
Proteins required for RNA polymerase to bind the promoter and start transcription.
Promoter
A DNA sequence where transcription begins and RNA polymerase binds.
RNA‑seq
A technique that sequences all RNA in a cell to measure gene expression.
Housekeeping gene
A gene expressed in all cells because it performs essential basic functions.
Transcription regulators: activators vs repressors
Activators increase gene expression; repressors decrease it.
cis‑regulatory sequences (operator)
DNA regions that control transcription by binding regulatory proteins.
Induced pluripotent stem cells (iPS cells)
Adult cells reprogrammed to a pluripotent, embryonic‑like state.
Cell memory
The ability of cells to maintain their identity through stable gene expression patterns.
Autonomous specification
Cell fate determined by internal factors inherited during division.
Conditional specification
Cell fate determined by signals from neighboring cells.
Lamellipodia
Sheet‑like actin‑rich protrusions used for cell movement.
Focal adhesion
Sites where cells attach to the extracellular matrix and transmit mechanical signals.
Myosin motors
Motor proteins that move along actin filaments to generate force
Mitosis
The process of dividing a cell’s nucleus to produce two genetically identical daughter cells.
Meiosis
A type of cell division that produces four genetically diverse haploid cells for sexual reproduction.