Interplay of reactive oxygen species (ROS) and tissue engineering: a review on clinical aspects of ROS-responsive biomaterials

Reactive oxygen species (ROS) refers to the reactive molecules and free radicals of oxygen generated as the by-products of aerobic respiration. Historically, ROS are known as stress markers that are linked to the response of immune cell against microbial invasion, but recent discoveries suggest their role as secondary messengers in signal transduction and cell cycle. Tissue engineering (TE) techniques have the capabilities to harness such properties of ROS for the effective regeneration of damaged tissues. TE employs stem cells and biomaterial matrix, to heal and regenerate injured tissue and organ. During regeneration, one of the constraints is the unavailability of oxygen as proper vasculature is absent at the injured site. This creates hypoxic conditions at the site of regeneration. Hence, effective response against the stresses like hypoxia spurs the regeneration process. Contrary, hyperoxic condition may increase the risk of ROS stress at the site. TE tries to overcome these limitations with the new class of biomaterials that can sense such stresses and respond accordingly. This review endeavors to explain the role of ROS in stem cell proliferation and differentiation, which is a key component in regeneration. This compilation also highlights the new class of biomaterials that can overcome the hypoxic conditions during tissue regeneration along with emphasis on the ROS-responsive biomaterials and their clinical applications. Incorporating these biomaterials in scaffolds development holds huge potential in tissue or organ regeneration and even in drug delivery.