title: Translating Regenerative Biomaterials Into Clinical Practice.
abstract: Globally health care spending is increasing unsustainably. This is especially true of the treatment of musculoskeletal (MSK) disease where in the United States the MSK disease burden has doubled over the last 15 years. With an aging and increasingly obese population, the surge in MSK related spending is only set to worsen. Despite increased funding, research and attention to this pressing health need, little progress has been made toward novel therapies. Tissue engineering and regenerative medicine (TERM) strategies could provide the solutions required to mitigate this mounting burden. Biomaterial-based treatments in particular present a promising field of potentially cost-effective therapies. However, the translation of a scientific development to a successful treatment is fraught with difficulties. These barriers have so far limited translation of TERM science into clinical treatments. It is crucial for primary researchers to be aware of the barriers currently restricting the progression of science to treatments. Researchers need to act prospectively to ensure the clinical, financial, and regulatory hurdles which seem so far removed from laboratory science do not stall or prevent the subsequent translation of their idea into a treatment. The aim of this review is to explore the development and translation of new treatments. Increasing the understanding of these complexities and barriers among primary researchers could enhance the efficiency of biomaterial translation.
authors.affiliation: National Institute of Health Research Musculoskeletal Biomedical Research Unit, Oxford, United Kingdom.|Botnar Institute of Musculoskeletal Sciences, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
authors.forename: Edward T
authors.initials: ET
authors.lastname: Stace
authors.affiliation: National Institute of Health Research Musculoskeletal Biomedical Research Unit, Oxford, United Kingdom.|Botnar Institute of Musculoskeletal Sciences, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
authors.forename: Stephanie G
authors.initials: SG
authors.lastname: Dakin
authors.affiliation: National Institute of Health Research Musculoskeletal Biomedical Research Unit, Oxford, United Kingdom.|Botnar Institute of Musculoskeletal Sciences, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
authors.forename: Pierre-Alexis
authors.initials: PA
authors.lastname: Mouthuy
authors.affiliation: National Institute of Health Research Musculoskeletal Biomedical Research Unit, Oxford, United Kingdom.|Botnar Institute of Musculoskeletal Sciences, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Carr
mesh_terms: D000375:Aging / Q000502:physiology; D000818:Animals; D001672:Biocompatible Materials; D064987:Cell- and Tissue-Based Therapy; D006801:Humans; D044968:Regenerative Medicine / Q000639:trends*; D012106:Research / Q000639:trends*; D023822:Tissue Engineering
chemical_list: D001672:Biocompatible Materials