Treating severe or chronic injury to soft tissues such as skin and muscle is a challenge in health care. Current treatment methods can be costly and ineffective, and the frequency of chronic wounds in general from conditions such as diabetes and vascular disease, as well as an increasingly aging population, is only expected to rise.
One promising treatment method involves implanting biocompatible materials seeded with living cells (i.e., microtissue) into the wound. The materials provide a scaffolding for stem cells, or other precursor cells, to grow into the wounded tissue and aid in repair. However, current techniques to construct these scaffolding materials suffer a recurring setback. Human tissue moves and flexes in a unique way that traditional soft materials struggle to replicate, and if the scaffolds stretch, they can also stretch the embedded cells, often causing those cells to die. The dead cells hinder the healing process and can also trigger an inadvertent immune response in the body.
"The human body has this hierarchical structure that actually un-crimps or unfolds, rather than stretches," says Steve Gillmer, a researcher in MIT Lincoln Laboratory's Mechanical Engineering Group. "That's why if you stretch your own skin or muscles, your cells aren't dying. What's actually happening is your tissues are uncrimping a little bit before they stretch."