Muscle is a naturally aligned organ, with individual muscle fibers packed together into larger units called muscle fascicles. The uniaxial alignment of muscle fibers allows them to simultaneously contract in the same direction and properly propagate force on the bones via the tendons. Approximately 45% of the human body is composed of muscle tissue, and this tissue can be classified into three different groups: skeletal muscle, cardiac muscle, and smooth muscle. Muscle plays a role in structure, stability, and movement in mammalian bodies. The basic unit for a muscle is a muscle fiber, which is made up of myofilaments actin and myosin. This muscle fiber contains sarcomeres which generate the force required for contraction.
A major focus of muscle tissue engineering is to create constructs with the functionality of native muscle and ability to contract. To this end, alignment of the tissue engineered construct is extremely important. It has been shown that cells grown on substrates with alignment cues form more robust muscle fibers. Several other design criteria considered in muscle tissue engineering include the scaffold porosity, stiffness, biocompatibility, and degradation timeline. Substrate stiffness should ideally be in the myogenic range, which has been shown to be 10-15 kPa.
The purpose of muscle tissue engineering is to reconstruct functional muscular tissue which has been lost via traumatic injury, tumor ablation, or functional damage caused by myopathies. Until now, the only method used to restore muscular tissue function and aesthetic was free tissue transfer. Full function is typically not restored, however, which results in donor site morbidity and volume deficiency. The success of tissue engineering as it pertains to the regeneration of skin, cartilage, and bone indicates that the same success will be found in engineering muscular tissue. Early innovations in the field yielded in vitro cell culturing and regeneration of muscle tissue which would be implanted in the body, but advances in recent years have shown that there may be potential for in vivo muscle tissue engineering using scaffolding.