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Acta Biomaterialia
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Acta Biomaterialia
Article . 2018 . Peer-reviewed
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Puncturing of lyophilized tissue engineered vascular matrices enhances the efficiency of their recellularization

Authors: Ksiazek, Agnieszka A; Frese, Laura; Dijkman, Petra E; Sanders, Bart; Motta, Sarah E; Weber, Benedikt; Hoerstrup, Simon P;

Puncturing of lyophilized tissue engineered vascular matrices enhances the efficiency of their recellularization

Abstract

Data on in vitro engineered "off the shelf" matrices support the concept of endogenous cellular repopulation driving the graft's remodeling via immune-mediated response. This seems important to further accelerate the cell reconstitution and may play a crucial role when mononuclear cells are used. Nevertheless, studies on decellularized xenogeneic grafts showed only limited host cell repopulation post-implantation. This study aims at a systematic comparison of reseeding methods (dripping, injection, bathing in a cell suspension and combined puncturing-dripping method) to define the most efficient technique enhancing recellularization of tissue engineered vascular matrices (patches, vessels, small diameter and standard size valves) prior implantation. The constructs were analyzed histologically, biochemically and biomechanically. Various preconditioning treatments (wet, lyophilized and air-dried) combined with reseeding methods demonstrated the highest cell loading efficiency, despite applied crimping and flow stress, of lyophilization followed by puncturing-dripping technique. This novel seeding method allows for an efficient, time-saving graft reseeding that can be used within a one-step cardiovascular clinical intervention.The concept of living tissue engineered, self-repairing, autologous cardiovascular replacements, was proposed alternatively to existing synthetic/xenogeneic prostheses. Recent studies in animal models demonstrate faster in vivo recellularization after grafts pre-seeding with cells prior implantation. Pre-seeded cells hold either, the ability to differentiate directionally or attract host cells, crucial for graft integration and remodeling. It is unclear, however, how efficient the pre-loading is and how well cells withstand the flow. The study presents a systematic overview of cell loading techniques of different cardiovascular constructs, tested under static and dynamic conditions. Comparison illustrates a significantly higher efficiency of cells loading in lyophilized tissues punctured before their standard seeding. This technique may beneficially accelerate remodeling of cardiovascular grafts in further in vivo studies.

Countries
Switzerland, Netherlands
Keywords

Bioprosthesis, 1303 Biochemistry, Sheep, 2502 Biomaterials, Recellularization, 2204 Biomedical Engineering, 610 Medicine & health, 11359 Institute for Regenerative Medicine (IREM), Tissue-engineering, Extracellular Matrix/chemistry, Blood Vessel Prosthesis, Extracellular Matrix, Cell seeding techniques, Freeze Drying, 1305 Biotechnology, 1312 Molecular Biology, Animals, Cardiovascular grafts, Trans-catheter delivery

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Average
Average
Green
hybrid