1
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Wu Y, Wagner WD. Syndecan-4 Functionalization Reduces the Thrombogenicity of Engineered Vascular Biomaterials. Ann Biomed Eng 2024; 52:1873-1882. [PMID: 37071281 PMCID: PMC11169030 DOI: 10.1007/s10439-023-03199-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 03/27/2023] [Indexed: 04/19/2023]
Abstract
Blood-biomaterial compatibility is essential for tissue repair especially for endovascular biomaterials where small-diameter vessel patency and endothelium formation is crucial. To address this issue, a composite biomaterial termed PFC fabricated from poly (glycerol sebacate), silk fibroin, and collagen was used to determine if functionalization with syndecan-4 (SYN4) would reduce thrombogenesis through the action of heparan sulfate. The material termed, PFC_SYN4, has structure and composition similar to native arterial tissue and has been reported to facilitate the binding and differentiation of endothelial colony-forming cells (ECFCs). In this study, the hemocompatibility of PFC_SYN4 was evaluated and compared with non-functionalized PFC, electrospun collagen, ePTFE, and bovine pericardial patch (BPV). Ultrastructurally, platelets were less activated when cultured on PFC and PFC_SYN4 compared to collagen where extensive platelet degranulation was observed. Quantitatively, 31% and 44% fewer platelets adhered to PFC_SYN4 compared to non-functionalized PFC and collagen, respectively. Functionalization of PFC resulted in reduced levels of complement activation compared to PFC, collagen, and BPV. Whole blood clotting times indicated that PFC_SYN4 was less thrombogenic compared with PFC, collagen, and BPV. These results suggest that syndecan-4 functionalization of blood-contacting biomaterials provides a novel solution for generating a reduced thrombogenic surface.
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Affiliation(s)
- Yidi Wu
- Department of Plastic & Reconstructive Surgery, Medical Center Boulevard, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA
- Virginia Tech - Wake Forest University School of Biomedical Engineering and Sciences, Winston-Salem, NC, USA
| | - William D Wagner
- Department of Plastic & Reconstructive Surgery, Medical Center Boulevard, Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.
- Virginia Tech - Wake Forest University School of Biomedical Engineering and Sciences, Winston-Salem, NC, USA.
- Wake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, 391 Technology Way, Winston-Salem, NC, USA.
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2
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Liu Y, Wang L, Liu Z, Kang Y, Chen T, Xu C, Zhu T. Durable Immunomodulatory Nanofiber Niche for the Functional Remodeling of Cardiovascular Tissue. ACS NANO 2024; 18:951-971. [PMID: 38146717 DOI: 10.1021/acsnano.3c09692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2023]
Abstract
Functional remodeling and prolonged anti-inflammatory responses are both vital for repairing damage in the cardiovascular system. Although these aspects have each been studied extensively alone, attempts to fabricate scaffolds that combine these effects have seen limited success. In this study, we synthesized salvianic acid A (SA, danshensu) blocked biodegradable polyurethane (PCHU-D) and enclosed it within electrospun nanofibers to synthesize a durable immunomodulatory nanofiber niche (DINN), which provided sustained SA release during inflammation. Given its excellent processability, mechanical properties, and shape memory function, we developed two variants of the DINN as vascular scaffolds and heart patches. Both these variants exhibited outstanding therapeutic effects in in vivo experiments. The DINN was expertly designed such that it gradually decomposes along with SA release, substantially facilitating cellular infiltration and tissue remodeling. Therefore, the DINN effectively inhibited the migration and chemotaxis of inflammatory cells, while also increasing the expression of angiogenic genes. As a result, it promoted the recovery of myocardial function after myocardial infarction and induced rapid reendothelialization following arterial orthotopic transplantation repair. These excellent characteristics indicate that the DINN holds great potential as a multifunctional agent for repairing cardiovascular tissues.
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Affiliation(s)
- Yonghang Liu
- Multidisciplinary Centre for Advanced Materials, Institute for Frontier Medical Technology, School of Chemistry and Chemical Engineering, Shanghai University of Engineering Science, 333 Longteng Road, Shanghai 201620, P.R. China
| | - Liren Wang
- Department of Sports Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 600 Yishan Road, Shanghai 200233, P.R. China
| | - Zhuo Liu
- Department of Physiology and Pathophysiology, Shanghai Key Laboratory of Bioactive Small Molecules, School of Basic Medical Sciences, Fudan University, 138 Xueyuan Road, Shanghai 200032, P.R. China
| | - Yuhao Kang
- Department of Sports Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 600 Yishan Road, Shanghai 200233, P.R. China
| | - Tianhui Chen
- Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, 83 Fenyang Road, Shanghai 200031, P.R. China
| | - Chen Xu
- Department of Physiology and Pathophysiology, Shanghai Key Laboratory of Bioactive Small Molecules, School of Basic Medical Sciences, Fudan University, 138 Xueyuan Road, Shanghai 200032, P.R. China
| | - Tonghe Zhu
- Multidisciplinary Centre for Advanced Materials, Institute for Frontier Medical Technology, School of Chemistry and Chemical Engineering, Shanghai University of Engineering Science, 333 Longteng Road, Shanghai 201620, P.R. China
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3
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Chen K, Li Y, Li Y, Pan W, Tan G. Silk Fibroin Combined with Electrospinning as a Promising Strategy for Tissue Regeneration. Macromol Biosci 2023; 23:e2200380. [PMID: 36409150 DOI: 10.1002/mabi.202200380] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 11/14/2022] [Indexed: 11/23/2022]
Abstract
The development of tissue engineering scaffolds is of great significance for the repair and regeneration of damaged tissues and organs. Silk fibroin (SF) is a natural protein polymer with good biocompatibility, biodegradability, excellent physical and mechanical properties and processability, making it an ideal universal tissue engineering scaffold material. Nanofibers prepared by electrospinning have attracted extensive attention in the field of tissue engineering due to their excellent mechanical properties, high specific surface area, and similar morphology as to extracellular matrix (ECM). The combination of silk fibroin and electrospinning is a promising strategy for the preparation of tissue engineering scaffolds. In this review, the research progress of electrospun silk fibroin nanofibers in the regeneration of skin, vascular, bone, neural, tendons, cardiac, periodontal, ocular and other tissues is discussed in detail.
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Affiliation(s)
- Kai Chen
- Hainan Provincial Key Laboratory of R&D on Tropical Herbs, Haikou Key Laboratory of Li Nationality Medicine, School of Pharmacy, Hainan Medical University, Haikou, 571199, P. R. China
| | - Yonghui Li
- Hainan Provincial Key Laboratory of R&D on Tropical Herbs, Haikou Key Laboratory of Li Nationality Medicine, School of Pharmacy, Hainan Medical University, Haikou, 571199, P. R. China
| | - Youbin Li
- Hainan Provincial Key Laboratory of R&D on Tropical Herbs, Haikou Key Laboratory of Li Nationality Medicine, School of Pharmacy, Hainan Medical University, Haikou, 571199, P. R. China
| | - Weisan Pan
- School of Pharmacy, Shenyang Pharmaceutical University, Shenyang, 110016, P. R. China
| | - Guoxin Tan
- Key Laboratory of Tropical Biological Resources of Ministry of Education, School of Pharmacy, Hainan University, Haikou, 570228, P. R. China
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4
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Sikdar P, Dip TM, Dhar AK, Bhattacharjee M, Hoque MS, Ali SB. Polyurethane (
PU
) based multifunctional materials: Emerging paradigm for functional textiles, smart, and biomedical applications. J Appl Polym Sci 2022. [DOI: 10.1002/app.52832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Partha Sikdar
- Department of Textiles, Merchandising and Interiors University of Georgia Athens Georgia USA
| | | | - Avik K. Dhar
- Department of Textiles, Merchandising and Interiors University of Georgia Athens Georgia USA
| | | | - Md. Saiful Hoque
- Department of Human Ecology University of Alberta Edmonton Alberta Canada
- Department of Textile Engineering Daffodil International University 102 Shukrabad, Dhanmondi Dhaka Bangladesh
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5
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Caldiroli A, Pederzani E, Pezzotta M, Azzollini N, Fiori S, Tironi M, Rizzo P, Sangalli F, Figliuzzi M, Fiore GB, Remuzzi A, Riboldi SA, Soncini M, Redaelli A. Hybrid fibroin/polyurethane small-diameter vascular grafts: from fabrication to in vivo preliminary assessment. Biomed Mater 2022; 17. [PMID: 35944550 DOI: 10.1088/1748-605x/ac885a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 08/08/2022] [Indexed: 11/12/2022]
Abstract
To address the need of alternatives to autologous vessels for small-calibre vascular applications (e.g. cardiac surgery), a hybrid semi-degradable material composed of silk fibroin and polyurethane (Silkothane®) was herein used to fabricate very small-calibre grafts (innner diameter = 1.5 mm) via electrospinning. Hybrid grafts were in vitro characterized in terms of morphology and mechanical behaviour, and compared to similar grafts of pure silk fibroin. Similarly, two native vessels from a rodent model (abdominal aorta and vena cava) were harvested and characterized. Preliminary implants were performed on Lewis rats to confirm the suitability of Silkothane® grafts for small-calibre applications, specifically as aortic insertion and femoral shunt. The manufacturing process generated pliable grafts consisting of a randomized fibrous mesh and exhibiting similar geometrical features to rat aortas. Both Silkothane® and pure silk fibroin grafts showed radial compliances in the range from 1.37 ± 0.86 to 1.88 ± 1.01 % 10-2 mmHg-1, lower than that of native vessels. The Silkothane® small-calibre devices were also implanted in rats demonstrating to be adequate for vascular applications; all the treated rats survived the surgery for 3 months after implantation, and 16 rats out of 17 (94%) still showed blood flow inside the graft at sacrifice. The obtained results lay the basis for a deeper investigation of the interaction between the Silktohane® graft and the implant site, which may deal with further analysis on the potentialities in terms of degradability and tissue formation, on longer time-points.
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Affiliation(s)
- Alice Caldiroli
- Bioengineering Laboratories Srl, Via Vivaldi 32/A, Cantù, 22063, ITALY
| | - Elia Pederzani
- Politecnico di Milano Dipartimento di Elettronica Informazione e Bioingegneria, Via Giuseppe Ponzio 34, Milano, Lombardia, 20133, ITALY
| | - Marco Pezzotta
- Politecnico di Milano Dipartimento di Elettronica Informazione e Bioingegneria, Via Giuseppe Ponzio 34, Milano, Lombardia, 20133, ITALY
| | - Nadia Azzollini
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS , Via Stezzano 87, Bergamo, 24126, ITALY
| | - Sonia Fiori
- , Istituto di ricerche farmacologiche mario negri IRCCS, via Stezzano 87, Bergamo, Lombardia, 24126, ITALY
| | - Matteo Tironi
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS , Via Stezzano 87, Bergamo, 24126, ITALY
| | - Paola Rizzo
- IRCCS Istituto di Ricerche Farmacologiche Mario Negri Centro Anna Maria Astori, via Stezzano 87, Bergamo, 24126, ITALY
| | - Fabio Sangalli
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, via Stezzano 87, Bergamo, 24126, ITALY
| | - Marina Figliuzzi
- Bioengineering, Istituto di ricerche farmacologiche mario negri IRCCS, via Stezzano 87, Bergamo, Bergamo, 24126, ITALY
| | - Gianfranco Beniamino Fiore
- Politecnico di Milano Dipartimento di Elettronica Informazione e Bioingegneria, Via Giuseppe Ponzio, 34, Milano, Lombardia, 20133, ITALY
| | - Andrea Remuzzi
- Università degli Studi di Bergamo, Via Pignolo 123, Bergamo, Lombardia, 24121, ITALY
| | | | - Monica Soncini
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza L Da Vinci ,32, Milano, 20133, ITALY
| | - Alberto Redaelli
- Politecnico di Milano Dipartimento di Elettronica Informazione e Bioingegneria, Via Giuseppe Ponzio 34, Milano, 20133, ITALY
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6
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Characterization of polyurethane and a silk fibroin-polyurethane composite fiber studied with NMR spectroscopies. Polym J 2022. [DOI: 10.1038/s41428-022-00629-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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7
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Asakura T, Ibe Y, Jono T, Matsuda H, Kuwabara N, Naito A. Structural investigations of polyurethane and
silk‐polyurethane
composite fiber studied by
13
C
solid‐state
NMR
spectroscopy. J Appl Polym Sci 2021. [DOI: 10.1002/app.51178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Tetsuo Asakura
- Department of Biotechnology Tokyo University of Agriculture and Technology Koganei Tokyo Japan
| | - Yusuke Ibe
- Polyurethane Research Laboratory Tosoh Corporation Yokkaichi Mie Japan
| | - Takaki Jono
- Polyurethane Research Laboratory Tosoh Corporation Yokkaichi Mie Japan
| | - Hironori Matsuda
- Department of Biotechnology Tokyo University of Agriculture and Technology Koganei Tokyo Japan
| | - Nobuo Kuwabara
- Gunma Sericultural Technology Center Maebashi Gunma Japan
| | - Akira Naito
- Department of Biotechnology Tokyo University of Agriculture and Technology Koganei Tokyo Japan
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8
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Asakura T, Ibe Y, Jono T, Naito A. Structure and dynamics of biodegradable polyurethane-silk fibroin composite materials in the dry and hydrated states studied using 13C solid-state NMR spectroscopy. Polym Degrad Stab 2021. [DOI: 10.1016/j.polymdegradstab.2021.109645] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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9
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Tanaka T, Ibe Y, Jono T, Tanaka R, Naito A, Asakura T. Characterization of a Water-Dispersed Biodegradable Polyurethane-Silk Composite Sponge Using 13C Solid-State Nuclear Magnetic Resonance as Coating Material for Silk Vascular Grafts with Small Diameters. Molecules 2021; 26:4649. [PMID: 34361802 PMCID: PMC8347230 DOI: 10.3390/molecules26154649] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 07/12/2021] [Accepted: 07/27/2021] [Indexed: 11/30/2022] Open
Abstract
Recently, Bombyx mori silk fibroin (SF) has been shown to be a suitable material for vascular prostheses for small arteries. In this study, we developed a softer SF graft by coating water-dispersed biodegradable polyurethane (PU) based on polycaprolactone and an SF composite sponge on the knitted SF vascular graft. Three kinds of 13C solid-state nuclear magnetic resonance (NMR), namely carbon-13 (13C) cross-polarization/magic angle spinning (MAS), 13C dipolar decoupled MAS, and 13C refocused insensitive nuclei enhanced by polarization transfer (r-INEPT) NMR, were used to characterize the PU-SF coating sponge. Especially the 13C r-INEPT NMR spectrum of water-dispersed biodegradable PU showed that both main components of the non-crystalline domain of PU and amorphous domain of SF were highly mobile in the hydrated state. Then, the small-diameter SF artificial vascular grafts coated with this sponge were evaluated through implantation experiments with rats. The implanted PU-SF-coated SF grafts showed a high patency rate. It was confirmed that the inside of the SF grafts was covered with vascular endothelial cells 4 weeks after implantation. These results showed that the water-dispersed biodegradable PU-SF-coated SF graft created in this study could be a strong candidate for small-diameter artificial vascular graft.
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Affiliation(s)
- Takashi Tanaka
- Department of Veterinary Science, Tokyo University of Agriculture and Technology, Tokyo 183-8509, Japan; (T.T.); (R.T.)
| | - Yusuke Ibe
- Polyurethane Research Laboratory, Tosoh Corporation, Mie 510-8540, Japan; (Y.I.); (T.J.)
| | - Takaki Jono
- Polyurethane Research Laboratory, Tosoh Corporation, Mie 510-8540, Japan; (Y.I.); (T.J.)
| | - Ryo Tanaka
- Department of Veterinary Science, Tokyo University of Agriculture and Technology, Tokyo 183-8509, Japan; (T.T.); (R.T.)
| | - Akira Naito
- Department of Biotechnology, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
| | - Tetsuo Asakura
- Department of Biotechnology, Tokyo University of Agriculture and Technology, Tokyo 184-8588, Japan;
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10
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Bai S, Zhang X, Zang L, Yang S, Chen X, Yuan X. Electrospinning of Biomaterials for Vascular Regeneration. Chem Res Chin Univ 2021. [DOI: 10.1007/s40242-021-1125-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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11
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Riboldi SA, Tozzi M, Bagardi M, Ravasio G, Cigalino G, Crippa L, Piccolo S, Nahal A, Spandri M, Catto V, Tironi M, Greco FG, Remuzzi A, Acocella F. A Novel Hybrid Silk Fibroin/Polyurethane Arteriovenous Graft for Hemodialysis: Proof-of-Concept Animal Study in an Ovine Model. Adv Healthc Mater 2020; 9:e2000794. [PMID: 32914588 DOI: 10.1002/adhm.202000794] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 07/17/2020] [Indexed: 12/25/2022]
Abstract
To solve the problem of vascular access failure, a novel semi-degradable hybrid vascular graft, manufactured by electrospinning using silk fibroin and polyurethane (Silkothane), has been previously developed and characterized in vitro. This proof-of-concept animal study aims at evaluating the performances of Silkothane grafts in a sheep model of arteriovenous shunt, in terms of patency and short-term remodeling. Nine Silkothane grafts are implanted between the common carotid artery and the external jugular vein of nine sheep, examined by palpation three times per week, by echo-color Doppler every two weeks, and euthanized at 30, 60, and 90 days (N = 3 per group). At sacrifice, grafts are harvested and submitted for histopathology and/or scanning electron microcopy (SEM). No cases of graft-related complications are recorded. Eight of nine sheep (89%) show 100% primary unassisted patency at the respective time of sacrifice (flow rate 1.76 ± 0.61 L min-1 , one case of surgery-related thrombosis excluded). Histopathology and SEM analysis evidence signs of inflammation and pseudointima inside the graft lumen, especially at the venous anastomosis; however, endoluminal stenosis never impairs the functionality of the shunt and coverage by endothelial cells is observed. In this model, Silkothane grafts grant safety and 100% patency up to 90 days.
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Affiliation(s)
| | - Matteo Tozzi
- Department of Medicine and Surgery Università degli Studi dell'Insubria Varese 21100 Italy
| | - Mara Bagardi
- Department of Veterinary Medicine Università degli Studi di Milano Milano 20122 Italy
| | - Giuliano Ravasio
- Department of Veterinary Medicine Università degli Studi di Milano Milano 20122 Italy
| | - Giorgio Cigalino
- Centre for Clinical Veterinary Medicine and Experimental Zootechnics Università degli Studi di Milano Milano 20122 Italy
| | - Luca Crippa
- Department of Medicine and Surgery Università degli Studi di Milano Bicocca Milano 20126 Italy
| | - Solange Piccolo
- Department of Medicine and Surgery Università degli Studi dell'Insubria Varese 21100 Italy
| | - Amal Nahal
- Department of Medicine and Surgery Università degli Studi dell'Insubria Varese 21100 Italy
| | | | | | - Matteo Tironi
- Department of Bioengineering IRCCS Istituto di Ricerche Farmacologiche Mario Negri Bergamo 24126 Italy
| | | | - Andrea Remuzzi
- Department of Management, Information and Production Engineering Università degli Studi di Bergamo Bergamo 24129 Italy
| | - Fabio Acocella
- Department of Health, Animal Science and Food Safety Università degli Studi di Milano Milano 20122 Italy
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12
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Rnjak‐Kovacina J, Gerrand Y, Wray LS, Tan B, Joukhdar H, Kaplan DL, Morrison WA, Mitchell GM. Vascular Pedicle and Microchannels: Simple Methods Toward Effective In Vivo Vascularization of 3D Scaffolds. Adv Healthc Mater 2019; 8:e1901106. [PMID: 31714024 DOI: 10.1002/adhm.201901106] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 10/03/2019] [Indexed: 12/28/2022]
Abstract
Poor vascularization remains a key limiting factor in translating advances in tissue engineering to clinical applications. Vascular pedicles (large arteries and veins) isolated in plastic chambers are known to sprout an extensive capillary network. This study examined the effect vascular pedicles and scaffold architecture have on vascularization and tissue integration of implanted silk scaffolds. Porous silk scaffolds with or without microchannels are manufactured to support implantation of a central vascular pedicle, without a chamber, implanted in the groin of Sprague Dawley rats, and assessed morphologically and morphometrically at 2 and 6 weeks. At both time points, blood vessels, connective tissue, and an inflammatory response infiltrate all scaffold pores externally, and centrally when a vascular pedicle is implanted. At week 2, vascular pedicles significantly increase the degree of scaffold tissue infiltration, and both the pedicle and the scaffold microchannels significantly increase vascular volume and vascular density. Interestingly, microchannels contribute to increased scaffold vascularity without affecting overall tissue infiltration, suggesting a direct effect of biomaterial architecture on vascularization. The inclusion of pedicles and microchannels are simple and effective proangiogenic techniques for engineering thick tissue constructs as both increase the speed of construct vascularization in the early weeks post in vivo implantation.
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Affiliation(s)
- Jelena Rnjak‐Kovacina
- Department of Biomedical EngineeringTufts University Medford MA 02155 USA
- Graduate School of Biomedical EngineeringUniversity of New South Wales Sydney NSW 2052 Australia
| | - Yi‐wen Gerrand
- O'Brien Institute DepartmentSt Vincent's Institute for Medical Research Melbourne VIC 3065 Australia
| | - Lindsay S. Wray
- Department of Biomedical EngineeringTufts University Medford MA 02155 USA
| | - Beryl Tan
- O'Brien Institute DepartmentSt Vincent's Institute for Medical Research Melbourne VIC 3065 Australia
| | - Habib Joukhdar
- Graduate School of Biomedical EngineeringUniversity of New South Wales Sydney NSW 2052 Australia
| | - David L. Kaplan
- Department of Biomedical EngineeringTufts University Medford MA 02155 USA
| | - Wayne A. Morrison
- O'Brien Institute DepartmentSt Vincent's Institute for Medical Research Melbourne VIC 3065 Australia
- Department of Surgery at St Vincent's HospitalUniversity of Melbourne Melbourne VIC 3065 Australia
- Health Sciences FacultyAustralian Catholic University Melbourne VIC 3065 Australia
| | - Geraldine M. Mitchell
- O'Brien Institute DepartmentSt Vincent's Institute for Medical Research Melbourne VIC 3065 Australia
- Department of Surgery at St Vincent's HospitalUniversity of Melbourne Melbourne VIC 3065 Australia
- Health Sciences FacultyAustralian Catholic University Melbourne VIC 3065 Australia
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13
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van Uden S, Vanerio N, Catto V, Bonandrini B, Tironi M, Figliuzzi M, Remuzzi A, Kock L, Redaelli ACL, Greco FG, Riboldi SA. A novel hybrid silk-fibroin/polyurethane three-layered vascular graft: towards in situ tissue-engineered vascular accesses for haemodialysis. ACTA ACUST UNITED AC 2019; 14:025007. [PMID: 30620939 DOI: 10.1088/1748-605x/aafc96] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Clinically available alternatives of vascular access for long-term haemodialysis-currently limited to native arteriovenous fistulae and synthetic grafts-suffer from several drawbacks and are associated to high failure rates. Bioprosthetic grafts and tissue-engineered blood vessels are costly alternatives without clearly demonstrated increased performance. In situ tissue engineering could be the ideal approach to provide a vascular access that profits from the advantages of vascular grafts in the short-term (e.g. early cannulation) and of fistulae in the long-term (e.g. high success rates driven by biointegration). Hence, in this study a three-layered silk fibroin/polyurethane vascular graft was developed by electrospinning to be applied as long-term haemodialysis vascular access pursuing a 'hybrid' in situ engineering approach (i.e. based on a semi-degradable scaffold). This Silkothane® graft was characterized concerning morphology, mechanics, physical properties, blood contact and vascular cell adhesion/viability. The full three-layered graft structure, influenced by the polyurethane presence, ensured mechanical properties that are a determinant factor for the success of a vascular access (e.g. vein-graft compliance matching). The Silkothane® graft demonstrated early cannulation potential in line with self-sealing commercial synthetic arteriovenous grafts, and a degradability driven by enzymatic activity. Moreover, the fibroin-only layers and extracellular matrix-like morphology, presented by the graft, revealed to be crucial in providing a non-haemolytic character, long clotting time, and favourable adhesion of human umbilical vein endothelial cells with increasing viability after 3 and 7 d. Accordingly, the proposed approach may represent a step forward towards an in situ engineered hybrid vascular access with potentialities for vein-graft anastomosis stability, early cannulation, and biointegration.
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Affiliation(s)
- Sebastião van Uden
- Bioengineering Laboratories S.r.l., Cantù, Italy. Dipartimento di Elettronica Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy
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