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Chen CL, Guo HR, Wang YJ, Chang HT, Pan CY, Tuan-Mu HY, Lin HC, Chen CY, Hu JJ. Combination of inductive effect of lipopolysaccharide and in situ mechanical conditioning for forming an autologous vascular graft in vivo. Sci Rep 2019; 9:10616. [PMID: 31337832 PMCID: PMC6650437 DOI: 10.1038/s41598-019-47054-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 07/08/2019] [Indexed: 01/15/2023] Open
Abstract
Autologous vascular grafts have the advantages of better biocompatibility and prognosis. However, previous studies that implanted bare polymer tubes in animals to grow autologous tubular tissues were limited by their poor yield rates and stability. To enhance the yield rate of the tubular tissue, we employed a design with the addition of overlaid autologous whole blood scaffold containing lipopolysaccharides (LPS). Furthermore, we applied in vivo dynamic mechanical stimuli through cyclically inflatable silicone tube to improve the mechanical properties of the harvested tissues. The effectiveness of the modification was examined by implanting the tubes in the peritoneal cavity of rats. A group without mechanical stimuli served as the controls. After 24 days of culture including 16 days of cyclic mechanical stimuli, we harvested the tubular tissue forming on the silicone tube for analysis or further autologous interposition vascular grafting. In comparison with those without cyclic dynamic stimuli, tubular tissues with this treatment during in vivo culture had stronger mechanical properties, better smooth muscle differentiation, and more collagen and elastin expression by the end of incubation period in the peritoneal cavity. The grafts remained patent after 4 months of implantation and showed the presence of endothelial and smooth muscle cells. This model shows a new prospect for vascular tissue engineering.
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Affiliation(s)
- Chao-Lin Chen
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.,Department of Occupational Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - How-Ran Guo
- Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.,Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Ying-Jan Wang
- Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Hong-Tai Chang
- Division of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Chui-Yi Pan
- Chest Hospital, Ministry of Health and Welfare, Tainan, Taiwan
| | - Ho-Yi Tuan-Mu
- Department of Physical Therapy, Tzu Chi University, Hualien, Taiwan
| | - Hsiu-Chuan Lin
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Chao-Yi Chen
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Jin-Jia Hu
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan. .,Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan.
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Affiliation(s)
- L E Niklason
- Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.
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Abstract
Normal pressure hydrocephalus (NPH) is defined as a combination of dementia, gait disturbances and/or urinary incontinence, hydrocephalus, and a normal intracranial mean pressure. The clinical effect of CSF shunting in patients with this syndrome is sometimes striking, but generally only 50-60% of the shunted patients benefit from the treatment. It is assumed that the condition is caused by reduced conductance to outflow of CSF ( Cout ). A clinically usable method for the measurement of Cout has been developed. Cout has been measured in 80 patients with NPH. The results of clinical examination, computed tomography (CT), long-term intracranial pressure recording, isotope cisternography (ICG), and Cout have been compared to the clinical results of shunting 3 and 12 months after operation. Among the preoperative investigations Cout proved to have the best diagnostic specificity and sensitivity. Thus, selection of patients for shunting on the basis of Cout should lead to a satisfyingly high success rate. The different methods for measurement of Cout are discussed, and a theory on the pathophysiology of NPH is proposed. A clinical investigational programme, based on the results from clinical examination, CT, pressure recording, and measurements of Cout is suggested.
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Bilfinger TV, Beere PE, Sanderson C, Glagov S, Anagnostopoulos CE. Parallel growth of rectus sheath grafts and recipient aorta. J Thorac Cardiovasc Surg 1983. [DOI: 10.1016/s0022-5223(19)39189-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Abstract
Experimental results in rabbits support the hypothesis that occlusion of the cerebral subarachnoid space, resulting in an increased strain-stress ratio in the ventricular wall, is the mechanical basis of chronic progressive hydrocephalus within a rigid skull. When the cerebral subarachnoid space was drained through an artificial low-resistance fluid pathway, the wall of the olfactory ventricle showed edema that was indistinguishable from the edema of kaolin hydrocephalus. Increased CSF pressure did not produce edema of this grade when the cerebral subarachnoid space was patent. When the subarachnoid space surrounding the right olfactory bulb was occluded with silicone rubber, the right but not the left olfactory ventricle enlarged; resistance to cerebrospinal fluid absorption remained normal.
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