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Zia S, Djalali-Cuevas A, Pflaum M, Hegermann J, Dipresa D, Kalozoumis P, Kouvaka A, Burgwitz K, Andriopoulou S, Repanas A, Will F, Grote K, Schrimpf C, Toumpaniari S, Mueller M, Glasmacher B, Haverich A, Morticelli L, Korossis S. Development of a dual-component infection-resistant arterial replacement for small-caliber reconstructions: A proof-of-concept study. Front Bioeng Biotechnol 2023; 11:957458. [PMID: 36741762 PMCID: PMC9889865 DOI: 10.3389/fbioe.2023.957458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 01/02/2023] [Indexed: 01/19/2023] Open
Abstract
Introduction: Synthetic vascular grafts perform poorly in small-caliber (<6mm) anastomoses, due to intimal hyperplasia and thrombosis, whereas homografts are associated with limited availability and immunogenicity, and bioprostheses are prone to aneurysmal degeneration and calcification. Infection is another important limitation with vascular grafting. This study developed a dual-component graft for small-caliber reconstructions, comprising a decellularized tibial artery scaffold and an antibiotic-releasing, electrospun polycaprolactone (PCL)/polyethylene glycol (PEG) blend sleeve. Methods: The study investigated the effect of nucleases, as part of the decellularization technique, and two sterilization methods (peracetic acid and γ-irradiation), on the scaffold's biological and biomechanical integrity. It also investigated the effect of different PCL/PEG ratios on the antimicrobial, biological and biomechanical properties of the sleeves. Tibial arteries were decellularized using Triton X-100 and sodium-dodecyl-sulfate. Results: The scaffolds retained the general native histoarchitecture and biomechanics but were depleted of glycosaminoglycans. Sterilization with peracetic acid depleted collagen IV and produced ultrastructural changes in the collagen and elastic fibers. The two PCL/PEG ratios used (150:50 and 100:50) demonstrated differences in the structural, biomechanical and antimicrobial properties of the sleeves. Differences in the antimicrobial activity were also found between sleeves fabricated with antibiotics supplemented in the electrospinning solution, and sleeves soaked in antibiotics. Discussion: The study demonstrated the feasibility of fabricating a dual-component small-caliber graft, comprising a scaffold with sufficient biological and biomechanical functionality, and an electrospun PCL/PEG sleeve with tailored biomechanics and antibiotic release.
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Affiliation(s)
- Sonia Zia
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Adrian Djalali-Cuevas
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Michael Pflaum
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Jan Hegermann
- Institute of Functional and Applied Anatomy, Research Core Unit Electron Microscopy, Hannover Medical School, Hannover, Germany
| | - Daniele Dipresa
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Panagiotis Kalozoumis
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Artemis Kouvaka
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Karin Burgwitz
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Sofia Andriopoulou
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Alexandros Repanas
- Institute for Multiphase Processes, Leibniz University Hannover, Hannover, Germany
| | - Fabian Will
- LLS ROWIAK LaserLabSolutions GmbH, Hannover, Germany
| | - Karsten Grote
- Cardiology and Angiology, Philipps-University Marburg, Marburg, Germany
| | - Claudia Schrimpf
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - Sotiria Toumpaniari
- Cardiopulmonary Regenerative Engineering Group (CARE), Centre for Biological Engineering, Loughborough University, Loughborough, United Kingdom,Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, United Kingdom
| | - Marc Mueller
- Institute for Multiphase Processes, Leibniz University Hannover, Hannover, Germany
| | - Birgit Glasmacher
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany,Institute for Multiphase Processes, Leibniz University Hannover, Hannover, Germany
| | - Axel Haverich
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany,Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - Lucrezia Morticelli
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany
| | - Sotirios Korossis
- Lower Saxony Centre for Biomedical Engineering Implant Research and Development, Hannover Medical School, Hannover, Germany,Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany,Cardiopulmonary Regenerative Engineering Group (CARE), Centre for Biological Engineering, Loughborough University, Loughborough, United Kingdom,Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, United Kingdom,*Correspondence: Sotirios Korossis,
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Mogaldea A, Theodoridis K, Goecke T, Tudorache I, Haverich A, Cebotari S, Hilfiker A. Assessment of cytocompatibility and mechanical properties of detergent-decellularized ovine pericardial tissue. Int J Artif Organs 2019; 42:628-635. [DOI: 10.1177/0391398819850583] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Background: Autologous pericardium is widely used for the repair of different sized cardiovascular defects. However, its use is limited especially in redo cardiac surgery. We developed an engineered tissue based on decellularized pericardium reseeded with blood-derived endothelial cells. Materials and Methods: Decellularization of ovine pericardium was performed using detergent treatment. Ovine outgrowth blood-derived and green fluorescent protein–labeled endothelial cells were used to reseed the decellularized ovine pericardium on the mesothelial side. The cell adhesion was assessed using fluorescent microscopy up to 15 days of in vitro cultivation. The mechanical properties of the pericardium were evaluated using suturability, burst pressure, and suture retention strength tests. Results: After decellularization the pericardial sheets appeared cell-free and repopulation using ovine blood-derived endothelial cells was successful by forming a robust monolayer. Detergent treatment did not affect the extracellular matrix. The thickness of decellularized tissue was similar to native ovine pericardium (285.3 ± 28.2 µm, respective 276.9 ± 23.8 µm, p = 0.48). Decellularized patch showed similar suturability comparable to the native ovine pericardium. Resulted burst pressure was not significantly different (native/decellularized: 312.5 ± 13.6/304.2 ± 16, p = 0.35). The suture retention strength of native pericardium was 638.33 ± 90.2 gr and comparable to decellularized tissue (622.2 ± 89.9 gr, p = 0.76). No differences were observed concerning elongation of native and decellularized pericardium (8.33 ± 1.5 and 8.5 ± 0.84 mm, respectively; p = 0.82). Conclusion: Mesothelial surface of decellularized ovine pericardium is suitable for reseeding with ovine blood-derived endothelial cells. The mechanical properties of detergent-treated pericardium were comparable to native tissue.
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Affiliation(s)
- Alexandru Mogaldea
- Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover, Germany
- Department of Cardiothoracic, Transplantation and Vascular Surgery (HTTG), Hannover Medical School, Medizinische Hochschule Hannover (MHH), Hannover, Germany
| | - Karolina Theodoridis
- Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover, Germany
- Department of Cardiothoracic, Transplantation and Vascular Surgery (HTTG), Hannover Medical School, Medizinische Hochschule Hannover (MHH), Hannover, Germany
| | - Tobias Goecke
- Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover, Germany
- Department of Cardiothoracic, Transplantation and Vascular Surgery (HTTG), Hannover Medical School, Medizinische Hochschule Hannover (MHH), Hannover, Germany
| | - Igor Tudorache
- Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover, Germany
- Department of Cardiothoracic, Transplantation and Vascular Surgery (HTTG), Hannover Medical School, Medizinische Hochschule Hannover (MHH), Hannover, Germany
| | - Axel Haverich
- Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover, Germany
- Department of Cardiothoracic, Transplantation and Vascular Surgery (HTTG), Hannover Medical School, Medizinische Hochschule Hannover (MHH), Hannover, Germany
| | - Serghei Cebotari
- Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover, Germany
- Department of Cardiothoracic, Transplantation and Vascular Surgery (HTTG), Hannover Medical School, Medizinische Hochschule Hannover (MHH), Hannover, Germany
| | - Andres Hilfiker
- Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover, Germany
- Department of Cardiothoracic, Transplantation and Vascular Surgery (HTTG), Hannover Medical School, Medizinische Hochschule Hannover (MHH), Hannover, Germany
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Sladkova M, Cheng J, Palmer M, Chen S, Lin C, Xia W, Yu YE, Zhou B, Engqvist H, de Peppo GM. Comparison of Decellularized Cow and Human Bone for Engineering Bone Grafts with Human Induced Pluripotent Stem Cells. Tissue Eng Part A 2018; 25:288-301. [PMID: 30129897 DOI: 10.1089/ten.tea.2018.0149] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
IMPACT STATEMENT Decellularized tissue matrices are popular as scaffolding materials for tissue engineering application. However, it is unclear whether interspecies differences in tissue parameters influence the quality of tissue grafts that are engineered using human stem cells. In this study, decellularized cow and human bone scaffolds were compared for engineering bone grafts using human induced pluripotent stem cell-derived mesodermal progenitor cells and despite minor differences in architecture and mass composition, both scaffolds equally support cell viability and tissue mineralization. Decellularized cow bone scaffolds therefore represent a suitable and more affordable alternative for engineering human bone grafts for basic and applied research.
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Affiliation(s)
- Martina Sladkova
- 1 The New York Stem Cell Foundation Research Institute, New York, New York
| | - Jiayi Cheng
- 1 The New York Stem Cell Foundation Research Institute, New York, New York
| | - Michael Palmer
- 2 Division of Applied Material Sciences, Uppsala University, Uppsala, Sweden
| | - Silvia Chen
- 3 LifeNet Health Foundation, Virginia Beach, Virginia
| | - Charles Lin
- 1 The New York Stem Cell Foundation Research Institute, New York, New York
| | - Wei Xia
- 2 Division of Applied Material Sciences, Uppsala University, Uppsala, Sweden
| | - Yue Eric Yu
- 4 Department of Biomedical Engineering, Columbia University, New York, New York
| | - Bin Zhou
- 4 Department of Biomedical Engineering, Columbia University, New York, New York
| | - Håkan Engqvist
- 2 Division of Applied Material Sciences, Uppsala University, Uppsala, Sweden
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