Infarct Zone: a Novel Platform for Exosome Trade in Cardiac Tissue Regeneration

The global incidence of coronary artery diseases (CADs), especially myocardial infarction (MI), has drastically increased in recent years. Even though the conventional therapies have improved the outcomes, the post-MI complications and the increased rate of recurrence among the survivors are still alarming. Molecular events associated with the pathogenesis and the adaptive responses of the surviving myocardium are largely unknown. Focus on exosome-mediated signaling for cell-cell/matrix communications at the infarct zone reflects an emerging opportunity in cardiac regeneration. Also, cardiac tissue engineering provides promising insights for the next generation of therapeutic approaches in the management of CADs. In this article, we critically reviewed the current understanding on the biology of cardiac exosomes, therapeutic potential of exosomes, and recent developments in cardiac tissue engineering and discussed novel translational approaches based on tissue engineering and exosomes for cardiac regeneration and CADs.

Injectable, cytocompatible, elastic, free radical scavenging and electroconductive hydrogel for cardiac cell encapsulation

The injectable electroconductive hydrogels are desirable for the regenerative therapy of electroresponsive tissues like heart. With the present electroconductive hydrogels, the issues of cytotoxicity, biodegradability, and diffusion of the conductive element and poor water solubility limit their applications. Here, electroconductive injectable single component hydrogels, PANIE-P/PEGDA and PANIS-P/PEGDA, are prepared with fumarate-co-PEG-co-sebacate comacromer conjugated with non-sulfonated/sulfonated polyaniline and PEGDA. These hydrogels have maximum electrical conductivity of 0.351±0.043×10^-3Scm^-1 and 0.550±0.016×10^-3Scm^-1, which is comparable to the native myocardium. The hydrogels with 50% comacromer concentration coded as PE50P and PS50P retain 82.48% and 84.08% water on equilibrium swelling respectively. The hydrogels have required a porous surface for cell growth and proliferation. PS50P hydrogel has stiffness of 442kPa with elastic characteristics. The hydrogel is compatible with L929 fibroblast and H9c2 cardiomyoblast cells. PS50P hydrogel has better free radical scavenging property and protective effect over cells under oxidative stress. The hydrogel retains encapsulated cardiomyoblast cells with 98% viability under static long-term in vitro culture. Briefly, the PS50P hydrogel is electroconductive, free radical scavenging and mechanically suitable for cardiac regenerative therapy.

Influence of matrix and bulk behaviour of an injectable hydrogel on the survival of encapsulated cardiac cells

The influence of physicochemical, morphological and mechanical behaviour of an injectable poly(propylene fumarate-co-ethylene glycol)/PEGDA hydrogel on the viability and proliferation of encapsulated cardiac cells was investigated.