Tissue-Engineered Small-Caliber Vascular Graft Based on a Novel Biodegradable Composite Fibrin-Polylactide Scaffold

Small-caliber vascular grafts (≤5 mm) constructed from synthetic materials for coronary bypass or peripheral vascular repair below the knee have poor patency rates, while autologous vessels may not be available for harvesting. The present study aimed to create a completely autologous small-caliber v...

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Veröffentlicht in:Tissue engineering. Part A 2009-08, Vol.15 (8), p.199-1918
Hauptverfasser: Tschoeke, Beate, Flanagan, Thomas C., Koch, Sabine, Harwoko, Marvi Sri, Deichmann, Thorsten, Ellå, Ville, Sachweh, Jörg S., Kellomåki, Minna, Gries, Thomas, Schmitz-Rode, Thomas, Jockenhoevel, Stefan
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container_end_page 1918
container_issue 8
container_start_page 199
container_title Tissue engineering. Part A
container_volume 15
creator Tschoeke, Beate
Flanagan, Thomas C.
Koch, Sabine
Harwoko, Marvi Sri
Deichmann, Thorsten
Ellå, Ville
Sachweh, Jörg S.
Kellomåki, Minna
Gries, Thomas
Schmitz-Rode, Thomas
Jockenhoevel, Stefan
description Small-caliber vascular grafts (≤5 mm) constructed from synthetic materials for coronary bypass or peripheral vascular repair below the knee have poor patency rates, while autologous vessels may not be available for harvesting. The present study aimed to create a completely autologous small-caliber vascular graft by utilizing a bioabsorbable, macroporous poly(L/D)lactide 96/4 [P(L/D)LA 96/4] mesh as a support scaffold system combined with an autologous fibrin cell carrier material. A novel molding device was used to integrate a P(L/D)LA 96/4 mesh in the wall of a fibrin-based vascular graft, which was seeded with arterial smooth muscle cells (SMCs)/fibroblasts and subsequently lined with endothelial cells. The mold was connected to a bioreactor circuit for dynamic mechanical conditioning of the graft over a 21-day period. Graft cell phenotype, proliferation, extracellular matrix (ECM) content, and mechanical strength were analyzed. α-SMA–positive SMCs and fibroblasts deposited ECM proteins into the graft wall, with a significant increase in both cell number and collagen content over 21 days. A luminal endothelial cell lining was evidenced by vWf staining, while the grafts exhibited supraphysiological burst pressure (>460 mmHg) after dynamic cultivation. The results of our study demonstrated the successful production of an autologous, biodegradable small-caliber vascular graft in vitro , with remodeling capabilities and supraphysiological mechanical properties after 21 days in culture. The approach may be suitable for a variety of clinical applications, including coronary artery and peripheral artery bypass procedures.
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subjects Animals
Biocompatible Materials - pharmacology
Biodegradable materials
Biological Assay
Biomechanical Phenomena - drug effects
Bioreactors
Blood Vessel Prosthesis
Blood Vessels - cytology
Blood Vessels - drug effects
Blood Vessels - transplantation
Cell Proliferation - drug effects
Cell Survival - drug effects
Cells, Cultured
Cellular biology
Fibrin - pharmacology
Hydroxyproline - metabolism
Immunohistochemistry
Original Articles
Polyesters - pharmacology
Porosity - drug effects
Sheep
Skin & tissue grafts
Staining and Labeling
Tissue engineering
Tissue Engineering - methods
Tissue Scaffolds
Veins & arteries
title Tissue-Engineered Small-Caliber Vascular Graft Based on a Novel Biodegradable Composite Fibrin-Polylactide Scaffold
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