論文

査読有り 国際誌
2019年8月

Differential outcomes of venous and arterial tissue engineered vascular grafts highlight the importance of coupling long-term implantation studies with computational modeling.

Acta biomaterialia
  • Cameron A Best
  • Jason M Szafron
  • Kevin A Rocco
  • Jacob Zbinden
  • Ethan W Dean
  • Mark W Maxfield
  • Hirotsugu Kurobe
  • Shuhei Tara
  • Paul S Bagi
  • Brooks V Udelsman
  • Ramak Khosravi
  • Tai Yi
  • Toshiharu Shinoka
  • Jay D Humphrey
  • Christopher K Breuer
  • 全て表示

94
開始ページ
183
終了ページ
194
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.actbio.2019.05.063

Electrospinning is commonly used to generate polymeric scaffolds for tissue engineering. Using this approach, we developed a small-diameter tissue engineered vascular graft (TEVG) composed of poly-ε-caprolactone-co-l-lactic acid (PCLA) fibers and longitudinally assessed its performance within both the venous and arterial circulations of immunodeficient (SCID/bg) mice. Based on in vitro analysis demonstrating complete loss of graft strength by 12 weeks, we evaluated neovessel formation in vivo over 6-, 12- and 24-week periods. Mid-term observations indicated physiologic graft function, characterized by 100% patency and luminal matching with adjoining native vessel in both the venous and arterial circulations. An active and robust remodeling process was characterized by a confluent endothelial cell monolayer, macrophage infiltrate, and extracellular matrix deposition and remodeling. Long-term follow-up of venous TEVGs at 24 weeks revealed viable neovessel formation beyond graft degradation when implanted in this high flow, low-pressure environment. Arterial TEVGs experienced catastrophic graft failure due to aneurysmal dilatation and rupture after 14 weeks. Scaffold parameters such as porosity, fiber diameter, and degradation rate informed a previously described computational model of vascular growth and remodeling, and simulations predicted the gross differential performance of the venous and arterial TEVGs over the 24-week time course. Taken together, these results highlight the requirement for in vivo implantation studies to extend past the critical time period of polymer degradation, the importance of differential neotissue deposition relative to the mechanical (pressure) environment, and further support the utility of predictive modeling in the design, use, and evaluation of TEVGs in vivo. STATEMENT OF SIGNIFICANCE: Herein, we apply a biodegradable electrospun vascular graft to the arterial and venous circulations of the mouse and follow recipients beyond the point of polymer degradation. While venous implants formed viable neovessels, arterial grafts experienced catastrophic rupture due to aneurysmal dilation. We then inform a previously developed computational model of tissue engineered vascular graft growth and remodeling with parameters specific to the electrospun scaffolds utilized in this study. Remarkably, model simulations predict the differential performance of the venous and arterial constructs over 24 weeks. We conclude that computational simulations should inform the rational selection of scaffold parameters to fabricate tissue engineered vascular grafts that must be followed in vivo over time courses extending beyond polymer degradation.

リンク情報
DOI
https://doi.org/10.1016/j.actbio.2019.05.063
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31200116
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819998
ID情報
  • DOI : 10.1016/j.actbio.2019.05.063
  • ISSN : 1742-7061
  • PubMed ID : 31200116
  • PubMed Central 記事ID : PMC6819998

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