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周期性弯曲在工程心脏瓣膜组织早期体外发育中的独立作用。

The independent role of cyclic flexure in the early in vitro development of an engineered heart valve tissue.

作者信息

Engelmayr George C, Rabkin Elena, Sutherland Fraser W H, Schoen Frederick J, Mayer John E, Sacks Michael S

机构信息

Engineered Tissue Mechanics Laboratory, McGowan Institute for Regenerative Medicine and the Department of Bioengineering, University of Pittsburgh, 100 Technology Drive, Suite 200, Pittsburgh, PA 15219, USA.

出版信息

Biomaterials. 2005 Jan;26(2):175-87. doi: 10.1016/j.biomaterials.2004.02.035.

Abstract

Tissue engineered heart valves (TEHV) are being investigated as an alternative to current non-viable prosthetic valves and valved conduits. Studies suggest that pulse duplicator bioreactors can stimulate TEHV development. In the current study, a model system was used to determine if cyclic flexure, a major mode of heart valve deformation, has independent effects on TEHV cell and extracellular matrix (ECM) development. Ovine vascular smooth muscle cells (SMC) were seeded for 30 h onto strips of non-woven 50:50 polyglycolic acid (PGA) and poly-L-lactic acid (PLLA) scaffold. After 4 days of incubation, SMC-seeded and unseeded scaffolds were either maintained under static conditions (static group), or subjected to unidirectional cyclic three-point flexure at a physiological frequency and amplitude in a bioreactor (flex group) for 3 weeks. After seeding or incubation, the effective stiffness (E) was measured, with SMC-seeded scaffolds further characterized by DNA, collagen, sulfated glycosaminoglycan (S-GAG), and elastin content, as well as by histology. The seeding period was over 90% efficient, with a significant accumulation of S-GAG, no significant change in E, and no collagen detected. Following 3 weeks of incubation, unseeded scaffolds exhibited no significant change in E in the flex or static groups. In contrast, E of SMC-seeded scaffolds increased 429% in the flex group (p<0.01) and 351% in the static group (p<0.01), with a trend of increased E, a 63% increase in collagen (p<0.05), increased vimentin expression, and a more homogenous transmural cell distribution in the flex versus static group. Moreover, a positive linear relationship (r2=0.996) was found between the mean E and mean collagen concentration. These results show that cyclic flexure can have independent effects on TEHV cell and ECM development, and may be useful in predicting the mechanical properties of TEHV constructed using novel scaffold materials.

摘要

组织工程心脏瓣膜(TEHV)正在作为当前无活性人工瓣膜和带瓣管道的替代物进行研究。研究表明,脉冲复制器生物反应器可刺激TEHV的发育。在当前研究中,使用一个模型系统来确定心脏瓣膜变形的主要模式——周期性弯曲是否对TEHV细胞和细胞外基质(ECM)的发育有独立影响。将绵羊血管平滑肌细胞(SMC)接种到50:50的聚乙醇酸(PGA)和聚-L-乳酸(PLLA)非织造支架条上30小时。孵育4天后,接种SMC的支架和未接种的支架要么在静态条件下维持(静态组),要么在生物反应器中以生理频率和幅度进行单向周期性三点弯曲(弯曲组)3周。接种或孵育后,测量有效刚度(E),接种SMC的支架进一步通过DNA、胶原蛋白、硫酸化糖胺聚糖(S-GAG)和弹性蛋白含量以及组织学进行表征。接种期效率超过90%,S-GAG显著积累,E无显著变化,未检测到胶原蛋白。孵育3周后,未接种的支架在弯曲组或静态组中E均无显著变化。相比之下,接种SMC的支架在弯曲组中E增加了429%(p<0.01),在静态组中增加了351%(p<0.01),E有增加趋势,胶原蛋白增加63%(p<0.05),波形蛋白表达增加,与静态组相比,弯曲组中跨壁细胞分布更均匀。此外,平均E与平均胶原蛋白浓度之间发现正线性关系(r2=0.996)。这些结果表明,周期性弯曲可对TEHV细胞和ECM发育产生独立影响,可能有助于预测使用新型支架材料构建的TEHV的力学性能。

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