Seebacher Gernot, Grasl Christian, Stoiber Martin, Rieder Erwin, Kasimir Marie-Theres, Dunkler Daniela, Simon Paul, Weigel Günter, Schima Heinrich
Department of Cardiothoracic Surgery, Medical University of Vienna, Vienna, Austria.
Artif Organs. 2008 Jan;32(1):28-35. doi: 10.1111/j.1525-1594.2007.00452.x.
Tissue-engineered heart valves constructed from a xenogeneic or allogeneic decellularized matrix might overcome the disadvantages of current heart valve substitutes. One major necessity besides effective decellularization is to preserve the biomechanical properties of the valve. Native and decellularized porcine pulmonary heart valve conduits (PPVCs) (with [n = 10] or without [n = 10] cryopreservation) were compared to cryopreserved human pulmonary valve conduits (n = 7). Samples of the conduit were measured for wall thickness and underwent tensile tests. Elongation measurement was performed with a video extensometer. Decellularized PPVC showed a higher failure force both in longitudinal (+73%; P < 0.01) and transverse (+66%; P < 0.001) direction compared to human homografts. Failure force of the tissue after cryopreservation was still higher in the porcine group (longitudinal: +106%, P < 0.01; transverse: +58%, P < 0.001). In comparison to human homografts, both decellularized and decellularized cryopreserved porcine conduits showed a higher extensibility in longitudinal (decellularized: +61%, P < 0.001; decellularized + cryopreserved: +51%, P < 0.01) and transverse (decellularized: +126%, P < 0.001; decellularized + cryopreserved: +118%, P < 0.001) direction. Again, cryopreservation did not influence the biomechanical properties of the decellularized porcine matrix.
由异种或同种异体脱细胞基质构建的组织工程心脏瓣膜可能会克服当前心脏瓣膜替代品的缺点。除了有效的脱细胞处理外,一个主要的必要条件是保留瓣膜的生物力学特性。将天然和脱细胞的猪肺动脉心脏瓣膜导管(PPVCs)(有[n = 10]或无[n = 10]冷冻保存)与冷冻保存的人肺动脉瓣膜导管(n = 7)进行比较。测量导管样本的壁厚并进行拉伸试验。使用视频引伸计进行伸长测量。与人类同种异体移植物相比,脱细胞PPVC在纵向(+73%;P < 0.01)和横向(+66%;P < 0.001)方向均显示出更高的破坏力。在猪组中,冷冻保存后组织的破坏力仍然更高(纵向:+106%,P < 0.01;横向:+58%,P < 0.001)。与人类同种异体移植物相比,脱细胞和脱细胞冷冻保存的猪导管在纵向(脱细胞:+61%,P < 0.001;脱细胞 + 冷冻保存:+51%,P < 0.01)和横向(脱细胞:+126%,P < 0.001;脱细胞 + 冷冻保存:+118%,P < 0.001)方向均显示出更高的延展性。同样,冷冻保存不影响脱细胞猪基质的生物力学特性。