Department of Pediatrics, University at Buffalo, The State University of New York, Amherst, NY 14260-4200, United States; Center of Excellence in Bioinformatics and Life Sciences, Buffalo, NY 14203, United States.
Curr Opin Biotechnol. 2013 Oct;24(5):916-25. doi: 10.1016/j.copbio.2013.05.005. Epub 2013 Jun 13.
Because of rise in cardiovascular disease throughout the world, there is increasing demand for small diameter blood vessels as replacement grafts. The present review focuses on the animal models that have been used to test small-diameter TEVs with emphasis on the attributes of each model. Small animal models are used to test short-term patency and address mechanistic hypotheses; and large, preclinical animal models are employed to test long-term patency, remodeling and function in an environment mimicking human physiology. We also discuss recent clinical trials that employed laboratory fabricated TEVs and showed very promising results. Ultimately, animal models provide a testing platform for optimizing vascular grafts before clinical use in patients without suitable autologous vessels.
由于心血管疾病在全球范围内的上升,对小直径血管作为替代移植物的需求也在不断增加。本综述重点介绍了用于测试小直径组织工程血管的动物模型,并强调了每种模型的特点。小动物模型用于测试短期通畅性并解决机制假说;而大型临床前动物模型则用于在模拟人体生理学的环境中测试长期通畅性、重塑和功能。我们还讨论了最近的临床试验,这些试验采用了实验室制造的组织工程血管,取得了非常有前景的结果。最终,动物模型为优化血管移植物提供了一个测试平台,以便在没有合适自体血管的患者中进行临床应用。