Tamimi E, Ardila D C, Haskett D G, Doetschman T, Slepian M J, Kellar R S, Vande Geest J P
J Biomech Eng. 2016 Jan;138(1):0110011-01100112. doi: 10.1115/1.4031847.
Cardiovascular disease (CVD) is the leading cause of death for Americans. As coronary artery bypass graft surgery (CABG) remains a mainstay of therapy for CVD and native vein grafts are limited by issues of supply and lifespan, an effective readily available tissue-engineered vascular graft (TEVG) for use in CABG would provide drastic improvements in patient care. Biomechanical mismatch between vascular grafts and native vasculature has been shown to be the major cause of graft failure, and therefore, there is need for compliance-matched biocompatible TEVGs for clinical implantation. The current study investigates the biaxial mechanical characterization of acellular electrospun glutaraldehyde (GLUT) vapor-crosslinked gelatin/fibrinogen cylindrical constructs, using a custom-made microbiaxial optomechanical device (MOD). Constructs crosslinked for 2, 8, and 24 hrs are compared to mechanically characterized porcine left anterior descending coronary (LADC) artery. The mechanical response data were used for constitutive modeling using a modified Fung strain energy equation. The results showed that constructs crosslinked for 2 and 8 hrs exhibited circumferential and axial tangential moduli (ATM) similar to that of the LADC. Furthermore, the 8-hrs experimental group was the only one to compliance-match the LADC, with compliance values of 0.0006±0.00018 mm Hg-1 and 0.00071±0.00027 mm Hg-1, respectively. The results of this study show the feasibility of meeting mechanical specifications expected of native arteries through manipulating GLUT vapor crosslinking time. The comprehensive mechanical characterization of cylindrical biopolymer constructs in this study is an important first step to successfully develop a biopolymer compliance-matched TEVG.
心血管疾病(CVD)是美国人的主要死因。由于冠状动脉旁路移植术(CABG)仍然是治疗CVD的主要手段,且自体静脉移植物受到供应和寿命问题的限制,一种用于CABG的有效且易于获得的组织工程血管移植物(TEVG)将极大改善患者护理。血管移植物与自体脉管系统之间的生物力学不匹配已被证明是移植物失败的主要原因,因此,需要用于临床植入的顺应性匹配的生物相容性TEVG。本研究使用定制的微生物双轴光机械装置(MOD),研究了脱细胞电纺戊二醛(GLUT)蒸汽交联明胶/纤维蛋白原圆柱形构建体的双轴力学特性。将交联2、8和24小时的构建体与经力学表征的猪左前降支冠状动脉(LADC)进行比较。机械响应数据用于使用修正的冯氏应变能方程进行本构建模。结果表明,交联2小时和8小时的构建体表现出与LADC相似的周向和轴向切向模量(ATM)。此外,8小时实验组是唯一顺应性与LADC匹配的组,顺应性值分别为0.0006±0.00018 mmHg-1和0.00071±0.00027 mmHg-1。本研究结果表明,通过控制GLUT蒸汽交联时间来满足自体动脉预期的力学规格是可行的。本研究中圆柱形生物聚合物构建体的综合力学表征是成功开发生物聚合物顺应性匹配TEVG的重要第一步。