Wang Wenshuo, Tao Hongyue, Zhao Yun, Sun Xiaotian, Tang Jing, Selomulya Cordelia, Tang Jia, Chen Tianchan, Wang Yang, Shu Minglei, Wei Lei, Yi Guanyu, Zhou Jixue, Wei Lai, Wang Chunsheng, Kong Biao
Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, P. R. China.
Department of Radiology, Huashan Hospital, Fudan University, Shanghai 200040, P. R. China.
Theranostics. 2017 May 2;7(7):1966-1975. doi: 10.7150/thno.16866. eCollection 2017.
The construction, characterization and surgical application of a multilayered iron oxide-based macroporous composite framework were reported in this study. The framework consisted of a highly porous iron oxide core, a gelatin-based hydrogel intermediary layer and a matrigel outer cover, which conferred a multitude of desirable properties including excellent biocompatibility, improved mechanical strength and controlled biodegradability. The large pore sizes and high extent of pore interconnectivity of the framework stimulated robust neovascularization and resulted in substantially better cell viability and proliferation as a result of improved transport efficiency for oxygen and nutrients. In addition, rat models with myocardial infraction showed sustained heart tissue regeneration over the infract region and significant improvement of cardiac functions following the surgical implantation of the framework. These results demonstrated that the current framework might hold great potential for cardiac repair in patients with myocardial infraction.
本研究报道了一种多层氧化铁基大孔复合支架的构建、表征及其外科应用。该支架由高度多孔的氧化铁核心、明胶基水凝胶中间层和基质胶外层组成,具有多种理想特性,包括优异的生物相容性、提高的机械强度和可控的生物降解性。该支架的大孔径和高孔隙连通性促进了强劲的新血管形成,并由于改善了氧气和营养物质的运输效率,从而使细胞活力和增殖得到显著提高。此外,心肌梗死大鼠模型在植入该支架后,梗死区域的心脏组织实现了持续再生,心脏功能也有显著改善。这些结果表明,当前的支架在心肌梗死患者的心脏修复方面可能具有巨大潜力。