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双层肝素化血管移植物的制备:电纺丝与冷冻干燥法的联合运用。

Bilayered heparinized vascular graft fabricated by combining electrospinning and freeze drying methods.

机构信息

Department of Mechanical Engineering, Sharif University of Technology, Iran.

Department of Mechanical Engineering, Sharif University of Technology, Iran.

出版信息

Mater Sci Eng C Mater Biol Appl. 2019 Jan 1;94:1067-1076. doi: 10.1016/j.msec.2018.10.016. Epub 2018 Oct 4.

Abstract

Small diameter vascular grafts (<6 mm) are highly demanded for patients suffering from severe occluded arteries to be used as a bypass or substituted conduit. Fabricating a graft with appropriate structural, mechanical and cell growth properties which has simultaneously anti-thrombogenic trait is a challenge nowadays. Here, we proposed a bilayer heparinized vascular graft that can mimic the structural and mechanical characteristics close to those of the native coronary artery by combining electrospinning and freeze drying methods. In this study, the inner layer was made by co-electrospinning of synthetic polymer, poly-caprolactone (PCL) and the natural polymer, gelatin (Gel). Also, heparin which is widely used as an anticoagulant drug, was loaded by blending in gelatin solution and emulsion electrospinning of PCL fibers. Adding heparin resulted in better endothelial cell attachment and proliferation while fewer platelets attached to the scaffold. This indicates that that probability of graft failure as a result of thrombosis can be reduced. The outer layer was fabricated using freeze-drying of gelatin hydrogel. With average pore diameter size of >200 μm, large smooth muscle cells (SMC) could proliferate easily along this layer. Mechanical tests demonstrated the more appropriate mechanical properties of the bilayer scaffold in comparison with the freeze dried or electrospun layer individually.

摘要

小直径血管移植物(<6mm)在严重阻塞动脉的患者中需求量很大,可用作旁路或替代导管。目前,制造一种具有适当结构、机械和细胞生长特性且同时具有抗血栓特性的移植物是一个挑战。在这里,我们提出了一种双层肝素化血管移植物,通过静电纺丝和冷冻干燥方法相结合,可以模拟结构和机械特性,接近天然冠状动脉。在这项研究中,内层通过合成聚合物聚己内酯(PCL)和天然聚合物明胶(Gel)的共静电纺丝制成。此外,肝素作为一种广泛使用的抗凝药物,通过在明胶溶液中混合和 PCL 纤维乳液静电纺丝来加载。肝素的添加导致内皮细胞附着和增殖更好,而血小板附着到支架上的则更少。这表明血栓形成导致移植物失败的可能性可以降低。外层是通过明胶水凝胶的冷冻干燥制成的。平均孔径尺寸>200μm,平滑肌细胞(SMC)可以很容易地沿着这个层增殖。机械测试表明,与单独的冷冻干燥或静电纺丝层相比,双层支架具有更合适的机械性能。

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