Department of Otorhinolaryngology-Head & Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, South Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, South Korea.
Head Neck. 2021 Mar;43(3):833-848. doi: 10.1002/hed.26540. Epub 2020 Nov 26.
We evaluated the outcome of esophageal reconstructions using tissue-engineered scaffolds.
Partial esophageal defects were reconstructed with the following scaffolds; animals were grouped (n = 7 per group) as follows: (a) normal rats; (b) rats implanted with three-dimensional printing (3DP) polycaprolactone (PCL) scaffolds; (c) with human adipose-derived mesenchymal stem cell (ADSC)-seeded 3DP PCL scaffolds; (d) with polyurethane (PU)-nanofiber(Nf) scaffolds; and (e) with ADSC-seeded PU-Nf scaffolds.
The esophageal defects were successfully repaired; however, muscle regeneration was greater in the 3DP PCL + ADSC groups than in the PU-Nf + ADSC groups (P < .001). Regeneration of the epithelium was greater in PU-Nf and PU-Nf + ADSC groups than in the 3DP PCL and 3DP PCL + ADSC groups (P < .001).
A tendency for more re-epithelization was observed with the PU-Nf scaffolds, while more muscle regeneration was achieved with the 3DP PCL scaffolds.
我们评估了使用组织工程支架进行食管重建的结果。
使用以下支架重建部分食管缺损;将动物分为以下几组(每组 7 只):(a)正常大鼠;(b)植入三维打印(3DP)聚己内酯(PCL)支架的大鼠;(c)种植人脂肪间充质干细胞(ADSC)的 3DP PCL 支架;(d)聚氨酯(PU)纳米纤维(Nf)支架;和(e)种植 ADSC 的 PU-Nf 支架。
食管缺损成功修复;然而,3DP PCL+ADSC 组的肌肉再生大于 PU-Nf+ADSC 组(P<.001)。上皮再生在 PU-Nf 和 PU-Nf+ADSC 组大于 3DP PCL 和 3DP PCL+ADSC 组(P<.001)。
观察到 PU-Nf 支架具有更多的再上皮化倾向,而 3DP PCL 支架则实现了更多的肌肉再生。