Tian Ailing, Yi Xin, Sun Nianfeng
Qilu Hospital of Shandong University, Jinan 250012, China.
Women's and Children's Hospital Affiliated to Qingdao University, Qingdao, 266001, China.
Regen Ther. 2022 Aug 27;21:277-281. doi: 10.1016/j.reth.2022.07.009. eCollection 2022 Dec.
At present, the vascular grafts used in clinic are mainly autologous blood vessels, but they often face the dilemma of no blood vessels available due to limited sources. However, synthetic blood vessels made of polytetrafluoroethylene (ePTFE), which is commonly used in clinic, are prone to thrombosis and intimal hyperplasia, and the long-term patency rate is poor, so its effectiveness is severely limited, which is far from meeting the clinical needs. With the development of nano-materials, stem cells and 3D bio-printing technology, people began to explore the preparation of new endothelialized vascular grafts through this technology. Nano-peptide materials have excellent biocompatibility, can be compounded with different bioactive molecules, and have unique advantages in cultivating stem cells. It has been reported that self-assembled nano-polypeptide hydrogel was successfully constructed, mesenchymal stem cells were correctly isolated and cultured, and their transformation into blood vessels was studied. It was confirmed that the 3D bio-printed nano-polypeptide hydrogel tissue ADMSCs still had strong vascular endothelial differentiation ability. The application of mesenchymal stem cells and nano-polypeptide hydrogel in tissue engineering blood vessels has gradually become a research hotspot, and it is expected to develop a new type of transplanted blood vessel that meets the physiological functions of human body in terms of vascular endothelialization, cell compatibility and histocompatibility, so as to realize the customized and personalized printing of the endothelialized transplanted blood vessel according to the shape of the target blood vessel, which has attractive prospects and far-reaching social and economic benefits.
目前,临床上使用的血管移植物主要是自体血管,但由于来源有限,常常面临无可用血管的困境。然而,临床上常用的由聚四氟乙烯(ePTFE)制成的合成血管容易发生血栓形成和内膜增生,长期通畅率较差,因此其有效性受到严重限制,远远不能满足临床需求。随着纳米材料、干细胞和3D生物打印技术的发展,人们开始探索通过该技术制备新型内皮化血管移植物。纳米肽材料具有优异的生物相容性,可与不同生物活性分子复合,在培养干细胞方面具有独特优势。据报道,成功构建了自组装纳米多肽水凝胶,正确分离培养了间充质干细胞,并研究了其向血管的转化。证实3D生物打印纳米多肽水凝胶组织ADMSCs仍具有较强的血管内皮分化能力。间充质干细胞和纳米多肽水凝胶在组织工程血管中的应用逐渐成为研究热点,有望开发出一种在血管内皮化、细胞相容性和组织相容性方面符合人体生理功能的新型移植血管,从而根据目标血管形状实现内皮化移植血管的定制化和个性化打印,具有诱人的前景和深远的社会经济效益。