Tiengo Elena, Fermi Enrico, Zanolla Ilaria, Zanotti Federica, Trentini Martina, Pasquino Enrico, Palmieri Maria Chiara, Soliani Giorgio, Leo Sara, Tremoli Elena, Ferroni Letizia, Zavan Barbara
Translational Medicine Department, University of Ferrara, 44121 Ferrara, Italy.
AorticLab S.R.L., Bioindustry Park, 10010 Colleretto Giacosa, Italy.
Biomedicines. 2022 Sep 21;10(10):2352. doi: 10.3390/biomedicines10102352.
Aortic valve stenosis has become the most common valvular disease in elderly patients. Several treatments are available such as surgical aortic valve replacement and transcatheter aortic valve implantation. To date, however, there is a need to discover alternative treatments that can delay the disease progression and, therefore, the implant of a prosthetic valve. In this regard, a decalcification procedure based on the use of ultrasonic waves could represent an innovative solution in transcatheter cardiovascular therapies. In this article, we describe an innovative transcatheter debridement device (TDD) that uses low-intensity ultrasound shock waves for calcium ablation from the native aortic valve and bioprosthetic valve. Mesenchymal stem cells were seeded onto pericardium-based scaffolds and committed into an osteogenic phenotype. After treatment with TDD, cell proliferation was analyzed, as well as lactate dehydrogenase release and cell morphology. The release of calcium and inflammation events were detected. The results confirmed that the TDD was able to induce a safe decalcification without any adverse inflammatory events.
主动脉瓣狭窄已成为老年患者中最常见的瓣膜疾病。目前有多种治疗方法,如外科主动脉瓣置换术和经导管主动脉瓣植入术。然而,迄今为止,仍需要探索能够延缓疾病进展从而避免植入人工瓣膜的替代治疗方法。在这方面,基于超声波使用的脱钙程序可能代表经导管心血管治疗中的一种创新解决方案。在本文中,我们描述了一种创新的经导管清创装置(TDD),该装置使用低强度超声冲击波从天然主动脉瓣和生物人工瓣膜中消融钙。将间充质干细胞接种到心包基支架上,并使其分化为成骨表型。在用TDD治疗后,分析细胞增殖情况以及乳酸脱氢酶释放和细胞形态。检测钙的释放和炎症反应。结果证实,TDD能够诱导安全的脱钙,且无任何不良炎症反应。