Zhang Hongmei, Zhang Qilu, Du Juan, Zhu Tonghe, Chen Dian, Liu Feiying, Dong Yang
Department of Orthopedics Surgery, Shanghai Sixth People's Hospital Afffliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
School of Chemistry and Chemical Engineering, Shanghai University of Engineering Science, Shanghai, China.
Front Bioeng Biotechnol. 2023 Jun 22;11:1187914. doi: 10.3389/fbioe.2023.1187914. eCollection 2023.
In clinic, controlling acute coagulation after small-diameter vessel grafts transplantation is considered a primary problem. The combination of heparin with high anticoagulant efficiency and polyurethane fiber with good compliance is a good choice for vascular materials. However, blending water-soluble heparin with fat-soluble poly (ester-ether-urethane) urea elastomer (PEEUU) uniformly and preparing nanofibers tubular grafts with uniform morphology is a huge challenge. In this research, we have compounded PEEUU with optimized constant concentration of heparin by homogeneous emulsion blending, then spun into the hybrid PEEUU/heparin nanofibers tubular graft (H-PHNF) for replacing rats' abdominal aorta for comprehensive performance evaluation. The results demonstrated that H-PHNF was of uniform microstructure, moderate wettability, matched mechanical properties, reliable cytocompatibility, and strongest ability to promote endothelial growth. Replacement of resected abdominal artery with the H-PHNF in rat showed that the graft was capable of homogeneous hybrid heparin and significantly promoted the stabilization of vascular smooth muscle cells (VSMCs) as well as stabilizing the blood microenvironment. This research demonstrates the H-PHNF with substantial patency, indicating their potential for vascular tissue engineering.
在临床上,控制小口径血管移植物移植后的急性凝血被认为是一个主要问题。肝素具有高抗凝效率,聚氨酯纤维具有良好的顺应性,二者结合是血管材料的一个不错选择。然而,将水溶性肝素与脂溶性聚(酯 - 醚 - 脲)尿素弹性体(PEEUU)均匀混合,并制备出形态均匀的纳米纤维管状移植物是一项巨大的挑战。在本研究中,我们通过均匀乳液共混法将PEEUU与优化后的恒定浓度肝素进行复合,然后纺制成混合的PEEUU/肝素纳米纤维管状移植物(H-PHNF),用于替换大鼠腹主动脉以进行综合性能评估。结果表明,H-PHNF具有均匀的微观结构、适度的润湿性、匹配的力学性能、可靠的细胞相容性以及最强的促进内皮生长能力。用H-PHNF替换大鼠切除的腹主动脉表明,该移植物能够均匀混合肝素,并显著促进血管平滑肌细胞(VSMC)的稳定以及稳定血液微环境。本研究证明了H-PHNF具有良好的通畅性,表明它们在血管组织工程中的潜力。