Casarin Martina, Toniolo Ilaria, Todesco Martina, Carniel Emanuele Luigi, Astolfi Laura, Morlacco Alessandro, Moro Fabrizio Dal
Department of Surgery, Oncology and Gastroenterology, University of Padua, Padova, Italy.
Department of Industrial Engineering, University of Padua, Padova, Italy.
Front Bioeng Biotechnol. 2024 Jun 17;12:1412136. doi: 10.3389/fbioe.2024.1412136. eCollection 2024.
Clinics increasingly require readily deployable tubular substitutes to restore the functionality of structures like ureters and blood vessels. Despite extensive exploration of various materials, both synthetic and biological, the optimal solution remains elusive. Drawing on abundant literature experiences, there is a pressing demand for a substitute that not only emulates native tissue by providing requisite signals and growth factors but also exhibits appropriate mechanical resilience and behaviour. This study aims to assess the potential of porcine ureters by characterizing their biomechanical properties in their native configuration through ring and membrane flexion tests. In order to assess the tissue morphology before and after mechanical tests and the eventual alteration of tissue microstructure that would be inserted in material constitutive description, histological staining was performed on samples. Corresponding computational analyses were performed to mimic the experimental campaign to identify the constitutive material parameters. The absence of any damages to muscle and collagen fibres, which only compacted after mechanical tests, was demonstrated. The experimental tests (ring and membrane flexion tests) showed non-linearity for material and geometry and the viscoelastic behaviour of the native porcine ureter. Computational models were descriptive of the mechanical behaviour ureteral tissue, and the material model feasible. This analysis will be useful for future comparison with decellularized tissue for the evaluation of the aggression of cell removal and its effect on microstructure. The computational model could lay the basis for a reliable tool for the prediction of solicitation in the case of tubular substitutions in subsequent simulations.
临床机构越来越需要可快速部署的管状替代物,以恢复输尿管和血管等结构的功能。尽管对各种合成和生物材料进行了广泛探索,但最佳解决方案仍未找到。借鉴丰富的文献经验,迫切需要一种替代物,它不仅能通过提供必要的信号和生长因子来模拟天然组织,还能展现出适当的机械弹性和性能。本研究旨在通过环向和膜片弯曲试验,对猪输尿管在其天然构型下的生物力学性能进行表征,从而评估其潜力。为了评估机械测试前后的组织形态以及最终将插入材料本构描述中的组织微观结构变化,对样本进行了组织学染色。进行了相应的计算分析,以模拟实验过程,确定本构材料参数。结果表明,肌肉和胶原纤维在机械测试后仅出现压实,未出现任何损伤。实验测试(环向和膜片弯曲试验)显示了材料和几何形状的非线性以及天然猪输尿管的粘弹性行为。计算模型能够描述输尿管组织的力学行为,且材料模型可行。该分析将有助于未来与脱细胞组织进行比较,以评估细胞去除的侵袭性及其对微观结构的影响。该计算模型可为后续模拟中管状替代物情况下预测应力的可靠工具奠定基础。