Kim S S, Utsunomiya H, Koski J A, Wu B M, Cima M J, Sohn J, Mukai K, Griffith L G, Vacanti J P
Laboratory for Transplantation and Tissue Engineering, Children's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.
Ann Surg. 1998 Jul;228(1):8-13. doi: 10.1097/00000658-199807000-00002.
To evaluate the survival and function of hepatocytes (HCs) on a novel three-dimensional (3D) synthetic biodegradable polymer scaffold with an intrinsic network of interconnected channels under continuous flow conditions.
The authors' laboratory has investigated HC transplantation using 3D biodegradable polymers as scaffolding as an alternative approach to treatment of end-stage liver disease. Previous studies have demonstrated survival of HCs transplanted on polymer discs in peripheral tissue sites and partial correction of single enzyme liver defects. One of the major limitations has been the insufficient survival of an adequate mass of transplanted cells; this is thought to be caused by inadequate oxygen diffusion.
HCs and nonparenchymal liver cells from Lewis rats were seeded onto 3D biodegradable polymer scaffolds. Microporous 3D polymers were created using 3D printing on copolymers of polylactide-coglycolide. The cell/polymer constructs were placed in static culture or continuous flow conditions. The devices were retrieved after 2 days and examined by scanning electron microscopy and histology. Culture medium was analyzed for albumin by enzyme-linked immunosorbent assay (ELISA). Differences in culture parameters including pH, PCO2, PO2, glucose, lactate, and HCO3 were examined.
Scanning electron microscopy revealed successful attachment of HCs on the 3D polymer in both static and flow conditions. Histology demonstrated viable HCs in both conditions. ELISA demonstrated a significantly higher mean concentration of albumin in flow conditions than in static conditions. Culture parameter analysis revealed a significantly higher PO2 and glucose level, and a more physiologic pH in flow conditions than in static conditions.
HCs cocultured with nonparenchymal cells can attach to and survive on the 3D polymer scaffolds in both static and flow conditions in the size and configuration used in this study. Flow conditions may provide a more conducive environment for HC metabolism and albumin synthesis than static conditions. The authors hypothesize that flow through directed channels will be necessary for the transfer of large masses of cells when implantation studies are initiated.
评估肝细胞(HCs)在一种新型三维(3D)合成可生物降解聚合物支架上的存活情况及功能,该支架具有相互连接通道的固有网络,处于连续流动条件下。
作者所在实验室已研究使用3D可生物降解聚合物作为支架进行HC移植,作为治疗终末期肝病的一种替代方法。先前的研究已证明移植到外周组织部位聚合物圆盘上的HCs能够存活,并部分纠正单酶性肝脏缺陷。主要限制之一是足够数量移植细胞的存活率不足;这被认为是由氧扩散不足所致。
将来自Lewis大鼠的HCs和非实质肝细胞接种到3D可生物降解聚合物支架上。使用3D打印在聚乳酸-共乙醇酸共聚物上制备微孔3D聚合物。将细胞/聚合物构建体置于静态培养或连续流动条件下。2天后取出装置,通过扫描电子显微镜和组织学进行检查。通过酶联免疫吸附测定(ELISA)分析培养基中的白蛋白。检查包括pH、PCO2、PO2、葡萄糖、乳酸和HCO3在内的培养参数差异。
扫描电子显微镜显示,在静态和流动条件下HCs均成功附着在3D聚合物上。组织学表明在两种条件下HCs均存活。ELISA显示流动条件下白蛋白的平均浓度显著高于静态条件。培养参数分析显示,流动条件下的PO2和葡萄糖水平显著更高,pH比静态条件下更接近生理值。
与非实质细胞共培养的HCs在本研究使用的尺寸和构型下,在静态和流动条件下均可附着于3D聚合物支架并存活。与静态条件相比,流动条件可能为HC代谢和白蛋白合成提供更有利的环境。作者推测,当开始植入研究时,通过定向通道的流动对于大量细胞的转移将是必要的。