Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and Challenges

Cardiovascular diseases are the leading cause of global mortality. Over the past two decades, researchers have tried to provide novel solutions for end-stage heart failure to address cardiac transplantation hurdles such as donor organ shortage, chronic rejection, and life-long immunosuppression. Car...

Full description

Bibliographic Details
Main Authors: Greta Ionela Barbulescu, Florina Maria Bojin, Valentin Laurentiu Ordodi, Iacob Daniel Goje, Andreea Severina Barbulescu, Virgil Paunescu
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/21/13040
_version_ 1797467962030948352
author Greta Ionela Barbulescu
Florina Maria Bojin
Valentin Laurentiu Ordodi
Iacob Daniel Goje
Andreea Severina Barbulescu
Virgil Paunescu
author_facet Greta Ionela Barbulescu
Florina Maria Bojin
Valentin Laurentiu Ordodi
Iacob Daniel Goje
Andreea Severina Barbulescu
Virgil Paunescu
author_sort Greta Ionela Barbulescu
collection DOAJ
description Cardiovascular diseases are the leading cause of global mortality. Over the past two decades, researchers have tried to provide novel solutions for end-stage heart failure to address cardiac transplantation hurdles such as donor organ shortage, chronic rejection, and life-long immunosuppression. Cardiac decellularized extracellular matrix (dECM) has been widely explored as a promising approach in tissue-regenerative medicine because of its remarkable similarity to the original tissue. Optimized decellularization protocols combining physical, chemical, and enzymatic agents have been developed to obtain the perfect balance between cell removal, ECM composition, and function maintenance. However, proper assessment of decellularized tissue composition is still needed before clinical translation. Recellularizing the acellular scaffold with organ-specific cells and evaluating the extent of cardiomyocyte repopulation is also challenging. This review aims to discuss the existing literature on decellularized cardiac scaffolds, especially on the advantages and methods of preparation, pointing out areas for improvement. Finally, an overview of the state of research regarding the application of cardiac dECM and future challenges in bioengineering a human heart suitable for transplantation is provided.
first_indexed 2024-03-09T19:01:13Z
format Article
id doaj.art-0c241cb986544062a6fbf3448af32b79
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T19:01:13Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-0c241cb986544062a6fbf3448af32b792023-11-24T05:01:21ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-10-0123211304010.3390/ijms232113040Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and ChallengesGreta Ionela Barbulescu0Florina Maria Bojin1Valentin Laurentiu Ordodi2Iacob Daniel Goje3Andreea Severina Barbulescu4Virgil Paunescu5Immuno-Physiology and Biotechnologies Center (CIFBIOTEH), Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, No 2 Eftimie Murgu Square, 300041 Timisoara, RomaniaImmuno-Physiology and Biotechnologies Center (CIFBIOTEH), Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, No 2 Eftimie Murgu Square, 300041 Timisoara, RomaniaClinical Emergency County Hospital “Pius Brinzeu” Timisoara, Center for Gene and Cellular Therapies in the Treatment of Cancer Timisoara-OncoGen, No 156 Liviu Rebreanu, 300723 Timisoara, RomaniaDepartment of Medical Semiology I, “Victor Babes” University of Medicine and Pharmacy, No 2 Eftimie Murgu Square, 300041 Timisoara, RomaniaCenter for Advanced Research in Gastroenterology and Hepatology, Department of Internal Medicine II, Division of Gastroenterology and Hepatology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, RomaniaImmuno-Physiology and Biotechnologies Center (CIFBIOTEH), Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, No 2 Eftimie Murgu Square, 300041 Timisoara, RomaniaCardiovascular diseases are the leading cause of global mortality. Over the past two decades, researchers have tried to provide novel solutions for end-stage heart failure to address cardiac transplantation hurdles such as donor organ shortage, chronic rejection, and life-long immunosuppression. Cardiac decellularized extracellular matrix (dECM) has been widely explored as a promising approach in tissue-regenerative medicine because of its remarkable similarity to the original tissue. Optimized decellularization protocols combining physical, chemical, and enzymatic agents have been developed to obtain the perfect balance between cell removal, ECM composition, and function maintenance. However, proper assessment of decellularized tissue composition is still needed before clinical translation. Recellularizing the acellular scaffold with organ-specific cells and evaluating the extent of cardiomyocyte repopulation is also challenging. This review aims to discuss the existing literature on decellularized cardiac scaffolds, especially on the advantages and methods of preparation, pointing out areas for improvement. Finally, an overview of the state of research regarding the application of cardiac dECM and future challenges in bioengineering a human heart suitable for transplantation is provided.https://www.mdpi.com/1422-0067/23/21/13040decellularizationrecellularization3D scaffoldextracellular matrixtissue engineeringregenerative medicine
spellingShingle Greta Ionela Barbulescu
Florina Maria Bojin
Valentin Laurentiu Ordodi
Iacob Daniel Goje
Andreea Severina Barbulescu
Virgil Paunescu
Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and Challenges
International Journal of Molecular Sciences
decellularization
recellularization
3D scaffold
extracellular matrix
tissue engineering
regenerative medicine
title Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and Challenges
title_full Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and Challenges
title_fullStr Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and Challenges
title_full_unstemmed Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and Challenges
title_short Decellularized Extracellular Matrix Scaffolds for Cardiovascular Tissue Engineering: Current Techniques and Challenges
title_sort decellularized extracellular matrix scaffolds for cardiovascular tissue engineering current techniques and challenges
topic decellularization
recellularization
3D scaffold
extracellular matrix
tissue engineering
regenerative medicine
url https://www.mdpi.com/1422-0067/23/21/13040
work_keys_str_mv AT gretaionelabarbulescu decellularizedextracellularmatrixscaffoldsforcardiovasculartissueengineeringcurrenttechniquesandchallenges
AT florinamariabojin decellularizedextracellularmatrixscaffoldsforcardiovasculartissueengineeringcurrenttechniquesandchallenges
AT valentinlaurentiuordodi decellularizedextracellularmatrixscaffoldsforcardiovasculartissueengineeringcurrenttechniquesandchallenges
AT iacobdanielgoje decellularizedextracellularmatrixscaffoldsforcardiovasculartissueengineeringcurrenttechniquesandchallenges
AT andreeaseverinabarbulescu decellularizedextracellularmatrixscaffoldsforcardiovasculartissueengineeringcurrenttechniquesandchallenges
AT virgilpaunescu decellularizedextracellularmatrixscaffoldsforcardiovasculartissueengineeringcurrenttechniquesandchallenges