De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate Model

The utility of implanting a bioscaffold mitral valve consisting of porcine small intestinal submucosa (PSIS) in a juvenile baboon model (12 to 14 months old at the time of implant; <i>n</i> = 3) to assess their in vivo tissue remodeling responses was investigated. Our findings demonstrat...

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Main Authors: Brittany A. Gonzalez, Marcos Perez Gonzalez, Frank Scholl, Steven Bibevski, Elena Ladich, Jennifer Bibevski, Pablo Morales, Jesus Lopez, Mike Casares, Vincent Brehier, Lazaro Hernandez, Sharan Ramaswamy
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/8/7/100
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author Brittany A. Gonzalez
Marcos Perez Gonzalez
Frank Scholl
Steven Bibevski
Elena Ladich
Jennifer Bibevski
Pablo Morales
Jesus Lopez
Mike Casares
Vincent Brehier
Lazaro Hernandez
Sharan Ramaswamy
author_facet Brittany A. Gonzalez
Marcos Perez Gonzalez
Frank Scholl
Steven Bibevski
Elena Ladich
Jennifer Bibevski
Pablo Morales
Jesus Lopez
Mike Casares
Vincent Brehier
Lazaro Hernandez
Sharan Ramaswamy
author_sort Brittany A. Gonzalez
collection DOAJ
description The utility of implanting a bioscaffold mitral valve consisting of porcine small intestinal submucosa (PSIS) in a juvenile baboon model (12 to 14 months old at the time of implant; <i>n</i> = 3) to assess their in vivo tissue remodeling responses was investigated. Our findings demonstrated that the PSIS mitral valve exhibited the robust presence of de novo extracellular matrix (ECM) at all explantation time points (at 3-, 11-, and 20-months). Apart from a significantly lower level of proteoglycans in the implanted valve’s annulus region (<i>p</i> < 0.05) at 3 months compared to the 11- and 20-month explants, there were no other significant differences (<i>p</i> > 0.05) found between any of the other principal valve ECM components (collagen and elastin) at the leaflet, annulus, or chordae tendinea locations, across these time points. In particular, neochordae tissue had formed, which seamlessly integrated with the native papillary muscles. However, additional processing will be required to trigger accelerated, uniform and complete valve ECM formation in the recipient. Regardless of the specific processing done to the bioscaffold valve, in this proof-of-concept study, we estimate that a 3-month window following bioscaffold valve replacement is the timeline in which complete regeneration of the valve and integration with the host needs to occur.
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spelling doaj.art-5b50a9bfdadf482791c9381c52cb05ef2023-11-22T03:15:14ZengMDPI AGBioengineering2306-53542021-07-018710010.3390/bioengineering8070100De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate ModelBrittany A. Gonzalez0Marcos Perez Gonzalez1Frank Scholl2Steven Bibevski3Elena Ladich4Jennifer Bibevski5Pablo Morales6Jesus Lopez7Mike Casares8Vincent Brehier9Lazaro Hernandez10Sharan Ramaswamy11Department of Biomedical Engineering, Florida International University, Miami, FL 33174, USADepartment of Biomedical Engineering, Florida International University, Miami, FL 33174, USAMemorial Healthcare System, Joe DiMaggio Children’s Hospital, Hollywood, FL 33021, USADepartment of Biomedical Engineering, Florida International University, Miami, FL 33174, USAMemorial Healthcare System, Joe DiMaggio Children’s Hospital, Hollywood, FL 33021, USACOR Veterinary Surgery Services, Hollywood, FL 33301, USAThe Mannheimer Foundation, Inc., Homestead, FL 33034, USAThe Mannheimer Foundation, Inc., Homestead, FL 33034, USAMemorial Healthcare System, Joe DiMaggio Children’s Hospital, Hollywood, FL 33021, USAMemorial Healthcare System, Joe DiMaggio Children’s Hospital, Hollywood, FL 33021, USAMemorial Healthcare System, Joe DiMaggio Children’s Hospital, Hollywood, FL 33021, USADepartment of Biomedical Engineering, Florida International University, Miami, FL 33174, USAThe utility of implanting a bioscaffold mitral valve consisting of porcine small intestinal submucosa (PSIS) in a juvenile baboon model (12 to 14 months old at the time of implant; <i>n</i> = 3) to assess their in vivo tissue remodeling responses was investigated. Our findings demonstrated that the PSIS mitral valve exhibited the robust presence of de novo extracellular matrix (ECM) at all explantation time points (at 3-, 11-, and 20-months). Apart from a significantly lower level of proteoglycans in the implanted valve’s annulus region (<i>p</i> < 0.05) at 3 months compared to the 11- and 20-month explants, there were no other significant differences (<i>p</i> > 0.05) found between any of the other principal valve ECM components (collagen and elastin) at the leaflet, annulus, or chordae tendinea locations, across these time points. In particular, neochordae tissue had formed, which seamlessly integrated with the native papillary muscles. However, additional processing will be required to trigger accelerated, uniform and complete valve ECM formation in the recipient. Regardless of the specific processing done to the bioscaffold valve, in this proof-of-concept study, we estimate that a 3-month window following bioscaffold valve replacement is the timeline in which complete regeneration of the valve and integration with the host needs to occur.https://www.mdpi.com/2306-5354/8/7/100porcine small intestinal submucosa (PSIS)non-human primate modelmitral valvede novo valve tissuesspatial intensity mappingextracellular matrix
spellingShingle Brittany A. Gonzalez
Marcos Perez Gonzalez
Frank Scholl
Steven Bibevski
Elena Ladich
Jennifer Bibevski
Pablo Morales
Jesus Lopez
Mike Casares
Vincent Brehier
Lazaro Hernandez
Sharan Ramaswamy
De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate Model
Bioengineering
porcine small intestinal submucosa (PSIS)
non-human primate model
mitral valve
de novo valve tissues
spatial intensity mapping
extracellular matrix
title De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate Model
title_full De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate Model
title_fullStr De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate Model
title_full_unstemmed De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate Model
title_short De Novo Valve Tissue Morphology Following Bioscaffold Mitral Valve Replacement in a Juvenile Non-Human Primate Model
title_sort de novo valve tissue morphology following bioscaffold mitral valve replacement in a juvenile non human primate model
topic porcine small intestinal submucosa (PSIS)
non-human primate model
mitral valve
de novo valve tissues
spatial intensity mapping
extracellular matrix
url https://www.mdpi.com/2306-5354/8/7/100
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