Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat model

Abstract Background The poor performance of conventional techniques used in cardiovascular disease patients requiring hemodialysis or arterial bypass grafting has prompted tissue engineers to search for clinically appropriate off-the-shelf vascular grafts. Most patients with cardiovascular disease l...

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Main Authors: Francis O. Obiweluozor, Mukhammad Kayumov, Yujin Kwak, Hwa-Jin Cho, Chan-Hee Park, Jun-kyu Park, Yun-Jin Jeong, Dong-Weon Lee, Do-Wan Kim, In-Seok Jeong
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Journal of Biological Engineering
Subjects:
Online Access:https://doi.org/10.1186/s13036-022-00313-9
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author Francis O. Obiweluozor
Mukhammad Kayumov
Yujin Kwak
Hwa-Jin Cho
Chan-Hee Park
Jun-kyu Park
Yun-Jin Jeong
Dong-Weon Lee
Do-Wan Kim
In-Seok Jeong
author_facet Francis O. Obiweluozor
Mukhammad Kayumov
Yujin Kwak
Hwa-Jin Cho
Chan-Hee Park
Jun-kyu Park
Yun-Jin Jeong
Dong-Weon Lee
Do-Wan Kim
In-Seok Jeong
author_sort Francis O. Obiweluozor
collection DOAJ
description Abstract Background The poor performance of conventional techniques used in cardiovascular disease patients requiring hemodialysis or arterial bypass grafting has prompted tissue engineers to search for clinically appropriate off-the-shelf vascular grafts. Most patients with cardiovascular disease lack suitable autologous tissue because of age or previous surgery. Commercially available vascular grafts with diameters of < 5 mm often fail because of thrombosis and intimal hyperplasia. Result Here, we tested tubular biodegradable poly-e-caprolactone/polydioxanone (PCL/PDO) electrospun vascular grafts in a rat model of aortic interposition for up to 12 weeks. The grafts demonstrated excellent patency (100%) confirmed by Doppler Ultrasound, resisted aneurysmal dilation and intimal hyperplasia, and yielded neoarteries largely free of foreign materials. At 12 weeks, the grafts resembled native arteries with confluent endothelium, synchronous pulsation, a contractile smooth muscle layer, and co-expression of various extracellular matrix components (elastin, collagen, and glycosaminoglycan). Conclusions The structural and functional properties comparable to native vessels observed in the neoartery indicate their potential application as an alternative for the replacement of damaged small-diameter grafts. This synthetic off-the-shelf device may be suitable for patients without autologous vessels. However, for clinical application of these grafts, long-term studies (> 1.5 years) in large animals with a vasculature similar to humans are needed.
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spelling doaj.art-7cc2207ac2e94d8c85e6afd14f759f0c2023-01-08T12:14:01ZengBMCJournal of Biological Engineering1754-16112023-01-0117111310.1186/s13036-022-00313-9Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat modelFrancis O. Obiweluozor0Mukhammad Kayumov1Yujin Kwak2Hwa-Jin Cho3Chan-Hee Park4Jun-kyu Park5Yun-Jin Jeong6Dong-Weon Lee7Do-Wan Kim8In-Seok Jeong9Research and Business Development foundation, Chonnam National UniversityDepartment of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital and Medical SchoolDepartment of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital and Medical SchoolDepartment of Pediatrics, Chonnam National University Children’s Hospital and Medical SchoolDepartment of Mechanical Engineering Graduate School, Chonbuk National UniversityCGBio Co. Ltd.School of Mechanical Engineering Chonnam National UniversitySchool of Mechanical Engineering Chonnam National UniversityDepartment of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital and Medical SchoolDepartment of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital and Medical SchoolAbstract Background The poor performance of conventional techniques used in cardiovascular disease patients requiring hemodialysis or arterial bypass grafting has prompted tissue engineers to search for clinically appropriate off-the-shelf vascular grafts. Most patients with cardiovascular disease lack suitable autologous tissue because of age or previous surgery. Commercially available vascular grafts with diameters of < 5 mm often fail because of thrombosis and intimal hyperplasia. Result Here, we tested tubular biodegradable poly-e-caprolactone/polydioxanone (PCL/PDO) electrospun vascular grafts in a rat model of aortic interposition for up to 12 weeks. The grafts demonstrated excellent patency (100%) confirmed by Doppler Ultrasound, resisted aneurysmal dilation and intimal hyperplasia, and yielded neoarteries largely free of foreign materials. At 12 weeks, the grafts resembled native arteries with confluent endothelium, synchronous pulsation, a contractile smooth muscle layer, and co-expression of various extracellular matrix components (elastin, collagen, and glycosaminoglycan). Conclusions The structural and functional properties comparable to native vessels observed in the neoartery indicate their potential application as an alternative for the replacement of damaged small-diameter grafts. This synthetic off-the-shelf device may be suitable for patients without autologous vessels. However, for clinical application of these grafts, long-term studies (> 1.5 years) in large animals with a vasculature similar to humans are needed.https://doi.org/10.1186/s13036-022-00313-9Vascular graftElectrospinningNanofibersMedium-term performanceTissue regeneration3D printing
spellingShingle Francis O. Obiweluozor
Mukhammad Kayumov
Yujin Kwak
Hwa-Jin Cho
Chan-Hee Park
Jun-kyu Park
Yun-Jin Jeong
Dong-Weon Lee
Do-Wan Kim
In-Seok Jeong
Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat model
Journal of Biological Engineering
Vascular graft
Electrospinning
Nanofibers
Medium-term performance
Tissue regeneration
3D printing
title Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat model
title_full Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat model
title_fullStr Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat model
title_full_unstemmed Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat model
title_short Rapid remodeling observed at mid-term in-vivo study of a smart reinforced acellular vascular graft implanted on a rat model
title_sort rapid remodeling observed at mid term in vivo study of a smart reinforced acellular vascular graft implanted on a rat model
topic Vascular graft
Electrospinning
Nanofibers
Medium-term performance
Tissue regeneration
3D printing
url https://doi.org/10.1186/s13036-022-00313-9
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