Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineering

Background: Tracheal reconstruction presents a challenge because of the difficulty in maintaining the rigidity of the trachea to ensure an open lumen and in achieving an intact luminal lining that secretes mucus to protect against infection.Methods: On the basis of the finding that tracheal cartilag...

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Main Authors: Ning Zeng, Youbai Chen, Yewen Wu, Mengqing Zang, Rene D. Largo, Edward I. Chang, Mark V. Schaverien, Peirong Yu, Qixu Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2023.1196521/full
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author Ning Zeng
Youbai Chen
Yewen Wu
Mengqing Zang
Rene D. Largo
Edward I. Chang
Mark V. Schaverien
Peirong Yu
Qixu Zhang
author_facet Ning Zeng
Youbai Chen
Yewen Wu
Mengqing Zang
Rene D. Largo
Edward I. Chang
Mark V. Schaverien
Peirong Yu
Qixu Zhang
author_sort Ning Zeng
collection DOAJ
description Background: Tracheal reconstruction presents a challenge because of the difficulty in maintaining the rigidity of the trachea to ensure an open lumen and in achieving an intact luminal lining that secretes mucus to protect against infection.Methods: On the basis of the finding that tracheal cartilage has immune privilege, researchers recently started subjecting tracheal allografts to “partial decellularization” (in which only the epithelium and its antigenicity are removed), rather than complete decellularization, to maintain the tracheal cartilage as an ideal scaffold for tracheal tissue engineering and reconstruction. In the present study, we combined a bioengineering approach and a cryopreservation technique to fabricate a neo-trachea using pre-epithelialized cryopreserved tracheal allograft (ReCTA).Results: Our findings in rat heterotopic and orthotopic implantation models confirmed that tracheal cartilage has sufficient mechanical properties to bear neck movement and compression; indicated that pre-epithelialization with respiratory epithelial cells can prevent fibrosis obliteration and maintain lumen/airway patency; and showed that a pedicled adipose tissue flap can be easily integrated with a tracheal construct to achieve neovascularization.Conclusion: ReCTA can be pre-epithelialized and pre-vascularized using a 2-stage bioengineering approach and thus provides a promising strategy for tracheal tissue engineering.
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spelling doaj.art-c746c28b4ddc424f91a3def5b683765c2023-05-05T05:53:14ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852023-05-011110.3389/fbioe.2023.11965211196521Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineeringNing ZengYoubai ChenYewen WuMengqing ZangRene D. LargoEdward I. ChangMark V. SchaverienPeirong YuQixu ZhangBackground: Tracheal reconstruction presents a challenge because of the difficulty in maintaining the rigidity of the trachea to ensure an open lumen and in achieving an intact luminal lining that secretes mucus to protect against infection.Methods: On the basis of the finding that tracheal cartilage has immune privilege, researchers recently started subjecting tracheal allografts to “partial decellularization” (in which only the epithelium and its antigenicity are removed), rather than complete decellularization, to maintain the tracheal cartilage as an ideal scaffold for tracheal tissue engineering and reconstruction. In the present study, we combined a bioengineering approach and a cryopreservation technique to fabricate a neo-trachea using pre-epithelialized cryopreserved tracheal allograft (ReCTA).Results: Our findings in rat heterotopic and orthotopic implantation models confirmed that tracheal cartilage has sufficient mechanical properties to bear neck movement and compression; indicated that pre-epithelialization with respiratory epithelial cells can prevent fibrosis obliteration and maintain lumen/airway patency; and showed that a pedicled adipose tissue flap can be easily integrated with a tracheal construct to achieve neovascularization.Conclusion: ReCTA can be pre-epithelialized and pre-vascularized using a 2-stage bioengineering approach and thus provides a promising strategy for tracheal tissue engineering.https://www.frontiersin.org/articles/10.3389/fbioe.2023.1196521/fulltracheal tissue engineeringtracheal cryopreservationpartial decellularizationpre-epithelializationvascularization
spellingShingle Ning Zeng
Youbai Chen
Yewen Wu
Mengqing Zang
Rene D. Largo
Edward I. Chang
Mark V. Schaverien
Peirong Yu
Qixu Zhang
Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineering
Frontiers in Bioengineering and Biotechnology
tracheal tissue engineering
tracheal cryopreservation
partial decellularization
pre-epithelialization
vascularization
title Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineering
title_full Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineering
title_fullStr Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineering
title_full_unstemmed Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineering
title_short Pre-epithelialized cryopreserved tracheal allograft for neo-trachea flap engineering
title_sort pre epithelialized cryopreserved tracheal allograft for neo trachea flap engineering
topic tracheal tissue engineering
tracheal cryopreservation
partial decellularization
pre-epithelialization
vascularization
url https://www.frontiersin.org/articles/10.3389/fbioe.2023.1196521/full
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