vascular tissue engineering techniques

2016;16(3):317-30. doi: 10.1517/14712598.2016.1118460.

For example, ≈100% seeding efficiency was obtained when a three‐layer SMC sheet was rolled onto a PCL/collagen ESVG, Furthermore, these cells had already formed strong cell–cell junctions and were expressing the contractile function marker α smooth muscle actin.186 Similarly, the seeding efficiency of induced pluripotent stem cells (iPSC) was significantly improved by rolling a confluent sheet of iPSCs onto a PLA/PLCL MVG compared with traditional pipette seeding. These capillary networks can then anastomose with the sprouting vessels stemming the host BVs in vitro.256, 257 Another study also showed that neighboring capillary sprouts stemming from the same large BV can undergo anastomosis and form a closed‐loop system for blood circulation.258. A) Electrospinning using single or blended polymer(s). Both animal models and nanotechnology-based monitoring are proposed for preclinical evaluation of engineered grafts in view of their historical significance in tissue engineering. A.

While this study demonstrated over 96% FB viability after 7 d in a perfusion culture, the endothelialization of these microchannels can be challenging due to the potential of EC clogging during cell seeding.

Maintaining the functions of each type of BV is crucial for appropriate tissue and organ performance. Similar compliance with supraphysiological burst pressure to the native vessel; SMCs populated the media.

Precisely fabricating functional hierarchical vasculatures in tissue‐engineered constructs for prevascularization of engineered tissues and organs is crucial for in vivo function after implantation but remains a tantalizing goal. Decellularization is the use of chemical, enzymatic and physical agents to obtain the ECM of tissues and organs.200 The decellularized extracellular matrix preserves the architecture and composition of the native tissues and contains biochemical and mechanical cues that can promote cell adhesion, proliferation, differentiation, and tissue organization and remodeling.201 Since ECM components are similar across various species, the decellularized ECM should be ideally free from immunological reactions regardless of its origin under ideal condition202 while the mechanical properties of the native tissue are mostly preserved.203 Decellularized scaffolds can be implanted with or without recellularization, but appropriate recellularization of decellularized extracellular matrix (DECM) is a major challenge since native tissues often contain multiple cell types at precise locations. Currently, native vessels are the preferred vascular conduit for procedures such as coronary artery bypass (CABG) or peripheral bypass surgery.

I have read and accept the Wiley Online Library Terms and Conditions of Use, Functional 3D Tissue Engineering Scaffolds, Essentials of 3D Biofabrication and Translation. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Sequential Electrospinning: In sequential electrospinning, outer layers fibers, spun from a particular polymer solution, are deposited on top of a fibrous inner layer, spun from a different polymer solution, to generate multilayer ESVGs that mimic the tunica of native BVs.69 In one study, electrospun PVA/poly (glycerol sebacate) (PGS) fibers were used as the inner layer of the ESVG and after sacrificing the PVA fibers in water, a PCL fibrous sheath was electrospun on top of the PGS layer to make a multilayer tubular scaffold.69 PGS degradation encouraged cell infiltration and ECM remodeling whereas the PCL sheath maintained the ESVG integrity and the mechanical properties.

Copyright 2020 Mary Ann Liebert, Inc. Tissue Engineering, Part B: Reviews is available online at: http://www.liebertonline.com. Decellularization is currently the only approach that demonstrates the fabrication of functional hierarchical vasculature in a tissue or organ, but spatially appropriate recellularization, and preservation of physical and mechanical performance, continue to present hurdles and so need to be improved to control the distribution of the cells in the decellularized constructs.

This generates bubbles that propel the cell‐containing gel compound onto a collector in the form of discrete droplets (Figure 3C).110 Compared to inkjet bioprinting, laser‐assisted bioprinting can be used to print bioink droplets with higher cell densities in a range of viscosities in a nozzle‐free manner, that avoids printer blockage and cell loss caused by shear stress.111 However, the preparation of metallic absorbing layers and donor layers, which are required for each type of cell or hydrogel used, is time‐consuming, and the metallic residue in the generated bioink droplets may cause harm to the tissue constructs.98, Stereolithography (SLA) uses UV or visible light to crosslink a polymer solution with or without embedded cells and is commonly known as photopolymerization (Figure 3D).112 During this process, the irradiated region undergoes a chemical reaction which initiates solidification, and layers are accumulated successively to create a complex 3D structure.113 SLA can achieve a high resolution that enables the incorporation of detailed surface topography114 with or without the incorporation of cells.115 SLA allows the generation of printed vascular grafts (PVGs) that have controllable geometries including curvature, diameter, and wall thickness.116 However, disadvantages include the risk of reduced cell viability due to exposure to UV light during the curing process and the inability to simultaneously print multiple cell types.117 As photocurable polymers are used in SLA, chemical modification of polymers is often required to render the polymer reactive to light.118 Furthermore, SLA only cross‐links the irradiated regions leaving other regions filled with unreacted polymer that must be removed through further washing steps after printing is finished.118. Coaxial Extrusion: Coaxial extrusion can be used to form hollow rigid filaments through the extrusion of two or more materials in a concentric system, where the core material promotes crosslinking of the outer shell material following printing.

 |  Maintained graft architecture; blood infiltration; occlusive thrombus formation in failed grafts. Rolling of this cell sheet formed an SRVG with an inner FB layer and an outer SMC layer. After excision of the vascularized scaffold, it is implanted at a defect site, where inosculation relies on the capillary networks within both the scaffold and the host growing toward and connecting with each other without surgical intervention (Figure 8A).238 Prior to implantation, short‐term cultivation in vitro can result in accelerated anastomosis, increased vessel density, and greater blood perfusion.239 A study that examined the effects of different in vivo culture sites such as a subcutaneous pocket, small intestinal mesentery, and omentum showed that culture in the omentum assisted cell survival and proliferation following implantation.240 Omental‐cultured scaffolds have also been structurally and functionally integrated with the host. In contrast, CHO spheroids assume a berry-like shape suggesting that surface cells adhere more weakly to inner cell layers. This regenerated tissue should have similar structural and cellular compositions to native BVs including the presence of an elastic matrix as well as aligned fibroblasts (FBs) and smooth muscle cells (SMCs) in the adventitia and media layers respectively.12, Prevascularization of manufactured tissue constructs is an ongoing challenge in vascularized tissue engineering.

Vascular tissue engineering has evolved to generate constructs that incorporate the functionality of these structural layers, withstand physiologic stresses inherent to the cardiovascular system, and promote integration in host tissue without mounting immunologic rejection

B) Fabricated cerebral vascular networks through laser degradation. B) Sacrificial molding for tissue‐engineered mesovasculature. The quest for an optimized protocol for whole-heart decellularization: a comparison of three popular and a novel decellularization technique and their diverse effects on crucial extracellular matrix qualities. A. For example, focal photopolymerization of cell‐encapsulated hydrogels guided by high‐resolution confocal microscopy images has been used to print microvasculature that mimics the capillary networks of various tissues including the retina, cerebral cortex, and heart.158, High laser energy has been used in the tissue engineering field to selectively degrade predetermined regions of cross‐linked hydrogels, with or without cell encapsulation, to form patterned constructs (Figure 4A).115 A wide range of hydrogel biomaterials can undergo this process including natural polymers such as elastin,159 collagen,160 silk,161 agarose,162 and synthetic polymers such as PEG,163 PEGDA,164 and hybrid biomaterials with high protein content.165 The laser degradation mechanisms are generally based on the two‐photon absorption profile of the hydrogel material.166 For hydrogel materials with low two‐photon absorption such as PEG and poly (methyl methacrylate) (PMMA), high‐intensity irradiation generates free electrons that cause plasma formation, which compresses the surrounding liquid and creates a shock wave. Akhyari, P., Aubin, H., Gwanmesia, P., Barth, M., Hoffmann, S., Huelsmann, J., ... & Lichtenberg, A.

We also highlight progress in integrating engineered vascular tissues with the host after implantation as well as the exciting pre-clinical and clinical applications of this technology. Ltd., now sold to Allergan, Inc. Ziyu Wang is undertaking a Ph.D. in the Weiss Lab at the University of Sydney. Natural polymers have adequate biocompatibility but often lack the required mechanical properties.

As an attractive approach, laser degradation is advantageous as it replicates the target tissue or organ microvasculature structure with high resolution using microscopy images as guidance and allows the incorporation of tissue‐specific cells in the gel.

Impaired or damaged blood vessels can occur at all levels in the hierarchy of vascular systems from large vasculatures such as arteries and veins to meso‐ and microvasculatures such as arterioles, venules, and capillary networks. Angiogenic Ingrowth: In an angiogenic ingrowth procedure, a scaffold is implanted at a culture site, where capillaries from the host vascularize the material through angiogenesis. Fabricating Organized Elastin in Vascular Grafts. As discussed previously, although requirements differ between vascular and vascularized tissue engineering, here we focus on the continuum between these two fields and highlight the importance of using combined techniques to fabricate hierarchical structures that comprise multiple levels of vasculature within large‐scale engineered tissues and organs. Gauvin R, Ahsan T, Larouche D, Lévesque P, Dubé J, Auger FA, Nerem RM, Germain L. Tissue Eng Part A.

Strategies for the fabrication of electrospun vascular grafts (ESVGs) have evolved from one‐layer constructs made from one component to multilayer, multicomponent ESVGs with incorporated bioactive substances.

Fabrication of tissue‐engineered blood vessels by electrospinning. A.S.W. (2012) Gezielte dreidimensionale Zellausrichtung und -elongation in artifiziellen Geweben. Thus, fabrication techniques for production of scaffold-free engineered tissue constructs have recently emerged.

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