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Vascular Remodeling of Clinically Used Patches and Decellularized Pericardial Matrices Recellularized with Autologous or Allogeneic Cells in a Porcine Carotid Artery Model

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    SYSNO ASEP0556529
    Document TypeJ - Journal Article
    R&D Document TypeJournal Article
    Subsidiary JČlánek ve WOS
    TitleVascular Remodeling of Clinically Used Patches and Decellularized Pericardial Matrices Recellularized with Autologous or Allogeneic Cells in a Porcine Carotid Artery Model
    Author(s) Chlupáč, Jaroslav (FGU-C) ORCID, RID
    Matějka, R. (CZ)
    Koňařík, M. (CZ)
    Novotný, R. (CZ)
    Šimůnková, Z. (CZ)
    Mrázová, I. (CZ)
    Fabian, O. (CZ)
    Zapletal, M. (CZ)
    Pulda, Z. (CZ)
    Lipenský, J. F. (CZ)
    Štěpanovská, J. (CZ)
    Hanzálek, K. (CZ)
    Brož, Antonín (FGU-C) RID, ORCID, SAI
    Novák, T. (CZ)
    Lodererová, A. (CZ)
    Voska, L. (CZ)
    Adla, T. (CZ)
    Froněk, J. (CZ)
    Rozkot, M. (CZ)
    Forostyak, S. (CZ)
    Kneppo, P. (CZ)
    Bačáková, Lucie (FGU-C) RID, ORCID
    Pirk, J. (CZ)
    Number of authors23
    Article number3310
    Source TitleInternational Journal of Molecular Sciences. - : MDPI
    Roč. 23, č. 6 (2022)
    Number of pages29 s.
    Languageeng - English
    CountryCH - Switzerland
    Keywordsblood vessel prosthesis ; decellularization ; cell seeding ; tissue engineering ; allograft ; heterograft ; pericardium ; adipose tissue-derived stromal cells ; Wharton's jelly mesenchymal stem cells
    OECD categoryCardiac and Cardiovascular systems
    R&D ProjectsNV18-02-00422 GA MZd - Ministry of Health (MZ)
    Method of publishingOpen access
    Institutional supportFGU-C - RVO:67985823
    UT WOS000775384600001
    EID SCOPUS85126683388
    DOI10.3390/ijms23063310
    AnnotationBackground: Cardiovascular surgery is confronted by a lack of suitable materials for patch repair. Acellular animal tissues serve as an abundant source of promising biomaterials. The aim of our study was to explore the bio-integration of decellularized or recellularized pericardial matrices in vivo. Methods: Porcine (allograft) and ovine (heterograft, xenograft) pericardia were decellularized using 1% sodium dodecyl sulfate ((1) Allo-decel and (2) Xeno-decel). We used two cell types for pressure-stimulated recellularization in a bioreactor: autologous adipose tissue-derived stromal cells (ASCs) isolated from subcutaneous fat of pigs ((3) Allo-ASC and (4) Xeno-ASC) and allogeneic Wharton's jelly mesenchymal stem cells (WJCs) ((5) Allo-WJC and (6) Xeno-WJC). These six experimental patches were implanted in porcine carotid arteries for one month. For comparison, we also implanted six types of control patches, namely, arterial or venous autografts, expanded polytetrafluoroethylene (ePTFE Propaten(R) Gore(R)), polyethylene terephthalate (PET Vascutek(R)), chemically stabilized bovine pericardium (XenoSure(R)), and detoxified porcine pericardium (BioIntegral(R) NoReact(R)). The grafts were evaluated through the use of flowmetry, angiography, and histological examination. Results: All grafts were well-integrated and patent with no signs of thrombosis, stenosis, or aneurysm. A histological analysis revealed that the arterial autograft resembled a native artery. All other control and experimental patches developed neo-adventitial inflammation (NAI) and neo-intimal hyperplasia (NIH), and the endothelial lining was present. NAI and NIH were most prominent on XenoSure(R) and Xeno-decel and least prominent on NoReact(R). In xenografts, the degree of NIH developed in the following order: Xeno-decel > Xeno-ASC > Xeno-WJC. NAI and patch resorption increased in Allo-ASC and Xeno-ASC and decreased in Allo-WJC and Xeno-WJC. Conclusions: In our setting, pre-implant seeding with ASC or WJC had a modest impact on vascular patch remodeling. However, ASC increased the neo-adventitial inflammatory reaction and patch resorption, suggesting accelerated remodeling. WJC mitigated this response, as well as neo-intimal hyperplasia on xenografts, suggesting immunomodulatory properties.
    WorkplaceInstitute of Physiology
    ContactLucie Trajhanová, lucie.trajhanova@fgu.cas.cz, Tel.: 241 062 400
    Year of Publishing2023
    Electronic addresshttps://www.mdpi.com/1422-0067/23/6/3310
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