Multi-stage bioengineering of a layered oesophagus with in vitro expanded muscle and epithelial adult progenitors

被引:69
作者
Urbani, Luca [1 ,2 ]
Camilli, Carlotta [1 ]
Phylactopoulos, Demetra-Ellie [1 ,3 ]
Crowley, Claire [1 ]
Natarajan, Dipa [1 ]
Scottoni, Federico [1 ]
Maghsoudlou, Panayiotis [1 ]
McCann, Conor J. [1 ]
Pellegata, Alessandro Filippo [1 ]
Urciuolo, Anna [1 ]
Deguchi, Koichi [1 ]
Khalaf, Sahira [1 ]
Aruta, Salvatore Ferdinando [1 ]
Signorelli, Maria Cristina [1 ]
Kiely, David [1 ]
Hannon, Edward [1 ]
Trevisan, Matteo [1 ]
Wong, Rui Rachel [1 ]
Baradez, Marc Olivier [4 ]
Moulding, Dale [1 ]
Virasami, Alex [5 ]
Gjinovci, Asllan [1 ]
Loukogeorgakis, Stavros [1 ]
Mantero, Sara [6 ]
Thapar, Nikhil [1 ]
Sebire, Neil [1 ]
Eaton, Simon [1 ]
Lowdell, Mark [7 ,8 ]
Cossu, Giulio [9 ]
Bonfanti, Paola [1 ,3 ,7 ,8 ]
De Coppi, Paolo [1 ,10 ]
机构
[1] UCL, Great Ormond St Inst Child Hlth, Stem Cell & Regenerat Med Sect, London WC1N 1EH, England
[2] Fdn Liver Res, Inst Hepatol, London SE5 9NT, England
[3] Francis Crick Inst, London NW1 1AT, England
[4] Cell & Gene Therapy Catapult, London SE1 9RT, England
[5] UCL, Great Ormond St Hosp, Dept Histopathol, London WC1N 3JH, England
[6] Politecn Milan, Dept Chem Mat & Chem Engn Giulio Natta, I-20133 Milan, Italy
[7] Royal Free London NHS FT, London NW3 2QG, England
[8] UCL, London NW3 2QG, England
[9] Univ Manchester, Manchester Acad Hlth Ctr, Div Cell Matrix & Regenerat Med, Manchester, Lancs, England
[10] Great Ormond St Hosp Sick Children, Specialist Neonatal & Paediat Unit, London WC1N 1EH, England
关键词
DETERGENT ENZYMATIC TREATMENT; SMALL-INTESTINAL SUBMUCOSA; MULTIPOTENT STEM-CELLS; EXTRACELLULAR-MATRIX; ACELLULAR MATRIX; SKELETAL-MUSCLE; CANINE MODEL; BIOLOGIC SCAFFOLDS; DOG-MODEL; TISSUE;
D O I
10.1038/s41467-018-06385-w
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
A tissue engineered oesophagus could overcome limitations associated with oesophageal substitution. Combining decellularized scaffolds with patient-derived cells shows promise for regeneration of tissue defects. In this proof-of-principle study, a two-stage approach for generation of a bio-artificial oesophageal graft addresses some major challenges in organ engineering, namely: (i) development of multi-strata tubular structures, (ii) appropriate repopulation/maturation of constructs before transplantation, (iii) cryopreservation of bio-engineered organs and (iv) in vivo pre-vascularization. The graft comprises decellularized rat oesophagus homogeneously re-populated with mesoangioblasts and fibroblasts for the muscle layer. The oesophageal muscle reaches organised maturation after dynamic culture in a bioreactor and functional integration with neural crest stem cells. Grafts are pre-vascularised in vivo in the omentum prior to mucosa reconstitution with expanded epithelial progenitors. Overall, our optimised two-stage approach produces a fully re-populated, structurally organized and pre-vascularized oesophageal substitute, which could become an alternative to current oesophageal substitutes.
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页数:16
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